Building Blocks for Tots

Multi-use articles, including highchair feeding trays, were not washed, rinsed and sanitized in the center’s kitchen after each use.

“Plates children meals are served from have dried food residue and dirty film.”

Rule Multi-use articles, including highchair feeding trays, were not washed, rinsed and sanitized in the center's kitchen after each use..

Rule violated (DCDEE’s description below)

“Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.A teacher heard another teacher use profanity around children.Teacher in Space 5 engaged in a physcial altercation with a third keys teacher (Education Specialist) in front of a child.”

Rule Rule violated (DCDEE’s description below).

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

“In Space 3 a teacher failed to wash child’s hands after diaper change.”

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: Aug 6, 2026. Correction verified: by a letter from the provider.

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

“Activity plan posted in Space 1A was dated for July 6-10, 2026.”

Rule A current activity plan was not posted for each group of children for reference.. Corrected during the inspection.

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

“Plastic bags were located in the restroom utilized by children two years of age.”

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

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

“Required 6 inches of surfacing was not present under and around the stationary equipment on the preschool children’s playground.”

Rule All stationary equipment, more than 18 inches high, was not installed over protective surfacing.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 10, 2026. Correction verified: by a letter from the provider.

Emergency information did not include name, address, and telephone number of parent or other emergency contact person.

“One child docmented on the children’s records form did not have Emergency Contact Information.”

Rule Emergency information did not include name, address, and telephone number of parent or other emergency contact person.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 6, 2026. Correction verified: by a letter from the provider.

Rule violated (DCDEE’s description below)

“Emergency information did not name childs health care professional.Three children’s files as doucumented on the children’s records form did not have choice of health care professional.”

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: Aug 6, 2026. Correction verified: by a letter from the provider.

When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information.

“Two children in Space 3 medication permission expiration was 12 months.”

Rule When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 6, 2026. Correction verified: by a letter from the provider.

A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information.

“The staff member did not utilize the first aid poster in the classroom when the staff member applied Aquaphor to the burned area of the child’s chin”

Rule A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 18, 2026. Correction verified: by a letter from the provider.

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

“A staff member served hot mashed potatoes to a 14-month-old child, burning the inside and outside of the child’s mouth area, resulting in 2nd degree burns.”

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 18, 2026. Correction verified: by a letter from the provider.

There was a substantiation of child maltreatment.

“Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment.”

Rule There was a substantiation of child maltreatment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 18, 2026. Correction verified: by a letter from the provider.

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

“Several children’s hands were not washed after diaper change in spaces Infant A and Toddler A.”

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: Oct 29, 2025. Correction verified: by a letter from the provider.

All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean and in good repair.

“The floors in each classroom need to be cleaned and carpets need cleaning.”

Rule All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean 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: Oct 29, 2025. Correction verified: by a letter from the provider.

All staff did not wash their hands thoroughly after diapering each child.

“Staff members in Space Infant A and Toddler A did not wash their hands after diapering with children.”

Rule All staff did not wash their hands thoroughly after diapering each child.. 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.

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

“In spaces Infant A and Toddler A staff did not clean with a detergent solution and did not disinfect diaper changing table after each use.”

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: Oct 29, 2025. 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 Spaces 1B, 2A, 2B, and 4 electrical outlets were observed not covered with safety plugs while not in use.”

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.. Corrected during the inspection.

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

“A child’s hands were not washed after diaper changing in Space #3.”

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: Mar 3, 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.

“Written authorization was not on file a container of Vani cream kept onsite for one preschool child enrolled.”

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: Mar 3, 2025. Correction verified: by a letter from the provider.

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

“The base of the basketball goal was cracked exposing sharp edges, two white laundry baskets attached to the fence and accessible to children were cracked exposing sharp edges and nail were protruding from the wooden fence on the 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: Mar 3, 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.”

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: Mar 3, 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. Documentation verifying completion or renewal of First Aid training was not on file for four employees.”

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: Mar 3, 2025. Correction verified: by a letter from the provider.

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

“Enhanced staff/child ratio and group sizes were not met when two teachers were providing care for sixteen children ranging from ages one (1) to two (2) years old 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 3, 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.

“Written authorization and/or instructions from a child’s parent was not on file for Sun Bum baby eczema cream, Butt paste, and mosquito repellent for one preschool child enrolled in Space #3.”

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

“Tree roots were protruding above ground posing tripping hazards on preschool and toddler playgrounds. A watering container and clear storage container was cracked exposing sharp edges on the preschool playground. A bamboo pole lying on the ground on the far back side of the preschool playground was cracked exposing sharp edges.”

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: Sep 2, 2024. Correction verified: by a letter from the provider.

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.

“Documentation was not on file to verify the NC Child Care Law was given to parents of eight children enrolled in the center.”

Rule A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 2, 2024. Correction verified: by a letter from the provider.

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.

“A container of pepper spray attached to keys was observed on the counter next to the hand washing sink in Space #2A.”

Rule All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 2, 2024. Correction verified: by a letter from the provider.

Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan.

“An annual evaluation was not on file for one staff member. The last evaluation was dated for October 2022.”

Rule Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 2, 2024. Correction verified: by a letter from the provider.

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

“Enhanced staff child ratios were not met when two caregivers were observed providing care to thirteen infants under twelve months old from 8:55am to 9:02am in Space #1A. The group size for children under twelve months was also exceeded in Space #1A.”

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: Sep 2, 2024. Correction verified: by a letter from the provider.

For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time.

“Thirteen children were cared for in Space #1A which exceeded the licensing space capacity for eleven children at 30 sq. ft. per child.”

Rule For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 2, 2024. Correction verified: by a letter from the provider.

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.

“Documentation was not on file to verify outdoor play inspections was not on file for May 2024 to June 2024.”

Rule Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 2, 2024. Correction verified: by a letter from the provider.

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.

“Documentation was not no file verifying recognizing and responding to suspicions of child maltreatment was completed by three employees hired on October 9, 2023, March 27, 2024, and May 16, 2024.”

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: Sep 2, 2024. 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. Staff hired 11/27/23 did not complete the CPR training within the 90-day time frame.”

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: Jun 11, 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. Staff hired 11/27/23 did not complete the First Aid training within the 90-day time frame.”

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: Jun 11, 2024. 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.

“Five (5) new staff hired since 9/26/23 did not complete the required sixteen (16) hours of orientation within the first two 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: Jun 11, 2024. 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.

“A signed acknowledgement of review of the SBS/AHT policy was not on file for two (2) staff members.”

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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 11, 2024. Correction verified: by a letter from the provider.