Chesterbrook Academy

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

“In space #1 there was no permission to administer two (2) containers of Desitin Ointment. In space #7 permission to administer Epinephrine expired on 3-15-26 and permission to administer allergy medication expired on 4-23-26, In space #2 there was no permission to administer Auvi-q.”

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: Sep 2, 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. CPR/First training for one (1) staff member expired on 2-2-26.”

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: Sep 2, 2026. Correction verified: by a letter from the provider.

Application for enrollment did not include all required information.

“Two (2) children’s files did not contain on the application the required information including but not limited to, a child’s date of birth, any particular fears the child has, any allergies and symptoms, unique behavior characteristics, health care concerns, and the names of individuals the child may be released to.”

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: Sep 2, 2026. Correction verified: by a letter from the provider.

Emergency information did not name child’s health care professional.

“Two (2) children’s files did not contain a hospital preference.”

Rule Emergency information did not name child's health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 2, 2026. Correction verified: by a letter from the provider.

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

“The last documented emergency drill was conducted on 4-14-26.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 2, 2026. 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.

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: Sep 10, 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 child’s file did not contain a health assessment.”

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: Sep 10, 2025. Correction verified: by a letter from the provider.

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 both classrooms of space #7 and space # 1 a can of soda was observed.”

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.

Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services.

“In space #5, an allergy action plan was not available for a child with an Epinephrine Autoinjector.”

Rule Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 14, 2025. Correction verified: by a letter from the provider.

Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children.

“Multipurpose Cleaner and Desitin Diaper Cream (that was less than five feet from the floor) were located in an unlocked cabinet in space #1.”

Rule Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children.. Corrected during the inspection.

The EPR Plan did not include the location of the Ready to Go File and or the required information.

“The EPR Plan did not include staff emergency information and did not include blank incident report forms.”

Rule The EPR Plan did not include the location of the Ready to Go File and or the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 14, 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.

“In space #3 permission to administer Babyganics Sunscreen, Coppertone Sunscreen, two (2) Up & Up Diaper Rash Paste, CVS Diaper Rash Ointment, and Desitin was not available. In the office, permission to administer two (2) bottles of Benadryl was not available.”

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: Oct 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. CPR certification was not on file for seven (7) staff members.”

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: Oct 9, 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. First Aid certification was not available for seven (7) staff members.”

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: Oct 9, 2024. Correction verified: by a letter from the provider.

All staff records, except financial records, were not made available for review.

“All staff files did not contain staff development plans, annual staff evaluations, Recognizing and Responding to Suspicions of Child Maltreatment training, annual on-going training documentation, and staff medical statements/staff physicals.”

Rule All staff records, except financial records, were not made available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 8, 2024. Correction verified: by a letter from the provider.

Children’s records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.

“One (1) child’s file did not contain a physical/medical report.”

Rule Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 8, 2024. Correction verified: by a letter from the provider.

For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule.

“In spaces #6a and 6b, developmentally appropriate pretend play toys and fine motor toys were not offered in sufficient quantity.”

Rule For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 8, 2024. Correction verified: by a letter from the provider.

The EPR Plan did not include the location of the Ready to Go File and or the required information.

“The Ready to Go File did not contain medication authorizations, action plans for children with special health care needs, a list of food allergies of children, staff contact information, Incident Report forms, and an area map.”

Rule The EPR Plan did not include the location of the Ready to Go File and or the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 8, 2024. Correction verified: by a letter from the provider.

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

“On 9-10-24 in space #2 there were ten (10) two and three year olds with one caregiver.”

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: Sep 24, 2024. Correction verified: by a letter from the provider.