Care-O-World Early Learning Center of Ayden

A drug or medicine was administered after its expiration date.

“In space #4, there was a tube of Destin diaper rash ointment that expired 12/2024.”

Rule A drug or medicine was administered after its expiration date.. Corrected during the inspection.

All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.

“Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff hired on 3/14/24 CPR training expired on 4/13/26 and a new training certificate was not on file.”

Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 18, 2026. Correction verified: by a letter from the provider.

All staff did not successfully complete certification in First Aid appropriate to the age of children in care.

“Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff hired on 3/14/24 First Aid training expired on 4/13/26 and a new training certificate was not on file.”

Rule All staff did not successfully complete certification in First Aid appropriate to the age of children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 18, 2026. Correction verified: by a letter from the provider.

All vehicles used to transport children were not free of hazards.

“The tire tread on front and back passenger side tires of the van used to transport the children measured less than 2/32 of an inch depth.”

Rule All vehicles used to transport children were not free of hazards.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 18, 2026. Correction verified: by a letter from the provider.

An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.

“An incident report had not been submitted to the Division of Child Development within seven (7) days of the incident.”

Rule An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.. Corrected during the inspection.

Equipment and furnishings were not sturdy, stable and free of hazards.

“A non-sturdy folding table with collapsible legs was in the gross motor room where children one year of age were engaged in indoor gross motor play.”

Rule Equipment and furnishings were not sturdy, stable and free of hazards.. Corrected during the inspection.

Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis.

“Upon reviewing the times that children were changed in the Pro Care App for four children during the dates of 10/21/25- 11/4/25, there were instances where children had not been changed between two and a half hours to four hours.”

Rule Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 7, 2025. Correction verified: at a follow-up visit by DCDEE.

Enhanced staff/child ratios and group sizes were not met.

“At 7:33am in space #1, eighteen children ranging in age from three (3) months to one (1) year of age were cared for by two staff members.”

Rule Enhanced staff/child ratios and group sizes were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 7, 2025. Correction verified: at a follow-up visit by DCDEE.

Center staff did not comply with the safe sleep policy.

“Three out of seven infants sleep charts documented visual checks not completed every fifteen (15) minutes.”

Rule Center staff did not comply with the safe sleep policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 15, 2025. Correction verified: by a letter from the provider.

The depth of the loose surfacing was not based on critical height of the equipment.

“There were less than six inches of surfacing materials around the swing area on the playground space #2.”

Rule The depth of the loose surfacing was not based on critical height of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 15, 2025. Correction verified: by a letter from the provider.

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“A 6-month authorization to administer the prescribed medication for a child diagnosed with a chronic illness expired on 9/4/24 in space 6.”

Rule Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 4, 2025. Correction verified: by a letter from the provider.

The depth of the loose surfacing was not based on critical height of the equipment.

“The depth of the mulch under the swings is less than one inch.”

Rule The depth of the loose surfacing was not based on critical height of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 4, 2025. Correction verified: by a letter from the provider.

Each infant was not served only bottles labeled with their individual name.

“In the classroom for the infants, there were four bottles that had not been labeled with each child’s name and the date.”

Rule Each infant was not served only bottles labeled with their individual name.. Corrected during the inspection.

Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.

“Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was completed on 7/25/24. The copy was provided to the Division on 8/7/24.”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 23, 2024. Correction verified: by a letter from the provider.

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

“In Spaces 1 and 2 (designated for children one year-of-age) plastic trash bags were stored in the unlocked bottom cabinet underneath the sink.”

Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. Corrected during the inspection.

Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child’s name, and/or written instructions did not include the required information.

“An inhaler for a child was present without the original labeled container (prescription) in Space 1.”

Rule Prescribed medicines, that are pharmaceutical samples, was not stored in the manufacturers original packaging, was not labeled with the child's name, and/or written instructions did not include the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 23, 2024. Correction verified: by a letter from the provider.

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.

“Aerosol cans of Spray Glass Cleaner and the Works Toilet Bowl Cleaner were not kept in locked storage in Space 1, Space 5, and Space 8.”

Rule All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 7, 2024. Correction verified: by a letter from the provider.

Medical exam or health assessment record was not on file before or within 30 days after admission.

“During the review of children’s files, a file for a 4-year-old child enrolled on 8/25/23, did not have a medical report/ health assessment available.”

Rule Medical exam or health assessment record was not on file before or within 30 days after admission.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 7, 2024. Correction verified: by a letter from the provider.

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.

“In Space 3, designated for the care of children ages birth-1 year old, a bottle of amoxicillin was stored in a Ziplock bag in the classroom refrigerator. In Space 7, a bottle of over the counter Children’s Liquid Melatonin was stored inside a bin on a high shelf.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 7, 2024. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“6-month authorization to administer the prescribed medication for a child diagnosed with a chronic illness was not on available in Space 7.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 7, 2024. Correction verified: by a letter from the provider.

A current activity plan was not posted for each group of children for reference.

“The activity plan posted in in Space 1 was dated October 23-27, 2023.”

Rule A current activity plan was not posted for each group of children for reference.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 13, 2023. Correction verified: by a letter from the provider.

For routine transport of children to and from the center, staff did not use the list to document attendance as children boarded and departed the vehicle.

“The transportation log did not include documentation of the time each child is picked up in the afternoons.”

Rule For routine transport of children to and from the center, staff did not use the list to document attendance as children boarded and departed the vehicle.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 13, 2023. Correction verified: by a letter from the provider.

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.

“A bottle of Motrin Infant Drops was stored in an unlocked basket on top of a cabinet in Space 2.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Corrected during the inspection.

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

“A plastic Ziplock bag used to store plastic spoons was stored in an unlocked lower cabinet and an open box of Loo Nappy Bags was stored in the lower cabinet of the unlocked changing table in Space 1. Plastic bags with warning labels to keep out of reach of children containing extra shoes was also observed in the hallway leading to spaces designated for the care of infants and toddlers.”

Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 13, 2023. Correction verified: by a letter from the provider.

Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory.

“Soap, paper towels and toilet tissue was unavailable in the bathroom located in the outdoor space for toddlers.”

Rule Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 13, 2023. Correction verified: by a letter from the provider.

The written feeding plan did not include the child’s name, parent signature, and/or was not dated when received by the center.

“The written feeding plans for children enrolled in Space 3 did not include parent signatures and were not dated when they were received by the center.”

Rule The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 13, 2023. Correction verified: by a letter from the provider.