Kid City USA Pisgah Forest

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

“Staff S. Tooher has a criminal background letter on file that expired 6/2/2026.”

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 21, 2026. 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. Three (3) staff, per the staff training worksheet, have CPR trainings that are not from an approved training source. One (1) staff member, hired 4/13/2026, has 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: Oct 21, 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. Three (3) staff, per the staff training worksheet, have First Aid trainings that are not from an approved training source. One (1) staff , hired 4/13/2026, has 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: Oct 21, 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.

“Two (2) staff, per the staff records worksheet, did not have signed job descriptions 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.

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

“One staff, per the staff records worksheet, was re-hired and did not complete the 16 required hours of orientation.”

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: Oct 21, 2026. Correction verified: by a letter from the provider.

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).

“Staff S. Tooher has a criminal background letter on file that expired 6/2/2026 and began the fingerprint process 10/1/2026.”

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 21, 2026. Correction verified: by a letter from the provider.

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

“The last lockdown or shelter-in-place drill was practiced 6/10/2026.”

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: Oct 21, 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.

“Two (2) staff, per the staff records worksheet, have not completed Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of hire.”

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: Oct 21, 2026. Correction verified: by a letter from the provider.

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

“A caregiver roughly pulled a child by the arm and continued walking with the child, by pulling them by the arm to the doorway of the classroom.”

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: Sep 8, 2026. Correction verified: at a follow-up visit by DCDEE.

Rule violated (DCDEE’s description below)

“Children were not adequately supervised at all times. on 8/26/2026, a caregiver was looking at their cell phone for approximately eight (8) to ten (10) minutes while in a classroom of five (5) preschool aged children while they were eating lunch.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 8, 2026. Correction verified: at a follow-up visit by DCDEE.

All equipment and furnishings were not in good repair.

“The wooden panel, as indicated during the visit, has chipping paint.”

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: Nov 30, 2025. Correction verified: by a letter from the provider.

Center has not passed required sanitation inspection and received an approved or superior rating.

“The facility’s last superior sanitation inspection was 8/1/2024.”

Rule Center has not passed required sanitation inspection and received an approved or superior rating.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 30, 2025. Correction verified: by a letter from the provider.

Sand and water play activities were not available weekly to each group.

“Sand and water play activities were not indicated on the activity plans for preschool aged children.”

Rule Sand and water play activities were not available weekly to each group.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 30, 2025. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

“In the classroom of infants and one-year-olds, six (6) safe sleep 15 minute checks were not recorded for 04/23/25. Zero (0) safe sleep 15 minute checks were recorded for 04/24/25 although an infant was observed sleeping in a crib.”

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: 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.

“Easily torn plastics were accessible to children in the classroom of infants and one-year-olds and the classroom of two and three-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.

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

“Seven (7) of the eight (8) feeding plans in the classroom of infants and one-year-olds did not have a parent signature.”

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

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.

“An uncovered outlet in classroom space #1 was accessible to the children in care.”

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.

Equipment and furnishings were not sturdy, stable and free of hazards.

“Chipping paint was observed on the ball goal on playground 6.”

Rule Equipment and furnishings were not sturdy, stable and free of hazards.. Corrected during the inspection.

Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child’s file.

“The incident report used to document non medical injuries is recorded on a center document that does not contain all required information.”

Rule Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 25, 2024. Correction verified: by a letter from the provider.

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

“A medical assessment was not on file within 30 days of enrollment for one (1) child enrolled on 10/9/24.”

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

“Plastic wrap and a plastic bag was accessible to children under three years of age in space #1.”

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.

Children were not adequately supervised at all times.

“It was confirmed that a staff member was not adequately supervising the one-year-old children which led to children being bitten repeatedly and receiving other scrapes and bruises.”

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: Nov 22, 2024. Correction verified: at a follow-up visit by DCDEE.

Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child’s file.

“Two incident reports dated 9/6/24 and 9/11/24 were not signed by the parent/guardian.”

Rule Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 23, 2024. Correction verified: by a letter from the provider.

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 space B, on 4/23/24, departure times for two (2) children were not documented. On 4/24/24, departure times for four (4) children were not documented. On 5/2/24, departure time for one (1) child was not documented. In space C, on 4/23/24, no departure times for the six (6) children present was documented. On 4/26/24, arrival times for three (3) children were not documented. On 5/1/24, arrival times for two (2) children were not documented.”

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

Staff/child ratios applicable to a classroom, were not posted in each classroom.

“In space D, a staff child ratio form was not posted.”

Rule Staff/child ratios applicable to a classroom, were not posted in each classroom.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 10, 2024. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

“The caregiver in space #A, the classroom with infants, has not documented visual checks for an eleven month old enrolled infant since 3/20/24 when the child was in attendance on 3/22/24, 3/25/24, and 3/26/24.”

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: Apr 10, 2024. 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.

“In space #A, the classroom with infants, there were three (3) diaper creams stored in the classroom for children that were no longer enrolled.”

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.

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

“In space #A, the classroom with infants, there was Nystatin prescription diaper cream stored above five feet and not locked.”

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

Rule violated (DCDEE’s description below)

“Meals and snacks for all children were not planned according to the number of hours the child is in care. Per Ms. Pace, children in spaces # 3, 4, B are not served breakfast or a morning snack. The operating hours for the center are from 7:30am through 5:30pm and parents only bring in lunch and an afternoon snack in the aforementioned spaces.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 10, 2024. Correction verified: by a letter from the provider.

Equipment and furnishings were not sturdy, stable and free of hazards.

“The metal trashcan in space #A, had rust spots on the lid and the sides of the trashcan.”

Rule Equipment and furnishings were not sturdy, stable and free of hazards.. Corrected during the inspection.

For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule.

“There were no dolls in space #A, the classroom with infant and one year old children.”

Rule For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule.. Corrected during the inspection.

The written feeding plan was not modified as the child’s needs changed.

“One (1) child, ten months of age, had an infant feeding plan in space #A that was not modified to indicate the child is drinking juice from a cup and eating table foods.”

Rule The written feeding plan was not modified as the child's needs changed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 19, 2024. Correction verified: by a letter from the provider.

Staff required to receive on-going training had not completed the required number of hours according to their education and experience.

“One (1) of three (3) staff, S.T., required to complete ten (10) training hours and has received one (1) training hour. One (1) of three (3) staff, A.H., required to compete ten (10) training hours and has received five (5) training hours. One (1) of three (3) staff, M.F., required to complete ten (10) training hours and has receive three (3) training hours. Repeat violation from 12/4/23.”

Rule Staff required to receive on-going training had not completed the required number of hours according to their education and experience.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 29, 2023. Correction verified: by a letter from the provider.

All equipment and furnishings were not in good repair.

“The plastic gate on outdoor space #4 has detached from the metal poles in at least three (3) different places. The metal poles are sticking up approximately two (2) feet from the ground and the plastic gates has fallen to the ground in various places.”

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: Dec 18, 2023. Correction verified: at a follow-up visit by DCDEE.

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 (1) staff, per the staff and training worksheet, does not have current 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: Dec 18, 2023. Correction verified: at a follow-up visit by DCDEE.

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 (1) staff, per the staff and training worksheet, does not have current 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: Dec 18, 2023. 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.

“One (1) staff, per the staff and training worksheet, did not have the required Emergency Information Form on file on or before the first day of work.”

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: Dec 18, 2023. 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.

“Six (6) staff, per the staff and training worksheet, do not have a current annual staff evaluation or current professional development plan on file. One (1) staff does not have a current annual staff evaluation on file.”

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: Dec 18, 2023. Correction verified: at a follow-up visit by DCDEE.

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

“Two (2) staff, per the staff and training worksheet, did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.”

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: Dec 18, 2023. Correction verified: at a follow-up visit by DCDEE.

Fire drills were not practiced monthly and/or the drill record was incomplete.

“There was no documentation of a fire drill being practiced in October 2023 or November 2023.”

Rule Fire drills were not practiced monthly and/or the 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: Dec 18, 2023. Correction verified: at a follow-up visit by DCDEE.

Incident logs were not completed and maintained as required.

“An incident log is not in use.”

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: Dec 18, 2023. Correction verified: at a follow-up visit by DCDEE.

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.

“There was no documentation that monthly playground inspections were conducted in October 2023 or November 2023.”

Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 18, 2023. 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.

“One (1) staff, per the staff and training worksheet, did not receive at least 16 hours of orientation within first 6 weeks.”

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: Dec 18, 2023. Correction verified: at a follow-up visit by DCDEE.

Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches.

“There was a five (5) to eight (8) inch gap between the building and fence on outdoor spaces #5 and #6.”

Rule Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 18, 2023. 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.

“Easily torn plastic was located accessible to children under three years of age in unlocked cubbies below five feet in space #B.”

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.

Staff required to receive on-going training had not completed the required number of hours according to their education and experience.

“Three (3) staff, per the staff and training worksheet, which are required to receive on-going training, did not have documentation of completion of the required number of hours according to their education and experience.”

Rule Staff required to receive on-going training had not completed the required number of hours according to their education and experience.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 29, 2023. Correction verified: by a letter from the provider.

Storage space was not available for each child’s personal belongings.

“Storage space for children’s personal belongings was not provided in spaces #3 and #4. The children’s coats, backpacks, and other personal belongings were laying on the floor in the hallway.”

Rule Storage space was not available for each child's personal belongings.. Corrected during the inspection.

The depth of the loose surfacing was not based on critical height of the equipment.

“The surfacing for the equipment on outdoor spaces #1, #3, and #6 had mulch surfacing with depths between one (1) inch and three (3) inches.”

Rule The depth of the loose surfacing was not based on critical height of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 22, 2023. 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.

“Three (3) staff, per the staff and training worksheet, did not have a signed acknowledgement of The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy being reviewed with them prior to providing care with children.”

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: Dec 18, 2023. Correction verified: at a follow-up visit by DCDEE.