Cadence Academy Preschool, Raintree

Enhanced staff/child ratios and group sizes were not met. On June 10, 2026, space #1 was out of staff child ratio for approximately seven to eight minutes. There were twelve children less than twelve months of age present with two staff members.

Violation corrected during visit

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 completed for an incident that occurred on May 29, 2026 did not contain where the child received medical treatment, time parent was notified and by whom.

Violation corrected during visit

An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident report for an incident occurring on May 29, 2026 resulting in a child receiving medical treatment was completed, however a copy was not sent to a Division representative.

Violation corrected during visit

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #3, there was not a thermometer in the refrigerator.

Violation confirmed corrected by letter received from provider on 2/3/2026

Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space #1, there was no soap at the diaper changing sink.

Violation confirmed corrected by letter received from provider on 2/3/2026

All beds, cots, or mats with individual linen were not provided for each child. A crib for one infant was not labeled with the child's name.

Violation corrected during visit

All equipment and furnishings were not in good repair. In space #5, the handle to the cabinet underneath the diaper changing table was broken. In space #4, the cushion to two chairs had exposed foam. In space #7, a lounger pillow was ripped with exposed foam and tile on the floor near the door was cracked in several places.

Violation confirmed corrected by letter received from provider on 2/3/2026

The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. The EMC plan posted throughout the building was not current.

Violation confirmed corrected by letter received from provider on 2/3/2026

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. In space #1, one infant's diaper cream expired in 2024.

Violation confirmed corrected by letter received from provider on 2/3/2026

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 staff member with a hire date of October 20, 2025 did not have a medical report on file.

Violation confirmed corrected by letter received from provider on 2/3/2026

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three staff members had not completed an annual health questionnaire.

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. One staff member had completed First Aid training from an approved organization however, the course is not approved.

Violation confirmed corrected by letter received from provider on 2/6/2026

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. One staff member had completed CPR certification from an approved organization however, the course is not approved.

Violation confirmed corrected by letter received from provider on 2/6/2026

Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member did not have verification on file that an annual staff evaluation and staff development plan had been completed.

Violation confirmed corrected by letter received from provider on 2/3/2026

Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. One child's emergency medical care information had not been updated since 2024.

Violation confirmed corrected by letter received from provider on 2/3/2026

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Parent authorization for a medication expired December 2025.

Violation confirmed corrected by letter received from provider on 2/4/2026

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. Five staff members did not have verification on file that health and safety training had been completed.

Violation confirmed corrected by letter received from provider on 2/16/2026

The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. The EMC plan has not been updated since there were changes in administration in July 2025.

Violation confirmed corrected by letter received from provider on 9/11/2025

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #4, Two tubes of diaper cream was stored in an unlocked bottom cabinet. In space #5, six tubes of diaper cream was located in a storage container on a shelf that was unlocked and not five feet above the floor.

Violation corrected during visit

Parent's medication authorization did not include required information. Five children with emergency medication had authorizations that had been completed, however there was no parent signature on the forms.

Violation confirmed corrected by letter received from provider on 9/11/2025

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Two staff members with hire dates of March 2025 and April 2025 did not have verification on file that orientation had been completed.

Violation confirmed corrected by letter received from provider on 10/22/2025

A violation was found for which there is no item number. In child care centers, toilet tissue paper shall be provided in each toilet room and stored in a clean, dry place. The toilet room shall include or be adjacent to a handwash lavatory. Storage in toilet rooms shall be limited to toileting and diapering supplies. All toilet fixtures shall be kept clean and in good repair. Toilet fixtures shall be child-sized, adult-sized toilets that are adapted to accommodate children, or potty chairs. In space #4, there were toys and equipment being stored in the restroom. This is a violation of a requirement in 15A NCAC 18A .2817(a).

Violation confirmed corrected by letter received from provider on 9/11/2025

A summary of the NC Child Care Law was not posted in a prominent place in the center. The NC Summary of the Law was not posted.

Violation corrected during visit

All openings to the outer air were not protected against the entrance of flying pest. A door to an outside playground was propped open.

Violation confirmed corrected by letter received from provider on 2/10/2025

Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. There was a broken shovel on the playground. In space #6, there was a broken plastic cabinet.

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. In space #9, the power strip had two outlets that were not protected by safety covers.

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 #3, a bottle of body spray was located in an unlocked cabient. There was a flammable warning on the bottle.

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. One new staff member's medical report was older than 12 months from hire date.

Violation confirmed corrected by letter received from provider on 2/10/2025

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 staff member did not have verfification of a negative TB test on file. One new staff member's negative TB test was older than 12 months from hire date.

Violation confirmed corrected by letter received from provider on 2/10/2025

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 staff members had a First Aid Card on file by an approved organization however, the course completed was not approved.

Violation confirmed corrected by letter received from provider on 2/10/2025

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 staff member had a CPR card on file by an approved organization however, the course completed was not approved.

Violation confirmed corrected by letter received from provider on 2/10/2025

Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Emergency medical care information for seven children had not been updated annually.

Violation confirmed corrected by letter received from provider on 2/10/2025

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

Violation confirmed corrected by letter received from provider on 2/17/2025

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 children did not have an immunization record on file.

Violation confirmed corrected by letter received from provider on 2/17/2025

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 #3, a staff member's purse was located on the bottom shelf of a unlocked cabinet. This is a violation of a requirement in 15A NCAC 18A .2820 STORAGE

Violation corrected during visit

Children were not adequately supervised at all times. On August 16, 2024, a four-year-old child sustained an injury resulting in knot on the forehead without staff observing the injury occur.

Violation confirmed corrected by letter received from provider on 9/17/2024

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place drill recorded was dated 1/29/24.

Violation confirmed corrected by letter received from provider on 9/12/2024

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In Space 2, medications were found in a plastic bin in an unlocked changing table accessible to children.

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 2, one child had an antifungal cream without a doctor's permission to administer and in Space 3 one child had Vaseline without a permission to administer form and mupirocin ointment without permission from a physician. A child in Space 3 had jock itch powder without permission from a physician.

Violation confirmed corrected by letter received from provider on 9/3/2024

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. Plastic bags were found accessible to children in Space 1. Cars with small wheels were found accessible to children in Spaces 2 and 4. An abacus with small beads was found in Space 7 and glue with a small cap was found in Space 8 accessible to children.

Violation confirmed corrected by letter received from provider on 9/3/2024

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 and Space 2 it was documented that infants were placed on their side or tummy when put in the bed.

Violation confirmed corrected by letter received from provider on 9/3/2024

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 staff member, GA did not have current First Aid certification on file.

Violation confirmed corrected by letter received from provider on 9/9/2024

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. One staff member, GA did not have current CPR certification on file.

Violation confirmed corrected by letter received from provider on 9/9/2024

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) Space 4 has one child who is under 15 months enrolled, the child's feeding schedule was not posted.

Violation corrected during visit

All openings to the outer air were not protected against the entrance of flying insects. Space 6 and Space 10 were observed with classroom doors propped open the the outdoor play yard, while each group was outdoors playing.

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

All equipment and furnishings were not in good repair. Outdoors on the infant/toddler playground I observed two deflated balls, you removed them during the visit. On the PK playground the two pretend stationary steering wheels were loose and cause a pinch point. One mat on the ground at the base of the slide on the infant/toddler playground is causing a tripping hazard, as one corner is raised as the rest of the mat is flush to the ground.

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

A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Space 4 has four diaper creams in the classroom and do not have permission to administer.

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

Parent's medication authorization did not include required information. Space 5 has several creams and lotions in the classroom, the written permission does not indicate the instructions on when you are to administer.

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

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. Space 1 and Space 2 serve infants, neither room had the center's safe sleep policy posted.

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. One staff hired 7-25-23 does not have proof of completing First Aid certification on file.

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

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. One staff hired 7-25-23 does not have proof of completing CPR certification on file.

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

Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff hired 8/29/22 and one staff hired 6/1/21 do not have a current staff development plan or annual review on file.

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

Medical exam or health assessment record was not on file before or within 30 days after admission. Two children's files reviewed did not have a medical on file, it was confirmed both children have been enrolled more than 30 days (One child enrolled in May 2023, and the other child transferred from another location almost a year ago.)

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

Accurate records were not maintained for all children. One child, who transferred to this location almost a year ago, only had immunization records, and incident reports on file. No other required information was on file available for review.

Violation corrected during visit

The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The group housed in the "All Purpose" space, serving preschool children, has one child that has a medical action plan on file, it has not been updated since 2/2022 the the facility reports that child still has the condition noted on the medical action plan.

Violation corrected during visit

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The "All Purpose Space" that serves preschool children, has three children with chronic condition requiring medication(epi pen and Auvi-q) the medication permission was last provided on 6/23, 3/23 and 2/7/23. Permission to administer is granted for 6 months, and you did obtain current permission to administer the medication you have on site.

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

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. One staff hired 11-16-18 completed recognizing and responding to suspicions of maltreatment last on 12/28/18, this is a health and safety training required to be completed within the next 5 years of last completion, she should have completed it again by 12/28/23.

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

No longer displayed by the state

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 staff's First Aid certification expired in July 2023.

Violation confirmed corrected by letter received from provider on 9/7/2023

No longer displayed by the state

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's CPR certification expired 7/23.

Violation confirmed corrected by letter received from provider on 9/7/2023

No longer displayed by the state

Staff did not complete the health and safety training within one year of employment. One staff hired 5/2/22 did not complete all required topic areas, she has not completed Administering Medication training. One staff hired 8/8/22 did not complete all required topic areas, she has not completed Administering Medication training. One staff hired 5/3/22 did not have proof on file of completing all topic areas of Health and safety training within the first year of hire.

Violation confirmed corrected by letter received from provider on 9/7/2023

No longer displayed by the state

The written feeding plan did not include the type of milk, formula or food and/or the frequency of the feedings. One child's feeding schedule, in Space 1, does not provide information on type of milk, formula or food to provide and frequency of feedings.

Violation confirmed corrected by letter received from provider on 9/7/2023