Small Folks Child Care Center, Inc.

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.

“I observed one child with two (2) over the counter medications, Desitin and Aquafor, where the 12 month permission to administer had expired on 5/2/25 for the Desitin and 4/2/25 for the Aquafor. I observed another child with one medication where the 12 month permission to administer had expired on 5/22/25 for Nystatin cream.”

Rule Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 10, 2025. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“I observed one child’s medication authorization where the name of the sunscreen product was not listed on the medical permission form.”

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: Jun 10, 2025. Correction verified: by a letter from the provider.

A child was restrained as a form of discipline and the child’s safety or the safety of others was not at risk.

“Children were placed in a chair with a tray attached as a form of timeout.”

Rule A child was restrained as a form of discipline and the child's safety or the safety of others was not at risk.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 27, 2024. Correction verified: by a letter from the provider.

Center staff did not comply with the safe sleep policy.

“On November 18, 2024, an infant was left in an infant swing to sleep and was not moved to a crib. On November 26, 2024, an infant was asleep in a crib and was covered with a blanket.”

Rule Center staff did not comply with the safe sleep policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 27, 2024. Correction verified: by a letter from the provider.

Menus for all meals and snacks were not current or posted where easily seen by parents and cook.

“On November 26, 2024, a menu was not posted and available for review.”

Rule Menus for all meals and snacks were not current or posted where easily seen by parents and cook.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 27, 2024. 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 (1) new staff did not have documentation of a medical report in file prior to employment.”

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: Nov 22, 2024. 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.

“I oberserved that one new staff did not have a TB screening/test available for review during today’s visit.”

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: Jun 18, 2024. Correction verified: by a letter from the provider.

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

“A current activity plan was not posted for the infant room, Space 5. The posted activity plan was for the last week of December 2023. This violation was corrected during the visit and a current activity plan is now posted.”

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

Center staff did not comply with the safe sleep policy.

“The infant room Space 5, had no documentation of safe sleep checks for any child enrolled on 1/5/, 1/8, or 1/9/24.”

Rule Center staff did not comply with the safe sleep policy.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 24, 2024. Correction verified: by a letter from the provider.

Each child’s bed, cot, or 2” mat was not individually assigned and identified.

“There was one (1) crib in Space 1 that was not individually labeled with the child’s name. This violation was corrected during the visit today.”

Rule Each child's bed, cot, or 2" mat was not individually assigned and identified.. Corrected during the inspection.

Prior to employment a Criminal Background Check was not completed.

“One new staff member, Laura Hefner, did not have a current CBC letter. Her last CBC letter expired 2/5/21.”

Rule Prior to employment a Criminal Background Check was not completed.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 25, 2024. Correction verified: by a letter from the provider.