Mountain Pathways School

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

“An activity plan was missing from all three classrooms.”

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 13, 2026. 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 1A, a medication had an action plan but no parent permission for both medications for the child.”

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: Apr 13, 2026. Correction verified: by a letter from the provider.

A drug or medicine was administered after its expiration date.

“In space 1A, a child’s diaper cream (medication) was expired.”

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: Apr 13, 2026. Correction verified: by a letter from the provider.

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

“One playground area had a lot of materials on it making it crowded. There were a lot of toys and items around the climbers that were also in the fall zones that was hazardous. A picket on the ramp going to the large playground was loose and sticking out. A door on a cabinet was loose in space 1A.”

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 13, 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.

“One staff member did not have a Health Questionnaire on file.”

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: Apr 14, 2026. Correction verified: by a letter from the provider.

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.

“One out of three classrooms had recorded arrival times on the online program that is used.”

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: Apr 13, 2026. Correction verified: by a letter from the provider.

Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission.

“One child’s file that was monitored was missing the immunizations. The child has been enrolled since August 2025.”

Rule Each child was not immunized as per Article 6 of Chapter 130A and an immunization 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 13, 2026. 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.

“In space 1A, a prescription diaper cream was not locked. Since it is a prescription cream, it must be locked up.”

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: Apr 13, 2026. 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 1A, a prescription diaper cream was not in the pharmacy 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 13, 2026. Correction verified: by a letter from the provider.

Toxic plants were accessible to children.

“There was at least one toxic plant below five (5) feet, which makes it accessible to children.”

Rule Toxic plants were accessible to children.. Corrected during the inspection.

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. Administrator has not taken the ABCMS training on Moodle and set up the staff roster.”

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: Nov 6, 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. Staff S.G. did not have pediatric first aid certification.”

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

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.

“Staff S.G., E.W. and Y.Z. did not receive all of their orientation hours within the first 6 weeks of hire.”

Rule New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 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.

“Staff I.F did not have a TB test or screening on file.”

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

Parent’s medication authorization did not include required information.

“Child’s medication did not have parent authorization with instructions for generic Zyrtec.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 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.

“An Epi pen was not in the box with the pharmacy label.”

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: Oct 29, 2025. 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.

“Two (2) children’s sunscreens were past the expiration date.”

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: Apr 28, 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.

“A generic Zyrtec was stored with the epi pen instead of being locked up. This was corrected during the visit and locked up.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Corrected during the inspection.

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

“The completed training that was on file for L.G. was over a year old.”

Rule The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 28, 2025. Correction verified: by a letter from the provider.

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person’s file.

“The signed acknowledgement that was on file for L.G. was over a year old.”

Rule The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file.. Corrected during the inspection.

A drug or medicine was administered after its expiration date.

“An epi pen was expired, however the medication hasn’t ever had to be administered.”

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 6, 2024. Correction verified: by a letter from the provider.

Outdoor play area was not enclosed by fence with a minimum height of 4 feet.

“The top of the fence, less than six feet, was not free from protrusions. The fence along the back of the primary playground and a section of pre-primary west, was under four (4) feet in height.”

Rule Outdoor play area was not enclosed by fence with a minimum height of 4 feet.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 8, 2024. 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.

“Medium pom-poms were used in an activity area in both pre-primary classrooms.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 6, 2024. Correction verified: by a letter from the provider.

Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.

“Staff had a coffee drink in a clear cup. Staff drinks (other than water) should be in an opaque container.”

Rule Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence 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: Mar 6, 2024. Correction verified: by a letter from the provider.