Agelink Child Development Center

A list of all children participating in the off premise activity was not available at the center.

“During previous field trip, a list of children participating in the off-premise activity was available at the center.”

Rule A list of all children participating in the off premise activity was not available at the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 3, 2026. Correction verified: by a letter from the provider.

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. Based on the EPR plan reviewed today the date of the last review was 03/19/2025.”

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: Aug 3, 2026. Correction verified: by a letter from the provider.

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“At least ten (10) products were expired and one (1) permission form was 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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization..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: Aug 3, 2026. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“None of the permission forms for over-the-counter products included product grand and names of the products. Some forms did not have children’s names and dates of the signatures. At least thirty-two (32) products did not have permission forms.”

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: Aug 3, 2026. 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.

“After review of fourteen new staff files it was noted that two (2) staff members did not completed the required Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One staff member’s date of hire was noted as 09/22/2025 but did not complete the training until 07/02/2026. One staff member’s date of hire was noted as 04/06/2026 and there was not documentation available that the required training had been completed.”

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: Aug 3, 2026. Correction verified: by a letter from the provider.

The schedule of off premise activities was not current and/or did not include required information.

“Information on field trip shared with parents did not include the purpose of the activity and name of the person to be contacted in the event of an emergency. Additionally, a copy of the field trip was not given to the parents and were not posted in each participating classroom.”

Rule The schedule of off premise activities was not current and/or 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: Aug 3, 2026. 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.

“Based on the self-report submitted and staff statements obtained during this visit, it was reported that on January 27, 2026 a staff member communicated a threat to use a weapon against other staff members while in the presence and potential hearing distance of school-age children ranging from nine to twelve years of age.”

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: Feb 27, 2026. Correction verified: by a letter from the provider.

An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.

“An incident report for an injury that occurred to a two-year-old child on 9/17/25 was not submitted to the Division as required.”

Rule An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 23, 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 the classroom for children ages four-through-five years of age there were aerosol cans of sunscreen stored in an unlocked cabinet. In the classroom for children ages one-through-two-years of age the key to cabinet used to stored prescribed diapering creams and sunscreens in aerosol cans was stored in the lock. The supply closet used to store cleaning supplies including aerosol cans was left unlocked due to the small combination lock not closing properly.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 11, 2025. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

“Safe sleep charts included the time the child went to sleep and the the time the child woke u, however, they did not include the safe sleep checks that were to occur every 15 minutes as stated in your safe-sleep policy.”

Rule Center staff did not comply with the safe sleep policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 11, 2025. Correction verified: by a letter from the provider.

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

“In the classroom for infants there was a tube of diapering cream that the staff member reported that had been used for the child but there was no written authorized by the parent available. The staff member also reported that she had shared the medication permission slip with the parent but it had not been returned.”

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

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

“A child was allowed to nap on the beanbags in the cozy area from 3:00pm until 4:38pm.”

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: Jul 28, 2025. Correction verified: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

“On June 30th, 2025 a teacher in the four/five-year-old classroom left a child in the classroom asleep, while she took the other children outside to play on the playground. The child was left inside for 37 minutes.”

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: Jul 28, 2025. Correction verified: at a follow-up visit by DCDEE.

Children used space that was not approved.

“On December 18, 2024, children were cared for in a space that was not approved.”

Rule Children used space that was not approved.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 7, 2025. Correction verified: by a letter from the provider.

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

“On August 21, 2024, a staff member gave a two-year-old child a snack of frozen cherry juice. The child is allergic to red dye and subsequently developed a rash and fever.”

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: Jun 25, 2025. Correction verified: at a follow-up visit by DCDEE.

Child was handled roughly.

“A staff member grabbed a pulled two-year-old child by the arm, lifted the child by the upper arms, and roughly sat the child in the chair. The staff member pushed the chair back under the table causing the child’s torso to fold over the table and placed her foot behind the chair to prevent the child from moving. The staff member also hit children in the face and on the hand.”

Rule Child was handled roughly.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 25, 2025. Correction verified: at a follow-up visit by DCDEE.

Discipline was related to food, rest or toileting.

“A staff member routinely sprayed a child in the face with a bottle of water as a means of discipline when the child did not remain on their cot.”

Rule Discipline was related to food, rest or toileting.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 25, 2025. Correction verified: at a follow-up visit by DCDEE.

There was a substantiation of child maltreatment.

“On February 13, 2025, the Division determined child maltreatment based on the physical needs of children.”

Rule There was a substantiation of child maltreatment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 25, 2025. Correction verified: at a follow-up visit by DCDEE.

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 the hallway in building A there is a black storage cabinet for supplies. The cabinet was left unlocked and had batteries and a bottle of white-out stored inside. In the classroom for children two years of age there was a bottle of white-out being stored in a basket above the handwashing 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.

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

“In the classroom for children ages two years of age there were two (2) medication authorization forms that did not have the to/from date recorded.”

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: Sep 24, 2024. 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.

“The key to the lock for the storage closest with cleaning supplies such as bleach, Lysol in aerosol cans, and toilet clean was stored in the lock. In classroom for children ages to two-through-three years of age there were two (2) bottles of Clorox cleaner stored on a high shelf.”

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.

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

“The facility had recently gotten new first kit with several items that needed to be removed or stored in a locked cabinet such as ointments, burn relief, and eye wash.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Corrected during the inspection.

Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use.

“In the one-year-old classroom, a staff member did not clean the changing surface with soap and disinfecting spray after each use. The diaper changing table was cleaned with soap and disinfecting spray after all the children’s diapers were changed.”

Rule Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 2, 2024. Correction verified: by a letter from the provider.

Diaper changing surfaces were not kept free of storage.

“In two-year-old classroom, the children’s blankets were stored on the changing table during lunch time. During the nap time in the same classroom, a staff member’s ramen noodle was stored on the diaper changing table.”

Rule Diaper changing surfaces were not kept free of storage.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 2, 2024. Correction verified: by a letter from the provider.

Drinking water was not freely available to children of all ages.

“In one-year-old classroom, there was a pitcher of water in the refrigerator but the pitcher was not taken to the playground and no water was offered during outdoor activities.”

Rule Drinking water was not freely available to children of all ages.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 2, 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.

“One (1) child’s bottles were not labeled with today’s date in the infant room.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 2, 2024. Correction verified: by a letter from the provider.

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

“In one-year-old classroom, one (1) child with dairy allergy was served a glass of water instead of alternate milk products.”

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: Jul 2, 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 the two-year-old classroom, diapers in a grocery bag and plastic wrappers were stored in the cubby by the sink and accessible to the children, two (2) years of age.”

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: Jul 2, 2024. Correction verified: by a letter from the provider.

Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas.

“Allergy information poster was not posted in the one-year-old classroom, where one (1) child is allergic to dairy and other food items.”

Rule Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 2, 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 two-year-old classroom, one (1) can of Coca Cola was stored on the shelf by the window. In the same classroom, one (1) staff member brought a plastic container of instant ramen noodle to the classroom shortly before rest time.”

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: Jul 2, 2024. Correction verified: by a letter from the provider.

Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.

“In one-year-old classroom, a staff member changed diapers of the children before lunch time. The staff member changed gloves after each child but did not wash hands after changing each diaper. A staff member served second serving of milk. The staff member had gloves on but did not wash hands.”

Rule Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 2, 2024. Correction verified: by a letter from the provider.

The written feeding plan did not include the child’s name, parent signature, and/or was not dated when received by the center.

“In one-year-old classroom, one (1) child’s feeding plan was not signed by the parent.”

Rule The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 2, 2024. 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 the unlocked adult restrooms in building A there was an aerosol can of disinfectant spray sitting on the counter in one of the restrooms and an aerosol can of disinfectant spray stored in an unlocked drawer in the other one. In building B that houses the older children’s classrooms and the afterschool classrooms the adult unlocked ladies restroom had several aerosol spray cans of disinfectant spray and a gallon container of bleach stored in the unlocked cabinet under 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.

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: May 28, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

“The teacher’s lounge was left unlocked and there was an aerosol can of disinfectant spray sitting on the table.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 28, 2024. Correction verified: at a follow-up visit by DCDEE.

Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.

Rule Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 28, 2024. Correction verified: at a follow-up visit by DCDEE.

Center staff did not comply with the safe sleep policy.

“In the infant room there was an infant present that did not have a sleep chart for Thursday February 08, 2024 and Friday February 09, 2024.”

Rule Center staff did not comply with the safe sleep policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 28, 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.

“In the infant room there was one (1) infant that was present on Thursday but there was no record of his arrival and departure times. Today there were four (4) children present in the infant however, there were only three (3) with recorded arrival times.”

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 28, 2024. Correction verified: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

“In the classroom for children ages three through four years of age two (2) children were left in the classroom with a Foster Grandparent volunteer while the teacher took three (3) children to the restroom down the hallway.”

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 9, 2024. Correction verified: at a follow-up visit by DCDEE.

Children were not adequately supervised at all times.

“Upon my arrival into the facility as I was in the hall way speaking to Ms. McEntire a three year old child was observed coming out of the boys bathroom and walking down the hall way unsupervised to his classroom.”

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 9, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 30, 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. After review of new teachers files it was noted that two (2) (CA, MM) out of the ten (10) new teachers had not reviewed the center’s EPR plan during orientation.”

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

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. After review of new teachers files it was noted that four (4) (AP, CW, CA, MM) out of the ten (10) new teachers had not completed CPR training.”

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: Feb 1, 2024. 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. After review of new teachers files it was noted that four (4) (AP, CW, CA, MM) out of the ten (10) new teachers had not completed First Aid training.”

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

Center staff did not comply with the safe sleep policy.

“Sleep charts were not available for review.”

Rule Center staff did not comply with the safe sleep policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 30, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

“After review of new teachers files it was noted that five (5) teachers (CW, CM, HS, KS, MM) did not have a medical report on file.”

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: Feb 1, 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.

“After review of new teachers files it was noted that nine (9) out of the ten (10) new teachers did not have emergency information on file. (CA, KS, MM, AP, CW, PL, AB, CM, HS)”

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

Children were not adequately supervised at all times.

“A three-year-old child was observed coming out of their assigned classroom and going into the girls’ restroom which is located outside of the classroom in the hallway. The staff member who was in the boy’s restroom with another child reported she was unaware the child had gone into the restroom alone.”

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 9, 2024. Correction verified: at a follow-up visit by DCDEE.

Each child did not have an opportunity to be outdoors daily, if weather conditions permitted.

“According to teacher’s report in the classroom for children ages two years of age, children are not taken outside unless the temperature is around 40 degrees.”

Rule Each child did not have an opportunity to be outdoors daily, if weather conditions permitted.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 30, 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.

“In the classroom for children ages three through four years of age there was a makeshift diaper changing area in the back of the room used to change children’s pull-ups. This area has not been approved by Environmental Health.”

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: Jan 30, 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.

“After review of new teachers files it was noted that three (3) (CA, KS, MM) out of the ten (10) new teachers had not reviewed the center’s personnel and operational policies during orientation.”

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

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.

“After review of the new teachers files it was noted that five (5) new teachers (AP, CW, CA, KS, MM) did not complete six hours of orientation within the first two weeks.”

Rule Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 1, 2024. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

“Incident logs were not being completed and maintained as required.”

Rule Incident logs were not completed and maintained as required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 30, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“After review of seven (7) childrens’ files it was noted that one (1) child 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: Feb 1, 2024. Correction verified: by a letter from the provider.

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

“In the classroom for children two years of age there was a bottle of pain relief stored in one of the high cubbies located in the diaper changing area near the sink.”

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: Jan 30, 2024. Correction verified: at a follow-up visit by DCDEE.

Menus for all meals and snacks were not current or posted where easily seen by parents and cook.

“The menu posted for parents was dated for December.”

Rule Menus for all meals and snacks were not current or posted where easily seen by parents and cook.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 30, 2024. 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.

“After review of new teachers files it was noted that seven (7) new teachers (AB, KS, MM, PL, CA, AP, CW) did not receive at least 16 hours of orientation within the first 6 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: Feb 1, 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.

“After review of the new teachers files it was noted that two (2) new teachers (CW, HS) did not have a TB or TB screening available for review.”

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

Parent’s medication authorization did not include required information.

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 30, 2024. Correction verified: at a follow-up visit by DCDEE.

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 the classroom for infants there were plastic trash bags being stored in a crib and a small container of small plastic bands being stored on a low window seal.”

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: Jan 30, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“The last recorded lockdown drill was dated 08-01-2023.”

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: Jan 30, 2024. Correction verified: at a follow-up visit by DCDEE.

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 the classroom for children one year of age there was a Bojangles cup and a A&W root beer can sitting on the cabinet over the dorm sized refrigerator. In the classroom for the younger school aged children there was a 12-pack case of Pepsi sitting beside the storage cabinet.”

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: Jan 30, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

“After review of new teachers files it was noted that one (1) (CW) out of the ten (10) new teachers had not completed the required Recognizing and Responding to Suspicions of Child Maltreatment 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: Feb 1, 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 EMC posted was dated as reviewed with staff in 2022.”

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: Jan 30, 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.

“After review of new teachers files it was noted that eight (8) (CA, CW, AB, CM, HS, AS, MM, KS) out of the ten (10) new teachers had not reviewed the center’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy .”

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

When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review.

“In the classroom for children three through four years of age children were observed watching an educational video during snack. There was no documented cumulative log nor was screentime listed on the activity plan.”

Rule When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 30, 2024. Correction verified: at a follow-up visit by DCDEE.