Lil Arrows Childcare Academy

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.

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.

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 completed the training within 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.

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 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: Sep 11, 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.

“Aerosol Lysol and disinfecting wipes were observed in the unlocked cabinet under the sink in Space #3.”

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.

At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care.

“The staff member present in the infant room today did not have current ITS-SIDS training.”

Rule At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 11, 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.

“Emergency information 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 11, 2025. 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.

“This statement was not on file for one staff member.”

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: Sep 11, 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.

“This information had not been separated from the personnel files for any of the staff members.”

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: Sep 11, 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.

“A negative TB test result was not on file for one 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: Sep 11, 2025. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“Parent’s permission to administer was not on file for petroleum jelly, Desitin, Diaper Rash Ointment, A&D ointment, and Calmoseptine in Space #2.”

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 11, 2025. Correction verified: by a letter from the provider.

Prior to employment a Criminal Background Check was not completed.

“A Criminal Background Check was not completed for one staff member before hire.”

Rule Prior to employment a Criminal Background Check was not completed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 11, 2025. Correction verified: by a letter from the provider.

Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children.

“This information was not posted in the vehicle used to transport children.”

Rule Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children.. 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.

“Two staff members who have been employed more than 90 days have 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: Sep 11, 2025. Correction verified: by a letter from the provider.

The driver did not have a valid driver’s license of the type required for the vehicle being driven.

“The driver for the mini-bus does not have the appropriate type of license for this vehicle.”

Rule The driver did not have a valid driver's license of the type required for the vehicle being driven.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 11, 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 #3 was dated July 1 to July 14, 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: Jul 29, 2025. Correction verified: by a letter from the provider.

All beds, cots, or mats with individual linen were not provided for each child.

“Two children in Space #1 were laying directly on the floor, with no bed, cot, or mat provided.”

Rule All beds, cots, or mats with individual linen were not provided for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 18, 2025. Correction verified: by a letter from the provider.

At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care.

“The staff member present in Space #2 where infants were receiving care had not completed ITS-SIDS training.”

Rule At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care.. Corrected during the inspection.

Bed, cribs, playpens, cots or mats were not placed at least 18” apart or separated by partitions when in use.

“While in use, mats and cots were not spaced at least 18 inches apart in Spaces #1 and 4.”

Rule Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 18, 2025. Correction verified: by a letter from the provider.

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

“Activity plans were not posted in Spaces # 1, 2, or 3.”

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: Jun 4, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“Valid qualification letters were not on file for four staff members.”

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: Jun 18, 2025. Correction verified: by a letter from the provider.

All beds, cots, or mats with individual linen were not provided for each child.

“Three children in Space #1 were laying directly on the floor, with no mat or cot provided.”

Rule All beds, cots, or mats with individual linen were not provided for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 18, 2025. 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.

“Health questionnaires were not on file for two staff members.”

Rule All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 18, 2025. Correction verified: by a letter from the provider.

Application for employment and date of birth was not on file for all staff.

“An application was not on file for one staff member.”

Rule Application for employment and date of birth was not on file for all staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 4, 2025. Correction verified: at a follow-up visit by DCDEE.

At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care.

“The staff member present in the infant room had not completed ITS-SIDS training.”

Rule At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 18, 2025. Correction verified: by a letter from the provider.

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

“Authorization for emergency medical care was not on file in one of the four children’s records observed today.”

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: Jun 4, 2025. Correction verified: at a follow-up visit by DCDEE.

Bed, cribs, playpens, cots or mats were not placed at least 18” apart or separated by partitions when in use.

“While in use, mats and cots were not spaced at least 18 inches apart in Spaces #1, 3, and 4.”

Rule Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 18, 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.

“Medical statements were not on file for four staff members.”

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: Jun 18, 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.

“Emergency information 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 18, 2025. Correction verified: by a letter from the provider.

Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.

“In Space #4 the time of arrival was documented for 10 of the 11 children present. In Space #1 the time of arrival was documented for 8 of the 11 children present.”

Rule Daily records of arrival and departure times for children 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: Jun 4, 2025. 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 received was not on file for four staff members.”

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: Jun 18, 2025. Correction verified: by a letter from the provider.

Individual applications were not on file for each child.

“An application was not on file in one of the four children’s records observed today.”

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: Jun 4, 2025. Correction verified: at a follow-up visit by DCDEE.

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

“Six staff members did not received at least 16 hours of orientation within the first six 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: Jun 4, 2025. 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 test results were not on file for three staff members.”

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: Jun 18, 2025. Correction verified: by a letter from the provider.

Prior to employment a Criminal Background Check was not completed.

“Criminal Background Checks had not been completed for four staff members before employment.”

Rule Prior to employment a Criminal Background Check was not completed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 18, 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.

“Signed acknowledgements or orientation documentation was not provided verifying that this plan had been reviewed with any of the seven staff members.”

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: Jun 4, 2025. Correction verified: at a follow-up visit by DCDEE.

The number of children present was not within permit capacity.

“The 31 children present exceeded the permit capacity of 30.”

Rule The number of children present was not within permit capacity.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 4, 2025. 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 signed acknowledgment that this policy had been reviewed was not on file for one staff member.”

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: Jun 4, 2025. Correction verified: at a follow-up visit by DCDEE.