Cos Kids

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The November,2025 playground inspection was not documented and available for review.

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

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permission to administer form for one (1) child requiring Symbicort expired 9/6/2025.

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

Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection dated 7/31/2025 was submitted to the division 10/21/2025.

Violation confirmed corrected by letter received from provider on 11/5/2025

Fire drills were not practiced monthly and/or the drill record was incomplete. The August, 2025 fire drill was not documented.

Violation confirmed corrected by letter received from provider on 10/30/2025

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. A Symbicort inhaler was not in the original container with the prescription label.

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

Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff hired 8/9/2023 needed 10 additional hours of on-going training hours on or before 8/9/2025.

Violation confirmed corrected by letter received from provider on 11/14/2025

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. The facility has no staff linked to the ABCMS portal.

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

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place was conducted 7/31/2025 not within three (3) months of the shelter in place documented 4/10/2025.

Violation confirmed corrected by letter received from provider on 10/28/2025

All equipment and furnishings were not in good repair. The fence locate t the far left of the play area near the road is bent and the cross pipe is bent and the end exposed.

Violation confirmed corrected by letter received from provider on 3/31/2025

Fire drills were not practiced monthly and/or the drill record was incomplete. The February 2025 fire drill was not documented.

Violation confirmed corrected by letter received from provider on 3/18/2025

A safe indoor and outdoor environment was not provided for the children. Cinderblocks, rocks and stumps with sharp edges were accessible to children. Yellow plastic on PVC pipe and a Rubbermaid storage bin lid were broken and cracked creating a hazard for children.

Violation confirmed corrected by letter received from provider on 3/31/2025

The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. The teepees and tires located on the outdoor play area were full of leaves, weeds and debris.

Violation confirmed corrected by letter received from provider on 3/31/2025

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One (1) child had Valtoco on site without the original labeled container. One (1) child has Epi-pen on site without a physician's signature.

Violation confirmed corrected by letter received from provider on 3/28/2025

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Playground inspections have been completed by a staff member not certified in playground safety.

Violation confirmed corrected by letter received from provider on 3/28/2025

First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguisher located in the van expired June, 2023.

Violation confirmed corrected by letter received from provider on 3/28/2025

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The December 31, 2024 shelter-in-place drill was not conducted within three months of the August, 26, 2024 drill.

Violation confirmed corrected by letter received from provider on 3/28/2025

Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. he last fire inspection was due July 19, 2024, and was conducted August 3, 2024. The Fire Inspection was not submitted to DCDEE within one week of approval on the DCDEE form.

Violation confirmed corrected by letter received from provider on 1/9/2025

Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 109 individual water bottles from home were not dated.

Violation confirmed corrected by letter received from provider on 12/19/2024

Fire drills were not practiced monthly and/or the drill record was incomplete. There was no fire drill conducted in August, 2024.

Violation confirmed corrected by letter received from provider on 12/19/2024

A safe indoor and outdoor environment was not provided for the children. In Space 112 sharp push pins were in an unlocked drawer accessible to children. In Space 109 batteries and a sharp screwdriver were in an unlocked drawer accessible to children.

Violation confirmed corrected by letter received from provider on 12/19/2024

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 112 an epi-pen expired August 2024 was not returned to parent.

Violation confirmed corrected by letter received from provider on 12/19/2024

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place drill was conducted August 26, 2024.

Violation confirmed corrected by letter received from provider on 12/31/2024

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. One child's Medical Action Plan expired September 7, 2024.

Violation confirmed corrected by letter received from provider on 12/19/2024

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 van driver's First Aid/CPR certification expired on October 4, 2024. Another van driver's First Aid/CPR certification expired May, 2024.

Violation confirmed corrected by letter received from provider on 10/7/2024

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. A staff member failed to attend to a four year old child in a nurturing and appropriate manner when the staff member exposed their genitals to a child.

Violation confirmed corrected by letter received from provider on 5/24/2024

There was a substantiation of child maltreatment. Pursuant to its investigation, the Division has confirmed sufficient information to determine child maltreatment.

Violation corrected during visit

Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space #117, there were no paper towels located by the sink in the children's restroom.

Violation corrected during visit

Equipment and furnishings were not sturdy, stable and free of hazards. The natural playground used by school age children, have several tree stumps and three wood boards that the wood is rotting.

Violation confirmed corrected by letter received from provider on 4/22/2024

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. in space #5, an aerosol can of disinfectant was stored in an unlocked cabinet. In a van used to transport children, an aerosol can of disinfectant spray was located in the door of the van. In the same van, an aerosol can of sanitizing spray was located in a bookbag on the floor of the passenger seat side of the van.

Violation corrected during visit

Balloons were accessible to children. Latex balloons were observed in space #1.

Violation confirmed corrected by letter received from provider on 4/22/2024

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One new staff member did not have verification on file that orientation had been completed.

Violation confirmed corrected by letter received from provider on 4/22/2024

First aid kit and/or fire extinguisher was not located in vehicle; kit and/or extinguisher was not mounted or secured if in passenger area. The fire extinguishers in two of the three vans used for transportation was being stored unsecured on the floorboard in the front of the van.

Violation confirmed corrected by letter received from provider on 5/9/2024

Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Eight children being transported did not have a photograph attached to their identifying information.

Violation confirmed corrected by letter received from provider on 5/9/2024

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

Violation confirmed corrected by letter received from provider on 5/9/2024

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. One new staff member did not have verification on file that the EPR plan was reviewed during orientation.

Violation confirmed corrected by letter received from provider on 4/22/2024

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. One child's medical action plan has not been updated since March 17, 2023.

Violation confirmed corrected by letter received from provider on 4/22/2024

Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. One of three vans being used for transportation did not have signage posted in the van regarding the smoking and tobacco restriction.

Violation confirmed corrected by letter received from provider on 4/22/2024

The depth of the loose surfacing was not based on critical height of the equipment. The depth of surfacing in the fall zones for the climbing structures and swings measured one inch to three inches in four different places.

Violation confirmed corrected by letter received from provider on 6/3/2024