Polk Central School Pre-K

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

“In space #2, the posted activity plan was dated August 10-16, 2026.”

Rule A current activity plan was not posted for each group of children for reference.. Corrected during the inspection.

A drug or medication was administered without written authorization and/or instructions from a child’s parent or authorized health professional.

“In space #3, one child nine years of age was given over the counter Ibuprofen 100MG with no signed parental permission to administer medication on file.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent 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: Aug 27, 2026. Correction verified: by a letter from the provider.

A valid qualification letter was not on file and available to review at the facility.

“A valid qualification letter was not on file for D. Conner between July 7, 2026, and July 22, 2026.”

Rule A valid qualification letter was not on file and available to review at the facility.. 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 member employed April 11, 2018 and one staff member employed August 8, 2024 had CPR certifications on file that expired August 13, 2026.”

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: Aug 27, 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 member employed April 11, 2018 and one staff member employed August 8, 2024 had First Aid certifications on file that expired August 13, 2026.”

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: Aug 27, 2026. Correction verified: by a letter from the provider.

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.

“In space #1, one child three years of age had permission for a Proair inhaler 90 mcg that did not include the length of time the authorization was valid. Another child three years of age had permission for an EPI Pen Jr. that did not include a length of time the authorization was valid.”

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 27, 2026. 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, one bottle of over the counter Ibuprofen 100MG was in an unlocked cabinet beside the sink.”

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: Aug 27, 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).

“D. Conner’s qualification letter expired on July 7, 2026 and the current valid qualification letter was dated July 23, 2026.”

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).. Corrected during the inspection.

The center did not comply with the permit restrictions.

“In space #1 care was being provided for one child two years of age that enrolled on August 10, 2026.”

Rule The center did not comply with the permit restrictions.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 27, 2026. Correction verified: at a follow-up visit by DCDEE.

The medical action plan was not updated on an annual basis or when changes to the plan were made by the child’s parent or health care professional.

“In space #3, one child seven years of age with special health conditions had a medical action plan dated August 20, 2025 on file.”

Rule The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 27, 2026. 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.

“In space #3, one bottle of Zep streak-free glass cleaner was in an unlocked cabinet above the sink.”

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.. Corrected during the inspection.

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

“One staff member employed 10/1/23 as a substitute staff member, did not have verification of completion of the Recognizing and Responding to Suspicions of Child Maltreatment training on file.”

Rule The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 23, 2026. Correction verified: by a letter from the provider.

A valid qualification letter was not on file and available to review at the facility.

“Adam Giles did not have a valid qualifying letter on file for review.”

Rule A valid qualification letter was not on file and available to review at the facility.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 24, 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.

“In space #3, there was a bottle of DG Health Children’s Mucus Relief that expired 4/2024 in the locked medicine box.”

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.. Corrected during the inspection.

Parent’s medication authorization did not include required information.

“In space #3, one prescription bottle of Valtoco 5MG did not have an authorization to administer medication form on file.”

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: Sep 18, 2025. Correction verified: by a letter from the provider.

Prior to employment a Criminal Background Check was not completed.

“Adam Giles was employed July 1, 2025 and did not have a completed criminal background check on file.”

Rule Prior to employment a Criminal Background Check was not completed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 24, 2025. Correction verified: by a letter from the provider.

Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.

“On 9/5/24, 9/11/24, 9/12/24, and 9/19/24, one child was not signed out of care. On 9/3/24 and 9/16/24, two children were not signed out of care. On 9/20/24, four children were not signed out of care.”

Rule Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 7, 2024. Correction verified: by a letter from the provider.

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 completed on August 5, 2024 was not sent to the Division within one week of the inspection.”

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

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.

“One staff with a hire date of January 16, 2024, began caring for children three to five years of age in space #1 on January 17, 2024. A signed acknowledgment was on file that the Shaken Baby Head Trauma Policy had been reviewed dated January 22, 2024.”

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.. Corrected during the inspection.