Origins Montessori School

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 staff member did not have a certificate confirming they had completed this training in their file.”

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

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 staff member, hired 6/29/26 did not have a certification confirmation that they had completed this training in their file.”

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

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

“Three children’s oral, over-the-counter medications were kept in unlocked storage.”

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

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

“One staff member, hired 6/29/26 did not have any orientation documented in their file.”

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

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 fire inspection report was dated 4/22/25.”

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

Parent’s medication authorization did not include required information.

“Two children’s medication authorization forms were expired.”

Rule Parent's medication authorization did not include required information..

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

“One staff member, hired 6/29/26 did not have documentation of completing this training in their file.”

Rule The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment..

The medical action plan was not updated on an annual basis or when changes to the plan were made by the child’s parent or health care professional.

“Two children’s medication action plans were more than one year old.”

Rule The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional..

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person’s file.

“One staff member, hired 6/29/26 did not have a signed acknowledgement in their file.”

Rule The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file..

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.

“A nutrition opt out form was not on file for one child.”

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: Mar 18, 2026. Correction verified: by a letter from the provider.

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

“A signed receipt that the summary of NC child care laws was not in one child’s file.”

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: Mar 18, 2026. Correction verified: by a letter from the provider.

All equipment and furnishings were not in good repair.

“Paint is chipped and peeling on the climbing structure.”

Rule All equipment and furnishings were not in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2026. 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.

“A child who enrolled in Dec. 2025 did not have an immunization record on 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: Mar 18, 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.

“One child’s epi-pen expired in Dec. 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: Mar 18, 2026. 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 who enrolled in December 2025 did not have a health assessment in their file.”

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: Mar 18, 2026. Correction verified: by a letter from the provider.

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.

“There was no medication authorization form on file for either of the children who had emergency medication.”

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2026. Correction verified: by a letter from the provider.

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

“A signed discipline stated was not in one child’s file.”

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: Mar 18, 2026. Correction verified: by a letter from the provider.

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

“There was approximately 2 inches of mulch under the climbing structure.”

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: Mar 25, 2026. Correction verified: by a letter from the provider.

The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction.

“A signed tobacco restriction policy was not in one child’s file.”

Rule The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2026. Correction verified: by a letter from the provider.

The Prevention of Shaken Baby Syndrome Policy was changed and the center did not give in writing a notice of the change to the children’s parents 14 days prior to implementing the new policy and/or a statement from the parent acknowledging the receipt and explanation of the change in policy was not in the child’s file.

“A signed statement acknowledging receipt of this policy was not in one child’s file.”

Rule The Prevention of Shaken Baby Syndrome Policy was changed and the center did not give in writing a notice of the change to the children's parents 14 days prior to implementing the new policy and/or a statement from the parent acknowledging the receipt and explanation of the change in policy was not in the child's file.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 18, 2026. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“Upon arrival, there were two children present in the center with no staff member inside.”

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: Aug 26, 2025. Correction verified: at a follow-up visit by DCDEE.

Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.

“Only 7 children present today had their arrival and departure times recorded.”

Rule Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or 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: Aug 26, 2025. 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 5/9/25.”

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 2, 2025. Correction verified: by a letter from the provider.

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.

“The last documented playground inspection was conducted on 5/9/25.”

Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 2, 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 dated 4/11/25.”

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

Staff did not complete the health and safety training within one year of employment.

“The director last completed training in the required topics in 2019.”

Rule Staff did not complete the health and safety training within one year of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 2, 2025. Correction verified: by a letter from the provider.

The center did not comply with the permit restrictions.

“A one-year-old child was present during today’s visit.”

Rule The center did not comply with the permit restrictions.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 26, 2025. Correction verified: at a follow-up visit by DCDEE.

Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.

“Only three of the 19 children present today had signed in with their arrival time.”

Rule Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or 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: Mar 26, 2025. 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.

“One staff member last completed training in the required health and safety topics in 2019.”

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: Mar 26, 2025. Correction verified: by a letter from the provider.

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.

“Attendance did not include the child’s arrival and departure times.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 6, 2024. Correction verified: by a letter from the provider.

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.

“Two employees who were hired in September 2024 did not have documented orientation in their files.”

Rule Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 6, 2024. 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.

“One staff member, who began employment in September of 2024, tb test was dated April 2023.”

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: Nov 6, 2024. 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 updated in April 2023.”

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: Nov 6, 2024. Correction verified: by a letter from the provider.

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

“The cement footing around a metal pole did not have enough surfacing to prevent a tripping hazard.”

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: Apr 11, 2024. Correction verified: by a letter from the provider.

Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.

“The outlet in space #1 did not have a safety cover.”

Rule Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 11, 2024. Correction verified: by a letter from the provider.

Emergency information did not include name, address, and telephone number of parent or other emergency contact person.

“Three file did not have emergency contact information listed.”

Rule Emergency information did not include name, address, and telephone number of parent or other emergency contact person.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2024. Correction verified: by a letter from the provider.

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

“Two file did not have a health care professional listed.”

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: Apr 22, 2024. Correction verified: by a letter from the provider.

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.

“The thermometer in the refrigerator was not showing a reading.”

Rule Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.. Corrected during the inspection.

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

“The last emergency drill was conducted on 12/19/23.”

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: Apr 15, 2024. Correction verified: by a letter from the provider.