Chesterbrook Academy

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. Two (2) staff members A.S, and E.H did not completed the training within the ninety (90) day time line.

Violation corrected during visit

A safe indoor and outdoor environment was not provided for the children. On January, 16, 2026, a staff member failed to provide a safe environment when the staff member failed to maintain control of a two-year-old child resulting in the child falling from their arms.

Violation confirmed corrected by letter received from provider on 2/17/2026

A safe indoor and outdoor environment was not provided for the children. While playing in the outdoor learning environment a child was able to locate a "pill with a gel coating and liquid center" and put it in their mouth.

Violation confirmed corrected by letter received from provider on 11/24/2025

Children were not adequately supervised at all times. A child in the room that serves two (2) year old's was left unsupervised for around one (1) minute

Violation confirmed corrected by letter received from provider on 10/13/2025

Children were not adequately supervised at all times. Children in classroom space 2a were not supervised during diaper changing times and other times during the day and was documented. A teacher was not able to see and/or hear to appropriately supervise all children at all times.

Violation confirmed corrected by letter received from provider on 8/22/2025

For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule. Children in space 2a were not provided with access to any materials, supplies or structures to facility play and development in the afternoons after rest time and during early morning drop off times.

Violation confirmed corrected by letter received from provider on 8/22/2025

Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Upon arrival children were not asked to and did not wash their hands.

Violation confirmed corrected by letter received from provider on 7/1/2025

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child's medical permission form was expired.

Violation corrected during visit

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff Members AM and VP did not have a health questionnaire on file.

Violation confirmed corrected by letter received from provider on 3/7/2025

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member's C.C, L.R, Y.M, and T.S. files did not show documentation of the required orientation hours in the first six (6) weeks of employment.

Violation corrected during visit

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member's C.C, L.R, Y.M and T.S files did not show documentation of six (6) hours of training in the required topic areas.

Violation corrected during visit

A valid qualification letter was not on file and available to review at the facility. Staff member M.P. did not have a valid qualification on file for review.

Violation confirmed corrected by letter received from provider on 3/7/2025

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A permission slip in space two b (2b) had expired giving the caregiver standing permission to administer a diaper cream

Violation confirmed corrected by letter received from provider on 3/7/2025

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. Staff members Y.M, C.C, and L.R. did not have proof of completing the Recognizing and Responding training within their initial ninety (90) days of hire.

Violation confirmed corrected by letter received from provider on 3/7/2025

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In the room that serves toddlers there is inappropriate music during drop off and during the day.

Violation confirmed corrected by letter received from provider on 11/27/2024

Each infant was not served only bottles labeled with their individual name. In infant in space number one (#1) was served a reported one (1) to two (2) ounces of another infants' formula. The bottles were name and date labeled and color coded.

Violation confirmed corrected by letter received from provider on 11/27/2024

A copy of the incident report was not given to the parent. Upon the incident occurring, and incident report was not filled out, reviewed, signed or given to the families involved.

Violation confirmed corrected by letter received from provider on 11/27/2024

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) In space number 1a, there were two infants who did not have a written feeding plan posted.

Violation corrected during visit

Parent's medication authorization did not include required information. In space number nine (9) the medical permission slip was not filled out with a date range of when the medication could be used.

Violation confirmed corrected by letter received from provider on 11/4/2024

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 number nine (9) a medication expired in August of 2024 and was not returned to the family within the time frame allotted.

Violation confirmed corrected by letter received from provider on 11/4/2024

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In the Administrators office while the Assistant Administrator was looking for the key to open the staff file cabinet, I observed a bottle of Zyrtec. I picked up the bottle and it did have pills inside of the bottle. All non-prescription medications must be stored in a locked cabinet or locked container.

Violation confirmed corrected by letter received from provider on 6/24/2024

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. One staff person, HH, was overheard by other staff, spoke to the children in her care in a harsh and belittling tone, calling the children stupid, speaking loudly at them giving directives and speaking about children in a negative manner to other staff in front of the child and/or other children.

Violation confirmed corrected by letter received from provider on 6/24/2024

All staff records, except financial records, were not made available for review. All staff files were in a file cabinet that was locked, and the Administrative Team was unable to locate the key in Ms. Fleig, Administrators, absence.

Violation confirmed corrected by letter received from provider on 6/24/2024

Enhanced staff/child ratios and group sizes were not met. On either Tuesday June 4, 2024, or Wednesday June 5, 2024, a classroom serving 3-year-old children were on the playground for between 10 to 15 minutes without proper staff/child ratio being maintained. The staff/caregiver who was providing supervision of these children reported that the other staff/caregiver became upset and left the playground leaving her out of staff/child ratio. She stated that it was about 10 to 15 minutes prior to someone coming out to assist her with the sixteen (16) children ages three-years old. The facility follows enhanced ratios therefore the staff/child ratio was one (1) staff to ten (10) children that the youngest child in care is three-years of age. The staff/caregiver who remained with the children reported that she did not notify anyone because she went to the office therefore Administration was aware.

Violation confirmed corrected by letter received from provider on 6/24/2024

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Of the eighteen children's records reviewed, one child's file did not have proof that the Summary of the Law was provided to them (see children's Records).

Violation confirmed corrected by letter received from provider on 3/25/2024

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In the kitchen the refrigerator temperature was at 46 degrees F and the Space 1 where the infant children were located the refrigerator was at 50 degrees F. The staff reported that this has been an ongoing issue with the small refrigerator as this was previously cited by Enviornmental Health.

Violation confirmed corrected by letter received from provider on 3/25/2024

Application for employment and date of birth was not on file for all staff. Of the six (6) files reviewed on staff did not have an application on file (see staff and training worksheet).

Violation confirmed corrected by letter received from provider on 3/25/2024

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Of the six (6) staff files reviewed, two (2) staff files did not have documentation of their orientation hours within the required time frame (see staff and training worksheet).

Violation confirmed corrected by letter received from provider on 3/25/2024

Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Of the six (6) staff files reviewed two (2) were required to have on-going training and did not have the required amount of training hours (see staff and training worksheet).

Violation confirmed corrected by letter received from provider on 3/25/2024

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Of the six (6) staff files reviewed, two (2) staff files did not have documentation of their orientation hours within the required time frame (see staff and training worksheet).

Violation confirmed corrected by letter received from provider on 3/25/2024

Emergency information did not name childs health care professional. Upon review of the children's files, of the eighteen (18) files were reviewed, there were two (2) children missing hospital information including either the preferred hospital or the phone number. (see children's Records).

Violation confirmed corrected by letter received from provider on 3/25/2024

Children's records that include an application for enrollment, medical and immunization records, and permission to seek emergency medical care was not on file for each child. Upon review of the children's files, of the 18 files were reviewed, there were two children missing medicals and two children missing their immunization records (see children's Records).

Violation confirmed corrected by letter received from provider on 3/25/2024

Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. On 04/26/23 the facility adopted a new Discipline Behavioral Policy and there was no statement on file verifying that the parent received the discipline policy and it had been explained to them. Upon review of the children's files, of the 18 files were reviewed, there were nine (9) children missing any documentation of any discipline policy (see children's Records).

Violation confirmed corrected by letter received from provider on 3/25/2024

The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Upon review of the children's files, of the 18 files were reviewed, there was one child missing proof that they had been notified in writing of the smoking and tobacco restrictions (see children's Records).

Violation confirmed corrected by letter received from provider on 3/25/2024

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with existing staff who care for children ages 0-5 within 30 days of adopting the policy. Of the six (6) staff files reviewed, one (1) staff files did not have documentation of their orientation hours within the required time frame (see staff and training worksheet).

Violation corrected during visit

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. Of the six (6) staff files reviewed there was one (1) staff how did not have the required training within the required time frame (see staff and training worksheet).

Violation confirmed corrected by letter received from provider on 3/25/2024

A child's hands were not washed after each diaper change. In Space #3 which serves toddlers the Caregiver did not help the child and/or have the child wash their hands after a diaper change.

Violation confirmed corrected by letter received from provider on 11/8/2023

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 1A, that provides care to infants the refrigerator maintained a temperature above 45 degrees, this was corrected during the visit. In Space 1B that cares for infants there was not a thermometer in the refrigerator

Violation confirmed corrected by letter received from provider on 11/16/2023

Lavatories were not kept clean, in good repair and kept free of storage. In the lavatory shared by Space #5 and #6 which served toddlers and preschool age children, there was one toilet that had been inoperable for one week. The top of the tank was removed allowing access to the water and other plumbing pieces inside of the back of the toilet.

Violation corrected during visit

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 1B that cares for infants and Space 5 a space that cares for children under three years old, there were broken locks and plastic bags accessible.

Violation corrected during visit

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff members A.M. and J.H. did not have six hours of required training within the first two weeks of employment.

Violation confirmed corrected by letter received from provider on 11/10/2023

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The Administration did complete the required drills, but documentation was not completed.

Violation corrected during visit

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. A staff member did not have documentation of reviewing the policy.

Violation corrected during visit

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space # 7 serving preschool age children there was a medication that did not have the Medication Administration Permission Form and record of use.

Violation confirmed corrected by letter received from provider on 11/8/2023

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. Staff Members H.S. and J.H did not have record of or a completed health questionnaire in their files.

Violation confirmed corrected by letter received from provider on 11/13/2023