Grace Methodist Preschool

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“Sunscreen and diaper creams for five (5) enrolled children and an Epi-Pen for D.W. was not discarded or returned to the parents after written authorization had expired.”

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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization..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: Sep 16, 2026. Correction verified: by a letter from the provider.

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

“A valid qualification letter for two (2) staff members was not on file and available for review”

Rule A valid qualification letter was not on file and available to review at the facility.. 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. Documentation verifying that the EPR plan was reviewed with a staff member with a hire date of February 9, 2026, was not on file”

Rule All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff.. 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. A staff member with a hire date of September 2, 2025, did not complete CPR training from an approved organization within 90 days of employment.”

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 10, 2026. 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. A staff member with a hire date of September 2, 2025, did not complete first aid training from an approved organization within 90 days of employment.”

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 10, 2026. Correction verified: by a letter from the provider.

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

“A staff member with a hire date of October 9, 2025, did not have a medical report on file prior to the first day of employment.”

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 10, 2026. Correction verified: by a letter from the provider.

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.

“Documentation verifying that the job description, personnel, and operational policies was reviewed with a staff member with hire date of February 9, 2026, was not on file.”

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.. 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.

“Topical Ointments and sunscreens for eight (8) enrolled children were not returned to the parent or discarded within 72 hours of completion of treatment or after authorization has expired as required by the rule.”

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.

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

“Documentation verifying that the emergency care plan was reviewed with a staff member with a hire date of February 9, 2026, was not on file.”

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

“Documentation verifying that the SBS/AHT policy was reviewed with a staff member with the hire date of February 9, 2026, was not 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.

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

“It was determined that a staff member handled one-year-old children roughly in the following ways: hit a child on the hand multiple times with a paper plate in response to the child throwing food on the floor, held a child on their cot by placing their leg over the child, and pushing children out of the way, causing the children to fall, and failing to ensure they were not injured.”

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: Oct 1, 2025. Correction verified: by a letter from the provider.

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.

“It was determined that a staff member failed to treat one-year-old children in a nurturing and appropriate manner in the following ways: yelled at children on multiple occasions, exhibited an angry disposition with the children, rolled their eyes at the children, and failed to respond appropriately to crying children.”

Rule Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 1, 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 most recent approved fire inspection was completed on September 18, 2024, which expired on September 18, 2025.”

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: Sep 24, 2025. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“A blanket authorization form to administer Blue Lizard sunscreen for K.T. and Desitin for D.S. was 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: Sep 24, 2025. Correction verified: by a letter from the provider.

A drug or medicine was administered after its expiration date.

“A topical ointment with an expiration date of 1/2025 was administered to a child.”

Rule A drug or medicine was administered after its expiration date.. Corrected during the inspection.

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

“A blanket permission form giving authorization to administer Cetaphil for one (1) child was not available.”

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: Apr 7, 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.

“An EpiPen for one (1) child was not kept in the original container with written instructions.”

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: Apr 7, 2025. Correction verified: by a letter from the provider.

The center’s safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily.

“The safe sleep policy was not posted.”

Rule The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily.. Corrected during the inspection.

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

“A valid qualification letter was not on file for one (1) staff member.”

Rule A valid qualification letter was not on file and available to review at the facility.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 14, 2024. Correction verified: by a letter from the provider.

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

“Three (3) staff members did not have a current health questionnaire on file.”

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.

“Three (3) staff members did not have a current 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.

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.

“Electrical outlets located in the fellowship hall were uncovered.”

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.

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 #6, plastic grocery bags used to store soiled clothing were accessible to two-year old children.”

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.

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).

“The qualification letter for one (1) employee expired on 09-11-24.”

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: Oct 14, 2024. Correction verified: by a letter from the provider.

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

“The emergency medical care plan was not reviewed annually with one (1) staff member”

Rule The EMC plan was not reviewed with all staff annually and whenever the plan was revised.. 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 emergency preparedness response plan was not reviewed annually with one (1) staff member.”

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