Rhode Island Mill Early Learning Center

A child care operator did not notify the Division of any new child care providers, as defined in G.S.

“110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The staff roster in the ABCMS system was missing seven (7) staff, including the two (2) new staff, hired May 2025 and November 2025.”

Rule A child care operator did not notify the Division of any new child care providers, as defined in G.S.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 22, 2025. Correction verified: by a letter from the provider.

Documentation of staff’s on-going training was not on file and/or was not current .

“There was not certificates or documentation from the trainers for training completed that was listed on the training log.”

Rule Documentation of staff's on-going training was not on file and/or was not current .. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 22, 2025. 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 prescribed medication was in an unlocked cabinet.”

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

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.

“One (1) staff did not have two (2) topics documented as having completed on the orientation form. Another staff’s orientation form was missing dates that topics were discussed.”

Rule New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 22, 2025. Correction verified: by a letter from the provider.

Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.

“Three (3) children’s files reviewed did not have the date of enrollment on the parent’s statement of receipt of the discipline policy.”

Rule Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 22, 2025. 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.

“The door to the adult bathroom, in the hallway, was open. There was an aerosol can of Lysol in the bathroom.”

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.

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 2 there was an authorization for albuterol that expired March 2025.”

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: May 28, 2025. Correction verified: by a letter from the provider.

All records required were not available for review by a representative of the Division.

“The new director, hired December 16, 2024, did not have a completed file available for review.”

Rule All records required were not available for review by a representative of the Division.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 30, 2024. Correction verified: by a letter from the provider.

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. On the review it stated that the staff knew the location of the EPR plan. Ms. Penn did not know where the EPR plan was during today’s visit.”

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: Dec 30, 2024. Correction verified: by a letter from the provider.

Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users.

“Cots were stored in the bathroom located in between spaces 2 and 3.”

Rule Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 30, 2024. Correction verified: by a letter from the provider.

Children’s records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.

“One (1) child did not have a medical record on file.”

Rule Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 30, 2024. Correction verified: by a letter from the provider.

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

“In space 4 one cot was not labeled with the child’s name.”

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 30, 2024. Correction verified: by a letter from the provider.

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.

“There was no playground inspection for November 2024.”

Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 30, 2024. Correction verified: by a letter from the provider.

An individual written feeding plan was not provided by child’s parent or health care provider or was not followed and posted.

“(omit posting for centers located in a residence) In space 2, a thirteen (13) month old child did not have a written feeding plan provided and posted.”

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 29, 2024. Correction verified: by a letter from the provider.

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

“In space 3, the surface was sprayed with only disinfectant and it was immediately wiped after two (2) different diaper changes.”

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: Jan 29, 2024. Correction verified: by a letter from the provider.

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

“In space 4, the permission for an epi-pen did not include the dosage, times to be given, and route.”

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: Jan 29, 2024. Correction verified: by a letter from the provider.

The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care.

“The activity plan posted in space 4, did not have teacher activities listed. It states “we will follow child’s lead”.”

Rule The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group 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 29, 2024. Correction verified: by a letter from the provider.