Kings Learning Center

All children were not held or placed in feeding chairs or other appropriate apparatus to be fed.

“Space #1, one infant on the floor drinking a bottle. The teacher placed the infant in a feeding chair for the infant finish their bottle.”

Rule All children were not held or placed in feeding chairs or other appropriate apparatus to be fed.. Corrected during the inspection.

A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.

“Staff member S.B., grabbed a child’s upper arms to prevent the child from harming other children in care. Marks were left on the child’s arm due to the incident.”

Rule A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 27, 2026. Correction verified: at a follow-up visit by DCDEE.

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.

“Staff first day of employment was March 17, 2026, medical report was emailed to Administrator on March 16, 2026. Administrator is unable to print medical report and place in staff file.”

Rule Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 27, 2026. Correction verified: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

“Space #3. two children exited the classroom without supervision. One child was found in the right-side bathroom with the door closed, and the teacher was unaware of the child’s location for approximately thirty seconds.”

Rule Children were not adequately supervised at all times.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 27, 2026. Correction verified: at a follow-up visit by DCDEE.

Rule violated (DCDEE’s description below)

“On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months Staff first day of employment was March 17, 2026, TB results were emailed to Administrator on March 16, 2026. Administrator is unable to print TB results and place in staff file.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 27, 2026. Correction verified: at a follow-up visit by DCDEE.

A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days by submitting the Change of Information form provided by the Division.

“The facility does not have a roster in the ABCMS system. (Repeat)”

Rule A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days by submitting the Change of Information form provided by the Division.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 6, 2026. Correction verified: by a letter from the provider.

At least one person who meets qualifications for administrator or lead teacher was not on site during operating hours except at the beginning or end of the operating day as described in rule .0714(b).

“T. E. is the designee on site when the administrator is not present onsite and currently does not meet the lead teacher qualification. T. E. has submitted an official collage transcript to DCDEE WORKS to be evaluated as Lead Teacher. (Repeat)”

Rule At least one person who meets qualifications for administrator or lead teacher was not on site during operating hours except at the beginning or end of the operating day as described in rule .0714(b).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 20, 2026. Correction verified: by a letter from the provider.

One or more persons who met the qualifications for administrator were not on site for number of hours per week required by capacity of center.

“Based on license capacity the administrator must be on site at least 30 per week, typically the administrator is on site 20 hours per week. (Repeat)”

Rule One or more persons who met the qualifications for administrator were not on site for number of hours per week required by capacity of center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 20, 2026. Correction verified: by a letter from the provider.

A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days by submitting the Change of Information form provided by the Division.

“The facility does not have a roster in the ABCMS system. (Repeat)”

Rule A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days by submitting the Change of Information form provided by the Division.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 6, 2026. Correction verified: by a letter from the provider.

All equipment and furnishings were not in good repair.

“Space #2, changing table had two broken handles on the bottom half of the table. (Repeat)”

Rule All equipment and furnishings were not in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 13, 2026. Correction verified: at a follow-up visit by DCDEE.

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. Six staff did not have verification of completion of CPR course available for review or on file. (Repeat)”

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: Jan 13, 2026. Correction verified: at a follow-up visit by DCDEE.

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. Six staff did not have a certification of First Aid on file or available for review during today’s visit. (Repeat)”

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: Jan 13, 2026. Correction verified: at a follow-up visit by DCDEE.

At least one person who meets qualifications for administrator or lead teacher was not on site during operating hours except at the beginning or end of the operating day as described in rule .0714(b).

“T. E. is the designee on site when the administrator is not present onsite and currently does not meet the lead teacher qualification.”

Rule At least one person who meets qualifications for administrator or lead teacher was not on site during operating hours except at the beginning or end of the operating day as described in rule .0714(b).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 20, 2026. Correction verified: by a letter from the provider.

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.

“One staff did not have a medical statement prior to employment on January 8, 2025. (Repeat)”

Rule Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 13, 2026. Correction verified: at a follow-up visit by DCDEE.

Four of the five activity area(s): art/creative play, children’s books, blocks/block building, manipulatives, family living/dramatic play was not available daily.

“All classrooms did not have at least four activity areas for children in care. (Repeat)”

Rule Four of the five activity area(s): art/creative play, children’s books, blocks/block building, manipulatives, family living/dramatic play was not available daily.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 13, 2026. Correction verified: at a follow-up visit by DCDEE.

One or more persons who met the qualifications for administrator were not on site for number of hours per week required by capacity of center.

“Based on license capacity the administrator must be on site at least 30 per week, typically the administrator is on site 20 hours per week.”

Rule One or more persons who met the qualifications for administrator were not on site for number of hours per week required by capacity of center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 20, 2026. 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.

“No documentation was available for review to show shelter-in-place or lockdown drills had been practiced at least every three months. (Repeat)”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 13, 2026. Correction verified: at a follow-up visit by DCDEE.

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.

“Ten staff did not have signed acknowledgement of reviewing the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy. (Repeat)”

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: Jan 13, 2026. Correction verified: at a follow-up visit by DCDEE.

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.

“No documentation was available for review or on file to verify staff reviewed the EPR plan. (Repeat)”

Rule The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 13, 2026. Correction verified: at a follow-up visit by DCDEE.

A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days by submitting the Change of Information form provided by the Division.

“The facility does not have a roster in the ABCMS system.”

Rule A child care operator did not notify the Division of any new child care providers who were hired or moved into the home within five business days by submitting the Change of Information form provided by the Division.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 6, 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.

“Space #4, one can of Febreze aerosol spray was out on a table accessible to children in care. The lead teacher (designee) removed the Febreze and locked in the cabinet in the office.”

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.

All equipment and furnishings were not in good repair.

“Space #2, changing table had two broken handles on the bottom half of the table.”

Rule All equipment and furnishings were not in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 13, 2026. Correction verified: at a follow-up visit by DCDEE.

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. Six staff did not have verification of completion of CPR course available for review or 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: Jan 13, 2026. Correction verified: at a follow-up visit by DCDEE.

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. Six staff did not have a certification of First Aid on file or available for review during todays visit.”

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: Jan 13, 2026. Correction verified: at a follow-up visit by DCDEE.

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.

“Three staff did not have an annual health questionnaire on file or available for review.”

Rule All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 16, 2025. Correction verified: at a follow-up visit by DCDEE.

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.

“One staff did not have a medical statement prior to employment on January 8, 2025.”

Rule Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 13, 2026. Correction verified: at a follow-up visit by DCDEE.

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

“Three staff did not have the required Emergency Information form on file or available for review.”

Rule Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 16, 2025. Correction verified: at a follow-up visit by DCDEE.

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.

“Space #4, Children name were yelled at them, what did I say, lay down, and come back here.”

Rule Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 16, 2025. Correction verified: at a follow-up visit by DCDEE.

Each child’s bed, cot, or 2” mat was not individually assigned and identified.

“Space #3 & #4 did not assign cots to each child. No list was available for review and teachers confirmed they do not have list to assign cot to each child in care.”

Rule Each child's bed, cot, or 2" mat was not individually assigned and identified.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 16, 2025. Correction verified: at a follow-up visit by DCDEE.

Four of the five activity area(s): art/creative play, children’s books, blocks/block building, manipulatives, family living/dramatic play was not available daily.

“All classrooms did not have at least for activity areas for children in care.”

Rule Four of the five activity area(s): art/creative play, children’s books, blocks/block building, manipulatives, family living/dramatic play was not available daily.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 13, 2026. Correction verified: at a follow-up visit by DCDEE.

Prior to employment a Criminal Background Check was not completed.

“One staff did not have qualification letter on file before starting employment on January 8, 2025. The staff received their qualification letter on January 9, 2025.”

Rule Prior to employment a Criminal Background Check was not completed.. Corrected during the inspection.

Screen time was offered to children under three years of age.

“Space #3, nine children one and two years of age were observed watching Micky Mouse on a tablet as they played with different toys. The teacher removed the tablet from the wall, turned it off, and placed it on shelf inaccessible to the children in care.”

Rule Screen time was offered to children under three years of age.. Corrected during the inspection.

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

“No documentation was available for review to show shelter-in-place or lockdown drills had been practiced at least every three months.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 13, 2026. Correction verified: at a follow-up visit by DCDEE.

The center did not follow all procedures to prevent the spread of communicable diseases described in 15A NCAC 18A .2800.

“Space #3 and #4 children’s blankets and coats were not separated from each other and was touching each other.”

Rule The center did not follow all procedures to prevent the spread of communicable diseases described in 15A NCAC 18A .2800.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 16, 2025. Correction verified: at a follow-up visit by DCDEE.

The EMC plan was not reviewed with all staff annually and whenever the plan was revised.

“No documentation on file or available for review to verify staff reviewed the Emergency Medical Care Plan annually.”

Rule The EMC plan was not reviewed with all staff annually and whenever the plan was revised.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 16, 2025. Correction verified: at a follow-up visit by DCDEE.

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.

“Ten staff files did not have signed acknowledgement of reviewing the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy.”

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: Jan 13, 2026. Correction verified: at a follow-up visit by DCDEE.

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.

“No documentation was available for review or on file to verify staff reviewed the EPR Plan annually.”

Rule The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 13, 2026. Correction verified: at a follow-up visit by DCDEE.

All staff records, except financial records, were not made available for review.

“A staff member that has been working at the facility for one month didn’t have a file available for review.”

Rule All staff records, except financial records, 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: May 31, 2025. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“As a walk through was being conducted a staff member was in the hallway talking with another staff member. The staff member went outside. When head count was done on the children outside the staff member that was in the hallway was the only staff member outside with the children, meaning the children were outside unsupervised for a unknown period of time.”

Rule Children were not adequately supervised at all times.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 31, 2025. Correction verified: by a letter from the provider.

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.

“A four-year-old child was placed in the restroom with the door closed for an undetermined timeframe by a staff member.”

Rule Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 31, 2025. Correction verified: by a letter from the provider.

All beds, cots, or mats with individual linen were not provided for each child.

“Space #2, one cot did not have individual linen while a child was resting. The teacher put linen on the cot and helped child go back to sleep.”

Rule All beds, cots, or mats with individual linen were not provided for each child.. Corrected during the inspection.

Bottles were propped.

“Space #1, one infant was in a rocker with their bottle propped with the use of a blanket. The teacher removed the infant from rocker and moved the infant to a feeding chair.”

Rule Bottles were propped.. 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 last fire inspection on file is dated November 13, 2024.”

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

A safe indoor and outdoor environment was not provided for the children.

“On October 8, 2024, staff members failed to provide a safe environment for a one-year-old child when they failed to properly secure the child in a bouncy seat which resulted in the child sustaining a head injury.”

Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 25, 2024. Correction verified: by a letter from the provider.

Center staff did not follow the EMC plan.

“Staff members failed to follow the EMCP as required.”

Rule Center staff did not follow the EMC plan.. 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.

Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child’s file.

“A one-year-old child was injured on October 8, 2024, and an incident report was not completed.”

Rule Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 25, 2024. Correction verified: by a letter from the provider.

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.

“During a visit on October 15, 2024, the classroom for one/two-year-old children had seven children with one staff member. The classroom for two/three-year-old children had eleven children with one staff member.”

Rule Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 25, 2024. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“All commercially manufactured equipment and furnishings were not assembled and installed according to procedures specified by the manufacturer and/or the manufacturer’s instructions were not kept on file or electronically accessible, if available. . On October 8, 2024, a staff member placed a one-year-old child in a bouncer chair and did not strap them in, per manufacturer instructions. This resulted in the child falling out of the bouncer seat and sustaining a head injury.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 25, 2024. Correction verified: by a letter from the provider.

The center did not maintain records as required in rule, and/or were not made available to the Division for review.

“During a visit on October 15, 2024, a representative from the Division was unable to review files due to them being locked in the office. Additionally, on October 8, 2024, a parent was not contacted immediately after an injury incident due to staff not having access to contact information.”

Rule The center did not maintain records as required in rule, and/or were not made available to the Division for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 25, 2024. Correction verified: by a letter from the provider.

A child’s hands were not washed after each diaper change.

“Space #2, a child’s hands were not washed after their diaper change.”

Rule A child's hands were not washed after each diaper change.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2024. Correction verified: by a letter from the provider.

All beds,cots, or mats with individual linen were not provided for each child.

“Spaces #2 & 3, cot did not have individual linen on each cot for children resting.”

Rule All beds,cots, or mats with individual linen were not provided for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2024. Correction verified: by a letter from the provider.

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 March 28, 2024 did not have proof of completed certification in CPR on file or available for review.”

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: Sep 10, 2024. 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 March 28, 2024 did not have proof of a completed certification in First Aid on record or available for review.”

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: Sep 10, 2024. Correction verified: by a letter from the provider.

All staff did not wash their hands thoroughly after diapering each child.

“Space #2, one teacher did not wash their hands after diapering a child.”

Rule All staff did not wash their hands thoroughly after diapering each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2024. Correction verified: by a letter from the provider.

Bed, cribs, playpens, cots or mats were not placed at least 18” apart or separated by partitions when in use.

“Space #3, cots were observed next one another less than 18’ apart.”

Rule Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2024. Correction verified: by a letter from the provider.

Caregiver did not interact in a positive manner with each child every day.

“Space #1, the teacher raised their voice at the infants stating things like stop, ain’t nothing wrong with you, and all you want is attention. Walked towards the infants taking deep breaths and making sounds of frustration.”

Rule Caregiver did not interact in a positive manner with each child every day.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2024. Correction verified: by a letter from the provider.

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.

“Two new staff did not a have a medical report on file prior to employment.”

Rule Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2024. Correction verified: by a letter from the provider.

Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use.

“Space #2, the teacher did not cleaned the surface with detergent and disinfect after changing a child.”

Rule Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2024. Correction verified: by a letter from the provider.

Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member’s individual personnel file.

“Six new staff did not have have sperate medical and personal files.”

Rule Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2024. Correction verified: by a letter from the provider.

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.

“One new staff first day of employment (August 27, 2024) did not have TB results on file or available for review.”

Rule On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 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.

“Space #1, Plastic bags on the shelve were accessible to infant in care. The plastic bags were removed from the classroom and given to the program manager.”

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.

Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.

“Space #2, one teacher had open mountain dew soda and a second teach teacher had a open sunkist soda while caring for the children on the playground.”

Rule Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence 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: Sep 10, 2024. Correction verified: by a letter from the provider.

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.

“Three new staff hired March 28, 2024, May 7, 2024 and April 8, 2024 did not complete the Recognizing and Responding to Suspicion of Child Maltreatment training within 90 days of employment.”

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: Sep 10, 2024. 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.

“Six new staff did not have signed acknowledgement of review of the facility Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file or available for review.”

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: Sep 10, 2024. Correction verified: by a letter from the provider.

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.

“Space #2, eleven children age two years of age to four years of age were in care with one teacher. A second teacher came in and five children age three to four years of age were moved to space #3.”

Rule Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.. 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.

“Space #1, plastic bags were accessible to four infants and one one year old while in care. All plastic bags were removed from the classroom and made inaccessible to children in care.”

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.

All staff did not review the center’s EPR Plan during orientation and/or on an annual basis with the trained staff.

“Documentation of the review was not maintained on file. Three staff did not have an annual review of the center’s EPR by January 3, 2024.”

Rule All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 13, 2024. Correction verified: by a letter from the provider.

Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member’s individual personnel file.

“Three staff files did not sperate medical information from staff member’s individual personnel files.”

Rule Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 13, 2024. Correction verified: by a letter from the provider.

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.

“The trained staff did not review and update the plan information by January 3, 2024 to ensure all information was current.”

Rule The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 13, 2024. Correction verified: by a letter from the provider.

Children between 12 and 24 months of age were grouped with children 3 years of age or older.

“There were periods of time since October 2023, children 12 to 24 months of age were grouped with children 3 years of age or older before the last operating hour of the day.”

Rule Children between 12 and 24 months of age were grouped with children 3 years of age or older.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2023. Correction verified: at a follow-up visit by DCDEE.

Children under one year of age were not kept separate from children two years and older.

“There were periods of time since October 2023, children under one year of age were grouped with children two years and older due to only one staff providing care for all children in the facility.”

Rule Children under one year of age were not kept separate from children two years and older.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2023. Correction verified: at a follow-up visit by DCDEE.

When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group.

“There were periods of time since October 2023, when combing age groups, the staff/child ratios for the youngest child was not maintained for the entire group due to only one staff being on site to provide care for more than five children, infants to five years of age.”

Rule When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2023. Correction verified: at a follow-up visit by DCDEE.