A Toddler Tech University

The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. A copy of the facility’s safe sleep policy was not posted in Space #4b, the space in which infants are enrolled,

Violation confirmed corrected by letter received from provider on 2/25/2026

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The most recent Health Questionnaire on file for one (1) staff member, employed on November 3, 2024 was dated November 6, 2024. The Health Questionnaire for one (1) staff member, employed on September 24, 2024, was not dated.

Violation confirmed corrected by letter received from provider on 2/25/2026

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. The Emergency Information Form on file for all ten (10) staff members employed at the facility was not updated within the past year.

Violation confirmed corrected by letter received from provider on 2/24/2026

Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. The staff development plan and annual staff evaluations on file for all ten (10) staff members employed at the facility were not updated within the past year.

Violation confirmed corrected by letter received from provider on 2/24/2026

Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. In Space #2, two cots on the carpet to the right of the teacher’s desk were placed seven (7) inches apart, and two (2) additional cots on the carpet to the right of the teacher’s desk were placed thirteen (13) inches apart. In Space #3, two cots to the right of the door to the child care office were placed twelve (12) inches apart.

Violation confirmed corrected by letter received from provider on 11/4/2025

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection documented was conducted on July 10, 2025.

Violation confirmed corrected by letter received from provider on 9/17/2025

Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualifying letter for one (1) staff member, C.W., present and caring for children during the visit, expired on June 25, 2025.

Violation confirmed corrected by letter received from provider on 9/19/2025

A violation was found for which there is no item number. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (b) Effective measures shall be taken to keep uncontained insects, rodents, and other vermin out of the child care centers and to prevent their breeding or presence on the premises. Traps shall only be placed in areas inaccessible to children. On Playground #3, active ant hills were observed on the ground between the tree closest to the building and the shed.

Violation confirmed corrected by letter received from provider on 9/17/2025

A valid qualification letter was not on file and available to review at the facility. A valid qualifying letter was not on file for one (1) staff member, C.W., who was present and caring for children during the visit.

Violation confirmed corrected by letter received from provider on 9/19/2025

Staff/child ratios applicable to a classroom, were not posted in each classroom. The staff/child ratio applicable to each classroom based on your facility’s permit restrictions was not posted in Space #2 or Space #4a.

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. In Space #1, one (1) child was not signed out on February 10, 2025, six (6) children were not signed out on February 14, 2025, two (2) children were not signed in and four (4) children were not signed out on February 18, 2025, two (2) children were not signed in on February 21, 2025, four (4) children were not signed out on February 24, 2025, five (5) children were not signed out on February 25, 2025, five (5) children were not signed out on February 26, 2025, one (1) child was not signed in and three (3) children were not signed out on February 27, 2025, six (6) children were not signed in and three (3) children were not signed out on February 28, 2025, and six (6) children were not signed in on March 3, 2025. In Space #2, two (2) children were not signed out on February 18, 2025, one (1) child was not signed out on February 21, 2025, three (3) children were not signed out on February 24, 2025, two (2) children were not signed out on February 25, 2025, one (1) child was not signed out on February 28, 2025, two (2) children were not signed in and two (2) children were not signed out on March 3, 2025, and three (3) children were not signed in on March 4, 2025. In Space #3, one (1) child was not signed out on February 28, 2025. In Space #4a, one (1) child was not signed in on February 27, 2025.

Violation confirmed corrected by letter received from provider on 3/12/2025

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. One (1) staff member, employed on January 10, 2025, did not have an emergency information form on file.

Violation corrected during visit

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff member, employed on January 10, 2025, received three (3) of the required sixteen (16) hours of orientation.

Violation confirmed corrected by letter received from provider on 3/12/2025

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection documented was conducted on June 26, 2024.

Violation confirmed corrected by letter received from provider on 8/7/2024

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff member, employed on January 16, 2024, did not receive any orientation.

Violation confirmed corrected by letter received from provider on 3/26/2024

Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency information for one (1) child, enrolled on June 1, 2022, was last updated on May 26, 2022.

Violation confirmed corrected by letter received from provider on 3/26/2024

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill was conducted on August 31, 2024.

Violation confirmed corrected by letter received from provider on 3/26/2024

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #1, there was no Permission to Administer Medication Form for one (1) Symbicort Inhalation Aerosol.

Violation confirmed corrected by letter received from provider on 11/28/2023

Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. The medical action plan on file for one (1) child diagnosed with asthma, had Albuterol listed for the medication to be administered; however, the child only had Symbicort present at the facility.

Violation confirmed corrected by letter received from provider on 11/28/2023

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. In Space #1, one (1) Symbicort Inhalation Aerosol expired October 2023.

Violation confirmed corrected by letter received from provider on 11/28/2023

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. The First Aid Certification for one (1) staff member, employed on August 19, 2013, expired on October 18, 2023.

Violation confirmed corrected by letter received from provider on 11/28/2023

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. The CPR Certification for one (1) staff member, employed on August 19, 2013, expired on October 18, 2023.

Violation confirmed corrected by letter received from provider on 11/28/2023