Everbrook Academy

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.

“In each staff file reviewed (existing and new staff) the medical report, and/or the health questionnaire was maintained in the main file and not in a separate medical file.”

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: Dec 16, 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.

“One child’s folder showed a medical exam form completed more than thirty (30) days past the enrollment date.”

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: Dec 16, 2024. Correction verified: by a letter from the provider.

The activity plan did not include a daily gross motor activity which may occur indoors and outdoors.

“In space one hundred and twenty two (122) the gross motor activity was not posted on the activity plan.”

Rule The activity plan did not include a daily gross motor activity which may occur indoors and outdoors.. Corrected during the inspection.

A drug or medicine was administered in a manner not authorized by the child’s parent, physician or other authorized health professional.

“On June 12, 2024, staff failed to follow a child’s Food Allergy and Anaphylaxis Emergency Care Plan when a staff member waited five minutes after giving Benadryl before administering the Epi-pen.”

Rule A drug or medicine was administered in a manner not authorized by the child's parent, physician or other authorized health professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 26, 2024. Correction verified: by a letter from the provider.

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

“Staff failed to provide a safe environment when a three-year-old child with a documented severe allergy to egg was served ravioli that contained egg.”

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 21, 2024. 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.

“Although an incident report was completed for an incident on June 12, 2024, the report was not sent to the NCDCDEE child care consultant within seven days 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: Jun 21, 2024. Correction verified: by a letter from the provider.

Emergency medical care information was not on file in the center on the child’s first day of attendance and/or was not updated as changes occurred or at least annually for each child.

“A child’s Food Allergy and Anaphylaxis Emergency Care Plan was not updated at least annually.”

Rule Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually 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 26, 2024. Correction verified: by a letter from the provider.

Food required for any special diet was not provided by parent or center.

“On June 12, 2024, a three-year-old child with a severe food allergy was not served food in alignment with his dietary needs.”

Rule Food required for any special diet was not provided by parent or center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 21, 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 outside learning environment there was a bag of potting soil in an shed accessible to children.”

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.

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.

“On the playground that serves older children there were two bags of potting soil accessible in a open storage area.”

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.

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

“In room one hundred and thirty (#130) there was a large cabinet and the door was not completely on the hinges. This was temporarily fixed.”

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

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

“The last monthly playground inspection was completed in February of 2024.”

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: May 16, 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.

“New staff members A.J. and S.M dates of TB reading were after their initial date of work.”

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: May 16, 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 room 134 there was screen time used for daily lessons but it was not posted on the weekly activity plan. The parents were aware of the use of developmentally appropriate screen time in their yearly newsletter.”

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: May 16, 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.

“On December 21, 2023, a staff member, picked up a child, age one-year-old, by the upper arms to move the child to another area in the classroom.”

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 6, 2024. Correction verified: by a letter from the provider.

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

“In November 2023, the center administration was advised that a child’s, age one, feeding plan needed to be updated due to digestive issues regarding consuming cow’s milk. The feeding plan should have been updated to show the child was to only recieve milk provided by the parent.”

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: Feb 19, 2024. Correction verified: by a letter from the provider.

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

“Staff members M.S. and K.F. had expired provisional qualifying letters on file. Both staff members did have updated qualifying letters and were able to provided the letters and they were added to their personnel files.”

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

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. Staff Member D/B did not have CPR training within the required timeline even though two (2) classes were assigned for the staff member.”

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 26, 2023. 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. Staff Member D/B did not have First Aid training within the required timeline even though two (2) classes were assigned for the staff member.”

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 26, 2023. Correction verified: by a letter from the provider.

Distance learning was used to complete First Aid, CPR and/or playground safety training.

“Staff member M.L.’s blended learning certificate showing completion of hands on training and overall completion of the course was not on file.”

Rule Distance learning was used to complete First Aid, CPR and/or playground safety training.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 12, 2023. 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 the classroom that serves toddlers, there were diaper creams that were expired and not discarded within seventy-two hours of expiration of medical permission forms.”

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: Dec 15, 2023. 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.

“Child #1, #2 and #3 did not have medical forms in their files upon enrollment or within thirty (30) days after enrollment.”

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: Dec 15, 2023. Correction verified: by a letter from the provider.

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

“In the room that serves toddlers there were diaper creams that did not have medication permission forms allowing usage. There were also three (3) extra creams that did not have any child assigned to the medications.”

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: Dec 15, 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 the room that serves toddler, plastic bags were accessible to 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.

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

“In the Pre-K room that serves children two to three years old there was an epi-pen that was not in its original prescription container.”

Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 15, 2023. Correction verified: by a letter from the provider.