Old Main STREAM PreKindergarten

Before staff members walked children off premises for play or outings, the center did not obtain written permission from the parent of each child.

“Your approved outdoor space was closed due to renovations. When asked what you do for gross motor while you bare unable to use your approved outdoor space, you stated that you sometimes use the playground next to it. The playground next to your outside play area is unapproved and is not fenced in.”

Rule Before staff members walked children off premises for play or outings, the center did not obtain written permission from the parent of each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 12, 2026. 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.

“Documentation was missing for one child.”

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: Oct 12, 2026. Correction verified: by a letter from the provider.

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

“The plan had not been reviewed at least annually for two staff members.”

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: Oct 12, 2026. 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 plan had not been reviewed at least annually for two staff members.”

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: Oct 12, 2026. 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. The substitute did not complete CPR training within 90 days of employment.”

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: Mar 10, 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. The substitute did not complete First Aid training within 90 days of employment.”

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: Mar 10, 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.

“Solid air freshener was stored in the bathroom used by children. This was corrected during the visit when it was removed and placed in locked storage.”

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.

At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care.

“One staff member’s CPR/FA training has expired.”

Rule At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 15, 2025. 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’s medical report was not on file prior to employment. This was corrected during the visit when it was observed that the staff’s medical report was on 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.. Corrected during the inspection.

Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.

“One outlet was not covered during the visit. This was corrected during the visit when the outlet was covered.”

Rule Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.. Corrected during the inspection.

Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.

“Children were served potato chips for snack.”

Rule Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 15, 2025. Correction verified: by a letter from the provider.

Menus for all meals and snacks were not current or posted where easily seen by parents and cook.

“A menu was not posted. This was corrected during the visit when a menu was posted.”

Rule Menus for all meals and snacks were not current or posted where easily seen by parents and cook.. Corrected during the inspection.