Little Dolphins Child Care Center

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.

“One staff member did not have a negative TB test screening prior to employment.”

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.. 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 did not complete the training within the 90 days of employment.”

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.

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.

“One sippy cup was labeled with a name but was not dated.”

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.

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 with a hire date of 7/5/24 had not completed CPR training until 12/30/24.”

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 with a hire date of 7/5/24 had not completed the first aid training until 12/30/24.”

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

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.

“One staff member with a hire date of 7/5/24 did not have a medical report on file until 7/9/24.”

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.

“Nine children from three to five years of age were in Space #8 unsupervised.”

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

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

“Children from 12 months to three years of age received care in Space #6.”

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

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

“Nine children from one to three years of age received care from one caregiver in Space #6.”

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: Apr 1, 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.

“A medical report completed within the last 12 months was not on file for one new staff member.”

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: Mar 25, 2024. Correction verified: by a letter from the provider.

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

“Emergency information completed within the last 12 months was not on file for one new staff member.”

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: Mar 18, 2024. Correction verified: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

“In Space #6, six children, all two years of age, were not supervised.”

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: Mar 18, 2024. Correction verified: at a follow-up visit by DCDEE.

Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.

“Signed statements that this information had been reviewed was not on file for two new staff.”

Rule Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“Staff development plans had not been corrected for four staff members.”

Rule Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

“Negative TB results obtained within the last 12 months were not on file for one new staff member.”

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 25, 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.

“Signed statements verifying this policy had been reviewed were not on file for two new staff.”

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: Mar 18, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“The sheets on three of the cribs in Space #3 were not tight fitting. Employee purses were not stored out of the reach of children or in locked storage. The edges of several rugs throughout the center were rolling up on the edges, posing a tripping hazard. A large, pointed rock was observed in the outdoor play area near the back fence. The black corrugated pipping at the top of the fence had fallen off the fencing in several areas.”

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: Mar 12, 2024. Correction verified: at a follow-up visit by DCDEE.

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. This information had not been reviewed with four staff members at least annually.”

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: Mar 12, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“A health questionnaire completed within the last year was not available for one staff member.”

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.

“Emergency information updated within the last year was not on file for one staff member.”

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.

Children were not adequately supervised at all times.

“Six children were unsupervised in Space #8 for an unknown amount of time.”

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: Mar 18, 2024. Correction verified: at a follow-up visit by DCDEE.

Each child’s diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction.

“The pads on the diaper changing tables in Spaces #2 and #3 were torn with foam exposed.”

Rule Each child's diapers were not changed at areas designated exclusively for diapering, on a surface that was smooth, nonabsorbent, easily cleanable and of tight construction.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“Staff development plans completed within the last year were not on file for four staff members.”

Rule Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2024. Correction verified: at a follow-up visit by DCDEE.

Gates to the fenced outdoor play area did not remain closed while children occupied the area.

“The gate to the outdoor play area adjacent to Building 1 was not closed while children occupied the area.”

Rule Gates to the fenced outdoor play area did not remain closed while children occupied the area.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 12, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“Diaper rash cream and Vaseline in Space #3 were stored in a plastic drawer unit that was not out of the reach of children.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 12, 2024. Correction verified: at a follow-up visit by DCDEE.

Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional.

“A tube of Desitin and a tub of Vaseline were not labeled in Space #3.”

Rule Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician 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: Mar 12, 2024. Correction verified: at a follow-up visit by DCDEE.

Parent’s medication authorization did not include required information.

“Permission to administer diaper rash cream and Vaseline in Space #3 were not available.”

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: Mar 12, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“One staff member employed more than one year did not complete the health and safety training.”

Rule Staff did not complete the health and safety training within one year of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 12, 2024. Correction verified: at a follow-up visit by DCDEE.

The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit.

“The activity plan in Space #6 did not list four activities daily.”

Rule The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 12, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“This information had not been reviewed with four staff members at least annually.”

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: Mar 12, 2024. Correction verified: at a follow-up visit by DCDEE.