Children’s Lighthouse of Holly Springs

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.

“The caregiver did not document the child’s sleep status at the required 15-minute intervals. Records indicate entries were made at 11:30 a.m. and 1:30 p.m., with no documented sleep checks between those times.”

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.. Corrected during the inspection.

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 child’s bottle 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.

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.

“Trash bags were stored in a space accessible to one year old children.”

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.

A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.

“On April 21, 2026, a staff member handled a two-year-old child in a rough manner by forcibly grabbing the child by the arm, pulling the child across the playground, and dropping the child to the ground, resulting in the child striking their head on the ground and crying.”

Rule A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 31, 2026. Correction verified: by a letter from the provider.

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.

“On April 21, 2026, a staff member forcibly grabbed a two-year-old child by the arm, pulled the child across the playground, and dropped the child to the ground, resulting in the child striking their head on the ground and crying.”

Rule Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 31, 2026. Correction verified: by a letter from the provider.

There was a substantiation of child maltreatment.

“On June 16, 2026, The Division of Child Development and Early Education substantiated child maltreatment.”

Rule There was a substantiation of child maltreatment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 31, 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. A staff member hired on 8/25/25 did not have verification on file.”

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: Jan 6, 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 hired on 8/25/25 did not have verification on file.”

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: Jan 6, 2026. Correction verified: by a letter from the provider.

An individual written feeding plan was not provided by child’s parent or health care provider or was not followed and posted.

“(omit posting for centers located in a residence) Feeding schedule were not posted for three children younger than 15 months.”

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 19, 2025. Correction verified: by a letter from the provider.

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

“Chairs for young toddlers were stored in the lavatory used by 2 and 3 years old.”

Rule Lavatories were not kept clean, in good repair and kept free of storage.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 16, 2025. 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.

“Eucerin cream was stored in an unlocked cabinet in a classroom.”

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: Dec 16, 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.

“Christmas bulb were stored on the changing table, a staff purse was stored less than five feet, and latex gloves were stored in a container sitting on the bathroom floor.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 16, 2025. Correction verified: by a letter from the provider.

A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.

“A staff member handled a child in a manner that resulted in finger print bruising to both of the child’s upper arms.”

Rule A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking.. Corrected during the inspection.

There was a substantiation of child maltreatment.

“On September 30, 2025, the Division substantiated child maltreatment regarding a child sustaining a physical injury.”

Rule There was a substantiation of child maltreatment.. Corrected during the inspection.

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.

“In space #5 a container of aerosol spray was stored in an unlocked cabinet with food supplies.”

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.

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.

“A container of albuterol expired on 12/2024 and was not returned to the parent.”

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: Jan 14, 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.

“In space #4 and #6 trash bags and gloves were stored less that five feet from the floor.”

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.

Rule violated (DCDEE’s description below)

“Food-contact surface and single service articles was not protected from contamination. Plated food was prepared on a diaper changing area and handwashing sink. This is a violation of rule in NC Sanitation Requirement 15A NCAC 18A .2814 (a).”

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 10, 2024. Correction verified: by a letter from the provider.

A current activity plan was not posted for each group of children for reference.

“Space #9 did not have an activity plan posted.”

Rule A current activity plan was not posted for each group of children for reference.. Corrected during the inspection.

All beds,cots, or mats with individual linen were not provided for each child.

“In space #11 two children were sleeping without sheet on their cots.”

Rule All beds,cots, or mats with individual linen were not provided for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 23, 2024. Correction verified: by a letter from the provider.

An individual written feeding plan was not provided by child’s parent or health care provider or was not followed and posted.

“(omit posting for centers located in a residence) A child that was 13 months did not have a feeding plan.”

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 22, 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.

“A bottle in the infant classroom did not have a 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 23, 2024. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“Permission forms for Aquaphor, and Eucerin cream did not have an amount to be applied.”

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

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.

“Diapers were stored in plastic bags in an unlocked changing table for two year old children.”

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.

Children were not adequately supervised at all times.

“On 5/24/24, a staff member was changing a diaper and when she turned away from the child to gather supplies, the child fell off the changing table onto the floor and injured their lip.”

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: Nov 4, 2024. Correction verified: by a letter from the provider.

Bed, cribs, playpens, cots or mats were not placed at least 18” apart or separated by partitions when in use.

“Cots in several classrooms were less that 18 inches apart.”

Rule Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 14, 2024. Correction verified: by a letter from the provider.

Diaper changing surfaces were not kept free of storage.

“There was a phone, and two toys stored on the changing table in one of the classrooms.”

Rule Diaper changing surfaces were not kept free of storage.. Corrected during the inspection.

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

“A purse was stored on a shelf, approximately 4 feet above the ground, in an unlocked closet.”

Rule A safe indoor and outdoor environment was not provided for the children.. Corrected during the inspection.

At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care.

“A teacher who has not completed ITS SIDS training has, on occasion, been left alone with a group of children.”

Rule At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 11, 2024. Correction verified: by a letter from the provider.

Someone less than 18 years old had responsibility for, or was left in charge of a group of children.

“A teacher who is less that 18 years old has, on occasion, been left in charge of a group of children.”

Rule Someone less than 18 years old had responsibility for, or was left in charge of a group of children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 11, 2024. 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 #9 a Big Balm Skin medication did not have a form on file.”

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

A drug or medicine was administered after its expiration date.

“Desitin was observed in space #7 with an expiration date of 7/2023.”

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: Mar 11, 2024. 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.

“Sleep charts were not up to date in infant room 1. Two children were sleeping and no documentation was completed for the children that were sleep. Sleep charts were not available for a child in the Infant room #2 during today’s visit.”

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

Parent’s medication authorization did not include required information.

“Emergency medication in space #2, space #8, space #9 and space #10 did not include expiration dates on the medication authorization form.”

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 staff members had not completed their required number of 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: Mar 11, 2024. Correction verified: by a letter from the provider.