Livingstone Head Start

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

“In Space 1, the permission to administer form for a Ventolin HFA inhaler was dated from 9/5/2025 to 3/5/2026.”

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: Mar 6, 2026. Correction verified: by a letter from the provider.

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 for an employee (DOH: 9/24/2025) did not include their 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.. Corrected during the inspection.

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.

“A medical report signed by a health care professional was not on file for a staff member hired on 3/17/2025.”

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: Apr 16, 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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.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, the prescription for an Albuterol inhaler expired on 2/5/2025 and was not returned to the parent or discarded. In Space 2, the authorization for an Albuterol inhaler expired on 3/16/2025 and was not returned to the parent or discarded. In Space 2, the authorization for a Symbicort inhaler expired on 3/13/2025 and was not returned to the parent or discarded.”

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: Apr 16, 2025. 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.

“A TB test was not on file for a staff member hired on 3/17/2025.”

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: Apr 16, 2025. 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 member’s CPR certification expired 11/2023. One staff member’s CPR certification expired 12/2023.”

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: Oct 7, 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 member’s First Aid certification expired 11/2023. One staff member’s First Aid certification expired 12/2023.”

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: Oct 7, 2024. Correction verified: by a letter from the provider.

All equipment and furnishings were not in good repair.

“The yellow paint on the stairs and flooring of the two pieces of playground structures have areas in which the paint is chipping, flaking and peeling.”

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: May 13, 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.

“A staff member that began employment on 10/2/23 signed that she had reviewed the above policy on 4/22/24.”

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.. Corrected during the inspection.

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

“The activity plan posted was for the week of 11/13/23.”

Rule A current activity plan was not posted for each group of children for reference.. Corrected during the inspection.

A violation was found for which there is no item number.

Rule A violation was found for which there is no item number.. Corrected during the inspection.

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.

“The menu posted had fish sticks, pinto beans, and mixed fruit for today’s lunch. You prepared and served the children turkey wraps, salad, and oranges.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. Corrected during the inspection.