The Growing Years Learning Center - Apex

Human milk, formula and other bottled beverages including sippy cups, sent from child’s home were not fully prepared, dated, and labeled for the appropriate child.

“A bottle observed without a current date.”

Rule Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child.. Corrected during the inspection.

Menus for all meals and snacks were not current or posted where easily seen by parents and cook.

“A current menu was not posted in two classrooms.”

Rule Menus for all meals and snacks were not current or posted where easily seen by parents and cook.. Corrected during the inspection.

Parent’s medication authorization did not include required information.

“Two children medical authorization forms were not accessible to view during walk through.”

Rule Parent's medication authorization did not include required information.. Corrected during the inspection.

All equipment and furnishings were not in good repair.

“The metal chair legs had peels paint in three of the classroom observed.”

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: Aug 4, 2025. Correction verified: by a letter from the provider.

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

“Plastic bags were accessible to children 2 years of age.”

Rule Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.. Corrected during the inspection.

Lavatories were not kept clean, in good repair and kept free of storage.

“In space #7 a push toy were stored in the children bathroom.”

Rule Lavatories were not kept clean, in good repair and kept free of storage.. Corrected during the inspection.

Rule violated (DCDEE’s description below)

“15A NCAC 18A .2808 (c) Food that is leftover after serving shall not be served again unless the original package is unopened and the food is not a potentially hazardous food. Three and 1/2 gallons of milked dated 2/16/25 was stored in the refrigerator; half of a gallon had been served.”

Rule Rule violated (DCDEE’s description 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 documented emergency drill was conducted on 10/25/24.”

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: Feb 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.

“An annual health questionnaire was not on file for one employee.”

Rule All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 30, 2024. Correction verified: by a letter from the provider.

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

“Annual emergency information was not on file for one employee.”

Rule Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 30, 2024. Correction verified: by a letter from the provider.

Emergency information did not name childs health care professional.

“One child’s file did not have a hospital preference listed.”

Rule Emergency information did not name childs health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 23, 2024. Correction verified: by a letter from the provider.

Human milk, formula and other bottled beverages including sippy cups, sent from child’s home were not fully prepared, dated, and labeled for the appropriate child.

“Four bottle in the infant refrigerator was not dated.”

Rule Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child.. Corrected during the inspection.

Parent’s medication authorization did not include required information.

“A container of Beauty of Joseon did not have the required information.”

Rule Parent's medication authorization did not include required information.. Corrected during the inspection.

Staff required to receive on-going training had not completed the required number of hours according to their education and experience.

“Two employee did not complete their yearly training hours.”

Rule Staff required to receive on-going training had not completed the required number of hours according to their education and experience.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 30, 2024. Correction verified: by a letter from the provider.

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.

“Three employee did not renew their Recognizing and Responding training with 5 year renewal date.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 30, 2024. Correction verified: by a letter from the provider.

A drug or medicine was administered after its expiration date.

“One child’s epi-pen expired in April 2024.”

Rule A drug or medicine was administered after its expiration date.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 28, 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. One staff member’s certification expired 12/8/23.”

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: May 28, 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. One staff member’s certification expired 12/8/23.”

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: May 28, 2024. Correction verified: by a letter from the provider.

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

“One child’s medication authorization form for an epi-pen was expired.”

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: May 28, 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 last update on the center’s EPR plan was dated March 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: May 28, 2024. Correction verified: by a letter from the provider.