A Place To Grow-Three Rivers, Wingate

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. One (1) outlet was uncovered by the chick pen that was used for the incubator located under the water fountain.

Violation corrected during visit

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 bag of food labeled DuMor for chicks was on the floor next to the pen.

Violation corrected during visit

A violation was found for which there is no item number. Any rule from NC General Statues or Child Care Requirements or Sanitation. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (a) Animals that are not contained in a cage or restrained on a leash, except those used in supervised activities or pet therapy programs, shall not be allowed in a child care center, including the outdoor learning environment. When animals are on the child care center premises, copies of each animal's vaccination records shall be available for review upon request during a sanitation inspection of the child care center. Any animals kept at the child care center as pets shall be examined by a veterinarian to determine that they are free from pests and pathogens that could adversely affect human health. Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians shall not be kept as pets on the child care center premises. Animals shall not be allowed in or kept at the entrances to food preparation areas. Animal cages shall be kept clean and animal waste materials shall be bagged, sealed, and immediately disposed of in the child care center's exterior garbage area in a covered container. Animals belonging to child care center owners, employees, volunteers, visitors, and children shall not be allowed in child care centers or on the premises unless the requirements set forth in this Paragraph are met. Six (6) hatched chicks on the child care premises did not have vet documentation on file to determine that they are free from pests and pathogens that could adversely affect human health.

Violation confirmed corrected by letter received from provider on 4/16/2026

Children were not adequately supervised at all times. On March 6, 2026, a two-year-old child exited a side classroom door unbeknownst to staff members and ran to their parent in the facility parking lot. The door had been left open by a staff member.

Violation confirmed corrected by letter received from provider on 3/12/2026

All openings to the outer air were not protected against the entrance of flying pest. On March 6, 2026, a staff member exited the building via a classroom door and left the door open.

Violation confirmed corrected by letter received from provider on 3/12/2026

A safe indoor and outdoor environment was not provided for the children. Staff did not provide a safe environment when two staff members engaged in a verbal altercation in the classroom for infants, that progressed to a physical altercation in the hallway.

Violation confirmed corrected by letter received from provider on 3/12/2026

Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. One (1) over the counter medication for teething did not have the original container.

Violation confirmed corrected by letter received from provider on 1/22/2026

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff did not have a total of sixteen (16) hours in the topic areas listed in the chart, eleven (11) hours were recorded.

Violation confirmed corrected by letter received from provider on 1/16/2026

Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child did not have a medical report on file before or within thirty (30) days after admission.

Violation confirmed corrected by letter received from provider on 1/16/2026

An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence)

Violation corrected during visit

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One (1) inhaler did not have the prescription label/original container.

Violation confirmed corrected by letter received from provider on 1/22/2026

Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The program's last fire inspection on file with DCDEE was completed on 10/31/24, there wasn't an approved annual fire inspection completed on or before 10/31/25.

Violation confirmed corrected by letter received from provider on 2/20/2026

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #2, the refrigerator temperature read fifty-two (52) degrees Fahrenheit. In the kitchen, the refrigerator read fifty-six (56) degrees Fahrenheit.

Violation confirmed corrected by letter received from provider on 1/22/2026

Gates to the fenced outdoor play area did not remain closed while children occupied the area. The gate to the playground was left open while children were in the learning environment.

Violation corrected during visit

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) staff member did not complete their medical report on or before their first day of employment.

Violation corrected during visit

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff file did not complete their health questionnaire on for before the first day of employment.

Violation corrected during visit

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff did not have an emergency information form on file.

Violation corrected during visit

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. One (1) staff member did not complete First Aid certification on or before ninety (90) days from employment, they did not complete their First Aid certification from an approved training organization.

Violation confirmed corrected by letter received from provider on 2/6/2026

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. One (1) staff member did not complete CPR certification on or before ninety (90) days from employment, they did not complete their CPR certification from an approved training organization.

Violation confirmed corrected by letter received from provider on 2/6/2026

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff did not complete at least six (6) hours of hours in the required topic areas, five (5) hours were recorded.

Violation confirmed corrected by letter received from provider on 1/16/2026

A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. One (1) file did not have an updated off-premise form, it expired on 12/2025.

Violation confirmed corrected by letter received from provider on 1/16/2026

Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Four (4) children's files did not have documentation of the reviewed discipline policy.

Violation confirmed corrected by letter received from provider on 1/16/2026

Application for enrollment did not include all required information. One (1) children's file did not have the Health Care Needs section completed to it's entirety.

Violation confirmed corrected by letter received from provider on 1/16/2026

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. In space #6, one (1) aerosol sunscreen spray was observed behind an unlocked cabinet.

Violation corrected during visit

A drug or medicine was administered after its expiration date. In space #6, I observed one (1) topical ointment (bug spray) expired on 6/2024.

Violation corrected during visit

Medical exam or health assessment record was not on file before or within 30 days after admission. Two children enrolled over 30 days did not have a completed medical exam/health assessment on file during today's visit.

Violation confirmed corrected by letter received from provider on 5/14/2025

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 enrolled 3/24/2025 did not have an immunization record on file during today's visit.

Violation confirmed corrected by letter received from provider on 5/14/2025

A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space(s) #1, #2, and #6.

Violation confirmed corrected by letter received from provider on 5/14/2025

Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill that took place on 3/31/25 was not documented on the fire drill record. This was completed in front on me during today's visit. Ms. O. displayed documentation that the drill took place via a text message on her cellphone. The information was not documented on the fire drill record.

Violation corrected during visit

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 new staff member, hired on 3/24/25 did not have a current medical report on file during today's visit. The report that was on file was dated back in 2023.

Violation confirmed corrected by letter received from provider on 5/14/2025

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. One staff member hired 3/24/25 did not have a current (within 12 months) TB Test or screening on file during today's visit.

Violation confirmed corrected by letter received from provider on 5/14/2025

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 during today's visit.

Violation confirmed corrected by letter received from provider on 5/14/2025

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two new staff members with start dated of 3/24/25 and 4/14/2025 did not have documentation of six clock hours received within the first two weeks of employment.

Violation confirmed corrected by letter received from provider on 5/14/2025

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. Two (2) new staff members did not have a signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma documented acknowledgement in the staff's file.

Violation confirmed corrected by letter received from provider on 5/14/2025

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playground inspection was not completed for January 2025.

Violation corrected during visit