Emonnie’s Little Angels

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

“In the infant room was a bottle of Off bug spray and baby teething drops with no administration authorization from the parent on file.”

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

A drug or medicine was administered after its expiration date.

“There was a Ventolin HFA inhaler with the expiration date of September 2026 in the preschool classroom.”

Rule A drug or medicine was administered after its expiration date..

All equipment and furnishings were not in good repair.

Rule All equipment and furnishings were not in good repair..

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 teacher with a hire date of March 3, 2026, did not have a CPR certificate on 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. A teacher with a hire date of March 3, 2026, did not have a first aid certificate on file.”

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

All stationary equipment, more than 18 inches high, was not installed over protective surfacing.

“The red and yellow climber, blue and yellow climber, and monkey bars all had a critical height measuring over eighteen (18) inches and did not have a depth of at least six (6) of resilient surfacing under them. The dome climber had mulch that measured two (2) to four (4) inched in depth. The liner under the merry go round was exposed.”

Rule All stationary equipment, more than 18 inches high, was not installed over protective surfacing..

Children were not adequately supervised at all times.

“Upon arrival, a staff member opened the door to let me in. There were three (3) children in space #3 alone while the staff member opened the door to let me in.”

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 13, 2025. Correction verified: by a letter from the provider.

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

“The landscape fabric beneath the mulch under the merry go round and the climbing dome was exposed causing a tripping hazard. The mulch beneath the stationary climbing dome was one inch in depth rather than the required six (6) inches. The stationary climbing dome had exposed rust on much of the climber.”

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 22, 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. J. Moore had certification of CPR that expired on 2/24 and a renewal certificate that dated 1/29/25.”

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: Apr 22, 2025. 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. J. Moore had certification of First Aid that expired on 2/24 and a renewal certificate that dated 1/29/25.”

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: Apr 22, 2025. Correction verified: by a letter from the provider.

Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services.

“In space #3, a child enrolled did not have a medical action plan on file for asthma. A child enrolled in space #3 had a medical action plan on file for asthma that was dated 3/30/23.”

Rule Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2025. 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.

“Two (2) out of the four (4) children’s files reviewed did not have a medical report on 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: Apr 22, 2025. Correction verified: by a letter from the provider.

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

“In space #3, an albuterol inhaler was on file without the prescription labeled box.”

Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or 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, 2025. Correction verified: by a letter from the provider.

Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).

“R. Cahoon, qualification letter expired on February 3, 2025, and the five-year renewal qualification letter was issued on March 4, 2025.”

Rule Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 22, 2025. Correction verified: by a letter from the provider.

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

“The key to the kitchen door was located in the lock.”

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

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

“In one(1) out of four(4) files reviewed the acknowledgment form was not available.”

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: Jun 18, 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.

“Documentation was not available for the weeks of 11/6/23-11/9/23 for one child.”

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: Nov 22, 2023. 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.

“In space two(2) an outlet located in the library area did not have a safety plug.”

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: Nov 22, 2023. Correction verified: by a letter from the provider.