Kids 1st Childcare Academy

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. Three staff members (DOH: 6/26/2026, 11/14/2023, and 6/29/2026) have not been reported to the Division utilizing the ABCMS provider portal.”

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: Jul 22, 2026. 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.

“One child (DOE: 1/10/2022) had the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy signed on 6/28/2026. The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy for a child (DOE: 9/22/2025) did not include the child’s enrollment date.”

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.

A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center.

“The signed safe sleep policy for two children (DOE: 9/22/25 and 5/18/26) did not include the date the infant first attended the center.”

Rule A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center.. Corrected during the inspection.

All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information.

“A staff member (DOH: 1/5/2024) did not have a professional development plan on file.”

Rule All administrators and staff did not complete a professional development plan within one year of employment, that included 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: Jul 22, 2026. 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. A staff member (DOH: 1/5/2024) last reviewed the center’s EPR plan on 1/12/2024.”

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: Jul 22, 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. One staff member’s (DOH: 9/29/25) CPR certification expired on 4/29/2026. One staff member (DOH: 7/30/25) did not complete certification in CPR within 90 days of hire.”

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

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 (DOH: 9/29/25) First Aid certification expired on 4/29/2026. One staff member (DOH: 7/30/25) did not complete certification in First Aid within 90 days of hire.”

Rule All staff did not successfully complete certification in First Aid appropriate to the age of children in care.. Corrected during the inspection.

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

“A staff member (DOH: 1/5/2024) completed a health questionnaire on 12/24/2023 and updated it on 7/7/2026.”

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

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

“The walls in Space 2, 3, and 4 have various areas of chipping paint.”

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: Jul 22, 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.

“A staff member hired 5/18/2026 completed their Emergency Information Form on 7/6/2026.”

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.

Emergency information did not name childs health care professional.

“Three children’s emergency information (DOE: 11/11/19, 3/2/26, and 6/1/26) did not have a health care professional listed.”

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: Jul 22, 2026. 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 staff member hired 6/29/2026 did not have a TB test or screening on file.”

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: Jul 22, 2026. 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.

“The signed discipline policy did not include the enrollment date for a child enrolled on 9/22/2025.”

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.

“A staff member began employment on 6/29/2026 and had a Criminal Background Check completed on 7/1/2026.”

Rule Prior to employment a Criminal Background Check was not completed.. Corrected during the inspection.

Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).

“A staff member’s (DOH: 6/26/2026) qualification letter expired on 2/5/2025.”

Rule Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 31, 2026. Correction verified: by a letter from the provider.

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

“The staff/child ratio was not posted in Space 6.”

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

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.

“The staff member’s signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy did not include the date it was signed.”

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.

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.

“The EPR plan was last reviewed and updated on 7/22/2024.”

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: Jul 22, 2026. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“In Space 5, I observed a child exit the classroom door and run onto the playground without the staff member’s knowledge of their location.”

Rule Children were not adequately supervised at all times.. 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.

Fire drills were not practiced monthly and/or the drill record was incomplete.

“Fire drills have not been conducted as documented since September 2025.”

Rule Fire drills were not practiced monthly and/or the drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 29, 2026. Correction verified: by a letter from the provider.

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

“The last emergency drill was conducted on 9/19/2025.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 29, 2026. Correction verified: by a letter from the provider.

The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.

“Outdoor Learning Environment 3 and 4 had debris observed that had not been removed and disposed of. Outdoor Learning Environment 2 had broken plastic equipment that had not been removed and disposed of.”

Rule The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of.. 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.

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 child care operator did not notify the Division of nine new child care providers hired by the child care facility 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: Aug 20, 2025. Correction verified: by a letter from the provider.

A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center.

“The safe sleep policy did not include the child’s enrollment date or date of parent signature.”

Rule A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 13, 2025. 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 in Space 5 was dated 7/14/2025-7/18/2025. The activity plan in Space 4 was dated 8/4/2025.”

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: Aug 13, 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.

“Spaces 4, 5, and 6 were observed to have chipping paint on shelving.”

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: Aug 20, 2025. 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 1, the written feeding plan including the type and amount of milk, formula, and food, and the frequency of feedings was not posted for reference by the caregivers.”

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

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.

“One child did not have anyone listed on the application as authorized to 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: Aug 13, 2025. 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.

“Three staff members (DOH: 5/5/2025, 6/9/2025, 7/14/2025) did not have a medical report on file prior to employment that was signed by a health care professional. A staff member hired on 5/28/2025 had a medical report dated 2/5/2024.”

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: Aug 13, 2025. 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.

“A staff member hired 6/17/2019 last updated their Emergency Information Form on 12/5/2023. A staff member hired 5/28/2025 last updated their Emergency Information Form on 2/12/2024. Three staff members (DOH: 6/9/2025, 5/5/2025, 10/30/2024) did not list the responsible party’s 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: Aug 13, 2025. Correction verified: by a letter from the provider.

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

“A staff member hired on 7/14/2025 has not completed six hours of training in required topic areas within the first two weeks of employment. A staff member hired on 5/5/2025 completed five hours of training in required topic areas within the first two weeks of employment. Three staff members (DOH: 5/28/2025, 6/9/2025, and 6/9/2025) did not have the amount of hours documented during orientation.”

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: Aug 13, 2025. 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 health questionnaire for four staff members was not maintained separately from the individual 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 13, 2025. Correction verified: by a letter from the provider.

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.

“Two electrical outlets were not covered with safety plugs in Space 1.”

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.

Emergency information did not include name, address, and telephone number of parent or other emergency contact person.

“One child did not have emergency contacts listed.”

Rule Emergency information did not include name, address, and telephone number of parent or other emergency contact person.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 13, 2025. Correction verified: by a letter from the provider.

Emergency information did not name childs health care professional.

“One child’s emergency information did not list a healthcare 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: Aug 13, 2025. Correction verified: by a letter from the provider.

Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.

“A staff member (DOH: 6/17/19) last completed health and safety training on 2/18/2020.”

Rule Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 20, 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.

“Two staff members (DOH: 6/9/2025 and 7/14/2025) did not have results indicating that they were free from active TB on file. A staff member hired on 5/28/2025 had a TB test dated 2/5/2024.”

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

Parent’s medication authorization did not include required information.

“In Space 6, an insect repellent did not list the length of time the authorization is valid. In Space 6, authorization for two insect repellents did not list the amount of repellent to be used. In Space 6, authorization for Triamcinolone Acetonide cream did not include the amount of cream to be used.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 13, 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 6, prescription Triamcinolone Acetonide cream did not include the original labeled container and was not accompanied by signed and dated written instructions from the prescribing physician or health care professional.”

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

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

“A staff member (DOH: 6/17/19) last reviewed the Emergency Medical Care plan on 3/29/2023.”

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: Aug 13, 2025. 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 copy of the signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not maintained in a staff member’s (DOH: 6/17/19) file.”

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

Corporal punishment was used.

“A staff member spanked an enrolled child, who was related to the staff member, on more than one occasion, while working at the facility.”

Rule Corporal punishment was used.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 12, 2025. 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 playground inspection for March 2025 was not completed and on file for review.”

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: May 12, 2025. Correction verified: by a letter from the provider.

Personnel policies were not discussed with each staff at employment and a copy was not available to all staff.

“A staff member did not have signed acknowledgement of the facility’s discipline policy on file.”

Rule Personnel policies were not discussed with each staff at employment and a copy was not available to all staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 12, 2025. Correction verified: by a letter from the provider.

Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children.

“Staff members failed to facilitate learning by providing positive reinforcement, encouraging efforts, and recognizing accomplishments; when the staff members failed to speak to children in a positive manner, by yelling at the children to correct behavior and/or have the children comply with the staff members directions.”

Rule Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 12, 2025. Correction verified: by a letter from the provider.

Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child’s file.

“An incident report was not made available for review or maintained in the child’s file for an incident that occurred on April 15, 2025.”

Rule Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file.. 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.

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. Four staff members do not have current certification in CPR.”

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: Mar 24, 2025. 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. Four staff members do not have current certification in First Aid.”

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: Mar 24, 2025. 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) One child (DOB: 8/2/2024) did not have an individual written feeding plan provided by a parent or healthcare provider.”

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: Mar 12, 2025. 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.

“A staff member hired on 12/2/2024 did not have an Emergency Information Form on file.”

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.

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 staff member hired on 12/2/2024 does not have TB test or screening on file. A staff member hired on 2/26/2025 had a TB test completed on 5/16/2023.”

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: Mar 12, 2025. 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 fire inspection was conducted on 11/15/2023.”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 12, 2025. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“The Medication Administration Permission Form for Aquaphor, Desonide, and Nystatin did not list dates that permission was given to administer medication.”

Rule Parent's medication authorization did not include required information.. 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.

“A staff member hired on 7/8/2024 did not complete the 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: Mar 12, 2025. 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 12/2/2024 did not have a signed acknowledgement of reviewing the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file.”

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.

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 electrical outlet did not have a safety plug in Space 1.”

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.

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

“A staff member hired on 7/8/2024 had 3 hours of documented training within the first 6 weeks of employment.”

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: Sep 23, 2024. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“In Space 2, a Medication Administration Permission Form for bug spray did not include the medication name or amount to be administered to the child. In Space 1, a Medication Administration Permission Form for Calamine lotion did not include the amount of medication to be administered or the dates permission was valid.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 23, 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 hired 7/8/2024 did not have a signed Shaken Baby Syndrome and Abusive Head Trauma policy in their staff file.”

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 safe indoor and outdoor environment was not provided for the children.

“There was hand sanitizer in an emergency backpack while the children were outside playing. The backpack was hanging on the gate that was not at least 5 feet from the ground. The room that is occupied by children two years of age had small dice, game pieces and foam puzzles in the language activity area. This room also had small pieces in the science area and the dramatic play area that are considered choking hazards. This space had broken crayons in the art area that are considered choking hazards.”

Rule A safe indoor and outdoor environment was not provided for the children.. 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. A staff member hired on 2/12/24 did no have the documented date in which the EPR Plan war reviewed.”

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: Apr 3, 2024. 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.

“One of the staff members hired on 2/12/24 did not have a medical report on 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: Apr 3, 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.

“Three staff members hired on 2/12/24 had the above located in their personnel staff files and not in separate files.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 3, 2024. Correction verified: by a letter from the provider.

Fire drills were not practiced monthly and/or the drill record was incomplete.

“The last fire drill conducted took place on 1/31/24.”

Rule Fire drills were not practiced monthly and/or the drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 3, 2024. Correction verified: by a letter from the provider.

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

“The person responsible for a group of infant aged children did not meet the preservice requirements for a lead teacher. She is 18 years of age or older with a high school diploma, but only has 10 months of experience instead of at least one year of experience as required.”

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 17, 2024. Correction verified: at a follow-up visit by DCDEE.

Personnel policies were not discussed with each staff at employment and a copy was not available to all staff.

“One of the three staff members hired on 2/12/24 did not have documentation the personnel policies were discussed.”

Rule Personnel policies were not discussed with each staff at employment and a copy was not available to all staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 3, 2024. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Person on site responsible for daily program planning/implementation did not have 2 years full-time child care/early childhood experience, or did not meet one of the alternative qualifications in .0704(a)(2). The person on site responsible for daily program planning/implementation did not meet the preservice requirements for an administrator. She is 21 years of age and has a high school diploma, but only has four months of experience and has not completed any early childhood coursework.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 17, 2024. Correction verified: at a follow-up visit by DCDEE.

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 2/12/24 had no documentation that she received and reviewed the above 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.. 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.

“There was one Desitin cream authorization form in space 1 (Infants) that the validation date expired on 12/31/23. There were two diaper creams, A&D & Desitin, authorization forms in space 2 (Toddlers) that their validation dates expired on 12/31/23.”

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.. Corrected during the inspection.

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

“Two existing staff members did not have their health questionnaire updated annually (8/2022).”

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

“Two existing staff members did not have their emergency information updated annually (8/2022).”

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.

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.

“A staff member was hired on 6/5/23 and has not completed this 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: Dec 20, 2023. Correction verified: by a letter from the provider.