Grace Life Academy

An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. In Space 117 on March 11, 2026, it was not documented that a child attending from 8:23 am – 5:17 pm was offered or consumed food after 11:30 am. The feeding schedule instructed that the child receive bottles every 3-4 hours.

Violation confirmed corrected by letter received from provider on 3/24/2026

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. In Space 117, on March 5, 2025, a report was not completed following a parent alerting the center regarding a scratch on a child's torso. On March 12, 2026, an incident report did not document the name of the injured child, the date, time and by whom the parent was contacted. On March 13, 2026, an incident report did not have the date signed by the parent, the date, time and by whom the parent was contacted.

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

Incident logs were not completed and maintained as required. Two (2) incident reports dated March 12, 2026 and March 13, 2026 were not logged on the Incident Log.

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

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) child enrolled 5/12/2025 had a summary of law on file signed and dated 5/13/2025.

Violation confirmed corrected by letter received from provider on 2/18/2026

A safe indoor and outdoor environment was not provided for the children. In Space 101, the safety outlet plate was not attached to the outlet next to the handwashing sink. On the preschool outdoor playground, the box containing phone wires was not covered accessible to children and exposed tree roots posed a tripping hazard.

Violation confirmed corrected by letter received from provider on 2/20/2026

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 117, hand cream stating keep out of reach or children, white out , a teacher's purse was accessible to children containing vitamins and a teacher's backpack was accessible to children containing hair product stating keep out of reach of children.

Violation confirmed corrected by letter received from provider on 2/26/2026

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 101, a lollipop wrapped in plastic a a feather were in a child's backpack accessible to children. In Space 103, matchbox toy cars with small wheels and a baggie with gloves in a child's backpack were accessible to children. In Space 104 ,plastic wrapped diapers were accessible to children. In Space 105, plastic grocery bags, small snowflakes wrapped in plastic were accessible to children. In Space 115, tissue paper wrapped in plastic located in an unlocked cabinet was accessible to children. In Space 117, plastic grocery bags and bells in a baggie were in an unlocked cabinet accessible to children.

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

Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver. In Space 117, it was documented that on 2/12/2026 at 11:13 am a child was initially placed on side to sleep.

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

Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child enrolled 1/5/2026 did not have a health assessment on file.

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

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 One (1) child enrolled 1/5/2026 did not have immunization record on file.

Violation confirmed corrected by letter received from provider on 2/18/2026

Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. One (1) child enrolled 5/12/2025 had a policy on file signed and dated 5/13/2025.

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

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. One (1) child enrolled 5/12/2025 had a policy on file signed and dated 5/13/2025.One (1) child enrolled 4/24/2025 had a policy on file not dated.

Violation confirmed corrected by letter received from provider on 2/20/2026

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. One (1) employee hired 5/25/16 had a policy on file dated 4/6/2017. One (1) employee hired 9/23/2020 had a policy on file dated 9/28/2020. One (1) Employee hired 7/14/2025 did not have a signed and dated policy on file.

Violation confirmed corrected by letter received from provider on 2/25/2026

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 103, the permission to administer form for Benadryl was date 4/3/20205. In Space 115, a child requiring Cetirizine did not have the medication on site and the Auvi-Q did not have a permission to administer form on file.

Violation confirmed corrected by letter received from provider on 2/26/2026

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 dated November 19, 2025 did not include all of the first aid administered at the facility, the medical support consult provided by the pediatrician and did not have the time the parent was contacted.

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

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. In Space 104, Aquaphor Diaper Cream was in a child's backpack accessible to children. In Spaces 118, 114 and 120, alcohol wipes were accessible to children in a first aid kit stored lower than five (5) feet accessible to children.

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 for an incident occurring on October 15, 2025 during outdoor play resulting in a scrape to a children’s hand was not completed.

Violation confirmed corrected by letter received from provider on 10/29/2025

Incident logs were not completed and maintained as required. An incident on October 15, 2025 during outdoor play resulting in a scrape to a children’s hand was not completed and logged in the incident report log.

Violation confirmed corrected by letter received from provider on 10/29/2025

Children were not adequately supervised at all times. On October 2, 2025, in Space 120 , a child was left unsupervised while the class transitioned to lunch.

Violation confirmed corrected by letter received from provider on 10/27/2025

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. In Space 3, an Auvi-Q was stored in a bag accessible to children five (5) feet or lower.

Violation corrected during visit

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. Based on video review, Space 3 serving toddlers ages one to two years old was out of ratio for approximately 9 (nine) minutes from 7:42 am – 7:51 am on August 25, 2025.

Violation confirmed corrected by follow-up visit made by consultant on 9/15/2025

Caregiver did not respond at the earliest opportunity to an infant or toddler’s physical and emotional needs. In Space 4, a one year old child was not attended to in a nurturing manner following an incident resulting in an injury. A teacher did not respond to a crying child to assess or console immediately following an incident.

Violation confirmed corrected by follow-up visit made by consultant on 9/2/2025

An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.

Violation confirmed corrected by follow-up visit made by consultant on 9/2/2025

Electrical cords were accessible to infants and toddlers. In Space 6, electrical cords to two (2) swings were accessible to children.

Violation confirmed corrected by letter received from provider on 3/22/2025

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. In Space 5, emergency medication was stored lower than five (5) feet in a bag accessible to children. In Space 6, Aquaphor was stored in a child's diaper bag in a cubby less than five (5) feet. In Space 3, a light stick was stored in the emergency bag accessible to children.

Violation confirmed corrected by letter received from provider on 3/22/2025

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In Space 2 and 11 emergency medication was not in original box with prescription label.

Violation confirmed corrected by letter received from provider on 3/22/2025

Parent's medication authorization did not include required information. In Spaces 4 and 5 emergency medication did not have permission to administer form signed by the parent. In Spaces 10 and 11, the permission to administer medication was expired. In Space 12, Motrin for a child did not have permission to administer form on file.

Violation confirmed corrected by letter received from provider on 3/22/2025

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 10, Zyrtec dated 10/2024 had not been discarded.

Violation confirmed corrected by letter received from provider on 3/22/2025

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 7, soiled clothes were stored in a plastic bag in a child's diaper bag in a cubby accessible to children. In Space 3, small beads were stored in a child's backpack in a cubby accessible to children and plastic baggies were observed in the emergency bag. In Space 2, a target bag was observed lower than five (5) feet on the ledge in the diapering area.

Violation confirmed corrected by letter received from provider on 3/22/2025

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 hired 8/1/2016 has a medical statement on file dated 5/12/2003.

Violation confirmed corrected by letter received from provider on 3/22/2025

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three (3) staff members did not have an annual current HQ on file.

Violation confirmed corrected by letter received from provider on 3/22/2025

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) employee did not have a current annual Emergency Information Form on file.

Violation confirmed corrected by letter received from provider on 3/22/2025

Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One (1) employee ITS-SIDS certification expired 1/22/2025.

Violation confirmed corrected by letter received from provider on 3/22/2025

Medical exam or health assessment record was not on file before or within 30 days after admission. One child enrolled 9/21/2020 did not have a medical assessment on file until 1/4/2021.

Violation confirmed corrected by letter received from provider on 3/22/2025

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with parents of currently enrolled children 0-5 within 30 days of adopting the policy. One child(1) did not have a signed policy on file.

Violation confirmed corrected by letter received from provider on 3/22/2025

Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). One staff member, K. Richi did not have a current CBC letter on file. The letter expired 12/6/2024.

Violation confirmed corrected by letter received from provider on 2/4/2025

A valid qualification letter was not on file and available to review at the facility. One staff member, K. Richi did not have a current CBC letter on file. The letter expired 12/6/2024.

Violation confirmed corrected by letter received from provider on 2/4/2025

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 was started but did not include first aid information and time the injury was observed.

Violation confirmed corrected by follow-up visit made by consultant on 11/6/2024

Child was handled roughly. Per teacher interview, one teacher reported that she observed that a staff member placed a child on the cot in a rough manner.

Violation confirmed corrected by follow-up visit made by consultant on 11/6/2024

Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill for August, 2024 was not documented on the emergency log.

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

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. An antihistamine in Space 103 was in a teacher's backpack at lunch time and is not stored in a locked cabinet in the classroom when not with the teacher.

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

A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space 103, two children had diaper cream that had expired and one child did not have a permission to administer form for a diaper cream.

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

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. In Spaces 105, 117 and 120 plastic bags were accessible to children in the diaper changing area.

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

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 117 an infant was marked on tummy at initial documentation on safe sleep chart.

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

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. Five staff members do not have current First Aid Certification.

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

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. Five staff members do not have current CPR certification.

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

A safe indoor and outdoor environment was not provided for the children. Staff did not ensure a safe environment by subjecting children to a physical and verbal altercation which included profanity among staff members.

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

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 117 I observed 2 infant's bottles not dated and one infant's not labeled or dated.

Violation corrected during visit

The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. More than half of the feeding schedules in space 115 and Space 117 were not signed and dated by the parent.

Violation confirmed corrected by letter received from provider on 4/3/2024

The written feeding plan was not modified as the child's needs changed. Four feeding schedules in Space 7 were not modified to describe infant's current eating habits.

Violation confirmed corrected by letter received from provider on 4/3/2024

All equipment and furnishings were not in good repair. Indoors I observed torn books, missing covers and pages in Space 105. Outdoors the steering wheel on the large stationary equipment on the preschool playground was observed loose, causing a pinch point. Also on the preschool playground I observed a small plastic play house that the bench is broken off and you removed the door leaving two holes and the plastic is rough in those areas. I observed a torn ball on the toddler/two's playground (this was removed during the visit.) The fence covering on the infant/toddler playground is torn in two places.

Violation confirmed corrected by letter received from provider on 4/3/2024

A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed landscaping material sticking up in two places causing tripping hazards on the Toddler/Two's playground, and one place on the preschool playground.

Violation confirmed corrected by letter received from provider on 4/3/2024

A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space 107 I observed a Benadryl locked in a cabinet with no written permission to administer and an Auvi Q without written permission to administer.

Violation confirmed corrected by letter received from provider on 4/3/2024

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A monthly playground inspection was not documented for the month of February 2024.

Violation confirmed corrected by letter received from provider on 4/3/2024

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One staff did not have a current Health questionnaire on file.

Violation corrected during visit

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 staff did not have an annual emergency information form on file.

Violation corrected during visit

Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter. One infant staff did not have proof of completing ITS-SIDS training within 3 years of last completion. The last training certificate on file states she completed the training on 1/5/2021. She stated she believed she completed the training in November 2023 but the training certificate could not be located.

Violation confirmed corrected by letter received from provider on 4/3/2024

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Four staff have do not have proof of receiving an EPR annual review since last review. Two staff last reviewed the plan on 4/5/22, one staff last reviewed on 6/27/22, and one staff last reviewed on 2/14/23.

Violation confirmed corrected by letter received from provider on 4/3/2024

Over-the-counter medication was given which exceeded the amount and frequency of the dosage on the manufacturer's label. In Space 107, 3.75ml of Walgreen's Infant Pain and Fever reducer was administered on 12-7-23 to a child under 2 years of age. Written permission from the parent was on file, however the instructions on the Walgreen's Infant Pain and Fever Reducer states "Children under 2 ask a doctor", there was not written permission from a medical professional on file.

Violation confirmed corrected by letter received from provider on 4/3/2024

Diapers were not changed whenever they were soiled or wet and/or were changed on a shift basis. Diaper changing is occurring on a shift basis, staff report they change diapers every two hours or when soiled/wet between the 2 hour time period. Based on the infant/toddler daily sheets reviewed today infants were not changed prior to nap or waking up from nap and it had been more than 2 hours from their last noted diaper change.

Violation confirmed corrected by letter received from provider on 2/19/2024

Prior to employment a Criminal Background Check was not completed. The head pastor has not completed the criminal background check.

Violation confirmed corrected by letter received from provider on 2/19/2024

A valid qualification letter was not on file and available to review at the facility. The interim Director and the Head Pastor Michael do not have a valid qualifying letters on file.

Violation confirmed corrected by letter received from provider on 2/19/2024

Food required by special diet prescribed by health care professional or parent did not have written instructions and/or was not maintained on file at the center. You have several children's who have parents that prefer they not drink milk, it is written on the application but there are no written instructions on file regarding the preference and how you are to provide their child in lieu of milk.

Violation confirmed corrected by letter received from provider on 10/16/2023

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 107 serves children under 15 months and those children did not have a current feeding schedule posted.

Violation confirmed corrected by letter received from provider on 10/13/2023

The written feeding plan was not modified as the child's needs changed. Space 119 serves children under 15 months, two of those children's feeding schedules were not current.

Violation confirmed corrected by letter received from provider on 10/13/2023

Fire drills were not practiced monthly and/or the drill record was incomplete. You did not document the September 2023 fire drill on the current emergency drill log.

Violation confirmed corrected by letter received from provider on 10/13/2023

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Emergency medications were observed stored below 5 feet during today's visit and antihistamines were observed stored in unlocked back packs below 5 feet.

Violation corrected during visit

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. You did not document a monthly playground inspection for the month of September 2023.

Violation confirmed corrected by letter received from provider on 10/13/2023

The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Two staff have not reviewed the current EMC plan since 6/27/22 and 9/26/22.

Violation confirmed corrected by letter received from provider on 10/13/2023

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. Two staff have not reviewed the current EPR plan since 6/27/22 and 9/26/22.

Violation confirmed corrected by letter received from provider on 10/13/2023

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. One staff hired 7/25/23 does not have a signed acknowledgment on file stating she reviewed the center's policy.

Violation confirmed corrected by letter received from provider on 10/13/2023