National Child Care Institute

A safe indoor and outdoor environment was not provided for the children. The gate to a fenced area storing yard equipment and trailers with sharp edges and rust was not locked making the area accessible to children.

Violation corrected during visit

The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the stationary equipment was compacted with insufficient amounts to rake did not meet the critical depth required for resilient surfacing.

Violation confirmed corrected by letter received from provider on 7/2/2026

Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. One (1) picnic table on the side play area had warped and splintering boards accessible to children.

Violation confirmed corrected by letter received from provider on 7/30/2025

Emergency information record did not include chronic illness and any medication taken for the illness. In Space 1, a child requiring Benadryl on the emergency care plan emergency medication did not have Benadryl on site.

Violation confirmed corrected by letter received from provider on 7/30/2025

The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the stationary play equipment was compacted and measured 4.25" at the deepest depth.

Violation confirmed corrected by letter received from provider on 7/30/2025

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 4, triple antibiotic cream was observed accessible to children in a child's backpack stored on the floor.

Violation corrected during visit

Equipment and furnishings were not sturdy, stable and free of hazards. The stationary equipment had rust exposed on platforms, steps and sides of the equipment where the rubber had worn away.

Violation confirmed corrected by letter received from provider on 8/9/2025

A safe indoor and outdoor environment was not provided for the children. In Space 1 locked cabinets did not close flush creating a pinch point for children.

Violation confirmed corrected by letter received from provider on 3/30/2025

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 plastic baggies in open lunch boxes and in Space 3 diapers wrapped in plastic was accessible to children.

Violation confirmed corrected by letter received from provider on 3/24/2025

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 hire August 15, 2024 did not complete recognizing and responding to child maltreatment training.

Violation confirmed corrected by letter received from provider on 3/26/2025

Electrical cords were accessible to infants and toddlers. In Space 1, cords to a television and radio were accessible to children.

Violation confirmed corrected by letter received from provider on 3/24/2025

Parent's medication authorization did not include required information. In Space 1 one child with emergency medication had an expired permission to administer form dated 1/15/2025.

Violation confirmed corrected by letter received from provider on 3/24/2025

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 #1, Auvi-Q was present without the original container.

Violation confirmed corrected by letter received from provider on 8/13/2024

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. Documentation was not on file for one new staff member verifying they were free of TB.

Violation confirmed corrected by letter received from provider on 8/13/2024

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 #5, a staff member's purse was being stored less than five feet from the floor in an unlocked closet. This is a violation of a requirement of 15A NCAC 18A .2820(g).

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. There was a substitute present during the visit that did not have verification on file that a TB test or screening had been completed.

Violation confirmed corrected by letter received from provider on 2/15/2024

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A shelter-in-place and lockdown drills were conducted January 16, 2024 however, the previous drills were conducted October 6, 2023 therefore, they were not conducted every three months.

Violation corrected during visit

A violation was found for which there is no item number.(g) 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 #3, a staff member's purse was located on a storage bin that was not five feet above the finished floor. This is a violation of 15A NCAC 18A .2820 STORAGE

Violation corrected during visit