Big Blue Marble-Waxhaw

“Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space number seven (#7) a child's permission form to provide emergency medication was expired and did not have accurate information.”

Violation confirmed corrected by letter received from provider on 2/24/2025

“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. Upon review of the Staff and Training worksheet and staff files it was observed that one staff (see staff and training worksheet) did not have the require medical report on file prior to employment.”

Violation confirmed corrected by letter received from provider on 2/28/2024

“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. Upon review of the Staff and Training worksheet and staff files it was observed that one staff (see staff and training worksheet) did not provide results indicating that they were free of active TB and/or TB test or screening prior to the first day of work.”

Violation confirmed corrected by letter received from provider on 2/28/2024

“Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Upon review of the Staff and Training worksheet and staff files it was observed that multiple staff (see staff and training worksheet) did not receive the required on-going training, nor was it fully documented.”

Violation confirmed corrected by letter received from provider on 2/28/2024

“A current activity plan was not posted for each group of children for reference. Although Activity Plans were posted there was no date on two of the eleven activity plans, I reviewed.”

Violation confirmed corrected by letter received from provider on 2/28/2024

“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. Under the desk in the Administrator's office there were cleansers, detergents, and air fresheners some of which were in aerosol cans. Although this room is locked when it is not being occupied, these items were not stored in locked storage when it was occupied, and the door was left open.”

Violation confirmed corrected by letter received from provider on 2/28/2024

“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. Upon review of the Staff and Training worksheet and staff files it was observed that two staff (see staff and training worksheet) did not have the require certification in First Aid in the required time frame.”

Violation confirmed corrected by letter received from provider on 2/28/2024

“The EPR Plan did not include the location of the Ready to Go File and or the required information. There was no plan on site, although there were some emergency books there was no plan, for staff person to know the location. The Ready to Go File had some information but did not have the required information as many of the children's records were not complete or included.”

Violation confirmed corrected by letter received from provider on 2/28/2024

“The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The information on the plan had changed due to a change in Administrator and Child Care Consultant. This had not been updated nor had the staff reviewed a current EPR plan as the last plan was dated October 11, 2022, and although it was on the Emergency Services online database it was not available for review at the facility or in the Ready to Go File/Binder.”

Violation confirmed corrected by letter received from provider on 2/28/2024

“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. During the observation there were two outlets, one in the hallway and one in a classroom that was not covered by a safety plug leaving the outlet accessible to the children in care. During the visit these two outlets were covered.”

Violation corrected during visit

“The depth of the loose surfacing was not based on critical height of the equipment. On the playground where the one- and two-year-old children play there was a slide that at the bottom of it the surfacing was less than two inches deep and the requirement was six inches in depth in order to provide the appropriate protective surfacing for the children's safety. During the visit the Assistant Director corrected the depth of the surfacing by raking excess surfacing to this area.”

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. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets).”

Violation confirmed corrected by letter received from provider on 11/16/2023

“The activity plan did not include a daily gross motor activity which may occur indoors and outdoors. On all of the activity plans that were posted in each operating classroom under at least one day for gross motor activity the statement outside play was listed as the activity. This does not define an activity. The activity must be listed and defined so that it can be identified as a gross motor activity.”

Violation confirmed corrected by letter received from provider on 11/16/2023

“All openings to the outer air were not protected against the entrance of flying insects. The screen in the classroom where the toddler children playground was located there was a torn screen so that if the window was opened the classroom would not be protected against the entrance of flying insects.”

Violation confirmed corrected by letter received from provider on 11/16/2023

“Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Upon review of the monthly playground inspection documentation, it was observed that the person completing the training did not have documentation of training in playground safety requirements. The only staff currently qualified to conduct these inspections is A.B. until additional official training with certificates to verify required training can be obtained.”

Violation confirmed corrected by letter received from provider on 11/16/2023

“The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The plan was not able to be located and therefore was not reviewed with staff as required. The plan that is in the database is not current therefore in need of revision. Plans are required to be revised when a change occurs or annually.”

Violation confirmed corrected by letter received from provider on 11/16/2023

“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. Upon review of the Staff Files, it was observed that the required First Aid training was not completed for several staff (see Staff and Training Worksheets) within the required time frame.”

Violation confirmed corrected by letter received from provider on 11/16/2023

“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. Upon review of the Staff Files, it was observed that the required CPR training was not completed for several staff (see Staff and Training Worksheets) within the required time frame.”

Violation confirmed corrected by letter received from provider on 11/16/2023

“Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Upon review of the Staff Files it was observed that the required on-going training was not completed for several staff (see Staff and Training Worksheets).”

Violation confirmed corrected by letter received from provider on 11/16/2023

“Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. Upon review of the Staff Files, it was observed that the required training was not completed for several staff (see Staff and Training Worksheets) within the required time frame.”

Violation confirmed corrected by letter received from provider on 11/16/2023

“Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Upon review of the Staff files it was observed that the required orientation was not completed with several staff (see Staff and Training Worksheets).”

Violation confirmed corrected by letter received from provider on 11/16/2023

“All vehicles used to transport children were not free of hazards. There were four vehicles used for transportation of children. In one vehicle there was an aerosol can of WD-40 and Lysol wipes that had the following Safety Information: For external use only. No known significant effects or critical hazards. Read label before use. Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away and have product container or label at hand. When using this product: avoid contact with eyes; in case of eye contact, flush with water. Stop use and ask a doctor if: irritation or redness develops. Since this is multiple label warnings it is required to be locked up. The packets were in each bus' door on the driver's side no more than one foot from the bus floor. The Lysol wipes and the WD-40 was removed and placed in locked storage during the visit.”

Violation confirmed corrected by letter received from provider on 11/16/2023

“Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. In a review of the information on the children located on each bus it was observed that many of the children did not have a photograph as identifying information.”

Violation confirmed corrected by letter received from provider on 11/16/2023

“Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Upon review of the Staff Files it was observed that the required annual staff evaluation and staff developmental plan was not completed for several staff (see Staff and Training Worksheets) within the required time frame.”

Violation confirmed corrected by letter received from provider on 11/16/2023

“A valid qualification letter was not on file and available to review at the facility. One staff member, M.N., did not have a valid qualifying letter on file. There was a qualifying letter for Ms. N. per the database.”

Violation confirmed corrected by letter received from provider on 11/16/2023

“The Center did not have a person on staff who completed the EPR in Child Care training within the required timeframe and/or documentation of completion of the training was not on file or in a file designated for emergency preparedness and response plan documents. Currently there no documentation that there is a staff person who has the required training for Emergency preparedness Response on site.”

Violation confirmed corrected by letter received from provider on 11/16/2023

“At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Upon review of the Staff Files, it was observed that the required training was not completed for any of the staff who were observed providing care for the infant children.”

Violation confirmed corrected by letter received from provider on 11/16/2023

“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. Upon review of the Staff files, it was observed that in some staff files the above noted items were not maintained separately (see Staff and Training Worksheets) within the required time frame.”

Violation confirmed corrected by letter received from provider on 11/16/2023

“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. Upon review of the Staff files, it was observed that the required training was not completed with several staff (see Staff and Training Worksheets) within the required time frame.”

Violation confirmed corrected by letter received from provider on 11/16/2023

“Staff did not complete the health and safety training within one year of employment. Upon review of the Staff Files it was observed that the required health and safety training was not completed for several staff (see Staff and Training Worksheets) within the required time frame.”

Violation confirmed corrected by letter received from provider on 11/16/2023

“Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Upon review of the Staff files, it was observed that the required health and safety training that is a part of the on-going training (required every 5 years) was not completed for several staff (see Staff and Training Worksheets) within the required time frame.”

Violation confirmed corrected by letter received from provider on 11/16/2023

“Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #11 there were several plastic bags in direct contact with the children hanging from the children's hooks/personal storage area.”

Violation corrected during visit

“The EPR Plan did not include the date of the last revision of the plan. Administrators were not aware of the location of the EPR plan and after the EPR plan was located, the administrator stated she was not aware that it needed to be updated and how to do the updates. J.P, currently enrolled has an asthma medication on site, and not only was the Administrator not aware of the child's medical condition the EPR did not have the emergency action plan for the child.”

Violation confirmed corrected by letter received from provider on 9/29/2023

“The EPR Plan did not include the location of the Ready to Go File and or the required information. The EPR plan did not have any of the new children's emergency information and had not been updated since October 11, 2022. Also, it did not have one child's medical action plan.”

Violation confirmed corrected by letter received from provider on 9/29/2023

“An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. On child with a medical incident, labored/difficulty breathing, was sent home due to no medication on site and was transported to the hospital later in the day did not have a report completed nor was the report mailed to the Consultant as required.”

Violation confirmed corrected by letter received from provider on 9/29/2023