Little Red School

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

“The last recorded shelter-in-place drill was completed on April 20, 2026.”

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: Aug 28, 2026. Correction verified: by a letter from the provider.

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

“In space #4, the activity plan posted was dated October 2025.”

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

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 October 13, 2023 had CPR certification that expired May 2025 and completed new CPR certification on December 29, 2025. One staff member employed October 23, 2017 had CPR certification that expired November 17, 2025 and completed new CPR certification on December 29, 2025.”

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 employed October 13, 2023 had First Aid certification that expired May 2025 and completed new First Aid certification on December 29, 2025. One staff member employed October 23, 2017 had First Aid certification that expired November 17, 2025 and completed new First Aid certification on December 29, 2025.”

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

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, two children thirteen months of age and two children fourteen months of age did not have feeding plans posted. In space #3, one child six months of age had a feeding plan that did not have the signature of the parent.”

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. 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.

“One child four months of age who enrolled on November 10, 2025 did not have an immunization record on file.”

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: Jan 26, 2026. 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.

“One staff member employed September 2, 2014 had verification on training for administering medication, prevention of shaken baby syndrome, abusive head trauma and child maltreatment and recognizing and reporting child abuse, child neglect and child maltreatment dated September 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: Jan 26, 2026. Correction verified: by a letter from the provider.

Infants were served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist.

“In space #3, one child seven months of age was served juice in a bottle without a prescription or written statement on file.”

Rule Infants were served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 26, 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 two years of age who enrolled on September 8, 2025 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: Jan 28, 2026. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“In space #4, a Destin diaper cream permission form for a two year old child did not include the date the authorization was to begin or to end.”

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: Jan 26, 2026. Correction verified: by a letter from the provider.

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).

“Juana Lazano had a qualifying letter that expired October 29, 2025. A new criminal background check application was initiated on December 10, 2025 and a new valid qualification letter dated December 15, 2025 was on file during today’s visit.”

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).. Corrected during the inspection.

Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child’s file.

“In space #6, one child five years of age that enrolled in NC Pre K on August 11, 2025 did not have a signed and dated statement that the discipline policy was received and explained at the time of enrollment.”

Rule Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 26, 2026. Correction verified: by a letter from the provider.

The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care.

“The specific name and alternate name were not listed for persons in center responsible for giving first aid and CPR on the EMC plan.”

Rule The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 26, 2026. Correction verified: by a letter from the provider.

The health assessment did not include a dental screening.

“In space #5, one child four years of age who enrolled in NC Pre K on August 13, 2025 did not have verification of a completed 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: Jan 26, 2026. Correction verified: by a letter from the provider.

The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children’s emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development.

“In space #1, four children one year of age had only the book center with twelve books accessible for play while one staff member was assisting children one at a time in an individual art project.”

Rule The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development.. 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 annual review verification on file was dated January 18, 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: Jan 26, 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. As of today’s visit, the child care program had not completed the requirements for establishing the child care provider portal roster and linking staff to the ABCMS system.”

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 30, 2025. 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 #4, there was one aerosol can of Nutragena Ultra Sheer Sunscreen in a backpack on the shelf above 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.. Corrected during the inspection.

Parent’s medication authorization did not include required information.

“In space #4, one child two years of age had a medication authorization that did not have the length of time that the authorization was valid listed on the form.”

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: Jul 30, 2025. Correction verified: by a letter from the provider.

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

“In space #1, a medication authorization for Parent’s Choice Diaper Rash cream had an authorization length of time that expired on 2/13/24.”

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 31, 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.

“One child enrolled 2/7/24, did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby and Abusive Head Trauma policy on file.”

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: Feb 26, 2024. Correction verified: by a letter from the provider.

A drug or medication was administered without written authorization and/or instructions from a child’s parent or authorized health professional.

“In space #4, a bottle of Vaseline, labeled for a 2 year old child, did not have a permission to administer form available for review.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 22, 2024. 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.

“One child enrolled 2/7/24, did not have a signed summary of the law verification on file.”

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: Feb 22, 2024. Correction verified: by a letter from the provider.

Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services.

“In space #2, there was no medical action plan for a three year old child with chronic eczema that requires daily medication.”

Rule Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 22, 2024. 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.

“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 enrolled 2/7/24, did not have on the application the names of the 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: Feb 22, 2024. Correction verified: by a letter from the provider.

Authorization for emergency medical care information was not signed by child’s parent.

“One child enrolled 2/7/24 did not have authorization to receive emergency medical care information on file.”

Rule Authorization for emergency medical care information was not signed by child's parent.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 22, 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 staff member employed 1/2/24, had verification of a medical exam on file dated 1/8/24.”

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.. Corrected during the inspection.

Children were not adequately supervised at all times.

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: Feb 13, 2024. Correction verified: at a follow-up visit by DCDEE.

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 1/17/24 there were 4 children not signed out. On 1/18/24, there was one child not signed out. On 1/22/24, there were 3 children not signed out. On 1/23/24, there was one child not signed out. On 1/24/24, there was one child not signed out. On 1/25/24, there was 1 child not signed out. On 1/26/24, there were 2 children 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: Feb 22, 2024. Correction verified: by a letter from the provider.

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.

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: Feb 22, 2024. Correction verified: by a letter from the provider.

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

“One child enrolled 2/7/24 had emergency information on file that did not include the address of the parent or other emergency contact person.”

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: Feb 22, 2024. Correction verified: by a letter from the provider.

Human milk, formula and other bottled beverages including sippy cups, sent from child’s home were not fully prepared, dated, and labeled for the appropriate child.

“In the refrigerator in space #3, there was one prepared bottle labeled 1/31/24, one prepared bottle labeled 2/1/24 and two prepared bottles labeled 2/6/24.”

Rule Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate 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 2/2/24, did not have the date/time the parent was contacted about the injury.”

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: Feb 22, 2024. Correction verified: by a letter from the provider.

Individual applications were not on file for each child.

“One child enrolled 2/7/24 did not have an application for enrollment on file.”

Rule Individual applications were not on file for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 22, 2024. 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.

“Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled 1/2/24 did not have a medical exam on file. One child enrolled 3/9/22, had a medical exam on file dated 7/29/23. One child enrolled 1/24/22, had a medical exam on file dated 3/9/22.”

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: Feb 22, 2024. Correction verified: by a letter from the provider.

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

“Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #2, the authorization for prescription Mupirocin 2% cream had an authorization from 3/6/23-3/6/24 for a non-chronic medical condition. The authorization for prescription Hydrocortisone Ointment USP 2.55 % was from 8/4/23-8/4/24 for a non-chronic medical condition.”

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 22, 2024. Correction verified: by a letter from the provider.

Operational policies were not discussed with parents on or before the child’s first day and/or they were not notified in writing of all changes.

“For one child enrolled 2/7/24, operational policies were not discussed with parents on or before the child’s first day of care.”

Rule Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 22, 2024. Correction verified: by a letter from the provider.

Parent participation plan was not discussed with parents on or before the child’s first day of attendance and/or a copy was not given to them or posted in the center.

“The parent participation plan was not discussed with parents on or before the child’s first day for one child enrolled 2/7/24.”

Rule Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 22, 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 #4, there was one package of Premium Baby wipes with suffocation hazard warnings in the cabinet beneath the sink and one package on the changing table, accessible to children under the age of three.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 22, 2024. Correction verified: by a letter from the provider.

Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.

“In space #4, there was one half full can of Red Bull energy drink on the shelf in the classroom.”

Rule Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence 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: Feb 22, 2024. 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.

“Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member employed 9/9/09 had completed 2 of 5 required hours of on-going training. One staff member employed 2/17/20, had completed 2 of 8 required hours of on-going training.”

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: Feb 22, 2024. Correction verified: by a letter from the provider.

The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction.

“One child enrolled 2/7/24 did not have verification of receipt of the smoking and tobacco restriction in writing on file.”

Rule The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 22, 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.

“One staff member hired 1/2/24, did not review the Shaken Baby Abusive Head Trauma policy prior to providing care for children.”

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.