The Learning Tools Center

A child’s file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.

“One child (DOE: 8/11/2026) did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy.”

Rule A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 7, 2026. Correction verified: at a follow-up visit by DCDEE.

A valid qualification letter was not on file and available to review at the facility.

“A valid qualification letter was not on file for one staff member (DOH: 9/27/2025).”

Rule A valid qualification letter was not on file and available to review at the facility.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 7, 2026. Correction verified: at a follow-up visit by DCDEE.

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 kitchen door was left open and allowed access to two unlocked closets used for storage of hazardous substances. The unlocked closet located next to the entrance of the kitchen contained Cloralen Bleach, Pine Glo, Comet, Arm and Hammer Extra Strength Carpet Cleaner, Spic and Span, and Weinman Stainless Steel Clearner. The unlocked closet located next to the washer and dryer contained Cloralen Bleach, Tide Laundry Detergent, Bulk Dish Detergent, Spic and Span, Pine Glo, and Pesticide.”

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.

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. There were two staff members, with hire dates 9/25/23 and 8/30/24, that had the EPR plan last reviewed on 8/30/25.”

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: Oct 8, 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. A staff person hired on 10/25/25 has no documentation that she has completed the CPR Training. Another staff person’s CPR training expired on 2/29/26.”

Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care..

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.

“One staff member’s health questionnaire was completed on 8/30/25 and another staff member’s health questionnaire was completed on 4/26/25.”

Rule All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.. Corrected during the inspection.

Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application.

“A child’s application (DOE: 9/16/2026) did not include the names of individuals to whom the center may release the child to.”

Rule Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 9, 2026. Correction verified: by a letter from the provider.

Application for enrollment did not include all required information.

“The application for three children (DOE: 6/24/2026, 8/11/2026, and 9/16/2026) did not include health care concerns.”

Rule Application for enrollment did not include all required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 8, 2026. Correction verified: by a letter from the provider.

Application was not signed by the parent.

“The application for a child enrolled on 9/16/2026 was not signed by the parent.”

Rule Application was not signed by the parent.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 8, 2026. Correction verified: by a letter from the provider.

Center did not maintain a record of daily attendance.

“Daily attendance was not completed for September 23, 2026 and September 24, 2026 in Space 3 and Space 4.”

Rule Center did not maintain a record of daily attendance.. Corrected during the inspection.

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.

“There was one staff member that was hired on 8/30/24 and there was no Emergency Medical Information Form on file. The staff member with a hire date of 9/25/23 Emergency Medical Information Form was last updated 4/24/25.”

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.

Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.

“The arrival time for nine (9) children was not documented on September 24, 2026.”

Rule Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.. Corrected during the inspection.

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.

“A child enrolled on 8/11/2026 did not have an immunization record on file within 30 days of admission.”

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 7, 2026. Correction verified: at a follow-up visit by DCDEE.

Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan.

“There was one staff member, with a hire date of 8/30/25 that does not have an annual evaluation or staff development plan.”

Rule Each employee's personnel file did not contain an annual staff evaluation and a staff development plan..

Electric fans were not mounted out of reach or did not have a mesh guard to prevent access.

“An electric fan was observed being used on the floor in the hallway and did not have a mesh guard to prevent access.”

Rule Electric fans were not mounted out of reach or did not have a mesh guard to prevent access.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 7, 2026. Correction verified: at a follow-up visit by DCDEE.

Emergency information did not name childs health care professional.

“The emergency information for two children (DOE: 6/24/2026 and 9/16/2026) did not contain a health care professional.”

Rule Emergency information did not name childs health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 8, 2026. 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 child enrolled on 8/11/2026 did not have a medical exam or health assessment on file.”

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 7, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“In Space 4, a prescribed hydrocortisone cream was observed on the counter beside the handwashing sink and not in locked storage.”

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.

“There was no documentation that orientation has been completed for two staff members with hire dates of 10/20/25 and 4/27/26.”

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 8, 2026. Correction verified: by a letter from the provider.

Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.

“Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was conducted on July 10, 2025.”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection..

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

“In Space 4, a plastic bag containing diapers and latex gloves, which had a warning label to keep out of reach of children, were stored in an unlocked cabinet under the changing table accessible to children two years of age.”

Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. Corrected during the inspection.

Rule violated (DCDEE’s description below)

“All staff did not successfully complete certification in First Aid (FA) appropriate to the age of children in care. Verification of staff completion of First Aid (FA) training from an approved training organization was not in the staff file. One staff member was hired on 10/20/25 and there is no documentation that she has completed FA certification. Another staff member’s FA certification expired on 2/29/26. A staff person hired on 4/27/26 had a current certification for CPR but did not include FA.”

Rule Rule violated (DCDEE’s description below).

Rule violated (DCDEE’s description below)

“Administrator did not have NC Early Childhood Administration Credential or equivalent or was not enrolled as specified in GS 110-91(8). At the time of our visit, there was not an administrator on site that had the NC Early Childhood Administration Credential or equivalency. The previous administrator was listed as inactive on 2/27/2026.”

Rule Rule violated (DCDEE’s description below).

Screen time was offered to children under three years of age.

“In Space 4, four children two years of age were observed watching TV.”

Rule Screen time was offered to children under three years of age.. Corrected during the inspection.

Staff required to receive on-going training had not completed the required number of hours according to their education and experience.

“There are two staff members that are required to complete 20 hours of in-service training by 10/9/26 and as of today’s date there is no documentation that the trainings have been completed.”

Rule Staff required to receive on-going training had not completed the required number of hours according to their education and experience..

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

“There were two staff members that have not completed this training within the first 90 days of employment. Their dates of hire were 10/20/25 and 4/27/26.”

Rule The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 8, 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.

“There was one staff member that began employment on April 27,2026 and there is no documentation that the EMC plan was reviewed. There were two staff members, with hire dates 9/25/23 and 8/30/24, that had a date of 8/30/25 as the last date documented for the EMC plan review.”

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 8, 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 ABCMS was monitored prior to today’s and the portal for this program has not be set up as of today’s date.”

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 2, 2025. Correction verified: by a letter from the provider.

Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan.

“One staff member that has been employed since 9/25/23 had a Staff Development Plan with a date of 10/4/24. A staff member that has been employed since 8/30/24 did not have documentation that an annual staff evaluation and a staff development plan has been completed.”

Rule Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 23, 2025. Correction verified: by a letter from the provider.

Electric fans were not mounted out of reach or did not have a mesh guard to prevent access.

“There was a plugged in fan in the hallway on the floor that was on and did not have a barrier.”

Rule Electric fans were not mounted out of reach or did not have a mesh guard to prevent access.. Corrected during the inspection.

Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.

“Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was completed on on 7/10/25 and the provider sent it to the consultant on 8/18/25.”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Corrected during the inspection.

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

“Space one used by children one year of age had plastic bags with diapers in an unlocked cabinet that was not at least five feet from the floor.”

Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. Corrected during the inspection.

Staff did not complete the health and safety training within one year of employment.

“There is no documentation nor training certificates that a staff member that was hired on 8/30/24 has completed the required health and safety trainings.”

Rule Staff did not complete the health and safety training within one year of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 2, 2025. Correction verified: by a letter from the provider.

Staff required to receive on-going training had not completed the required number of hours according to their education and experience.

“There were no training certificates nor documentation that one staff member that is required to have 20 hours has received annual training hours since 11/21/24.”

Rule Staff required to receive on-going training had not completed the required number of hours according to their education and experience.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 2, 2025. Correction verified: by a letter from the provider.

The child care provider did not provide the required beverage(s).

“It was observed during today’s visit the chocolate milk was offered as a choice during lunch.”

Rule The child care provider did not provide the required beverage(s).. Corrected during the inspection.

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

“There was documentation for two staff members that the last time the EMC Plan was reviewed was 8/30/24.”

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 23, 2025. 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.

“There was documentation for two staff members that the last time the EPR Plan was reviewed was 8/30/24.”

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 23, 2025. Correction verified: by a letter from the provider.

Center did not maintain a record of daily attendance.

“In space 4, the attendance roster was not up to date and current.”

Rule Center did not maintain a record of daily attendance.. Corrected during the inspection.

Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.

“Today there were eleven (11) children that were present at the facility and only seven (7) were signed in and documented as being present.”

Rule Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.. Corrected during the inspection.

Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member’s individual personnel file.

“One (1) staff member with a hire date of 8/30/24 had health information stored in her personnel file.”

Rule Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file.. 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.

“Children were not served the meal that was listed on the menu for today.”

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.

Lavatories were not kept clean, in good repair and kept free of storage.

“In the bathroom located in space #1 there was a wagon stored beside the toilet and the toilet paper holder was not attached to the wall and and the toilet paper was located on the floor.”

Rule Lavatories were not kept clean, in good repair and kept free of storage.. Corrected during the inspection.

Staff did not complete the health and safety training within one year of employment.

“One (1) staff member with a hire date of 3/28/2024, did not have documentation of having completed all required Health and Safety training topics within the first year of being hired.”

Rule Staff did not complete the health and safety training within one year of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 7, 2025. Correction verified: by a letter from the provider.

Staff/child ratios applicable to a classroom, were not posted in each classroom.

“In space #4, the Staff to Child Ratio Worksheet was not posted.”

Rule Staff/child ratios applicable to a classroom, were not posted in each classroom.. Corrected during the inspection.

The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division.

“There was not a current Emergency Preparedness and Response (EPR) Plan on file for this facility.”

Rule The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 7, 2025. Correction verified: by a letter from the provider.

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

“One staff member with a hire date of 8/30/24, did not have documentation of completing Recognizing and Responding to Suspicions of Child Maltreatment.”

Rule The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 7, 2025. Correction verified: by a letter from the provider.

Application for enrollment did not include all required information.

“One child with a birth date of 8/31/2017, had an application on file that did not identify the child’s particular fears, allergies/symptoms, unique behavior characteristics and health concerns identified.”

Rule Application for enrollment did not include all required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 4, 2024. Correction verified: by a letter from the provider.

Center did not maintain a record of daily attendance.

“In space #2 the last date that attendance had been documented was 11/15/2024.”

Rule Center did not maintain a record of daily attendance.. Corrected during the inspection.

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

“In space #4 there were diapers in plastic packaging and a latex balloon were stored under the diaper changing table below 5ft.”

Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. Corrected during the inspection.

Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas.

“In space #4 there was not an allergy listing posted.”

Rule Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas.. Corrected during the inspection.

Center did not maintain a record of daily attendance.

“In space 4 children’s attendance records had not been completed when children arrived.”

Rule Center did not maintain a record of daily attendance.. 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 children were served cheese pizza, baked beans, chocolate pudding and milk. The menu listed cheese pizza, baked beans, pear, tater tots and milk. The menu was revised and the children were served applesauce.”

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.

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

“The staff member hired on 9/29/23 had no record in her file that she has competed the above training.”

Rule The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 6, 2024. 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.

“We did not observe any times of arrival or departure for the month of July.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 20, 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.

“A staff member was hired on 5/13/24 and there was no documentation on her New Staff Orientation form that she has completed the 2nd half of the orientation training.”

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: Aug 8, 2024. Correction verified: by a letter from the provider.

The facility operator did not complete the corrective action as specified by the Division.

“Stipulation #4 was to completed by 6/12/24.”

Rule The facility operator did not complete the corrective action as specified by the Division.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 24, 2024. Correction verified: by a letter from the provider.

The facility operator did not complete the corrective action as specified by the Division.

“Stipulation two should have been completed by April 24, 2024. I contacted the operator on May 1, 2024, to schedule the Rules Review. Stipulation three should have been completed by May 1, 2024. We reviewed and discussed this stipulation today.”

Rule The facility operator did not complete the corrective action as specified by the Division.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 28, 2024. Correction verified: by a letter from the provider.

A child’s file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.

“Five children’s files did not have the date of enrollment documented on the Prevention of Shaken Baby Syndrome policy parent receipt.”

Rule A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.. Corrected during the inspection.

Center did not maintain a record of daily attendance.

“Space 4 did not have a record of daily attendance.”

Rule Center did not maintain a record of daily attendance.. 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.

“One staff member hired on 2/5/24 received a medical statement on 2/13/24.”

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 1, 2024. 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.

“One staff member hired on 2/5/24 did not have an emergency information form completed until 2/20/24.”

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: Apr 1, 2024. Correction verified: by a letter from the provider.

Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member’s individual personnel file.

“The staff files for two lead teachers did not have their health information stored in a separate file.”

Rule Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file.. Corrected during the inspection.

Individual responsible for a group of children did not meet the preservice requirements for a lead teacher or teacher.

“The lead teacher hired on February 5, 2024 to work in space four is at least 18 years of age with a high school diploma, but has not earned the NC Early Childhood Credential and does not have at least one year of documented experience working in a licensed child care facility, therefore, does not meet preservice requirements for a lead teacher.”

Rule Individual responsible for a group of children did not meet the preservice requirements for a lead teacher or teacher.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 5, 2024. Correction verified: by a letter from the provider.

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.

“In space 2 there were two children one year of age grouped with three children ages three to five years of age.”

Rule Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.. Corrected during the inspection.

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.

“One staff member hired on 2/5/24 did not have a TB test completed until 2/10/24.”

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 1, 2024. Correction verified: by a letter from the provider.

One or more persons who met the qualifications for administrator were not on site for number of hours per week required by capacity of center.

“During today’s visit, as well as the visits conducted on November 16, 2023, January 4, 2024, March 7, 2024, the administrator was not at the facility. As of today, we have not received the requested documentation from the administrator verifying that she is working on-site the required number of hours to meet minimum child care requirements.”

Rule One or more persons who met the qualifications for administrator were not on site for number of hours per week required by capacity of center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 4, 2024. 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.

“Five children’s files did not have the date of enrollment documented on the discipline policy receipt.”

Rule Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.. Corrected during the inspection.

Prior to employment a Criminal Background Check was not completed.

“One employee hired on 2/5/24 did not have a criminal background check completed until 2/10/24.”

Rule Prior to employment a Criminal Background Check was not completed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 1, 2024. Correction verified: by a letter from the provider.

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

“In space 2, the lesson plan posted was dated August 2023.”

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

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

“Space 2 did not have a cot list showing what cots the two children in care utilize and where they are placed during naptime.”

Rule Each child's bed, cot, or 2" mat was not individually assigned and identified.. Corrected during the inspection.

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.

“One staff member that was employed on 12/19/23 did not complete one of the topic areas required within the first two weeks of employment.”

Rule Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 18, 2024. Correction verified: by a letter from the provider.

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

“The monthly menu was missing food components for lunch on four days. Today’s lunch did not contain the food items listed on the menu.”

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: Jan 18, 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.

“The last playground inspection was completed on 11/14/23.”

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: Jan 18, 2024. Correction verified: by a letter from the provider.

Prior to employment a Criminal Background Check was not completed.

“One employee who was hired on 12/19/23 did not have a criminal background check completed until 1/3/24.”

Rule Prior to employment a Criminal Background Check was not completed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 18, 2024. Correction verified: by a letter from the provider.

A child’s file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.

“The two children enrolled did not have documentation that the parent signed and dated acknowledging that they have received this policy.”

Rule A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2023. Correction verified: by a letter from the provider.

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

“The activity plan posted in the classroom was from August 2023.”

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: Dec 5, 2023. Correction verified: by a letter from the provider.

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.

“There was no documentation that the parent of the two children enrolled has signed and dated that they have received and reviewed the law.”

Rule A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2023. 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.

“A staff member that was hired on 11/13/23 did not have a medical report in her 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2023. Correction verified: by a letter from the provider.

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

“This week’s menu was missing components. Monday and Wednesday needed an additional vegetable or fruit listed and served. Friday needed a grain, two vegetables or one fruit and one vegetable listed and served. The children were served whole milk. Children older than two years of age should be served low fat milk.”

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 5, 2023. 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.

“There are two staff members that were hired on 10/2/23 and 10/3/23 that have not completed at least 16 hours of orientation.”

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 5, 2023. Correction verified: by a letter from the provider.

The center did not maintain records as required in rule, and/or were not made available to the Division for review.

“The playground inspections and emergency drills report were not on site and were not available for review.”

Rule The center did not maintain records as required in rule, and/or were not made available to the Division for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2023. 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 owner and the three staff hired at this facility have no documentation that they reviewed the EMC plan.”

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: Dec 5, 2023. 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 hired on 10/2/23 and a staff member hired on 11/13/23 did not have signed acknowledgement for this policy.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2023. Correction verified: by a letter from the provider.