Humpty Dumpty

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 in space#2 has not completed First Aid training.”

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: Apr 17, 2026. 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 member in space #1 does not have proof of tuberculosis test on 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: Apr 17, 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. Fire inspection expired on 3-18-2025.”

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

All staff did not review the center’s EPR Plan during orientation and/or on an annual basis with the trained staff.

“Documentation of the review was not maintained on file. EPR plan was not reviewed with staff members on an annual basis.”

Rule All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 21, 2025. 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. Operator did not submit fire inspection within one week of the inspection visit on a form provided by the Division.”

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: May 21, 2025. Correction verified: by a letter from the provider.

The EPR Plan did not include the date of the last revision of the plan.

“EPR plan was last updated on June 6, 2023.”

Rule The EPR Plan did not include the date of the last revision of the plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 21, 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 K. Rice did not have health questionnaire on file for review.”

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

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

“A staff member’s purse was observed on a shelf accessible to children in Space #2.”

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 12, 2024. Correction verified: by a letter from the provider.

All children were not held or placed in feeding chairs or other appropriate apparatus to be fed.

“Milk bottles were observed inside the crib with two infants sleeping. In Space #3”

Rule All children were not held or placed in feeding chairs or other appropriate apparatus to be fed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 12, 2024. 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.

“Visual safe sleep checks were not documented for three infants observed sleeping between 11:45am to 12:10pm”

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: Jun 12, 2024. 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.

“A medical report and TB skin test was not on file for one employee hired on June 5, 2024. Medical files were not separated form the personnel 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: Jun 12, 2024. 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 fire inspection was not completed within twelve months from the last fire inspection report date of April 11, 2024. The current fire inspection was dated April 16, 2024.”

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: Jun 12, 2024. Correction verified: by a letter from the provider.

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

“One infant’s hand was not washed immediately after diaper changing occurred in Space #3.”

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: Feb 5, 2024. 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.

“Parent authorization forms were not on file for diaper cream for two children enrolled in Space #1”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent 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: Feb 5, 2024. Correction verified: by a letter from the provider.

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

“A screw was protruding from the cabinet door on the hand washing sink and a chair was torn exposing inside interior in Space #1. Three riding toys were broken exposing sharp edges on the playground used by children.”

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 5, 2024. Correction verified: by a letter from the provider.

All children were not held or placed in feeding chairs or other appropriate apparatus to be fed.

“One child was served a bottle while sitting in a rocker seat in Space #3.”

Rule All children were not held or placed in feeding chairs or other appropriate apparatus to be fed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 5, 2024. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

“Two infants were observed sleeping in rockers from 9:20am-9:24am. One infant was observed napping in the crib with a blanket in Space #3.”

Rule Center staff did not comply with the safe sleep policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 5, 2024. Correction verified: by a letter from the provider.

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

“Enhanced staff/child ratio requirements were not met upon arrival, when one teacher was observed providing care for nine (9) children ranging from ages three (3) months to one (1) year old in Space #3.”

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: Feb 5, 2024. 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.

“A tube of Nystatin cream on site for one child was not in its original container with the pharmacy label.”

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: Feb 5, 2024. Correction verified: by a letter from the provider.