A Quality Dap Child Care Center

Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. One staff member did not wash hands after cleaning a childs nose.

Violation corrected during visit

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 #1, I observed an electrical outlet not in use without a safety cover.

Violation corrected during visit

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. There were children that did not have departure times on the sign in/out form.

Violation confirmed corrected by letter received from provider on 3/20/2025

Electrical cords were accessible to infants and toddlers. In space #1, I observed 2 electrical outlets accessible to infants and toddlers.

Violation confirmed corrected by letter received from provider on 3/20/2025

Electrical cords were accessible to infants and toddlers. In space #1, I observed a cord to a lamp accessible to infants.

Violation corrected during visit

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 #1, I observed an electrical outlet not in use without a safety cover.

Violation corrected during visit

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One new staff member (MD) did not have documentation of completing a health questionnaire.

Violation confirmed corrected by letter received from provider on 2/6/2025

Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. One new staff member (MD) did not have a medical report and TB test/ Health questionnaire in a medical file.

Violation confirmed corrected by letter received from provider on 2/6/2025

A violation was found for which there is no item number.(e) Hot water used for cleaning and sanitizing food utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit (49 degrees Celsius) at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit (27 degrees Celsius) and 110 degrees Fahrenheit (43 degrees Celsius). For hand wash lavatories used exclusively by school-age children, the 80 degrees Fahrenheit (27 degrees Celsius) minimum temperature requirement shall not apply. Hot water in an area accessible to any child, which is in excess of 120 degrees Fahrenheit (49 degrees Celsius), shall be considered a burn hazard. Child care centers serving only school-age children are not required to provide hot water in areas accessible to children. In the event of the loss of hot water, the person in charge shall immediately contact the local health department.15A NCAC 18A .2815 (e ). During the walk-through of the facility, the kitchen door was observed open and accessible to the children. This was corrected during the visit.

Violation corrected during visit

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. One new staff member (MD) did not have documentation of reviewing the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy.

Violation corrected during visit

Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. The children present today did not have arrival and departure times for the last week.

Violation confirmed corrected by letter received from provider on 6/14/2024

Fire drills were not practiced monthly and/or the drill record was incomplete. The center did not have documentation of completing a monthly fire drill for April 2024 and May 2024.

Violation confirmed corrected by letter received from provider on 6/14/2024

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The center did not have documentation of completing a playground inspection for April 2024 and May 2024.

Violation confirmed corrected by letter received from provider on 6/14/2024

Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. The center did not have soap in the bathroom upon my arrival.

Violation corrected during visit

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 #1, I observed an electrical power strip with three outlets not in use without safety covers.

Violation corrected during visit

The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Four out of four staff members did not have documentation of reviewing the EMC plan annually.

Violation confirmed corrected by letter received from provider on 3/27/2024

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Four out of four staff members did not have documentation of the annual health questionnaire.

Violation confirmed corrected by letter received from provider on 3/27/2024

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. Four out of four staff members did not have documentation of annual updated emergency information.

Violation confirmed corrected by letter received from provider on 3/27/2024

Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Four out of four staff members did not have documentation of completing the required number of on-going training.

Violation confirmed corrected by letter received from provider on 3/27/2024

Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Four out of four staff members did not have documentation of the annual staff evaluation and annual staff development plan.

Violation confirmed corrected by letter received from provider on 3/27/2024

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The centers last documented shelter in place drill was on 11/2/23.

Violation confirmed corrected by letter received from provider on 3/27/2024

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Four out of four staff members did not have documentation of reviewing the EPR plan annually.

Violation confirmed corrected by letter received from provider on 3/27/2024

A violation was found for which there is no item number. During the walk-through of the center, the kitchen door was observed open and accessible to the children.

Violation corrected during visit