Cadence Academy Preschool, Kenton

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. There was no annual health questionnaire on file for S. Burton, K. Campagnone and A. Subandh.

Violation corrected during visit

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. There was no documentation on file that parents received the summary of the law for 4 children enrolled in the program.

Violation confirmed corrected by letter received from provider on 8/26/2026

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space #5, there is chipped paint on the wall.

Violation pending provider response

All equipment and furnishings were not in good repair. There is a cracked at the end of the slide on the preschool playground.

Violation confirmed corrected by letter received from provider on 8/26/2026

A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In spaces #2, #4, #5 there were no permission to give forms for several children's sunscreen and/or diaper creams.

Violation confirmed corrected by letter received from provider on 8/26/2026

The EMC plan was not reviewed with all staff annually and whenever the plan was revised. There was no documentation of an annual review for 2 staff members.

Violation corrected during visit

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. A staff members medical report was not on file.

Violation confirmed corrected by letter received from provider on 8/26/2026

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. A staff member did not have an annual Emergency information on file.

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. A staff member did not have a current first aid training.

Violation confirmed corrected by letter received from provider on 8/26/2026

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. A staff member did not have a current CPR course on file.

Violation confirmed corrected by letter received from provider on 8/26/2026

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. There was documentation of an annual review for 2 staff members.

Violation corrected during visit

Staff did not complete the health and safety training within one year of employment. There was no documentation on file that a staff member completed the trainings within 1 year of employment.

Violation pending provider response

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 for 1/13/2026 did not include all the required information. There was no documentation of parent notification and time.

Violation confirmed corrected by letter received from provider on 8/11/2026

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space #9, there is peeling paint on a wall in block area.

Violation confirmed corrected by letter received from provider on 2/24/2026

Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A staff member did not complete the documents required prior to expiration date of qualification letter.

Violation confirmed corrected by letter received from provider on 2/24/2026

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. C. Ramirez, R. Flood, A. Campagnone, and E. Buck do not have current First Aid training on file.

Violation confirmed corrected by letter received from provider on 2/24/2026

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. C. Ramirez, R. Flood, A. Campagnone and E. Buck do not have current CPR training on file.

Violation confirmed corrected by letter received from provider on 2/24/2026

A current activity plan was not posted for each group of children for reference. In space #6, there was no current activity plan posted.

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 #2, there was no feeding schedule posted for 1 infant.

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 #11, there were 2 children suncscreens with no permission forms.

Violation corrected during visit

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There was no documentation of a required playground inspection for July 2025.

Violation confirmed corrected by letter received from provider on 9/2/2025

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. K. Ridgeway orientation documentation was incomplete within 6 weeks of employment.

Violation confirmed corrected by letter received from provider on 9/2/2025

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. K. Ridgeway documentation of orientation training within 2 weeks of employment was incomplete.

Violation confirmed corrected by letter received from provider on 9/2/2025

Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. There was no documentation on file for an annual development plan and evaluation for all staff over 1 year of employment.

Violation confirmed corrected by letter received from provider on 9/2/2025

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. There was no documentation on file that K. Ridgeway completed the maltreatment training within 90 days of employment.

Violation confirmed corrected by letter received from provider on 9/2/2025

Staff did not complete the health and safety training within one year of employment. There was no documentation on file that A. Reynolds completed the trainings within one year of employment.

Violation confirmed corrected by letter received from provider on 9/2/2025

Each infant was not served only bottles labeled with their individual name. On July 7, 2025 an infant was served the wrong bottle label with another infants name.

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

Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In space #9, there are torn cots.

Violation confirmed corrected by letter received from provider on 3/14/2025

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space #9, there is peeling paint on the wall in the block area.

Violation confirmed corrected by letter received from provider on 3/14/2025

All equipment and furnishings were not in good repair. In space #1, a dresser has peeling paint.

Violation confirmed corrected by letter received from provider on 3/14/2025

Staff did not complete the health and safety training within one year of employment. There was no documentation on file that D. Arango and A. Campagnone completed the trainings within one year of employment. There was no documentation on file that E. Buck completed the medication health and safety training within one year of employment.

Violation confirmed corrected by letter received from provider on 3/14/2025

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. A staff member completed the first aid training after 90 days of employment.

Violation confirmed corrected by letter received from provider on 8/29/2024

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. A staff member completed the CPR course after 90 days of employment.

Violation confirmed corrected by letter received from provider on 8/29/2024

Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two staff members did not complete the maltreatment training within the 5 year mark.

Violation confirmed corrected by letter received from provider on 8/29/2024

All walls and ceilings including doors and windows were not kept clean and in good repair. In space #9, there is peeling paint on the walls.

Violation confirmed corrected by letter received from provider on 3/28/2024

Application for employment and date of birth was not on file for all staff. There was no application on file for M. Jones.

Violation confirmed corrected by letter received from provider on 3/20/2024

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. There was no documentation that M. Jones completed the required orientation training within 2 weeks of employment.

Violation confirmed corrected by letter received from provider on 3/20/2024

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child's file was missing documentation that the parents received the summary of the law.

Violation corrected during visit

A current activity plan was not posted for each group of children for reference. In spaces #2, #3, #4, #6 and #8 there were no current activity plans posted.

Violation corrected during visit

All walls and ceilings including doors and windows were not kept clean and in good repair. In spaces #4 and #5, there is peeling paint on the walls.

Violation confirmed corrected by follow-up visit made by consultant on 9/18/2023

A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #2, there was permission to give form for a child's sunscreen.

Violation confirmed corrected by follow-up visit made by consultant on 9/18/2023

Parent's medication authorization did not include required information. In space #7, a permission form for a child's sunscreen had incomplete information.

Violation corrected during visit

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There was no documentation of playground inspections for March and April 2023.

Violation confirmed corrected by follow-up visit made by consultant on 9/18/2023

The EMC plan was not reviewed with all staff annually and whenever the plan was revised. There was no documentation on file of an annual emc plan review for S. Burton and K. Campagnone.

Violation corrected during visit

The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #2, there was no safe sleep policy posted.

Violation corrected during visit

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. There was no annual emergency information form on file for S. Burton, K. Campanone and A. Subandh.

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. There was no documentation of current first aid training for G. Croft.

Violation confirmed corrected by follow-up visit made by consultant on 9/18/2023

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. There was no documentation of current CPR for G. Croft.

Violation confirmed corrected by follow-up visit made by consultant on 9/18/2023

Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. There was no documentation on file that S. Burton, A. Subandh and K. Campagnone completed an annual staff evaluation and development plan.

Violation corrected during visit

Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. A child's file was missing information that the parent signed a statement regarding the facility's behavior policy.

Violation corrected during visit

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. There was a teachers mountain dew soda on the counter.

Violation corrected during visit

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. There was no documentation on file of an annual EPR review for S. Burton and K. Campagnone.

Violation corrected during visit

The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. A child's file was missing documentation about the no smoking and tobacco restriction.

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. A child's file was missing documentation regarding the parents receiving the shaken baby policy.

Violation corrected during visit

A violation was found for which there is no item number. 15A NCAC 18A . 2820 Storage (b). There was diaper creams and sunscreens stored below 5ft on a table.

Violation corrected during visit

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. There was no documentation on file that parents received the summary of the law for 4 children enrolled in the program.

Violation confirmed corrected by letter received from provider on 8/26/2026

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space #5, there is chipped paint on the wall.

Violation pending provider response

All equipment and furnishings were not in good repair. There is a cracked at the end of the slide on the preschool playground.

Violation confirmed corrected by letter received from provider on 8/26/2026

A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In spaces #2, #4, #5 there were no permission to give forms for several children's sunscreen and/or diaper creams.

Violation confirmed corrected by letter received from provider on 8/26/2026

The EMC plan was not reviewed with all staff annually and whenever the plan was revised. There was no documentation of an annual review for 2 staff members.

Violation corrected during visit

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. A staff members medical report was not on file.

Violation confirmed corrected by letter received from provider on 8/26/2026

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. A staff member did not have an annual Emergency information on file.

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. A staff member did not have a current first aid training.

Violation confirmed corrected by letter received from provider on 8/26/2026

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. A staff member did not have a current CPR course on file.

Violation confirmed corrected by letter received from provider on 8/26/2026

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. There was documentation of an annual review for 2 staff members.

Violation corrected during visit

Staff did not complete the health and safety training within one year of employment. There was no documentation on file that a staff member completed the trainings within 1 year of employment.

Violation pending provider response

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 for 1/13/2026 did not include all the required information. There was no documentation of parent notification and time.

Violation confirmed corrected by letter received from provider on 8/11/2026

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space #9, there is peeling paint on a wall in block area.

Violation confirmed corrected by letter received from provider on 2/24/2026

Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). A staff member did not complete the documents required prior to expiration date of qualification letter.

Violation confirmed corrected by letter received from provider on 2/24/2026

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. C. Ramirez, R. Flood, A. Campagnone, and E. Buck do not have current First Aid training on file.

Violation confirmed corrected by letter received from provider on 2/24/2026

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. C. Ramirez, R. Flood, A. Campagnone and E. Buck do not have current CPR training on file.

Violation confirmed corrected by letter received from provider on 2/24/2026

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There was no documentation of a required playground inspection for July 2025.

Violation confirmed corrected by letter received from provider on 9/2/2025

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. K. Ridgeway orientation documentation was incomplete within 6 weeks of employment.

Violation confirmed corrected by letter received from provider on 9/2/2025

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. K. Ridgeway documentation of orientation training within 2 weeks of employment was incomplete.

Violation confirmed corrected by letter received from provider on 9/2/2025

Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. There was no documentation on file for an annual development plan and evaluation for all staff over 1 year of employment.

Violation confirmed corrected by letter received from provider on 9/2/2025

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. There was no documentation on file that K. Ridgeway completed the maltreatment training within 90 days of employment.

Violation confirmed corrected by letter received from provider on 9/2/2025

Staff did not complete the health and safety training within one year of employment. There was no documentation on file that A. Reynolds completed the trainings within one year of employment.

Violation confirmed corrected by letter received from provider on 9/2/2025

A current activity plan was not posted for each group of children for reference. In space #6, there was no current activity plan posted.

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 #2, there was no feeding schedule posted for 1 infant.

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 #11, there were 2 children suncscreens with no permission forms.

Violation corrected during visit

Each infant was not served only bottles labeled with their individual name. On July 7, 2025 an infant was served the wrong bottle label with another infants name.

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

Beds, cots and mats were not in good repair, properly handled, stored, or clean and sanitized between users. In space #9, there are torn cots.

Violation confirmed corrected by letter received from provider on 3/14/2025

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space #9, there is peeling paint on the wall in the block area.

Violation confirmed corrected by letter received from provider on 3/14/2025

All equipment and furnishings were not in good repair. In space #1, a dresser has peeling paint.

Violation confirmed corrected by letter received from provider on 3/14/2025

Staff did not complete the health and safety training within one year of employment. There was no documentation on file that D. Arango and A. Campagnone completed the trainings within one year of employment. There was no documentation on file that E. Buck completed the medication health and safety training within one year of employment.

Violation confirmed corrected by letter received from provider on 3/14/2025

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. A staff member completed the first aid training after 90 days of employment.

Violation confirmed corrected by letter received from provider on 8/29/2024

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. A staff member completed the CPR course after 90 days of employment.

Violation confirmed corrected by letter received from provider on 8/29/2024

Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Two staff members did not complete the maltreatment training within the 5 year mark.

Violation confirmed corrected by letter received from provider on 8/29/2024

All walls and ceilings including doors and windows were not kept clean and in good repair. In space #9, there is peeling paint on the walls.

Violation confirmed corrected by letter received from provider on 3/28/2024

Application for employment and date of birth was not on file for all staff. There was no application on file for M. Jones.

Violation confirmed corrected by letter received from provider on 3/20/2024

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. There was no documentation that M. Jones completed the required orientation training within 2 weeks of employment.

Violation confirmed corrected by letter received from provider on 3/20/2024

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. A child's file was missing documentation that the parents received the summary of the law.

Violation corrected during visit

A current activity plan was not posted for each group of children for reference. In spaces #2, #3, #4, #6 and #8 there were no current activity plans posted.

Violation corrected during visit

All walls and ceilings including doors and windows were not kept clean and in good repair. In spaces #4 and #5, there is peeling paint on the walls.

Violation confirmed corrected by follow-up visit made by consultant on 9/18/2023

A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #2, there was permission to give form for a child's sunscreen.

Violation confirmed corrected by follow-up visit made by consultant on 9/18/2023

Parent's medication authorization did not include required information. In space #7, a permission form for a child's sunscreen had incomplete information.

Violation corrected during visit

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. There was no documentation of playground inspections for March and April 2023.

Violation confirmed corrected by follow-up visit made by consultant on 9/18/2023

The EMC plan was not reviewed with all staff annually and whenever the plan was revised. There was no documentation on file of an annual emc plan review for S. Burton and K. Campagnone.

Violation corrected during visit

The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In space #2, there was no safe sleep policy posted.

Violation corrected during visit

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. There was no annual health questionnaire on file for S. Burton, K. Campagnone and A. Subandh.

Violation corrected during visit

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. There was no annual emergency information form on file for S. Burton, K. Campanone and A. Subandh.

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. There was no documentation of current first aid training for G. Croft.

Violation confirmed corrected by follow-up visit made by consultant on 9/18/2023

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. There was no documentation of current CPR for G. Croft.

Violation confirmed corrected by follow-up visit made by consultant on 9/18/2023

Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. There was no documentation on file that S. Burton, A. Subandh and K. Campagnone completed an annual staff evaluation and development plan.

Violation corrected during visit

Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. A child's file was missing information that the parent signed a statement regarding the facility's behavior policy.

Violation corrected during visit

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. There was a teachers mountain dew soda on the counter.

Violation corrected during visit

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. There was no documentation on file of an annual EPR review for S. Burton and K. Campagnone.

Violation corrected during visit

The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. A child's file was missing documentation about the no smoking and tobacco restriction.

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. A child's file was missing documentation regarding the parents receiving the shaken baby policy.

Violation corrected during visit

A violation was found for which there is no item number. 15A NCAC 18A . 2820 Storage (b). There was diaper creams and sunscreens stored below 5ft on a table.

Violation corrected during visit