Childcare Network #61

The health assessment did not include a dental screening.

“One child did not have a dental screening in the classroom for NCPK.”

Rule The health assessment did not include a dental screening.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 26, 2026. Correction verified: by a letter from the provider.

Children’s records were not made available for review.

“There were fifty-one children enrolled and only forty-four records available for review.”

Rule Children's 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: Jun 27, 2025. Correction verified: by a letter from the provider.

A child’s hands were not washed after each diaper change.

“One child’s hands were not washed after having a soiled diaper changed.”

Rule A child's hands were not washed after each diaper change.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 14, 2025. Correction verified: by a letter from the provider.

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

“Posted activity plans in three classrooms were not current.”

Rule A current activity plan was not posted for each group of children for reference.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 14, 2025. Correction verified: by a letter from the provider.

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.

“The door leading into classroom six (6) had peeling paint in many areas.”

Rule All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 14, 2025. Correction verified: by a letter from the provider.

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

“Authorization for emergency medical care was not on file for one child.”

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: Apr 14, 2025. Correction verified: by a letter from the provider.

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.

“One staff member’s medical report was older than twelve (12) months.”

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: Apr 14, 2025. Correction verified: by a letter from the provider.

Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use.

“The diaper changing surface was not cleaned with a detergent solution before the disinfectant solution was applied.”

Rule Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 14, 2025. Correction verified: by a letter from the provider.

Emergency medical care information was not on file in the center on the child’s first day of attendance and/or was not updated as changes occurred or at least annually for each child.

“Emergency medical care information was not updated annually for one child.”

Rule Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 14, 2025. 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’s TB screening was older than twelve (12) months.”

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: Apr 14, 2025. Correction verified: by a letter from the provider.

Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.

“A staff member wiped three (3) children’s noses using their gloved hand and did not wash their hands nor change the gloves after each child’s nose was wiped.”

Rule Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 14, 2025. Correction verified: by a letter from the provider.

Child was handled roughly.

“A staff member pushed a school-aged child with their body.”

Rule Child was handled roughly.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 31, 2025. 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 staff member heard the staff member in the classroom for school-aged children tell a child to stop whining 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: Jan 31, 2025. Correction verified: by a letter from the provider.

A copy of the incident report was not given to the parent.

“There was no documentation on file proving that copies of incident reports were given to parents.”

Rule A copy of the incident report was not given to the parent.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 23, 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.

“Consistent and complete documentation was not on file for sleeping baby checks for infants 0-12 months.”

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: Dec 23, 2024. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

“Incident logs for the 2024 year were not on file during my visit.”

Rule Incident logs were not completed and maintained as required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 23, 2024. Correction verified: by a letter from the provider.

Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child’s file.

“Incident reports after September 2024 could not be located during my visit. Director was unsure if they had been completed for all injuries which have occurred since September 2024.”

Rule Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained 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: Dec 23, 2024. Correction verified: by a letter from the provider.

Staff did not provide assistance to each child to ensure good hygiene.

“Caregiver staff were not paying attention when children were eating off the floor, not wiping noses, or addressing children drinking and eating other children’s lunch.”

Rule Staff did not provide assistance to each child to ensure good hygiene.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 23, 2024. Correction verified: by a letter from the provider.

The center did not follow all procedures to prevent the spread of communicable diseases described in 15A NCAC 18A .2800.

“There was conflicting interviews as to what protocol was taken to clean/sanitize the Toddler classroom to prevent the spread of contagious virus. It was unclear if parents of all children enrolled in Toddler classrooms were not notified of the contagious virus which was confirmed in the classroom. There was no proof that a sign was posted outside of the classroom for parents to view and be made aware.”

Rule The center did not follow all procedures to prevent the spread of communicable diseases described in 15A NCAC 18A .2800.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Dec 23, 2024. Correction verified: by a letter from the provider.