First Grace Academy

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. A child's bottle was not dated or labeled with her name.

Violation corrected during visit

Center did not maintain a record of daily attendance. Attendance was not documented in Space B2.

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. The laundry room door was unlocked. There were cleaning products accessible to children inside the laundry room.

Violation corrected during visit

Prior to employment a Criminal Background Check was not completed. A new employee who began work on 5/18/26 was not qualified through the ABCMS background unit.

Violation corrected during visit

All staff records, except financial records, were not made available for review. A new employee hired 5/18/26 did not have a completed file to review.

Violation confirmed corrected by letter received from provider on 6/11/2026

A valid qualification letter was not on file and available to review at the facility. A new employee hired 5/18/26 did not have a valid qualification letter on file.

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. An employee hired 1/3/25 did not have a medical report on file for review.

Violation confirmed corrected by letter received from provider on 4/2/2026

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) employee hired 1/3/25 did not have verification of successful completion of First Aid available for review.

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

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) employee hired 1/3/25 did not have verification of successfully completing CPR certification on file for review.

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

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. Three (3) children did not have updated emergency medical care information on file.

Violation confirmed corrected by letter received from provider on 3/13/2026

Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child enrolled on 1/5/26 did not have a medical assessment on file.

Violation confirmed corrected by letter received from provider on 2/12/2026

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. Two (2) children had expired off-premise permissions on file.

Violation confirmed corrected by letter received from provider on 3/5/2026

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 (1) children enrolled on 1/5/26 did not have immunizations on file for review.

Violation confirmed corrected by letter received from provider on 2/12/2026

Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One (1) child's discipline statement did not include the date of enrollment.

Violation confirmed corrected by letter received from provider on 2/12/2026

A valid qualification letter was not on file and available to review at the facility. One (1) employee had an expired provisional qualification letter on file. A current CBC qualification letter was confirmed in the ABMCS portal. The current qualification letter was not on file.

Violation confirmed corrected by letter received from provider on 3/13/2026

A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The staff roster was not complete in the ABMCS portal.

Violation confirmed corrected by follow-up visit made by consultant on 5/11/2026

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 fire inspection was completed on 8/9/23.

Violation confirmed corrected by letter received from provider on 2/20/2025

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. One (1) child's arrival time was not documented.

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. Electrical outlets were uncovered in the foyer where children were observed playing and in the bathroom used by children.

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) new employee did not complete a health questionnaire and two (2) employees health questionnaires were not renewed annually.

Violation confirmed corrected by letter received from provider on 3/14/2025

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 employees did not have a signed shaken baby syndrome and abusive head trauma policy on file for review.

Violation confirmed corrected by letter received from provider on 3/14/2025

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. Two (2) new employees did not have a medical statement on file for review.

Violation confirmed corrected by letter received from provider on 2/20/2025

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 (1) new employee did not have a negative TB test on file for review.

Violation confirmed corrected by letter received from provider on 2/25/2025

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) new employee did not have emergency information on file and two (2) employees did not update the emergency information annually.

Violation confirmed corrected by letter received from provider on 3/14/2025

Prior to employment a Criminal Background Check was not completed. An employee who began employment on 1/3/25 did not completed the criminal background process prior to employment.

Violation confirmed corrected by letter received from provider on 2/19/2025

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. Two (2) employee's SIDS training expired 1/26/25.

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

A valid qualification letter was not on file and available to review at the facility. An employee who began employment on 1/3/25 did not have a valid qualification letter on file for review.

Violation confirmed corrected by letter received from provider on 2/19/2025

Food brought from home, did not meet the nutritional requirements and necessary supplements were not provided by center. A one year old child had a cup of juice sent from home. It was unclear if it was 100% juice and how many ounces of juice was provided.

Violation confirmed corrected by letter received from provider on 8/21/2024

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. A child's water bottle was not dated in Space 2.

Violation confirmed corrected by letter received from provider on 8/22/2024

Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drills were not documented for May and June 2024.

Violation confirmed corrected by letter received from provider on 8/21/2024

Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. There were no paper towels at that handwash sink or the food prep sink in Space 1a.

Violation corrected during visit

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 (1) new employee's TB screening was not signed by a physician. The employee was required to obtain a chest x-ray and the results were not on file at the facility. Repeat violation

Violation confirmed corrected by letter received from provider on 4/15/2024

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. I observed the child’s EMC dated 2022. The paperwork on file had not been updated. Repeat violation.

Violation confirmed corrected by letter received from provider on 4/15/2024

A valid qualification letter was not on file and available to review at the facility. P.S. stated the employee was unable to access her CBC letter. The letter was not available for review today. The ABCMS system was in “maintenance mode” when I tried to login today. During the visit conducted on 2/28/24 I verified in the ABCMS system that she was qualified on 11/30/23. Repeat violation

Violation confirmed corrected by letter received from provider on 5/7/2024

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. Safe sleep checks were not documented every fifteen (15) minutes as stated on the safe sleep policy.

Violation confirmed corrected by follow-up visit made by consultant on 4/10/2024

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. One (1) new employee's TB screening was not signed by a physician.

Violation confirmed corrected by letter received from provider on 4/15/2024

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. First Aid certification expired on 2/19/24 for two (2) employees.

Violation confirmed corrected by letter received from provider on 3/12/2024

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. One (1) child's EMC information was not updated annually.

Violation confirmed corrected by letter received from provider on 4/15/2024

A valid qualification letter was not on file and available to review at the facility. One (1) new employee did not have a qualification letter on file for review. I verified a current qualification on the ABCMS portal.

Violation confirmed corrected by letter received from provider on 5/7/2024

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 (1) new employee did not sign the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children.

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. Bottles were labeled but not dated.

Violation confirmed corrected by follow-up visit made by consultant on 4/10/2024

Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not documented for December 2023.

Violation confirmed corrected by follow-up visit made by consultant on 4/10/2024

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) new employee hired 12/4/23 had a medical report dated 2/21/24.

Violation confirmed corrected by letter received from provider on 4/10/2024

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 certification expired on 2/19/24 for two (2) employees.

Violation confirmed corrected by letter received from provider on 3/12/2024

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was completed in August 2023.

Violation confirmed corrected by follow-up visit made by consultant on 4/10/2024