A Place to Grow-Three Rivers, Wingate

A violation was found for which there is no item number.

Rule A violation was found for which there is no item number.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 16, 2026. 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.

“A bag of food labeled DuMor for chicks was on the floor next to the pen.”

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.

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.

“One (1) outlet was uncovered by the chick pen that was used for the incubator located under the water fountain.”

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.

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

“Staff did not provide a safe environment when two staff members engaged in a verbal altercation in the classroom for infants, that progressed to a physical altercation in the hallway.”

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: Mar 12, 2026. Correction verified: by a letter from the provider.

All openings to the outer air were not protected against the entrance of flying pest.

“On March 6, 2026, a staff member exited the building via a classroom door and left the door open.”

Rule All openings to the outer air were not protected against the entrance of flying pest.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 12, 2026. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“On March 6, 2026, a two-year-old child exited a side classroom door unbeknownst to staff members and ran to their parent in the facility parking lot. The door had been left open by a staff member.”

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: Mar 12, 2026. Correction verified: by a letter from the provider.

A written statement from each child’s parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available.

“One (1) file did not have an updated off-premise form, it expired on 12/2025.”

Rule A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 16, 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. One (1) staff member did not complete CPR certification on or before ninety (90) days from employment, they did not complete their CPR certification from an approved training organization.”

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 6, 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. One (1) staff member did not complete First Aid certification on or before ninety (90) days from employment, they did not complete their First Aid certification from an approved training organization.”

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 6, 2026. 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.

“One (1) staff file did not complete their health questionnaire on for before the first day of employment.”

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

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)”

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.

Application for enrollment did not include all required information.

“One (1) children’s file did not have the Health Care Needs section completed to it’s entirety.”

Rule Application for enrollment did not include all required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 16, 2026. Correction verified: by a letter from the provider.

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.

“One (1) staff member did not complete their medical report on or before their first day of employment.”

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.. Corrected during the inspection.

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.

“Three (3) staff did not have an emergency information form on file.”

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.. Corrected during the inspection.

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

“Staff did not complete at least six (6) hours of hours in the required topic areas, five (5) hours were recorded.”

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: Jan 16, 2026. Correction verified: by a letter from the provider.

Gates to the fenced outdoor play area did not remain closed while children occupied the area.

“The gate to the playground was left open while children were in the learning environment.”

Rule Gates to the fenced outdoor play area did not remain closed while children occupied the area.. Corrected during the inspection.

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

“One (1) child did not have a medical report on file before or within thirty (30) days after admission.”

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: Jan 16, 2026. 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 did not have a total of sixteen (16) hours in the topic areas listed in the chart, eleven (11) hours were recorded.”

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: Jan 16, 2026. Correction verified: by a letter from the provider.

Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.

“Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The program’s last fire inspection on file with DCDEE was completed on 10/31/24, there wasn’t an approved annual fire inspection completed on or before 10/31/25.”

Rule Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 20, 2026. 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.

“One (1) over the counter medication for teething did not have the original container.”

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: Jan 22, 2026. 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.

“Four (4) children’s files did not have documentation of the reviewed discipline policy.”

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: Jan 16, 2026. Correction verified: by a letter from the provider.

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

“One (1) inhaler did not have the prescription label/original 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: Jan 22, 2026. Correction verified: by a letter from the provider.

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

“In space #2, the refrigerator temperature read fifty-two (52) degrees Fahrenheit. In the kitchen, the refrigerator read fifty-six (56) degrees Fahrenheit.”

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: Jan 22, 2026. Correction verified: by a letter from the provider.

A drug or medicine was administered after its expiration date.

“In space #6, I observed one (1) topical ointment (bug spray) expired on 6/2024.”

Rule A drug or medicine was administered after its expiration date.. 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.

“In space #6, one (1) aerosol sunscreen spray was observed behind an unlocked 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.. Corrected during the inspection.

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

“A current activity plan was not posted in space(s) #1, #2, and #6.”

Rule A current activity plan was not posted for each group of children for reference.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 14, 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.

“One staff member did not have a health questionnaire on file during today’s visit.”

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: May 14, 2025. Correction verified: by a letter from the provider.

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.

“One new staff member, hired on 3/24/25 did not have a current medical report on file during today’s visit. The report that was on file was dated back in 2023.”

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: May 14, 2025. Correction verified: by a letter from the provider.

Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.

“One child enrolled 3/24/2025 did not have an immunization record on file during today’s visit.”

Rule Each child was not immunized as per Article 6 of Chapter 130A and an immunization 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: May 14, 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.

“Two new staff members with start dated of 3/24/25 and 4/14/2025 did not have documentation of six clock hours received 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: May 14, 2025. Correction verified: by a letter from the provider.

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

“The fire drill that took place on 3/31/25 was not documented on the fire drill record. This was completed in front on me during today’s visit. Ms. Ord displayed documentation that the drill took place via a text message on her cellphone. The information was not documented on the fire drill record.”

Rule Fire drills were not practiced monthly and/or the drill record was incomplete.. Corrected during the inspection.

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

“Two children enrolled over 30 days did not have a completed medical exam/health assessment on file during today’s visit.”

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: May 14, 2025. Correction verified: by a letter from the provider.

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.

“One staff member hired 3/24/25 did not have a current (within 12 months) TB Test or screening on file during today’s visit.”

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 14, 2025. 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.

“Two (2) new staff members did not have a signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma documented acknowledgement in the staff’s file.”

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: May 14, 2025. Correction verified: by a letter from the provider.

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

“Monthly playground inspection was not completed for January 2025.”

Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Corrected during the inspection.