Chesterbrook Academy

A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #2, parent authorization to administer Benadryl and an EpiPen for one child expired June 29, 2026. In space #5, parent authorization to administer diaper cream for one child expired August 11, 2026. In space #8, parent authorization to administer Benadryl and an EpiPen for one child expired July 8, 2026

Violation confirmed corrected by letter received from provider on 8/28/2026

Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In space #4, there was a small container of diaper cream made by a parent. There were no ingredients listed on the container nor parent authorization to administer the cream.

Violation confirmed corrected by letter received from provider on 8/28/2026

Incident logs were not completed and maintained as required. Verification that incident logs are being completed was not on file.

Violation confirmed corrected by letter received from provider on 8/28/2026

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. One child is being transported without Emergency and Identifying information on the vehicle.

Violation confirmed corrected by letter received from provider on 8/28/2026

Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. One child being transported did not have written permission from the parent to be transported.

Violation confirmed corrected by letter received from provider on 8/28/2026

For routine transport of children to and from the center, staff did not use the list to document attendance as children boarded and departed the vehicle. Currently, the facility is transporting one child from an elementary school to the facility in the afternoon. There was no documentation of attendance for the child boarding and departing the vehicle.

Violation confirmed corrected by letter received from provider on 8/28/2026

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. Emergency medical care information for two children had not been updated annually.

Violation confirmed corrected by letter received from provider on 8/28/2026

The EPR Plan did not include the location of the Ready to Go File and or the required information. The Ready to Go File has not been updated with current emergency and health care information for staff and children.

Violation confirmed corrected by letter received from provider on 8/28/2026

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility has a new Director since March 2026. The EPR plan has not been updated to include the Director's name and contact information.

Violation confirmed corrected by letter received from provider on 8/28/2026

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 for one child was not attached to the application.

Violation confirmed corrected by letter received from provider on 8/28/2026

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 last approved fire inspection was conducted July 14, 2025.

Violation confirmed corrected by letter received from provider on 9/14/2026

A summary of the NC Child Care Law was not posted in a prominent place in the center. The NC Summary of the Child Care Law was not posted.

Violation confirmed corrected by letter received from provider on 8/28/2026

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 #9, there was one electrical outlet that was not protected by an safety cover.

Violation confirmed corrected by letter received from provider on 8/28/2026

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 #2, an aerosol can of Febreze was stored in an unlocked drawer.

Violation corrected during visit

Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #3, there were four bottles that were just alike in the refrigerator that were not labeled with a name and date.

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

All equipment and furnishings were not in good repair. On the preschool playground, there was a tricycle with a large crack down the middle of the seat. There were also two plastic baskets bolted to the picnic table in poor repair.

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

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the van used to transport children, there was a tube of Aquaphor lip protection and sunscreen located in console.

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

Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In space #3, there was a plastic container of cream with no ingredients listed on the container. The container was accompanied with parent authorization to use as a diaper cream.

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

All vehicles used to transport children were not free of hazards. In the van used to transport school age children, there were empty zip loc bags and a plastic Smuckers uncrustables wrapper on the floor, empty soda cans in the door and console and an empty styrofoam cup in the console.

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

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. Two children being transported did not have emergency care information and a photograph in the notebook used for transporting.

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

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. Two children did not have emergency medical care information updated annually.

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

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

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

Each child's bed, cot, or 2" mat was not individually assigned and identified. Cots throughout the classrooms were labeled with multiple numbers making it difficult to know which cots where individually assigned to a child.

Violation corrected during visit

All equipment and furnishings were not in good repair. In space #1, there was a pillow in the cozy area with a torn zipper and exposed fiber fill.

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 #7, there was one outlet that was not protected by a safety cover.

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. In space #6, there was an aerosol can of shaving cream stored in an unlocked cabinet.

Violation corrected during visit

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 #1, diapers were stored in plastic bags in a bottom unlocked cabinet. Art with wiggle eyes was displayed on a board in a classroom occupied by children one year of age (space #5). Also, water beads were being stored in an unlocked cabinet in space #5.

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 had a medical report on file signed by a health care professional, however the medical report was not completed in full.

Violation confirmed corrected by letter received from provider on 5/9/2025

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 new staff member had a TB screening on file signed by a health care professional, however the screening was not completed in full.

Violation confirmed corrected by letter received from provider on 5/9/2025

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. First Aid training for one staff member was completed by an approved agency, however the course is not approved. First Aid training for one staff member was completed by an unapproved agency.

Violation confirmed corrected by letter received from provider on 5/15/2025

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. CPR training for one staff member was completed by an approved agency, however the course is not approved. CPR training for one staff member was completed by an unapproved agency.

Violation confirmed corrected by letter received from provider on 5/15/2025

A safe indoor and outdoor environment was not provided for the children. Indoors there were no safety concerns, outdoors I observed a sprinkler head sticking up by the sandbox on the preschool playground. The gate between the preschool and two's playground has part of the chain link fencing unraveling at the base and protruding into the playground.

Violation confirmed corrected by letter received from provider on 9/26/2024

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One prescribed cream did not have the original box and pharmacy label on site.

Violation confirmed corrected by letter received from provider on 9/26/2024

Parent's medication authorization did not include required information. One prescribed cream on site has written permission, however it doesn't indicate the reason for administering the medication

Violation confirmed corrected by letter received from provider on 9/26/2024

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. While in Space 1 I observed foam sponge rollers in the art center.

Violation corrected during visit

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. One staff did not complete 6 of the topic areas of health and safety trainings within 5 years of last completion.

Violation confirmed corrected by letter received from provider on 9/26/2024

A violation was found for which there is no item number. Many classrooms were observed with trash cans that did not have lids. This is a violation of sanitation requirement 15A NCAC 18A .2830(a)

Violation confirmed corrected by letter received from provider on 5/6/2024

Staff/child ratios applicable to a classroom, were not posted in each classroom. Space 12, serving three year old's did not have the staff/child ratio information posted.

Violation corrected during visit

A current activity plan was not posted for each group of children for reference. Space 11 and 12 did not have current activity plans posted.

Violation corrected during visit

The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. In Space 2, 5, 6, and 12 we observed empty shelves in interest centers. If they weren't empty you didn't have enough material for three children to play independently in a center. Books shelves, dramatic play, science and music shelves were the main interest centers that either did not have any material or not enough for three children to play independently.

Violation confirmed corrected by letter received from provider on 5/6/2024

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During today's visit the menu stated cheese quesadillas, pears, green beans and milk would be served. During lunch time we observed one room being served cheese pizza, mixed vegetables, pears and milk being served. Other rooms they were served mixed vegetables instead of green beans and the current menu posted was not updated reflecting the change.

Violation confirmed corrected by letter received from provider on 5/6/2024

Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Two water bottles in Space 2 were not labeled. In Space 3, four bottles storing human milk were observed dated 4/21/24 and were not labeled with the infant's name.

Violation corrected during visit

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) Space 5, serving one year old's with four being under 15 months of age, did not have any feeding schedule posted. Only two of the four children's feeding schedules were located during the visit.

Violation confirmed corrected by letter received from provider on 5/6/2024

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Space 8 we observed a bucket situated between two centers. The bucket was observed with water at the bottom. The teacher reported that the ceiling was leaking. Space 6 wallpaper was observed peeling form the wall. A door cover to protect children from getting pinched fingers, on the back door leading to the Two Year Old's playground was observed cracked.

Violation confirmed corrected by letter received from provider on 5/6/2024

All equipment and furnishings were not in good repair. Space 1 we observed a pretend sink in the dramatic play area missing the pretend faucet, a phone only had the base, the ear piece was missing. In many of the classrooms books observed accessible were observed missing pages or torn.

Violation corrected during visit

Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. During today's walkthrough we checked the electric closet door, it was unlocked and chemicals were observed stored in the electrical closet.

Violation corrected during visit

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. While in Space 2, serving two year old's, we observed unlocked cabinet drawers with ziplock bags storing material, plastic wrapping loosely stored. The cabinet drawers were on the lower cabinets, below 5 feet.

Violation corrected during visit

Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. Visual safe sleep checks are not begun when the infant is placed in the crib to rest. Staff reported they don't start the checks until the infant falls asleep. We entered Space 3 at 10:15 and three infants were observed sleeping. Of the three sleeping infants only one infant's visual sleep check had not been documented. At 10:30 the staff were instructed to conduct and document the check by the licensing consultant.

Violation confirmed corrected by letter received from provider on 5/6/2024

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. You have epi pens and auvi-q's on site to administer children, although the medical action plan is on site they were older than 6 months old, written permission to administer the medication was not on site for these medications.

Violation confirmed corrected by letter received from provider on 5/6/2024

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. One staff did not complete the training within the first 90 days of hire. She was hired on 7/24/23 completed the training on 2/21/24.

Violation confirmed corrected by letter received from provider on 5/6/2024

Staff did not complete the health and safety training within one year of employment. One staff hired 12/12/2022 did not complete the required health and safety trainings within the first year of employment, she completed them by 4/1/2024.

Violation confirmed corrected by letter received from provider on 5/6/2024

No longer on the state’s site as of September 25, 2026

Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child did not have an acknowledgement on file that the parent received or discussed the operational policies.

Violation confirmed corrected by letter received from provider on 9/20/2023

No longer on the state’s site as of September 25, 2026

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. One child did not have current emergency information on file.

Violation confirmed corrected by letter received from provider on 9/20/2023

No longer on the state’s site as of September 25, 2026

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. An employee who started employment on 1.10.23 did not completed the required training.

Violation confirmed corrected by letter received from provider on 9/20/2023

No longer on the state’s site as of September 25, 2026

Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Three (3) bottles were not dated.

Violation corrected during visit

No longer on the state’s site as of August 28, 2026

Children were not adequately supervised at all times. Ten children aged 3 and 4 years of age were observed unsupervised for approximately 13 minutes in classroom #8.

Violation confirmed corrected by follow-up visit made by consultant on 8/29/2023