Guidepost Montessori Spruce Tree

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. A staff member CPR training on file was observed with an expired date of 7/31/2026.”

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: Aug 13, 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. A staff member First Aid training on file was observed expired on 7/31/2026.”

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: Aug 13, 2026. 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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“In space #2 and Epipen was observed with an expiration date of 12/31/2025.”

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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 13, 2026. 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.

“A staff member hired on 3/16/26 had a TB test dated 4/12/2023. The TB test was more than 12 months old.”

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: Aug 13, 2026. Correction verified: by a letter from the provider.

Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.

“Several staff members did not complete training in the required topics within their first year of employment.”

Rule Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 24, 2026. Correction verified: by a letter from the provider.

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.

“Documentation of receiving orientation in all the required topics was missing from 5 staff files.”

Rule New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 24, 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. The last documented fire inspection was completed in September 2023.”

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: Mar 27, 2025. 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 completed 9/26/24.”

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: Mar 25, 2025. Correction verified: by a letter from the provider.

Personnel records were not maintained on file in the timeframes given by Rule .2318(7).

“The personnel file for a former Head of the School was not on the premises for review by a representative from the Division.”

Rule Personnel records were not maintained on file in the timeframes given by Rule .2318(7).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 8, 2025. Correction verified: by a letter from the provider.

Prior to employment a Criminal Background Check was not completed.

“The former head of school did not have a criminal background check completed prior to employment.”

Rule Prior to employment a Criminal Background Check was not completed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 27, 2024. Correction verified: at a follow-up visit by DCDEE.

Rule violated (DCDEE’s description below)

“A valid qualification letter was not on file and available to review at the facility. the former head of school did not have a valid qualification letter on file during their employment from August 2024 through November 2024.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 27, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

“This information was missing from one of the children’s files that was reviewed today.”

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: Sep 10, 2024. Correction verified: at a follow-up visit by DCDEE.

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

“Pedals were missing from 3 tricycles, the soil has eroded, resulting in exposed roots which pose a tripping hazard and the vinyl is torn on the platform of a climbing structure which leaves a potentially sharp edge and leaves the metal exposed to the weather.”

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: Sep 10, 2024. Correction verified: at a follow-up visit by DCDEE.

A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center.

“This information was missing from one the children’s files that was reviewed today.”

Rule A statement acknowledging the parental decision to opt out of the supplemental food provided by the center was not signed by the parent and/or maintained on file at the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2024. Correction verified: at a follow-up visit by DCDEE.

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.

“There was no acknowledgment that this information was received in one of the children’s files viewed today.”

Rule A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2024. Correction verified: at a follow-up visit by DCDEE.

A written statement from each child’s parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available.

“This information was missing from one of the children’s files reviewed today.”

Rule A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2024. Correction verified: at a follow-up visit by DCDEE.

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.

“The janitorial closets and the mechanical room were unlocked.”

Rule All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.. Corrected during the inspection.

Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application.

“This information was missing from one child’s file that was reviewed today.”

Rule Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2024. Correction verified: at a follow-up visit by DCDEE.

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.

“Many of the new employees’ medical report was dated after their hire date and one employee did not have a medical report on file.”

Rule Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report 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: Sep 5, 2024. Correction verified: by a letter from the provider.

Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.

“ONe child’s immunization record was missing from their file.”

Rule Each child was not immunized as per Article 6 of Chapter 130A and an immunization 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, 2024. Correction verified: at a follow-up visit by DCDEE.

Fire drills were not practiced monthly and/or the drill record was incomplete.

“The last documented fire drill was completed 6/12/24.”

Rule Fire drills were not practiced monthly and/or the 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 10, 2024. Correction verified: at a follow-up visit by DCDEE.

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.

“None of the employees hired within the last year had documentation confirming that orientation was completed.”

Rule New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2024. Correction verified: at a follow-up visit by DCDEE.

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.

“Many new staff member’s test results were dated after their hire date, and one employee’s test results were more than one year old.”

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

Prior to employment a Criminal Background Check was not completed.

“The qualification letters for six new employees were dated after their hire date.”

Rule Prior to employment a Criminal Background Check was not completed.. Corrected during the inspection.

Rule violated (DCDEE’s description below)

“Emergency information did not name childs health care professional.The hospital preference was not listed in one child’s files that was reviewed today.”

Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2024. Correction verified: at a follow-up visit by DCDEE.

Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child’s file.

“This information was missing from one of the children’s files that was reviewed today.”

Rule Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2024. Correction verified: at a follow-up visit by DCDEE.

The depth of the loose surfacing was not based on critical height of the equipment.

“There is less than 6 inches of mulch in the fall zone areas around all three climbing structures.”

Rule The depth of the loose surfacing was not based on critical height of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 5, 2024. Correction verified: by a letter from the provider.

The written feeding plan was not modified as the child’s needs changed.

“Three feeding plans were not updated as the child’s nutritional needs changed.”

Rule The written feeding plan was not modified as the child's needs changed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 10, 2024. Correction verified: at a follow-up visit by DCDEE.