The Bear Patch

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

“Child enrolled on 11/3/25 had a health assessment on file dated 12/18/25.”

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: Sep 18, 2026. Correction verified: by a letter from the provider.

Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).

“Staff employed on 6/24/91 had a qualification letter that was expired 8/3/26 and completed the submission of the required formed on 8/12/26. Staff employed on 2/20/07 had a qualification letter that was expired 8/3/26 and completed the submission of the required formed on 8/12/26.”

Rule Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 18, 2026. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“In space #4, an authorization form for one tube of Boudreaux’s Butt Paste did not include the amount, authorization dates, and where to apply.”

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: May 26, 2026. Correction verified: by a letter from the provider.

Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional.

“In space #4, the instructions for one tube of Lotrimin were to be used as diaper rash cream without a health professional instructions.”

Rule Questionable medication instructions from parents were followed without signed written dosage instructions received from physician or authorized health professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 26, 2026. Correction verified: by a letter from the provider.

A child’s file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.

“A child enrolled on 4/28/25 had a signed acknowledgement on file dated 6/25/25.”

Rule A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 5, 2025. Correction verified: by a letter from the provider.

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.

“A child enrolled on 8/26/24 had a signed acknowledgement of receiving the NC Summary of Law dated 10/4/24. A child enrolled on 4/28/25 had a signed acknowledgement of receiving the NC Summary of Law dated 6/25/25.”

Rule A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 5, 2025. Correction verified: by a letter from the provider.

Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.

“A child enrolled on 4/28/25 had immunizations on file, dated 6/13/25.”

Rule Each child was not immunized as per Article 6 of Chapter 130A and an immunization 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: Nov 5, 2025. Correction verified: by a letter from the provider.

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

“A lockdown drill was completed 11/21/24 and the next documented shelter-in-place drill was documented on 3/4/25, therefore a dill was not practiced every three months.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Corrected during the inspection.

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

“Prescription Nystatin cream was stored on an open shelf above five feet in space #4”

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

Parent’s medication authorization did not include required information.

“The medication authorization for Nystatin in space #4 did not include the medical condition, the manner in which to administer, and a valid 6 month authorization.”

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: Dec 13, 2023. Correction verified: by a letter from the provider.

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person’s file.

“Staff employed on 6/6/23 had a signed acknowledgement of Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy dated 6/8/23.”

Rule The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file.. 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.