St. John’s Child Development Center

The activity plan did not include a daily gross motor activity which may occur indoors and outdoors.

“In Space 13, a daily gross motor activity was not listed on the activity plan.”

Rule The activity plan did not include a daily gross motor activity which may occur indoors and outdoors.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 20, 2026. Correction verified: by a letter from the provider.

The health assessment did not include a hearing screening.

“The health assessment for a children enrolled 8/7/2025 did not include a hearing screening.”

Rule The health assessment did not include a hearing screening.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 23, 2026. Correction verified: by a letter from the provider.

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

“On July 10, 2025,a staff member caring for infants ages six weeks to seven months of age was observed calling a child a name using foul language when the child was crying and would not take a bottle in Space 6. On July 30, 2025, a staff member caring for infants seven to twelve months of age used a harsh tone and did not comfort a crying child that would not go to sleep in Space 3.”

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: Aug 11, 2025. Correction verified: by a letter from the provider.

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

“In Space 3, the activity plan was dated February 24-28, 2025. In Space 7, the activity plan was dated April 21-25, 2025.”

Rule A current activity plan was not posted for each group of children for reference.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 6, 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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.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 10, authorization for an EpiPen expired on 2/19/2025. In space 8, authorization for an EpiPen expired on 4/7/2025.”

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 6, 2025. Correction verified: by a letter from the provider.

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

“In Space 3, an Albuterol inhaler was not in a pharmacy labeled container.”

Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician 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: May 6, 2025. Correction verified: by a letter from the provider.

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 9, the medical action plan for an EpiPen was last updated on 1/11/2024.”

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: May 6, 2025. Correction verified: by a letter from the provider.

The written feeding plan did not include the child’s name, parent signature, and/or was not dated when received by the center.

“In Space 3, two written feeding plans did not include a parent signature. In Space 6, four written feeding plans did not include a parent signature.”

Rule The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 6, 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.

“The arrival time for one child was not documented in Space 3.”

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.. 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 with a safety plug in Space 13.”

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.

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

“Diaper creams were stored below five feet in Space 3.”

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: Dec 23, 2024. 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.

“A pack of batteries was stored in an unlocked drawer in Space 12.”

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.

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 child’s file did not have a medical exam 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.. 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.

“An outlet in Space 1 was not covered with a safety plug.”

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.

Each infant was not served only bottles labeled with their individual name.

“An infant child was served another child’s labeled bottle for 70 seconds.”

Rule Each infant was not served only bottles labeled with their individual name.. Corrected during the inspection.