Kids 'r' Kids NC #13

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Six employees (DOH: 3/23/26, 4/27/26, 3/23/26, 4/13/26 and two on 3/30/26) did not complete the required number of orientation hours during the first six weeks of employment.

Violation confirmed corrected by letter received from provider on 7/1/2026

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 Gym 1 there was shaving cream stored in an unlocked cabinet, in Space 12, toilet bowl cleaner was stored in an unlocked cabinet. In the Cafe area, the laundry room was not locked.

Violation corrected during visit

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. Five staff members (DOH: 10/24/2025, 11/17/2025, 11/19/2025, 1/30/26, and 3/5/2026) did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

Violation confirmed corrected by letter received from provider on 7/1/2026

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 employee with a hire date of 1/30/26, did not have a complete medical report with all of the requirements.

Violation confirmed corrected by letter received from provider on 7/1/2026

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. Five staff members (DOH: 11/19/2025, 9/22/23, 3/5/2026, 12/8/23, 1/2/24) did not have an approved certification in First Aid.

Violation confirmed corrected by letter received from provider on 7/1/2026

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 employee (DOH: 3/5/26, 1/30/26) did not have a health care professional listed.

Violation confirmed corrected by letter received from provider on 7/1/2026

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. Two staff members (DOH: 3/5/2026, 9/22/23) did not have an approved CPR certification on file.

Violation confirmed corrected by letter received from provider on 7/1/2026

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 employees (DOH: 1/30/26 and 3/23/26) did not have documentation of the required ITS SIDS training.

Violation confirmed corrected by letter received from provider on 7/1/2026

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 employee (DOH: 1/30/26) did not have a copy of the Shaken Baby and Abusive Head Trauma Policy in their file.

Violation corrected during visit

A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space 1 there was a diaper ointment with no permission to administer form. In Space 4, there was a permission to administer form which had expired.

Violation corrected during visit

Application for enrollment did not include all required information. One child's file did not contain all the required information regarding health care concerns, fears, or allergies.

Violation confirmed corrected by letter received from provider on 12/24/2025

The equipment and materials were not age-appropriate for the children in care. In the classroom for school aged children, more materials with a higher level of difficulty like legos, games, books and puzzles needs to be added.

Violation confirmed corrected by letter received from provider on 12/24/2025

There were no clean clothes available for the children to wear when children's clothes became wet or soiled. There were no underwear provided to child when changing clothes after an incident during naptime.

Violation confirmed corrected by letter received from provider on 12/23/2025

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On April 10, 2025, a staff member inappropriately touched a four-year-old child on both sides of the face with an open hand.

Violation confirmed corrected by letter received from provider on 4/29/2025

All equipment and furnishings were not in good repair. In Space 2 plastic soft blocks had frayed corners. In Space 9 there were storage buckets with cracks which could harm a child, and ripped and torn books. In Spaces 4 and 8 the rugs had frayed corners which can be a tripping hazard. In Spaces 7 and 10 the sink in the home living areas did not have a faucet. In Space 6 there were ripped and torn books.

Violation confirmed corrected by letter received from provider on 1/8/2025

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. In Spaces 4 and 11 there were outlets that did not have safety covers.

Violation corrected during visit

A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. Two children's files did not contain the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy.

Violation confirmed corrected by letter received from provider on 1/8/2025

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 5b the storage closet containing cleaning supplies was not locked.

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) In Space 1, infant feeding plans were not posted.

Violation corrected during visit

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. A photograph was missing from one of the children's emergency information forms.

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 4, Hello Bello hand sanitizer, white out and batteries were not kept in locked storage as required.

Violation corrected during visit

A drug or medicine was administered after its expiration date. In Space 12 a tube of Desitin diaper ointment had an expiration date of 1/2020.

Violation corrected during visit

A violation was found for which there is no item number. In Space 8 there was no toilet paper in the girls bathroom. This is a violation of 15A NCAC 18A .2817(a).

Violation corrected during visit

A safe indoor and outdoor environment was not provided for the children. Turf on the playground used by two and three year old children was missing exposing the rubber padding underneath. Also, there were gaps of space between the turf and sidewalks which could create a tripping hazard for children.

Violation confirmed corrected by letter received from provider on 12/5/2023

No longer on the state’s site as of August 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 5b a janitorial closet was left unlocked. There were cleaning supplies accessible to children in the closet.

Violation corrected during visit

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

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 2 there was an ointment marked Rx Only without a pharmaceutical label.

Violation corrected during visit

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

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. A child sleeping in their crib did not have anything documented on the sleep log.

Violation corrected during visit