King’s Town Child Development Center

Emergency medical care information was not on file in the center on the child’s first day of attendance and/or was not updated as changes occurred or at least annually for each child.

“Three children did not have emergency medical care information updated at least annually.”

Rule Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 4, 2026. Correction verified: by a letter from the provider.

Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.

“The afternoon snack consisted of one food component and did not comply with the Meal Patterns for Children in Child Care Programs.”

Rule Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 4, 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.

“Prescription AUVI-Q and Albuterol did not have the pharmacy label or written instructions from the prescribing physician or health care professional.”

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: May 4, 2026. Correction verified: by a letter from the provider.

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.

“The EPR plan was last reviewed in March 2025.”

Rule The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 4, 2026. Correction verified: by a letter from the provider.

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.

“Benadryl was stored unlocked on top of a cabinet.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 20, 2025. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“A child was left alone and unsupervised in a bathroom.”

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: May 2, 2025. Correction verified: at a follow-up visit by DCDEE.

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.

“A medical action plan for one child with asthma was not on file.”

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: Feb 7, 2025. Correction verified: by a letter from the provider.

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.

“One staff person cared for twenty-three children, ten children aged four years old and thirteen children aged five years old, while another staff member left the room for a few minutes to get paper.”

Rule Minimum staff/child ratios and group sizes for the number and ages of children in care were not met.. Corrected during the inspection.

A child was released to an individual that was not listed on the application.

“Two staff members released a five-year-old child to an unauthorized individual.”

Rule A child was released to an individual that was not listed on the application.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“Staff members failed to provide a safe environment when they released a child to an unauthorized person.”

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: Oct 29, 2024. Correction verified: at a follow-up visit by DCDEE.

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 child did not have a medical record on file.”

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: May 30, 2024. Correction verified: by a letter from the provider.

Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.

“Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One floater who provides caregiving for infants did not complete ITS-SIDS training every three years after the last training dated 8/18/2020.”

Rule Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 29, 2023. Correction verified: by a letter from the provider.

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.

“Benadryl was stored in an unlocked upper cabinet in space four.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Corrected during the inspection.