Metrolina Christian Academy Preschool

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 completed CPR certification two (2) months after their certification expired.”

Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.. Corrected during the inspection.

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 completed First Aid certification two (2) months after their certification expired.”

Rule All staff did not successfully complete certification in First Aid appropriate to the age of children in care.. Corrected during the inspection.

An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.

“The incident report that was submitted on 11/12/25 was not submitted within the required timeframe.”

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: Feb 10, 2026. Correction verified: by a letter from the provider.

Center did not maintain a record of daily attendance.

“In space #118, the monthly attendance was not completed.”

Rule Center did not maintain a record of daily attendance.. Corrected during the inspection.

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 (1) staff member completed their TB test/screening after their first day of employment.”

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.. Corrected during the inspection.

Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.

“In space #112, I observed an iced coffee on the sink counter.”

Rule Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.. Corrected during the inspection.

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

“The emergency drill prior was on 12/27/24, we reviewed that it should have taken place in March 2025. The emergency drill for July was not recorded on the log.”

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

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

“Space #119 did not have a staff/child ratio posted.”

Rule Staff/child ratios applicable to a classroom, were not posted in each classroom.. Corrected during the inspection.

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

“I observed two (2) files with the health questionnaire forms signed after the first day of work.”

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

“I observed two (2) files with the emergency information forms signed after 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.. 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.

“I observed two (2) children’s prescribed emergency medication not in the original labeled 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.. Corrected during the inspection.

The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests.

“I observed several white pieces of Styrofoam on the toddler playground. After further discussion, staff shared that a bird had created an entry at the top of the building’s corner; the bird was then observed picking out the Styrofoam material from the building, which was landing on the toddler’s play area.”

Rule The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 11, 2025. Correction verified: by a letter from the provider.

A drug or medication was administered without written authorization and/or instructions from a child’s parent or authorized health professional.

“I observed an expired permission form for a topical ointment (diaper cream) in space #118.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.. Corrected during the inspection.

A drug or medicine was administered after its expiration date.

“I observed an expired diaper cream in space #118.”

Rule A drug or medicine was administered after its expiration date.. Corrected during the inspection.

Center did not maintain a record of daily attendance.

“I observed six (6) spaces who needed to record daily attendance. Some spaces needed to record attendance for multiple of days including Feb. 1, 2 and 5th.”

Rule Center did not maintain a record of daily attendance.. Corrected during the inspection.

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 #108, I observed daily arrival records not recorded for 2/5/24.”

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.. Corrected during the inspection.

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 10/20/23. The program’s previous fire inspection was completed on 10/11/22.”

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