East Spencer Head Start

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.

“The Emergency Information Form for a staff member hired on 4/28/2026 did not include a choice of health care professional.”

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: Jun 1, 2026. Correction verified: by a letter from the provider.

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 Division was not notified of two new employees (DOH: 7/28/2025 and 6/25/2024) within five business days.”

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: Sep 25, 2025. Correction verified: by a letter from the provider.

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.

“There is chipping paint on the exterior doors of Space 2 and Space 3 leading inside from the playground.”

Rule All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 13, 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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.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 2, permission to administer an Albuterol inhaler was given on 9/4/2024 and expired on 3/4/2025. In Space 2, permission to administer an Albuterol inhaler was given on 12/10/2024 and expired on 2/19/2025. These medications were not returned to the parent after authorization had expired.”

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 13, 2025. Correction verified: by a letter from the provider.

Medical exam or health assessment record was not on file before or within 30 days after admission.

“A medical exam or health assessment record was not on file for a child enrolled on 9/11/2024.”

Rule Medical exam or health assessment 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 29, 2024. Correction verified: by a letter from the provider.

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

“16 hours of orientation within the first six weeks of employment was not documented for a staff member hired on 6/25/2024.”

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

When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review.

“In Space 2 and Space 3, screen time was not documented on the cumulative log.”

Rule When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is 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 29, 2024. Correction verified: by a letter from the provider.

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

“The Interim Director’s file was not on site during my visit.”

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: Dec 14, 2023. Correction verified: by a letter from the provider.