Kindercare at UNC Rex

A drug or medication was administered without written authorization and/or instructions from a child’s parent or authorized health professional.

“An Avi-q Epinephrine Injection and Zyrtec for one child did not accompany permission to administer.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.. Corrected during the inspection.

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.

“One child’s file did not have signed permission to play outside the fenced area.”

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: Oct 9, 2026. Correction verified: by a letter from the provider.

Authorization for emergency medical care information was not signed by child’s parent.

“One child’s file did not have signed authorization to seek emergency medical care.”

Rule Authorization for emergency medical care information was not signed by child's parent.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 9, 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 approved fire inspection was conducted on 11-21-24.”

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: Oct 9, 2026. Correction verified: by a letter from the provider.

A child care operator did not notify the Division of any new child care providers, as defined in G.S.

“110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Staff employed at this facility have not completed the connecting application in the ABCMS Portal as required.”

Rule A child care operator did not notify the Division of any new child care providers, as defined in G.S.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 1, 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 facility’s EPR Plan has not been updated annually as required.”

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: Jul 1, 2026. Correction verified: by a letter from the provider.

All staff records, except financial records, were not made available for review.

“Staff files did not contain all of the required information. Two staff members employed more than 90 days did not have documentation of completing Recognizing and Responding to Suspicions of Child Maltreatment training. Two staff members did not have a medical report on file. One staff member did not have TB Test results on file. Three staff members did not have documentation that orientation was completed as required.”

Rule All staff records, except financial records, 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: Oct 24, 2025. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Medication was not labeled with the child’s name, and/or written instructions did not include the required information. Desitin and Boogie Bottoms Diaper Rash Cream Spray were not labeled with the child’s name.”

Rule Rule violated (DCDEE’s description below). Corrected during the inspection.

Children were not adequately supervised at all times.

“On 5-29-25 at 4:54pm a two (2) year old child was left on the playground for approximately one (1) to two (2) minutes while the children transitioned from the playground to their classroom, space #9.”

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: Jun 9, 2025. Correction verified: by a letter from the provider.

Each infant was not served only bottles labeled with their individual name.

“In space #1, a caregiver served an infant a bottle that was not labeled with their individual name.”

Rule Each infant was not served only bottles labeled with their individual name.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 21, 2025. 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 located in the Ready to Go File was last updated on 3-17-24.”

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: Mar 25, 2025. 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 #3 there was no permission to administer Boudreaux Butt Paste and Coppertone Baby Sunscreen.”

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: Oct 25, 2024. Correction verified: by a letter from the provider.

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

“On the playground for the preschoolers, ages 3 to 5, there are dips and grooves in the turf causing possible tripping hazards. There is water runoff from the retaining wall on the playground, causing displacement of soil underneath the turf, resulting in the dips and grooves. There are mounds of concrete at the bottom of the shade structure posts. The concreate is covered with black rubber pour-in-place that is separating, leaving the concreate exposed with some sharp areas of the concrete.”

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: Feb 24, 2025. 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. All staff did not have current certification in CPR as required.”

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: Oct 25, 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. All staff did not have current certification in First Aid as required.”

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: Oct 25, 2024. Correction verified: by a letter from the provider.

For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule.

“In spaces #1, #3 and #4, developmentally appropriate pretend play toys and fine motor toys were not offered in sufficient quantity.”

Rule For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 25, 2024. Correction verified: by a letter from the provider.

The EPR Plan did not include the location of the Ready to Go File and or the required information.

“The Ready to Go File did not contain medication authorizations, action plans for children with special health care needs, a list of food allergies of children, staff contact information, incident report forms, and an area map.”

Rule The EPR Plan did not include the location of the Ready to Go File and or the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 25, 2024. Correction verified: by a letter from the provider.

Children were allowed to play on outdoor equipment that is too hot to touch.

“On April 15, 2024, staff failed to ensure playground surfacing was not too hot to touch prior to allowing children to play outside. This resulted in a one-year-old child sustaining second-degree burns to both hands.”

Rule Children were allowed to play on outdoor equipment that is too hot to touch.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 24, 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.

“In the third classroom for infants the staff did not document sleep checks.”

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: Apr 24, 2024. 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.

“A teacher in a classroom for two-year-olds was speaking to the children in a unpleasant tone. She said “stop it, stop it, you are about to leave, so stop it”.”

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: Apr 24, 2024. Correction verified: by a letter from the provider.

Children were not adequately supervised at all times.

“A teacher feel asleep during naptime.”

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: Mar 18, 2024. Correction verified: at a follow-up visit by DCDEE.