Brown Road Kindercare

Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A can of Pringles chips and a Starbucks coffee cup was observed in space one (1).

Violation corrected during visit

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. One staff member was alone with eight (8) one (1) year olds in a classroom.

Violation confirmed corrected by follow-up visit made by consultant on 4/20/2026

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 Two (2) children immunization records were not on file.

Violation confirmed corrected by letter received from provider on 3/24/2026

Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) employee's personnel file did not contain an annual staff evaluation.

Violation confirmed corrected by letter received from provider on 3/24/2026

Medical exam or health assessment record was not on file before or within 30 days after admission. Two (2) children did not have a medical assessment on file.

Violation confirmed corrected by letter received from provider on 3/24/2026

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A summary of the NC Child Care Law was not given to a parent of one (1) child enrolled in the center.

Violation confirmed corrected by letter received from provider on 3/24/2026

A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for each group of children for reference in space one (1), three (3), and five (5).

Violation confirmed corrected by letter received from provider on 3/24/2026

Parent's medication authorization did not include required information. Vaseline in space one (1) did not have authorization documentation. Diaper cream and lotion in space two (2) did not authorization documentation. Two (2) diaper crams in space two (2) did not have authorization documentation.

Violation confirmed corrected by letter received from provider on 3/24/2026

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Left over diaper cream after authorization had expired and children no longer enrolled was observed in space five (5).

Violation confirmed corrected by letter received from provider on 3/24/2026

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) new staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.

Violation confirmed corrected by letter received from provider on 3/24/2026

Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. Operational policies were not discussed with parents on or before one (1) child's first day.

Violation confirmed corrected by letter received from provider on 3/24/2026

Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. A signed and dated statement by parent that discipline policy received and explained at enrollment was not in one (1) child's file.

Violation confirmed corrected by letter received from provider on 3/24/2026

Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.

Violation confirmed corrected by letter received from provider on 3/24/2026

Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A starbucks cup was observed in space one (1).

Violation confirmed corrected by letter received from provider on 3/24/2026

Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child with asthma did not have a medical action plan on file.

Violation confirmed corrected by letter received from provider on 3/24/2026

The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. The operator did not notify the parent of one (1) child enrolled in writing of the smoking and tobacco restriction.

Violation confirmed corrected by letter received from provider on 3/24/2026

The professional development plan was not reviewed annually. Two (2) staff member's professional development plans were not reviewed annually.

Violation confirmed corrected by letter received from provider on 3/24/2026

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. One (1) 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.

Violation confirmed corrected by letter received from provider on 3/24/2026

Children were not adequately supervised at all times. On 12/17/2025, a toddler wandered into the hallway and was unsupervised for at least thirty (30) seconds.

Violation confirmed corrected by follow-up visit made by consultant on 1/27/2026

The written feeding plan was not modified as the child's needs changed. One (1) child's feeding plan was not updated.

Violation confirmed corrected by letter received from provider on 1/6/2026

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One (1) staff member's medication was observed on a counter in space one (1).

Violation corrected during visit

Application for employment and date of birth was not on file for all staff. An application for employment was not of file for one (1) staff member.

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

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. Outlets were not covered with safety plugs in space eleven (11).

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

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. Keys were left in the closet door for space nine (9), and space eleven (11) where hazardous products were stored

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

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playground inspections were not completed for the months of June-October 2025.

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

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. Documentation of visually checking sleeping infants was not completed correctly from the months of October-November 2025.

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

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. Three (3) child care providers did not have a medical report on file.

Violation confirmed corrected by letter received from provider on 12/15/2025

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) staff member provided TB test after the first day of work.

Violation corrected during visit

All staff records, except financial records, were not made available for review. Staff records were not available for review for one (1) staff member.

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

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Five (5) new staff members did not receive at least 16 hours of orientation.

Violation confirmed corrected by letter received from provider on 12/15/2025

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. Two (2) staff members did not successfully complete first aid training.

Violation confirmed corrected by letter received from provider on 12/15/2025

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. Two (2) staff members did not successfully complete CPR training.

Violation confirmed corrected by letter received from provider on 12/15/2025

Personnel policies were not discussed with each staff at employment and a copy was not available to all staff. Documentation of personnel policies were not discussed with five (5) staff members.

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

A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on file and available for review for two (2) staff members.

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

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. The prevention of shaken baby syndrome and abusive head trauma policy was not reviewed with five (5) new staff prior to providing care with children.

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

Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Five (5) staff members medical files were not maintained separately from their personnel file.

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

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 member did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days.

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

Parent's medication authorization did not include required information. Desitin located in space four(4) permission to administer had expired.

Violation confirmed corrected by letter received from provider on 4/2/2025

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Food substitution was not recorded on the menu prior to the meal or snack being served during today's visit.

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. Two (2) electrical outlets in space eight (8) were not covered.

Violation corrected during visit

There was no written emergency medical care (EMC) plan. The EMC plan did not contain accurate information.

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 did not successfully complete recertification in First Aid appropriate to the age of children in care within the required timeframe.

Violation corrected during visit

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 did not successfully complete recertification in CPR training appropriate to the age of the children in care within in the required timeframe.

Violation corrected during visit

A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in space one (1), two (2), and three (3) for reference.

Violation corrected during visit

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. It was not documented that one (1) new staff member, who had contact with children, had received at least 16 hrs. orientation within first 6 weeks.

Violation corrected during visit

Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. One (1) staff members required medical report, proof of tuberculosis test or screening and/or completed health questionnaire was not in a medical file, maintained separately from their individual personnel file.

Violation corrected during visit

Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratios applicable to a classroom, were not posted in six (6) classrooms.

Violation corrected during visit

Children were not adequately supervised at all times. A two (2) year old child was left alone and unsupervised in the outdoor play area for four (4) minutes.

Violation confirmed corrected by follow-up visit made by consultant on 10/31/2024

Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space #1, 2, and 4 there was no soap at the sinks, and there were no paper towels in the teacher’s bathroom.

Violation confirmed corrected by letter received from provider on 8/1/2024

A safe indoor and outdoor environment was not provided for the children. Three (3) Epi pens had been sent home because they had expired. The children were still enrolled and present. The red barn shed has broken wood on the doors that need to be repaired.

Violation confirmed corrected by letter received from provider on 8/1/2024

Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. No children had a discipline policy in their file that had been signed and dated by the parent.

Violation confirmed corrected by letter received from provider on 8/1/2024

The depth of the loose surfacing was not based on critical height of the equipment. The playground that the preschool children play in does not have the required measure for mulch around the play structure.

Violation confirmed corrected by letter received from provider on 8/12/2024

The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Five (5) feeding schedules were not signed by the parent.

Violation confirmed corrected by follow-up visit made by consultant on 5/13/2024

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. In space #1 Infants five (5) infants were in their cribs. One (1) infant was asleep. None of the infant’s Safe Sleep Charts had been documented.

Violation confirmed corrected by follow-up visit made by consultant on 5/13/2024

NC Pre-K program staff/child ratios and group sizes were not met. One (1) NC Pre K teacher was on the playground with 13 (thirteen) children.

Violation confirmed corrected by follow-up visit made by consultant on 5/13/2024

Children were not adequately supervised at all times. One (1) teacher was sitting in a chair away from the children and one (1) teacher was walking towards the shade looking down at her phone, in the direction away from the children. Children were not being supervised in the outdoor learning environment.

Violation confirmed corrected by follow-up visit made by consultant on 5/13/2024

Staff/child ratios applicable to a classroom, were not posted in each classroom. Space 8 did not have a staff/child ratio sheet posted in the classroom.

Violation confirmed corrected by follow-up visit made by consultant on 5/13/2024

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. In space #9 children were observed eating pizza, french fries, vegetables, and fruit. The menu stated hotdogs would be served with french fries, vegetables, and fruit.

Violation corrected during visit