First Assembly Day Care #2

A child’s file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.

“In all children’s files reviewed during today’s visit, none contained the required statement and required signature.”

Rule A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 20, 2026. Correction verified: by a letter from the provider.

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

“The ramp providing entry to building two (#2) had several unsafe boards.”

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: Jul 20, 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 staff member S.A. did not complete CPR in the appropriate new hire timeline.”

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 23, 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 staff member S.A. did not complete First Aid training within the new hire timeframe.”

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 23, 2026. 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.

“Two (2) children, in the three (3) and four (4) year old aged class did not wash their hands upon arrival.”

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

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

“A violation was found for which there is no item number. It was confirmed that 15A NCAC 18A .2819 DIAPERING AND DIAPER CHANGING FACILITIES (d) Child care center employees shall change a child’s diaper as follows:(3) using disposable towelette or moistened paper towel to clean child, wiping front to back is not being followed in rooms that serve children in diapers or pull ups.”

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

All equipment and furnishings were not in good repair.

“The ramp leading to building one (#1) had boards that were loose and caused a tripping hazard.”

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: Aug 5, 2025. 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 (1) child had medical exams and/or health assessment forms completed after thirty (30) days of 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: Aug 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.

“In space five (5) there were several plastic bags accessible to children under three (3) 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.. Corrected during the inspection.

Child was handled roughly.

“On February 14, 2025, a staff member handled a four-year-old child with a known medical condition in a rough and inappropriate manner. The staff member forcefully grabbed the child on and/or about the child’s arm(s), pushed and pulled on the child and/or the child’s clothing, and aggressively shook the child”

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: Mar 5, 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.

“On February 14, 2025, a staff member spoke harshly and yelled at a classroom of four-year-old children. In addition, two four-year-old children were placed in timeout for approximately twelve minutes.”

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

There was a substantiation of child maltreatment.

“Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment.”

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: Aug 19, 2025. 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. Staff member C.N’s file did not contain proof of successful completion of CPR.”

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 20, 2025. 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 C.N’s file did not contain a completed FA training certificate.”

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 20, 2025. Correction verified: by a letter from the provider.

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.

“The classroom that serves infants did not have a completed safe sleep check log for the week of 1/27/25. There was no record of any child on 1/28/25 documented.”

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 6, 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.

“In space number 2-1 and 2-3 there were outlets without safety covers.”

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.

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.

“Staff member C.N’s files did not have the required documentation of reviewing the 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.. Corrected during the inspection.

Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible.

“The sheets in the room serving infants were loose fitting on two (2) of the cribs and one of the crib’s sheet had a large hole in it. In the room serving four (4) year old’s there was a file cabinet with one low drawer that would not shut.”

Rule Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 8, 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.

“There was a diaper cream that had expired and was still was still being used after the authorization date had 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.. Corrected during the inspection.

Parent’s medication authorization did not include required information.

“Medications in the two year old room had authorization forms that had incorrect dates and incorrect names of the medication.”

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 8, 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. Upon review of all staffs CPR certifications, it was observed that one staff did not successfully complete the certification within the required time frame (see staff and training worksheet)”

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, 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. Upon review of all staffs First Aid certifications, it was observed that one staff did not successfully complete the certification within the required time frame (see staff and training worksheet).”

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, 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.

“Upon review of all new staffs TB testing results there was proof that one of the two staff had a completed TB test but the other staff had it administered but there was no proof that it was read or that it was negative (see staff and training worksheet).”

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 6, 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.

“Upon review of all staffs above noted training certifications, it was observed that three staff did not successfully complete the certification 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: Feb 6, 2024. Correction verified: by a letter from the provider.