Carver Head Start

Children were not adequately supervised at all times.

“On October 1, 2026, in space 203D from 1:46pm to 1:47 pm, one child three years of age, was unattended and unsupervised by facility staff.”

Rule Children were not adequately supervised at all times..

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

“In space 302, the posted activity plan was dated March 2026.”

Rule A current activity plan was not posted for each group of children for reference.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 12, 2026. Correction verified: by a letter from the provider.

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.

“In space 107, there was one aerosol can of Lysol spray in an unlocked cabinet.”

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.

Electrical cords were accessible to infants and toddlers.

“In space 202, there was an electrical cord for the remote radio accessible to toddlers.”

Rule Electrical cords were accessible to infants and toddlers.. 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.

“In space 302, there was one electrical outlet without a safety plug in the art activity center.”

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.

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 dated January 7, 2026 for a one year old child did not include the date/time that the parent was notified of the incident.”

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 12, 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.

“One child, one year of age who enrolled on August 11, 2025, had a medical exam on file that was dated September 16, 2025.”

Rule Medical exam or health assessment record was not on file before or within 30 days after admission.. 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 202, there were multiple markers with removeable lids accessible to children under three years of age. In space 302, there were two plastic Huggies wipe packages with suffocation warnings accessible to children under three 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.

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 substitute employee who began work in the classroom on 8/18/25 had verification of the completed Recognizing and Responding to Suspicions of Child Maltreatment training on file dated 5/5/26. Another substitute employee who also began work in the classroom on 8/18/25 had verification of the completed Recognizing and Responding to Suspicions of Child Maltreatment training on file dated 5/6/26.”

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.. Corrected during the inspection.

The health assessment did not include a dental screening.

“One child, five years of age that enrolled in NC PreK on February 26, 2026, did not have a dental screening on file.”

Rule The health assessment did not include a dental screening.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 12, 2026. Correction verified: by a letter from the provider.

The health assessment did not include a hearing screening.

“One child, five years of age who enrolled in NC PreK on October 14, 2025, did not have a completed hearing screening on file.”

Rule The health assessment did not include a hearing screening.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 12, 2026. Correction verified: by a letter from the provider.

The health assessment did not include a vision screening.

“One child, five years of age who enrolled in NC PreK on October 14, 2025, did not have a completed vision screening on file.”

Rule The health assessment did not include a vision screening.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 12, 2026. Correction verified: by a letter from the provider.

The medical action plan was not updated on an annual basis or when changes to the plan were made by the child’s parent or health care professional.

“One child four years of age with a chronic medical condition requiring special health services had a medical action plan on file that was not signed by a parent or healthcare professional.”

Rule The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional.. Corrected during the inspection.

A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.

“On 3/10/26 in space #108, One child five years of age was popped on the forearm by a staff member.”

Rule A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 31, 2026. Correction verified: by a letter from the provider.

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.

“In space #121, one spray bottle of Uplift Room Spray, with double warnings, was in an unlocked cabinet by the sink.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 5, 2025. Correction verified: by a letter from the provider.

Enhanced staff/child ratios and group sizes were not met.

“In space #109, one staff member was responsible for a group of ten children, three, four, and five years of age, while another staff member was in the bathroom next door responsible for a group of three children, three, four, and five years of age.”

Rule Enhanced staff/child ratios and group sizes were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 16, 2025. Correction verified: at a follow-up visit by DCDEE.

Children between 12 and 24 months of age were grouped with children 3 years of age or older.

“In space 106, there was one child, one year of age grouped with eight children, two years of age, and three children, three years of age with two staff.”

Rule Children between 12 and 24 months of age were grouped with children 3 years of age or older.. 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: at a follow-up visit by DCDEE.

Children used space that was not approved.

“Thirteen children, three, four, and five years of age were being cared for in room 107 that was not licensed space.”

Rule Children used space that was not approved.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 9, 2025. Correction verified: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

“In space 107, one child, four years of age, was left alone and unattended on 9/18/25 or 9/19/25 for approximately 5-10 minutes per staff report.”

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: Oct 9, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“In space 109, the posted activity plan was dated 5/5/25-5/9/25.”

Rule A current schedule was not posted for each group of children for reference.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 27, 2025. 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.

“A summary of the NC Child Care Law was not given to parents of two enrolled children. One child was enrolled 10/24/24 and the other child was enrolled 11/1/24.”

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: May 27, 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 employed 1/27/25, did not have verification of current CPR certification on file.”

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: Jun 5, 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. One staff member employed 1/27/25, did not have verification of current First Aid certification on file.”

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: Jun 5, 2025. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“In space 109, two preschool-aged children were left unattended in the bathroom that is separated by a half wall within the classroom. One staff member was positioned on the opposite side of the classroom. A second staff member was in the middle of the classroom, with back turned away from the bathroom area, attending to other needs.”

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: May 16, 2025. Correction verified: at a follow-up visit by DCDEE.

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.

“In space 108, one uncovered electrical outlet did not have a safety plug.”

Rule Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.. Corrected during the inspection.

Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated.

“In space 110, there was a bottle of Similac Pro formula that was not labeled with the child’s name.”

Rule Formula and other beverages which require refrigeration were not identified for each child or properly refrigerated.. Corrected during the inspection.

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

“There were multiple snack menus with different components posted throughout the facility that were missing specify information to verify nutritional content and without a second component for the snack requirement. The posted lunch menu did not list milk and did not provide specific information for cereal, fruit, or juice components to verify nutritional content.”

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: May 27, 2025. Correction verified: by a letter from the provider.

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

“One child that enrolled 4/8/25, did not have a medical exam 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: May 27, 2025. Correction verified: by a letter from the provider.

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

“In Space 108, the activity plan posted was dated April 2024. In Space 120, the activity plan posted was dated for the week of 8/19/24-8/23/24.”

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: Sep 9, 2024. Correction verified: by a letter from the provider.

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

“In space #110, the classroom for infants, there was a bottle warmer with an electrical cord sitting on a low countertop within reach of older, mobile infants.”

Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 9, 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.

“On 8/12/24, 5 children were not signed out of care. On 8/16/24, one child was not signed out of care. On 8/22/24, 4 children were not signed out of care.”

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: Sep 9, 2024. Correction verified: by a letter from the provider.

Emergency information did not name childs health care professional.

“One child, three year of age, that enrolled on 8/19/24, did not have a responsible party’s choice of health care professional on file.”

Rule Emergency information did not name childs health care professional.. Corrected during the inspection.

Parent’s medication authorization did not include required information.

“In Space 204C, one child, four years of age had a bottle of Methylphenilate 5MG prescribed that had no permission to administer form available for review. In Space 121 one child, one year of age, had a tube of Destin that did not have a permission to administer form on file.”

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 9, 2024. Correction verified: by a letter from the provider.

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 110, where children under 3 years of age were being served, there were 2 plastic packages of wipes and 2 plastic packages of diapers with suffocation warnings in an unlocked cabinet under the changing table.”

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.

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

“In Space 109, the children were participating in screen time and no screen time log was available for review.”

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

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

“In space #111, there was no posted activity plan in the classroom. In space #112, the posted activity plan was for February 2024.”

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: Mar 21, 2024. Correction verified: by a letter from the provider.

All electrical appliances were not used in accordance with the manufacturers instruction.

“Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #111, there was a bottle warmer with electrical cords accessible to children.”

Rule All electrical appliances were not used in accordance with the manufacturers instruction.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 21, 2024. Correction verified: by a letter from the provider.

Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.

“In space #110, the last completed sleep checks were dated 12/19/23.”

Rule Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 21, 2024. 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 #120, an authorization for Tylenol and an authorization for a prescription inhaler expired in 2/2024.”

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: Mar 21, 2024. Correction verified: by a letter from the provider.

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 #120, there were marker lids and small plastic tabs in a drawer accessible to children under 3 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.

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 employed 12/1/23, had not completed recognizing and responding to suspicions of child maltreatment 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: Mar 21, 2024. Correction verified: by a letter from the provider.