Chesterbrook Academy

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 members A.S, and E.H did not completed the training within the ninety (90) day time line.”

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

“On January, 16, 2026, a staff member failed to provide a safe environment when the staff member failed to maintain control of a two-year-old child resulting in the child falling from their arms.”

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: Feb 17, 2026. Correction verified: by a letter from the provider.

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

“While playing in the outdoor learning environment a child was able to locate a “pill with a gel coating and liquid center” and put it in their mouth.”

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

Children were not adequately supervised at all times.

“A child in the room that serves two (2) year old’s was left unsupervised for around one (1) minute”

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: Oct 13, 2025. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“Children in classroom space 2a were not supervised during diaper changing times and other times during the day and was documented. A teacher was not able to see and/or hear to appropriately supervise all children 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: Aug 22, 2025. Correction verified: by a letter from the provider.

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

“Children in space 2a were not provided with access to any materials, supplies or structures to facility play and development in the afternoons after rest time and during early morning drop off times.”

Rule For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 22, 2025. Correction verified: by a letter from the provider.

Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.

“Upon arrival children were not asked to and did not wash their hands.”

Rule Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 1, 2025. Correction verified: by a letter from the provider.

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

“One child’s medical permission form was expired.”

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Corrected during the inspection.

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

“Staff member M.P. did not have a valid qualification on file for review.”

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: Mar 7, 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.

“Staff Members AM and VP did not have a health questionnaire on file.”

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: Mar 7, 2025. 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.

“Staff member’s C.C, L.R, Y.M and T.S files did not show documentation of six (6) hours of training in the 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.. Corrected during the inspection.

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

“A permission slip in space two b (2b) had expired giving the caregiver standing permission to administer a diaper cream”

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

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

“Staff member’s C.C, L.R, Y.M, and T.S. files did not show documentation of the required orientation hours in the first six (6) weeks of employment.”

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

“Staff members Y.M, C.C, and L.R. did not have proof of completing the Recognizing and Responding training within their initial ninety (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: Mar 7, 2025. Correction verified: by a letter from the provider.

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

“In the room that serves toddlers there is inappropriate music during drop off and during the day.”

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: Nov 27, 2024. Correction verified: by a letter from the provider.

A copy of the incident report was not given to the parent.

“Upon the incident occurring, and incident report was not filled out, reviewed, signed or given to the families involved.”

Rule A copy of the incident report was not given to the parent.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 27, 2024. Correction verified: by a letter from the provider.

Each infant was not served only bottles labeled with their individual name.

“In infant in space number one (#1) was served a reported one (1) to two (2) ounces of another infants’ formula. The bottles were name and date labeled and color coded.”

Rule Each infant was not served only bottles labeled with their individual name.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 27, 2024. Correction verified: by a letter from the provider.

An individual written feeding plan was not provided by child’s parent or health care provider or was not followed and posted.

“(omit posting for centers located in a residence) In space number 1a, there were two infants who did not have a written feeding plan posted.”

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. Corrected during the inspection.

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

“In space number nine (9) a medication expired in August of 2024 and was not returned to the family within the time frame allotted.”

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: Nov 4, 2024. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“In space number nine (9) the medical permission slip was not filled out with a date range of when the medication could be used.”

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: Nov 4, 2024. Correction verified: by a letter from the provider.

All staff records, except financial records, were not made available for review.

“All staff files were in a file cabinet that was locked, and the Administrative Team was unable to locate the key in Ms. Fleig, Administrators, absence.”

Rule All staff records, except financial records, 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 24, 2024. 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.

“One staff person, HH, was overheard by other staff, spoke to the children in her care in a harsh and belittling tone, calling the children stupid, speaking loudly at them giving directives and speaking about children in a negative manner to other staff in front of the child and/or other children.”

Rule Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 24, 2024. Correction verified: by a letter from the provider.

Enhanced staff/child ratios and group sizes were not met.

Rule Enhanced staff/child ratios and group sizes were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 24, 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 Administrators office while the Assistant Administrator was looking for the key to open the staff file cabinet, I observed a bottle of Zyrtec. I picked up the bottle and it did have pills inside of the bottle. All non-prescription medications must be stored in a locked cabinet or locked container.”

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: Jun 24, 2024. Correction verified: by a letter from the provider.

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.

“Of the eighteen children’s records reviewed, one child’s file did not have proof that the Summary of the Law was provided to them (see children’s Records).”

Rule A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 25, 2024. Correction verified: by a letter from the provider.

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

“Of the six (6) files reviewed on staff did not have an application on file (see staff and training worksheet).”

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: Mar 25, 2024. Correction verified: by a letter from the provider.

Children’s records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.

“Upon review of the children’s files, of the 18 files were reviewed, there were two children missing medicals and two children missing their immunization records (see children’s Records).”

Rule Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was 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: Mar 25, 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.

“Of the six (6) staff files reviewed, two (2) staff files did not have documentation of their orientation hours within the required time frame (see staff and training worksheet).”

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: Mar 25, 2024. Correction verified: by a letter from the provider.

Emergency information did not name childs health care professional.

“Upon review of the children’s files, of the eighteen (18) files were reviewed, there were two (2) children missing hospital information including either the preferred hospital or the phone number. (see children’s Records).”

Rule Emergency information did not name childs health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 25, 2024. Correction verified: by a letter from the provider.

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

“Of the six (6) staff files reviewed, two (2) staff files did not have documentation of their orientation hours within the required time frame (see staff and training worksheet).”

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: Mar 25, 2024. Correction verified: by a letter from the provider.

Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.

“On 04/26/23 the facility adopted a new Discipline Behavioral Policy and there was no statement on file verifying that the parent received the discipline policy and it had been explained to them. Upon review of the children’s files, of the 18 files were reviewed, there were nine (9) children missing any documentation of any discipline policy (see children’s Records).”

Rule Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 25, 2024. Correction verified: by a letter from the provider.

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.

“In the kitchen the refrigerator temperature was at 46 degrees F and the Space 1 where the infant children were located the refrigerator was at 50 degrees F. The staff reported that this has been an ongoing issue with the small refrigerator as this was previously cited by Enviornmental Health.”

Rule Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 25, 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.

“Of the six (6) staff files reviewed two (2) were required to have on-going training and did not have the required amount of training hours (see staff and training worksheet).”

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: Mar 25, 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.

“Of the six (6) staff files reviewed there was one (1) staff how did not have the required training within the required time frame (see staff and training worksheet).”

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 25, 2024. Correction verified: by a letter from the provider.

The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction.

“Upon review of the children’s files, of the 18 files were reviewed, there was one child missing proof that they had been notified in writing of the smoking and tobacco restrictions (see children’s Records).”

Rule The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 25, 2024. Correction verified: by a letter from the provider.

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with existing staff who care for children ages 0-5 within 30 days of adopting the policy.

“Of the six (6) staff files reviewed, one (1) staff files did not have documentation of their orientation hours within the required time frame (see staff and training worksheet).”

Rule The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with existing staff who care for children ages 0-5 within 30 days of adopting the policy.. Corrected during the inspection.

A child’s hands were not washed after each diaper change.

“In Space #3 which serves toddlers the Caregiver did not help the child and/or have the child wash their hands after a diaper change.”

Rule A child's hands were not washed after each diaper change.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 8, 2023. 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.

“Staff members A.M. and J.H. did not have six hours of required training within the first two weeks of employment.”

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: Nov 10, 2023. 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.

“Staff Members H.S. and J.H did not have record of or a completed health questionnaire in their files.”

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: Nov 13, 2023. Correction verified: by a letter from the provider.

Lavatories were not kept clean, in good repair and kept free of storage.

“In the lavatory shared by Space #5 and #6 which served toddlers and preschool age children, there was one toilet that had been inoperable for one week. The top of the tank was removed allowing access to the water and other plumbing pieces inside of the back of the toilet.”

Rule Lavatories were not kept clean, in good repair and kept free of storage.. Corrected during the inspection.

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

“In Space # 7 serving preschool age children there was a medication that did not have the Medication Administration Permission Form and record of use.”

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: Nov 8, 2023. 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 1B that cares for infants and Space 5 a space that cares for children under three years old, there were broken locks and plastic bags accessible.”

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.

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.

“In Space 1A, that provides care to infants the refrigerator maintained a temperature above 45 degrees, this was corrected during the visit. In Space 1B that cares for infants there was not a thermometer in the refrigerator”

Rule Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 16, 2023. 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 Administration did complete the required drills, but documentation was not completed.”

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

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person’s file.

“A staff member did not have documentation of reviewing the 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.. Corrected during the inspection.