Cranfield Academy Providence

Each infant was not served only bottles labeled with their individual name. An infant nine months of age was fed another infant's bottle which contained formula on May 18, 2026.

Violation corrected during visit

The activity plan was not designed to stimulate emotional and social, health and physical, approaches to play and learning, language development and communication, and cognitive development for each group of children in care. Review of activity plans indicated that the NC Foundations for Early Learning and Development is not being used in conjunction with the curriculum.

Violation confirmed corrected by letter received from provider on 12/4/2025

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. In space #1, a child's hands were not washed after a diaper change.

Violation confirmed corrected by letter received from provider on 12/4/2025

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. The key to the kitchen door was in the lock with no one present in the kitchen. In space #7, the key to door was in the lock. A staff member's purse was stored in the closet and was less than five feet above the floor. In space #7, there was a bottle of colored sand located on top of a shelf. The bottle read "not for children under three years of age". The children enrolled in space #7 are all two years of age.

Violation corrected during visit

Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. In space #3, there were two diapers creams present that were not labeled with either child's name. In space #4, there was diaper cream present for one child that was not labeled with the child's name. In space #5, there were also two diaper creams present that were not labeled with either child's name.

Violation corrected during visit

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. Ten children did not have verification on file that emergency medical care information had been updated annually or as changes occurred.

Violation confirmed corrected by letter received from provider on 12/4/2025

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. One child had a medical report on file completed by a physician however, the top portion was not completed by a parent.

Violation confirmed corrected by letter received from provider on 12/4/2025

A drug or medicine was administered in a manner not authorized by the child's parent, physician or other authorized health professional. In space #4, there was Benadryl cream and cortisone cream present for two children one year of age with authorization from the parent. The directions on both read "children under two years of age, ask a doctor".

Violation corrected during visit

Each child's bed, cot, or 2" mat was not individually assigned and identified. In space #1, an infant was placed in a crib that was not labeled with their name.

Violation corrected during visit

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 was two push/pull toys stored in the restroom adjacent to the classroom. This is a violation of a requirement in 15A NCAC 18A .2817(a).

Violation corrected during visit

Equipment and furnishings were not sturdy, stable and free of hazards. Cots throughout the building were observed in poor repair. The plasitc legs on the bottom of the cots were broken and cracked. A tricyle on the preschool playground was missing a seat.

Violation confirmed corrected by letter received from provider on 12/17/2024

Center staff did not comply with the safe sleep policy. In space #1, an infant was not placed in a crib after falling asleep. The teacher reported and documented the infant fell asleep at 9:05. I observed the infant in a seat asleep at 9:20.

Violation corrected during visit

Each infant was not served only bottles labeled with their individual name. On July 9, 2024 an infant was fed the wrong bottle, the bottle contained breast milk and the infant consumed 5 ounces.

Violation confirmed corrected by letter received from provider on 8/20/2024

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff hired 4-9-24 did not have the orientation document completed and signed, proving the staff received 16 hours of orientation within the first 6 weeks of hire.

Violation confirmed corrected by letter received from provider on 5/20/2024

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 completed recognizing and responding last on 1/25/19 and did not complete it again by 1/25/24.

Violation corrected during visit

Breast 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. While in Space 1 I observed one child's bottles dated 12/4-12/8 and one child's bottles dated 12/5.

Violation confirmed corrected by letter received from provider on 12/18/2023

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. Space 3 refrigerator thermometer read 48 degrees.

Violation confirmed corrected by letter received from provider on 12/18/2023

Bed, cribs, playpens, cots or mats were not placed at least 18" apart or separated by partitions when in use. During nap time cots were not spaced at least 18" apart in space 4. I observed one cot laying up against the base of another cot.

Violation corrected during visit

Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. The low storage shelves in the infant rooms, Space 1 and Space 2, were observed with dirt build up.

Violation confirmed corrected by letter received from provider on 12/18/2023

Equipment and furnishings were not sturdy, stable and free of hazards. While in Space 3 I observed a soft block that was in poor repair, the corners had come unraveled. Space 4, books were observed in poor repair (missing covers, missing or torn pages), Space 8 a teacher chair was observed cracked and a storage bucket was observed cracked. Space 9. The dramatic play refrigerator/sink is missing one side of the refrigerator door.

Violation corrected during visit

A safe indoor and outdoor environment was not provided for the children. Outdoors on the preschool playground I observed a tripping hazards where the matted surfacing is coming up from the ground causing a tripping hazard; it has been noted on the monthly playground inspections for the last three months with no correction.

Violation confirmed corrected by letter received from provider on 12/18/2023

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. While in Space 7, I observed a used Mr. Clean cleaning sponge on the counter.

Violation corrected during visit

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An epi pen in space 5, needed for a child in care, does not have a pharmacy label.

Violation confirmed corrected by letter received from provider on 12/18/2023

Parent's medication authorization did not include required information. Space 4 serves children one year of age, one child has written permission from the parent to administer cortisone cream for a rash, the cream states not to use on children under 2, and most consult a doctor, it also states not to use for diaper rash without consulting a doctor. In Space 6, serving two year olds, a medical action plan a physician completed states to provide 2.5 ml of Benadryl medication for allergic reaction, the parent's permission states to provide 4 ml of Benadryl.

Violation confirmed corrected by letter received from provider on 12/18/2023

Children were not adequately supervised at all times. On Monday, November 13, 2023 a two year old was left unattended inside the fenced in playground, for 18 minutes, when her class transitioned inside from outdoor play. Staff were not aware until the child was brought back to the classroom.

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. A child had a bruise across the bridge of his nose and the parent informed the teachers that their child stated it happened at school when the child jumped off a table, she did not receive and incident report.

Violation confirmed corrected by follow-up visit made by consultant on 11/21/2023

Discipline was related to food, rest or toileting. About a month ago preschool staff used raisins to reward children who listened to directives. They also used raisins to reward children who used the potty while potty training.

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. On 8-18-23 a child tripped on the playground in the morning, in the afternoon the staff observed the child limping and told the parent, the incident report was signed on 8-21-23. The parent informed the teacher the child was seen by a doctor and an x-ray was taken and the child was fine, the signed incident report was not submitted to the DCDEE Child Care Consultant within 7 days of the receiving the medical treatment and the center staff being notified.

Violation confirmed corrected by follow-up visit made by consultant on 11/21/2023

Breast 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. One infant's bottle was not labeled and dated on 10/24/23.

Violation corrected during visit

Center staff did not comply with the safe sleep policy. While in infant room 1, I observed the temperature at 67 and three infants were sleeping. Your Safe Sleep policy states the temperature will remain between 68-75 degrees.

Violation corrected during visit

Each infant was not served only bottles labeled with their individual name. On 10-24-23 an infant was served another infant's formula bottle that was not labeled and dated.

Violation confirmed corrected by letter received from provider on 11/14/2023