Cadence Academy Preschool, Whitehall

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff did not have an annual health questionnaire on file following the initial medical statement.

Violation pending provider response

A current activity plan was not posted for each group of children for reference. A current activity plan was not posted for group two (2), four (4), and eleven (11).

Violation pending provider response

Menus for all meals and snacks were not planned at least 1 week ahead and dated. The menu was not current.

Violation pending provider response

Fire drills were not practiced monthly and/or the drill record was incomplete. Fire drills were not practiced monthly or documented since December 2025.

Violation pending provider response

Parent's medication authorization did not include required information. One (1) diaper cream in space four (4) permission to administer had expired.

Violation pending provider response

The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with all staff annually and whenever the plan was revised.

Violation pending provider response

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 prior to employment that was signed by a health care professional.

Violation pending provider response

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. On or before the first day of work, one (1) staff did not provide results indicating that they were free of active TB and/or TB test.

Violation pending provider response

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playground inspections have not been completed since March 2026.

Violation pending provider response

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 (1) child care providers, including the director, uncompensated providers, substitute providers did not have the required Emergency Information Form on file on or before the first day of work.

Violation pending provider response

All staff records, except financial records, were not made available for review. One (1) staff file was not made available for review.

Violation pending provider response

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Four (4) staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.

Violation pending provider response

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 (1) staff did not successfully complete certification in First Aid appropriate to the age of children in care.

Violation pending provider response

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 (1) staff did not successfully complete certification in CPR training appropriate to the age of the children in care.

Violation pending provider response

On-going training received was not within the 9 topic areas listed in GS 110-91(11) and/or the health and safety training topic areas in rule .1102. One (1) employee's health and safety trainings did not include the administration of medication topic area.

Violation pending provider response

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One(1) new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.

Violation pending provider response

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 and a staff development plan.

Violation pending provider response

Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Five (5) employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.

Violation pending provider response

Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child's medical exam was not on file before or within 30 days after admission.

Violation corrected during visit

A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Training in the ABCMS has not been completed by an administrator, and six (6) new employees have not been added to the ABCMS for this facility.

Violation pending provider response

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter-in-place or lockdown drills were not practiced every three months and/or drill record has not been completed since November 2025.

Violation pending provider response

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR plan was not reviewed annually with staff.

Violation pending provider response

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. Three (3) staff members 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.

Violation pending provider response

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

Violation pending provider response

Parent's medication authorization did not include required information. Parent's medication authorization had expired for five (5) diaper creams.

Violation confirmed corrected by letter received from provider on 8/25/2025

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. There wasn't documentation that one (1) new staff that 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. Two (2) staff members 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 their individual personnel 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. One (1) staff member did not successfully complete recertification in First Aid appropriate to the age of children in care.

Violation confirmed corrected by letter received from provider on 2/19/2025

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 (1) staff member did not successfully complete recertification in CPR training appropriate to the age of the children in care.

Violation confirmed corrected by letter received from provider on 2/19/2025

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. Two (2) staff members 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.

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 three (3) and space eleven (11).

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. Two (2) authorizations to administer sunscreen had expired in space six (6) and space ten (10).

Violation confirmed corrected by letter received from provider on 9/11/2024

Parent's medication authorization did not include required information. One (1) ointment type was not listed on the authorization form in space four (4).

Violation confirmed corrected by letter received from provider on 9/11/2024

The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with one (1) staff annually.

Violation confirmed corrected by letter received from provider on 9/11/2024

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. The center's safe sleep policy was not posted in a prominent place in space three (3).

Violation corrected during visit

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff did not have an updated annual health questionnaire on file.

Violation confirmed corrected by letter received from provider on 9/11/2024

Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) staff required to receive on-going training had not completed the required number of hours according to their education and experience.

Violation confirmed corrected by letter received from provider on 9/11/2024

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 was not updated annually for three (3) children.

Violation confirmed corrected by letter received from provider on 9/11/2024

A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not available. A written statement from each child's parent giving standing permission which may be valid for up to twelve months for participation in off premise activities that occur on a regular basis was not updated for one (1) child.

Violation confirmed corrected by letter received from provider on 9/11/2024

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One (1) staff did not review the EPR Plan annually.

Violation confirmed corrected by letter received from provider on 9/11/2024

The professional development plan was not reviewed annually. The professional development plan was not reviewed annually for one caregiver.

Violation confirmed corrected by letter received from provider on 9/11/2024

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) An individual written feeding plan was not posted for one (1) child.

Violation confirmed corrected by letter received from provider on 5/14/2024

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. Lysol in an aerosol dispenser was located in a closet that had the the keys in the lock in space three. Closet containing glitter in a space with children younger than three (3) was locked but not closed in space nine.

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. One (1) caregiver's TB test was older than 12 months.

Violation confirmed corrected by letter received from provider on 5/14/2024

Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Three (3) childcare providers required to receive on-going training had not completed the required number of hours according to their education and experience.

Violation confirmed corrected by letter received from provider on 9/19/2023

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

Violation confirmed corrected by letter received from provider on 9/19/2023

The depth of the loose surfacing was not based on critical height of the equipment. The depth of the mulch was not based on critical height of the climbing equipment on the toddler playground.

Violation confirmed corrected by letter received from provider on 9/29/2023

Staff did not complete the health and safety training within one year of employment. Three (3) childcare providers did not complete the health and safety training within one year of employment.

Violation confirmed corrected by letter received from provider on 9/19/2023

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. 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 for three (3) childcare providers.

Violation confirmed corrected by letter received from provider on 9/19/2023