First Wesleyan Day Care

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 staff member employed on March 30, 2026, had a health questionnaire and emergency information form on file dated April 22, 2026. One staff member employed on November 5, 2025, had a health questionnaire and emergency information form on file dated April 17, 2026, and did not have a medical on file for review.

Violation confirmed corrected by letter received from provider on 5/13/2026

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 staff member employed on November 5, 2025, did not have receipt of completion of CPR training on file and available for review.

Violation confirmed corrected by letter received from provider on 5/12/2026

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff member employed on November 5, 2025, did not have receipt of completion of at least sixteen hours of orientation within the first six weeks of employment. One staff member employed on March 30, 2026, did not have receipt of completion of six clock hours of orientation within the first two weeks of employment.

Violation confirmed corrected by letter received from provider on 5/20/2026

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. Fifteen current staff members were employed on the following dates: February 6, 2023, November 8, 2005, August 15, 2024, September 19, 2023, November 8, 2005, October 18, 2024, August 9, 2004, August 1, 2018, February 14, 2023, November 10, 2022, August 21, 2024, November 5, 2025, August 11, 2025, August 4, 2025, March 30, 2026, and were not listed on the ABCMS Provider Portal roster for this facility.

Violation confirmed corrected by letter received from provider on 5/20/2026

The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Eight staff members employed on August 9, 2004, February 14, 2023, November 10, 2022, August 21, 2024, November 8, 2005, October 18, 2024, and September 19, 2023, did not have documentation on file of completing an annual review of the facility’s Emergency Medical Care plan.

Violation confirmed corrected by letter received from provider on 5/28/2026

A valid qualification letter was not on file and available to review at the facility. One staff member employed on April 1, 2026, did not have a current qualifying letter on file for review.

Violation confirmed corrected by letter received from provider on 5/6/2026

All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Eight staff members employed on, August 9, 2004, February 14, 2023, November 10, 2022, August 21, 2024, November 8, 2005, October 18, 2024, and September 19, 2023, did not have documentation on file of completing an annual review of the facility’s EPR Plan.

Violation confirmed corrected by letter received from provider on 5/28/2026

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 staff member employed on November 5, 2025, did not have receipt of completion of First Aid training on file and available for review.

Violation confirmed corrected by letter received from provider on 5/12/2026

Medical exam or health assessment record was not on file before or within 30 days after admission.There was no medical exam or health assessment on file for review for one child enrolled on September 29, 2025, and one child enrolled on June 30, 2025.

Violation confirmed corrected by letter received from provider on 5/20/2026

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 child enrolled on February 17, 2026 did not have an immunization record on file.

Violation confirmed corrected by letter received from provider on 5/6/2026

The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The administrator completed the EPR in Child Care training on December 17, 2025. The EPR Plan was due to be completed by April 17, 2026.

Violation confirmed corrected by letter received from provider on 5/6/2026

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. One staff member employed on November 5, 2025, one staff member employed on October 22, 2025, and one staff member employed on April 22, 2025, did not have receipt of completion of Recognizing and Responding to Suspicions of Maltreatment training due to be completed within ninety days of employment.

Violation confirmed corrected by letter received from provider on 5/6/2026

Staff did not complete the health and safety training within one year of employment. One staff member employed on August 21, 2024, did not have receipt of completion of six of the ten required health and safety trainings. The staff member was due to complete the following health and safety trainings by August 21, 2025: Prevention of Sudden Infant Death Syndrome and use of safe sleep practices; Prevention of and response to emergencies due to food and allergic reactions; Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; Emergency preparedness and response planning for emergencies resulting from a natural disaster or a mancaused event; Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and Prevention of Shaken Baby Syndrome, Abusive Head Trauma and child maltreatment.

Violation confirmed corrected by letter received from provider on 5/6/2026

Children were not adequately supervised at all times. On March 24, 2026, one child, two years of age, enrolled in Space #2, was left alone and unsupervised for one hour and twenty minutes from 3:30pm to 4:50pm on Playground #2.

Violation confirmed corrected by letter received from provider on 4/15/2026

A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. Video recording on March 26, 2026, was reviewed. Two staff members, one Lead Teacher assigned to Space #7, and one Float Staff member assigned to Space #3, were observed on video camera grabbing, pulling, and pushing a child, five years of age, enrolled in Space #9, as a form of discipline on March 26, 2026.

Violation confirmed corrected by letter received from provider on 4/15/2026

Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report documenting two bruises on the left forearm of one child, five years of age, enrolled in Space #9, as a result of an injury received by one Lead Teacher assigned to Space #7, and one Float Staff member assigned to Space #3 as the child was grabbed, pulled, and pushed as a form of discipline was not completed per the reported incident that occurred in Space #3 on March 26, 2026.

Violation confirmed corrected by letter received from provider on 4/15/2026

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On March 26, 2026, one child, two years of age, enrolled in Space #2, was observed in Space #3, sitting on the floor crying for twenty minutes from 7:22am to 7:42am. The Float Staff member and Lead Teacher responsible for the group of children did not attempt to console the child.

Violation confirmed corrected by letter received from provider on 4/15/2026

Discipline was not appropriate for the child's age and development. One child, five years of age, enrolled in Space #9, was observed on video camera sitting on the floor in timeout for fourteen minutes in Space #3 on March 26, 2026.

Violation confirmed corrected by letter received from provider on 4/15/2026

A child was yelled at, shamed, humiliated, frightened, threatened or bullied. In Space #3, the Lead Teacher was observed on video camera on March 26, 2026, stated to one child, five years of age, enrolled in Space #9, “You’re not pretty when you act like this. You’re very ugly.” In Space #3, the Float Staff member was observed on video camera on March 26, 2026, stating to one child, two years of age, enrolled in Space #2, “You’re going to make me go to my room because you won’t quit crying.” In Space #3, the Lead Teacher was observed on video camera on March 26, 2026, stating to one child, two years of age, enrolled in Space #2, “Now it’s time to stop. We’re not going to hold you. You’re going to have to stop crying” and “Go sit down, quit crying. You’re a big boy now.”

Violation confirmed corrected by letter received from provider on 4/15/2026

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 on 10/29/2024,

Violation confirmed corrected by letter received from provider on 11/13/2025

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was completed on 07/22/2025 by K.P.

Violation confirmed corrected by letter received from provider on 11/13/2025

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. The administrator was due to complete the EPR in Child Care training by 10/23/2025.

Violation confirmed corrected by letter received from provider on 12/18/2025

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 #2, one tube of Babyganics mineral sunscreen expired 10/2025.

Violation confirmed corrected by letter received from provider on 11/13/2025

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In space #5, the medication authorization for Auvi-Q Epi Pen Jr. had an authorization date valid 02/21/2025 – 08/21/2025.

Violation confirmed corrected by letter received from provider on 11/13/2025

Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. On September 29, 2025, a child was injured, and an incident report was not completed.

Violation confirmed corrected by letter received from provider on 10/10/2025

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 #7, one (1) aerosol can of Great Value Lemon Scent air freshener with multiple warnings was on a shelf above the toilet in the bathroom used by children located in the classroom.

Violation corrected during visit

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill, a lockdown drill, was completed on December 19, 2024 at 11:00am. An emergency drill was due to be completed by March 19, 2025.

Violation confirmed corrected by letter received from provider on 6/5/2025

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. One (1) staff member, employed on August 15, 2023, had a medical exam on file dated August 21, 2023.

Violation confirmed corrected by letter received from provider on 7/1/2024

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. In Space #41, three (3) outlets on a surge protector on top of the green shelf behind the teacher’s desk, were not covered with outlet covers.

Violation corrected during visit

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 #41, one (1) bottle of Coppertone Sport Sunscreen Lotion expired March 2021.

Violation confirmed corrected by letter received from provider on 7/1/2024

All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In Space #41, one (1) Beixtopopo Laminator, which was plugged in, powered on, and warm to the touch, was on the green shelf behind the teacher’s desk, while children, two (2) and three (3) years of age were present in the classroom.

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) staff member, employed on August 15, 2023, had the results of a TB test on file dated January 24, 2024.

Violation confirmed corrected by letter received from provider on 7/1/2024

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 July 23, 2004, was completed on April 3, 2023.

Violation confirmed corrected by letter received from provider on 7/1/2024

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. The most recent emergency information form on file for one (1) staff member, employed on July 23, 2004, was completed on April 3, 2023.

Violation confirmed corrected by letter received from provider on 7/1/2024

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 August 14, 2023, one (1) staff member, employed on August 15, 2023, one (1) staff member, employed on August 24, 2023, one (1) staff member, employed on September 19, 2203, one (1) staff member, employed on October 18, 2023, one (1) staff member, employed on November 10, 2023, one (1) staff member, employed on December 4, 2023, and one (1) staff member, employed on January 29, 2024, did not receive sixteen (16) hours of orientation, including a review of the facility’s Emergency Preparedness and Response Plan and the facility’s Emergency Medical Care Plan, in the first six (6) weeks of employment. One (1) staff member, employed on May 20, 2024, did not receive six (6) hours of orientation, including a review of the facility’s Emergency Preparedness and Response Plan and the facility’s Emergency Medical Care Plan, in the first two (2) weeks of employment.

Violation confirmed corrected by letter received from provider on 7/1/2024

Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. The discipline policy on file for one (1) child, enrolled on October 18, 2023, did not include the child’s enrollment date. The discipline policy was signed by the parent on October 8, 2023. The discipline policy on file for one (1) child, enrolled on May 29, 2023, did not include the child’s enrollment date. The discipline policy was signed by the parent on May 26, 2023.

Violation confirmed corrected by letter received from provider on 7/1/2024

The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The allergy medical action plan for one (1) child, enrolled in Space #4, was last updated on February 28, 2023. The asthma medical action plan for one (1) child, enrolled in Space #9, was last updated on February 28, 2023.

Violation confirmed corrected by letter received from provider on 7/1/2024

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space #1, there were no Permission to Administer Medication Forms for one (1) tube of Up & Up Diaper Rash Paste and one (1) tube of Aquaphor Healing Ointment Baby. In Space #1, a Permission to Administer Medication Form was not completed for each individual medication: Desitin Maximum Strength Diaper Rash Paste, Boudreauxs Butt Paste Diaper Rash Ointment, and Neosporin First Aid Antiseptic were all listed on one (1) Permission to Administer Medication Form. In Space #4, the Permission to Administer Medication Form for one (1) Epinephrine Injection, USP, expired on May 1, 2024.

Violation confirmed corrected by letter received from provider on 7/1/2024

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 (1) staff member, employed on August 14, 2023, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training until December 20, 2023. One (1) staff member, employed on August 15, 2023, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training until December 21, 2023. One (1) staff member, employed on September 19, 2023, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training until January 8, 2024. One (1) staff member, employed on August 24, 2023, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training until December 26, 2023.

Violation confirmed corrected by letter received from provider on 7/1/2024

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. In Space #2, one (1) aerosol can of Lysol Disinfectant Spray, with multiple warnings, was in the bottom, right, unlocked drawer of the teacher’s desk. In Space #2, one (1) bottle of Equate Moisturizing Hand Sanitizer, with multiple warnings, was in the top, right, unlocked drawer of the teacher’s desk, two (2) feet, one (1) inch from the ground. In Space #42, one (1) container of Great Value Disinfecting Wipes, with multiple warnings, was on the cabinet behind the teacher’s desk, three (3) feet ten (10) inches from the ground.

Violation corrected during visit

A room was occupied by more children than the space allowed at 25-sq. ft. of floor space per child. In Space #3, fourteen (14) children were present. The maximum capacity of Space #3 is thirteen (13) children.

Violation confirmed corrected by follow-up visit made by consultant on 1/24/2024

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. In Space #42, four (4) aerosol cans of Lysol Disinfectant spray, one (1) aerosol can of Great Value Disinfectant Spray, one (1) aerosol can of Keystone Asepticare Aerosol Disinfectant Viruside, and one (1) bottle of Simple Green All Purpose cleaner, all with multiple warnings, were in an unlocked cabinet above the handwashing sink.

Violation confirmed corrected by follow-up visit made by consultant on 1/24/2024

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In Space #42, on January 8, 2024, a staff member yelled the following statements in harsh tones at children: “lay down”, “we’re not playing”, “we’re not playing today”, “stop”, “not moving”, and “it is not time to play”.

Violation confirmed corrected by follow-up visit made by consultant on 1/24/2024

Discipline was related to food, rest or toileting. In Space #42, on January 8, 2024, a staff member kicked the mat of two (2) children during nap time when the children moved around on their mats. In Space #42, on January 8, 2024, a staff member kicked the foot of one (1) child who was lying on a mat during nap time when the child moved their feet.

Violation confirmed corrected by follow-up visit made by consultant on 1/24/2024

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In Space #3, fourteen (14) children, two (2) and three (3) years of age, were present with one (1) staff member.

Violation confirmed corrected by follow-up visit made by consultant on 1/24/2024

Children were not adequately supervised at all times. One (1) child, four (4) years of age, was found unattended walking out of Space #4, walking down the hallway, and into Space #8 while no staff members were present in Space #4 or in the hallway. All the lights were off in Space #4.

Violation confirmed corrected by follow-up visit made by consultant on 1/24/2024

Prior to employment a Criminal Background Check was not completed. One (1) staff member, A.A., employed on August 21, 2023, who was present and caring for children during the visit, did not complete the process to obtain a criminal background check. One (1) occupational therapist, A.H., who was present and working one-on-one with a child during the visit, alone in an approved special use space in the facility, did not complete the process to obtain a criminal background check.

Violation confirmed corrected by letter received from provider on 12/22/2023

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. One (1) staff member, employed on August 14, 2023, one (1) staff member, employed on August 15, 2023, and two (2) staff members, employed on August 21, 2023, did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training.

Violation confirmed corrected by letter received from provider on 12/22/2023

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. A copy of the approved annual fire inspection report for the fire inspection conducted on October 30, 2023, was not submitted to the Division.

Violation confirmed corrected by letter received from provider on 12/22/2023

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, six (6) outlets on a surge protector on top of the cubbies used to store items belonging to children, were not covered with safety plugs. In Space #4, two (2) outlets on a surge protector on top of the filing cabinet were not covered with safety plugs. In Space #41, two (2) outlets on a surge protector on top of the shelf behind the teacher’s desk, were not covered with safety plugs. In Space #41, one (1) outlet on the end of a string of Christmas lights, hanging down from the bulletin board was not covered with a safety plug. In the gym, where children enrolled in the facility were playing during the visit, one (1) outlet on the wall to the right of the storage cabinet, was not covered with a safety plug. In the cafeteria, where children enrolled in the facility were eating breakfast during the visit, one (1) outlet on a surge protector on a table to the right of the drink machine, was not covered with a safety plug.

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 #1, one (1) aerosol can of Keystone Asepticare Aerosol Disinfectant Viruside and one (1) aerosol can of Up and Up Disinfectant Spray, both with multiple warnings, were on a shelf above the toilet in the restroom used by children. In Space #2, one (1) aerosol can of Lysol Disinfectant Spray All In One with multiple warnings was on a shelf above the toilet in the restroom used by children. In Space #2, one (1) aerosol can of Lysol Disinfectant Spray and one (1) aerosol can of Keystone Asepticare Aerosol Disinfectant Viruside, both with multiple warnings, were in an unlocked cabinet behind the classroom door. In Space #41, one (1) pack of Up and Up Disinfecting Wipes and one (1) aerosol can of Lysol Disinfectant Spray, both with multiple warnings, were in an unlocked cabinet behind the teacher’s desk. In Space #41, three (3) aerosol cans of Lysol Disinfectant Spray, one (1) bottle of TrueLiving Mold and Mildew Remover, and one (1) aerosol can of Great Value Disinfectant Spray, all with multiple warnings, were on a shelf above the toilet in the restroom used by children. In Space #41, one (1) container of Lysol Disinfecting wipes with multiple warnings was in an unlocked cabinet above the handwashing sink. In Space #42, one (1) aerosol can of Great Value Disinfectant Spray, one (1) bottle of Simple Green All Purpose Cleanser, and one (1) aerosol can of Lysol Disinfectant Spray, all with multiple warnings, were on a shelf above the toilet in the restroom used by children. In Space #42, five (5) aerosol cans of Lysol Disinfectant Spray, four (4) containers of Clorox Disinfecting Wipes, one (1) container of Great Value Disinfecting Wipes, one (1) aerosol can of Asepticare Aerosol Disinfectant Virucide, one (1) package of Lysol Disinfecting Wipes, and one (1) package of Clorox Disinfecting Wipes, all with multiple warnings, were in an unlocked cabinet above the handwashing sink. In the cafeteria, where children enrolled in the facility were eating breakfast during the visit, one (1) aerosol can of Loctite Spray and Adhesive, with multiple warnings, was in an unlocked cabinet to the left of the exit door to the parking lot.

Violation corrected during visit

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. Two (2) staff members, both employed on August 21, 2023, did not complete First Aid Training. One (1) staff member, employed on August 14, 2023, did not complete First Aid Training. One (1) staff member, employed on August 15, 2023, did not complete First Aid Training. The First Aid certification for one (1) staff member, employed on August 31, 2001, expired November 30, 2023. The First Aid certification for one (1) staff member, employed on August 28, 2022, expired on September 15, 2023. The First Aid certification for one (1) staff member, employed on July 23, 2004, expired on November 1, 2023. The First Aid certification for one (1) staff member, employed on November 10, 2022, expired on November 11, 2023.

Violation confirmed corrected by letter received from provider on 12/22/2023

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. Two (2) staff members, both employed on August 21, 2023, did not complete CPR Training. One (1) staff member, employed on August 14, 2023, did not complete CPR Training. One (1) staff member, employed on August 15, 2023, did not complete CPR Training. The CPR certification for one (1) staff member, employed on August 31, 2001, expired November 30, 2023. The CPR certification for one (1) staff member, employed on August 28, 2022, expired on September 15, 2023. The CPR certification for one (1) staff member, employed on July 23, 2004, expired on November 1, 2023. The CPR certification for one (1) staff member, employed on November 10, 2022, expired on November 11, 2023.

Violation confirmed corrected by letter received from provider on 12/22/2023

Center did not maintain a record of daily attendance. In Space #4, attendance was not documented for one (1) child on December 7, 2023, one (1) child on December 8, 2023, and two (2) children on December 12, 2023. In Space #5, attendance was not documented for two (2) children on December 4, 2023, two (2) children on December 5, 2023, four (4) children on December 6, 2023, five (5) children on December 7, 2023, three (3) children on December 8, 2023, four (4) children on December 11, 2023, and four (4) children on December 12, 2023.

Violation confirmed corrected by letter received from provider on 12/22/2023

A valid qualification letter was not on file and available to review at the facility. One (1) staff member, A.A., employed on August 21, 2023, who was present and caring for children during the visit, did not have qualification letter on file. One (1) occupational therapist, A.H., who was present and working one-on-one with a child during the visit, alone in an approved special use space in the facility, did not have a valid qualification letter on file.

Violation confirmed corrected by letter received from provider on 12/22/2023