Scotland Christian Academy

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

“Documentation was not on file for two children.”

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

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

“The plan had not been reviewed at least annually for four staff members.”

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: Mar 10, 2026. 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.

“One medication was administered without written authorization from a parent or guardian.”

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

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

“Lunches served on April 3, 2025, and April 15, 2025, were missing one component.”

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 5, 2025. 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 #1, plastic bags were placed in low cubbies.”

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.

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

“One medication did not have a label.”

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: May 5, 2025. 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 #3, a bottle of soda was sitting on the teacher’s desk.”

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.. Corrected during the inspection.

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

“Documentation 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 10, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

“Documentation 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 10, 2024. Correction verified: at a follow-up visit by DCDEE.

Prior to employment a Criminal Background Check was not completed.

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

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 10, 2024. 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.

“Documentation 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: Sep 10, 2024. Correction verified: at a follow-up visit by DCDEE.

All equipment and furnishings were not in good repair.

“Several pieces of the playground equipment were rusted.”

Rule All equipment and furnishings were not in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 10, 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.

“The director’s last health questionnaire was dated 6/5/24.”

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

All stationary equipment, more than 18 inches high, was not installed over protective surfacing.

“Two pieces of anchored playground equipment measured 19 inches high. There was no surfacing.”

Rule All stationary equipment, more than 18 inches high, was not installed over protective surfacing.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 10, 2024. Correction verified: by a letter from the provider.

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

“Cereal and milk were served for breakfast.”

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: Jun 10, 2024. Correction verified: by a letter from the provider.

The child care provider did not provide the required beverage(s).

“2 % milk was served to children over 2 years of age.”

Rule The child care provider did not provide the required beverage(s).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 10, 2024. Correction verified: by a letter from the provider.

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

“Documentation was not on file in space#5. During today’s visit a copy was made and posted.”

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

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

“In space numbers 1 and 2, the mats were placed less than 18” apart.”

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: Mar 18, 2024. 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.

“One employee’s date of employment was 6/19/23. Her TB test was completed 12/3/23.”

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 18, 2024. Correction verified: by a letter from the provider.

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 teacher’s date of employment was 6/19/23. Her training was completed 1/30/24.”

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 18, 2024. Correction verified: by a letter from the provider.