Grace Child Care Center

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. Administration has not notified the Division of two employees within five business days of hire date.

Violation confirmed corrected by letter received from provider on 7/8/2026

A violation was found for which there is no item number. Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. In space #1 and #3, a staff member's purse was not stored at least five feet above the floor or in locked storage. This is a violation of requirement 15A NCAC 18A .2820(g).

Violation corrected during visit

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 on file is dated December 2024. Documentation was on file that the Fire Inspector conducted a visit in April 2025 however, the Adult Day Care and Child Care Fire Inspection report was not on file.

Violation confirmed corrected by letter received from provider on 2/18/2026

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A lockdown drill was last conducted on October 9, 2025.

Violation confirmed corrected by letter received from provider on 2/5/2026

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #6, a staff member's prescription medication was stored in the door of the refrigerator.

Violation confirmed corrected by letter received from provider on 7/11/2025

The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured three and five inches in two areas in the fall zone for the climbing structure on the preschool playground instead of the required six inches.

Violation confirmed corrected by letter received from provider on 7/29/2025

Staff/child ratios applicable to a classroom, were not posted in each classroom. In space #3, the staff/child ratio sheet was not posted.

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. An open bag of potting soil was stored an unlocked storage building on the preschool playground.

Violation confirmed corrected by letter received from provider on 7/11/2025

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. One new staff member's First Aid training was not from an approved organization.

Violation confirmed corrected by letter received from provider on 7/16/2025

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. One new staff member's CPR training was not from an approved organization.

Violation confirmed corrected by letter received from provider on 7/16/2025

Diaper changing surfaces were not kept free of storage. In space #2, the space was free of storage, however the diaper changing pad had several torn places causing the changing pad not to be disinfected properly.

Violation confirmed corrected by letter received from provider on 2/13/2025

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. Outlet safety covers were missing from an outlet in the restroom between space #5 and #6 and four in the entrance of spaces #5 and #6.

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 sapce #4, plastic bags of diapers were being stored in an unlocked bottom cabinet.

Violation confirmed corrected by letter received from provider on 2/13/2025

A violation was found for which there is no item number. Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable. In space #2, a purse was located on a coat hook and was not at least five feet above the floor. This violation of a requirement in 15A NCAC 18A .2820(g).

Violation corrected during visit

All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In Space 3, and infant was observed drinking milk from a sippy cup while propped on a large boppy pillow.

Violation confirmed corrected by letter received from provider on 7/24/2024

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. In Spaces 2, 3 and 4 bottles and cups for several children were observed not dated and labeled.

Violation confirmed corrected by letter received from provider on 7/24/2024

Electrical cords were accessible to infants and toddlers. In Space 2, an electrical cord was observed hanging and accessible to children.

Violation confirmed corrected by letter received from provider on 7/24/2024

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place was conducted 4-17-2024 and was due by 7-17-2024.

Violation confirmed corrected by letter received from provider on 7/24/2024

Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. A wooden kitchen set on the two year old outdoor play area did not close properly creating a pinch point. In space 4, a refrigerator in dramatic play area did not close properly creating a pinch point. In Space 5, the handle on the cabinet in the kitchenette needs to be replaced.

Violation confirmed corrected by letter received from provider on 7/24/2024

The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The preschool play area has standing water at the end of the slide, in the sensory table and on the sandbox cover. Weeds are growing in the mulch near the playground border around the stationary play equipment.

Violation confirmed corrected by letter received from provider on 7/24/2024

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 4 a cold compress labeled keep out of reach of children was observed in an emergency back pack located accessible to children. In a covered walkthrough to the preschool outdoor play area potting soil was open adn accessible to children.

Violation confirmed corrected by letter received from provider on 7/24/2024

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 6, an emergency inhaler was observed not in original package with label and did not have a medical action plan.

Violation confirmed corrected by letter received from provider on 7/24/2024

Parent's medication authorization did not include required information. In Space 3, anti-fungal cream did not have physician's authorization. In Space 3, Anti-fungal cream was observed without physician's permission to administer. In Space 4, hydrocortisone was observed without a physician's permission to administer.

Violation confirmed corrected by letter received from provider on 7/24/2024

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. In Spaces 2, 3 and 4 plastic bags were observed accessible to children.

Violation confirmed corrected by letter received from provider on 7/24/2024

Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. In Space 3, it was documented that an infant was placed on tummy as the initial sleep position.

Violation confirmed corrected by letter received from provider on 7/24/2024

The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction.

Violation confirmed corrected by letter received from provider on 7/24/2024

The depth of the loose surfacing was not based on critical height of the equipment. The mulch located on the outdoor play area was compacted and did not meet the required depth.

Violation confirmed corrected by letter received from provider on 8/19/2024

All walls and ceilings including doors and windows were not kept clean and in good repair. In space #4, the paint on the wall was peeling in four different places.

Violation confirmed corrected by letter received from provider on 2/21/2024

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 #4 and #5, one outlet in each space was not protected with a safety cover.

Violation corrected during visit

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #4, a prescription medication was stored in a staff member's bag in an unlocked cabinet.

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 #4, a child's diaper cream had expired.

Violation corrected during visit