Grace Filled Beginnings

A drug or medicine was administered after its expiration date.

“There was a jar of Vaseline with an expiration date of January 11, 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: Jul 7, 2026. Correction verified: by a letter from the provider.

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

“There was a cracked blue container in space 4. The was a cracked pink bike and crack door on the plastic play kitchen set on the preschool outdoor space. There was a blue wagon on the school age outdoor space that was cracked.”

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: Jul 7, 2026. 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.

“The health questionnaire for one employee was not updated as required annually. The health questionnaire on file was dated May 1, 2025.”

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 7, 2026. Correction verified: by a letter from the provider.

Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.

“Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. The co-administrator’s ITS-SIDS training expired on October 3, 2025.”

Rule Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 8, 2026. Correction verified: by a letter from the provider.

Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.

“One (1) child in space 2a did not wash her hands when she arrived.”

Rule Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 7, 2026. Correction verified: by a letter from the provider.

Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.

“A caregiver’s five-year renewal of Recognizing and Responding to Suspicions of Child Maltreatment training was due by September 6, 2025.”

Rule Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 7, 2026. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“All staff did not wash their hands in an approved handwashing lavatory. Two (2) caregivers did not wash their hands after they arrived in space 3.”

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: Jul 7, 2026. Correction verified: by a letter from the provider.

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

“A small truck, laundry basket, plastic storage container and toy playhouse observed on the playgrounds were cracked posing potential harm to children.”

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

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.

“The “ouch” sheet used for documenting incidents of injuries that occurred while children were in care did not include steps taken to prevent the incident from reoccurring.”

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: Apr 30, 2026. Correction verified: by a letter from the provider.

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

“It was reported that on February 20, 2026, one child lifted the latch and opened the gate, allowing two other children to run outside of the gate through the parking lot toward the edge of the sidewalk which is near roadway. Also, observation revealed that the gate could be open easily and the latch did not securely restrict the gate from opening.”

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: Mar 11, 2026. Correction verified: at a follow-up visit by DCDEE.

Children under one year of age were not kept separate from children two years and older.

“It was reported that on February 20, 2026, eleven (11) children ranging in ages from one (1) to seven (7) years old were grouped together during outside play on playground #1.”

Rule Children under one year of age were not kept separate from children two years and older.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 11, 2026. Correction verified: at a follow-up visit by DCDEE.

Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.

“Arrival and departure times were not documented for ten or more children between the dates of February 16, 2026, and February 20, 2026.”

Rule Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or 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: Mar 17, 2026. Correction verified: by a letter from the provider.

Enhanced staff/child ratios and group sizes were not met.

“One caregiver was observed providing care for six (6) infants all under the age of one (1) in Space #3.”

Rule Enhanced staff/child ratios and group sizes were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 11, 2026. Correction verified: at a follow-up visit by DCDEE.

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

“The top on red trash can receptacle was cracked exposing sharp edges. An active ant pile was on the toddler playground near the shed, a white basket and kitchenette set doors were cracked exposing sharp edges on the preschool playground.”

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: Aug 6, 2025. Correction verified: by a letter from the provider.

Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users.

“Three mats were torn and one of the three was exposing the foam interior.”

Rule Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users.. Corrected during the inspection.

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.

“Fruit substitutions were not recorded on the menu for breakfast served today. Pineapples and Blueberries were served instead of the listed orange slices.”

Rule Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served.. Corrected during the inspection.

Medical exam or health assessment record was not on file before or within 30 days after admission.

“Health assessments for two preschool children enrolled on 11/1/2024 and 11/4/2024 were not on file mor available for review.”

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: Aug 6, 2025. Correction verified: by a letter from the provider.

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

“In space 2b and space 3 a current activity plan was not posted.”

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: Sep 4, 2024. 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 four(4) the electrical outlet located on the wall in the reading 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: Sep 4, 2024. Correction verified: by a letter from the provider.

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.

“In space 4 an Epipen Jr. 2 pack expired on 1/28/2024.”

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

The medical action plan was not updated on an annual basis or when changes to the plan were made by the child’s parent or health care professional.

“In space four(4) three out of four medical action plans reviewed were not updated annually.”

Rule The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent 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: Sep 4, 2024. Correction verified: by a letter from the provider.