N.B. Mills - Iss Staff Childcare

A current activity plan was not posted for each group of children for reference. A current lesson plan was not posted. The lesson plan posted was dated January 19-23.

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

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. I observed that blinds in the windows were broken and could be a hazard to children.

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

Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff with the hire date of 9/12/23 has not completed on-going training hours required.

Violation confirmed corrected by letter received from provider on 2/23/2026

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Staff with the hire date of 9/12/23 has not reviewed the EPR plan annually.

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. Staff with the hire dated of 9/2/25 and 9/12/23 do not have Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file.

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

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. I observed that on the playground area water was standing in empty containers and the outdoor kitchen area.

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

Parent's medication authorization did not include required information. One medication form did not have all the required information completed by parent.

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

A current schedule was not posted for each group of children for reference. In space C215 a daily schedule was not posted.

Violation confirmed corrected by letter received from provider on 3/20/2025

A current activity plan was not posted for each group of children for reference. Current activity plan was not posted in Preschool classroom.

Violation confirmed corrected by letter received from provider on 3/20/2025

Parent's medication authorization did not include required information. Two diaper creams in the toddler classroom did not have parent's authorization form completed.

Violation confirmed corrected by letter received from provider on 3/20/2025

Center did not maintain a record of daily attendance: Attendance in space in C215 was not completed.

Violation confirmed corrected by letter received from provider on 3/20/2025

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. There was no documentation staff received annual EPR training.

Violation confirmed corrected by letter received from provider on 3/20/2025

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. Two employees' with the hire dates of 2/4/25The 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 on file.

Violation confirmed corrected by letter received from provider on 3/20/2025

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. One staff member hire date 10/10/24 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

Violation confirmed corrected by letter received from provider on 3/20/2025

Children were not adequately supervised at all times. Teacher left two toddler children unattended in the bathroom to attend to other children in the classroom.

Violation confirmed corrected by letter received from provider on 2/28/2025

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. 2 bottles in the infant classroom refrigerator were not labeled with the date.

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

Parent's medication authorization did not include required information. Diaper cream authorization form was not complete. All spaces were not completed by parent.

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

A valid qualification letter was not on file and available to review at the facility. Qualification letter for employee hire date 10/10/24 was not on file for review.

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

A current activity plan was not posted for each group of children for reference. A current lesson plan was not posted in the Preschool Classroom.

Violation confirmed corrected by letter received from provider on 5/30/2024

Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill posted on Emergency drill log was dated 3/21/24.

Violation confirmed corrected by letter received from provider on 5/30/2024

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. Two children had missing days on the infant sleep that were not recorded and the children were present. Days were 3/21, 3/22, 3/26, 4/13, 4/14, and 5/7.

Violation confirmed corrected by letter received from provider on 5/30/2024

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 member had not completed a current emergency Information form.

Violation confirmed corrected by letter received from provider on 5/30/2024

Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In the classroom for the 3's and 4's the arrival times for the children were not completed for 12/13/23. Teacher corrected form and signed in each child that was present.

Violation corrected during visit

A current activity plan was not posted for each group of children for reference. Activity Plan was not completed and posted for the infant classroom. Lesson plan was dated for the first week of November.

Violation confirmed corrected by letter received from provider on 12/13/2023

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. Two sippy cups in the toddler refrigerator were not labeled with the date. This was corrected by the teacher.

Violation corrected during visit

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. Sleep log documentation had some days that were not documented. Teacher corrected the blank spaces with absent and updates each child's form.

Violation corrected during visit

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One child's file did not have a signed statement that parents received a copy of the NC Child Care Law.

Violation confirmed corrected by letter received from provider on 9/20/2023

A current schedule was not posted for each group of children for reference. Space 2 did not have a daily schedule posted.

Violation corrected during visit

A current activity plan was not posted for each group of children for reference. Space 3 had an activity plan dated July 2023.

Violation confirmed corrected by letter received from provider on 9/20/2023

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. In space 1, one child's lunch box was not labeled with the child's name and date. In space 2, two sippy cups and one lunch box was not labeled with the child's name and date. In space 3, six bottles did not have the child's name, and four bottles did not have the date.

Violation corrected during visit

Parent's medication authorization did not include required information. Space 2 had one diaper cream medication that was missing the amount of medication to be used as well as the name of the medication was not listed accurately.

Violation confirmed corrected by letter received from provider on 9/20/2023

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. Space 2 had plastic gloves and trash bags stored below five feet.

Violation corrected during visit

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. One infant was sleeping upon arrival and the staff did not have any documentation of checking on the sleeping infant. Another infant fell asleep during feeding and was laid down by the staff member and did not document of laying them down.

Violation confirmed corrected by letter received from provider on 9/20/2023

A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center. One infant's file did not have a signed safe sleep policy.

Violation confirmed corrected by letter received from provider on 9/20/2023

The child care operator did not comply with all State laws, federal laws and/or local ordinances that pertain to child health, safety, and welfare, as required by General Statute 110-91. Space 3 had two cribs that were not compliance with the federal crib standards. One of those cribs was being used by a sleeping infant.

Violation confirmed corrected by letter received from provider on 9/20/2023

Application for employment and date of birth was not on file for all staff. Five staff members did not have an employment application on file.

Violation confirmed corrected by letter received from provider on 9/20/2023

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 new staff member hired on 7/31/23 did not have a medical report completed and on file.

Violation confirmed corrected by letter received from provider on 9/20/2023

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 new staff member did not have a TB test or screening completed or on file.

Violation confirmed corrected by letter received from provider on 9/20/2023

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 new staff member hired on 7/31/23 did not have an emergency information form on file.

Violation confirmed corrected by letter received from provider on 9/20/2023

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three new staff members did not have documentation of completing orientation within the first 6 weeks of employment.

Violation confirmed corrected by letter received from provider on 9/20/2023

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One new staff member did not have documentation of completing orientation within the first 2 weeks of employment.

Violation confirmed corrected by letter received from provider on 9/20/2023

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Three new staff members did not have documentation of reviewing the EMC plan, a topic area required to be reviewed within the first two weeks of orientation.

Violation confirmed corrected by letter received from provider on 9/20/2023

Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One child's file did not have a signed statement that the parent received the operational policies.

Violation confirmed corrected by letter received from provider on 9/20/2023

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. Two new staff members did not have documentation on file that they received the personnel and operational policies.

Violation confirmed corrected by letter received from provider on 9/20/2023

Emergency information did not name childs health care professional. One child's application did not include the health care professional as part of the emergency information.

Violation confirmed corrected by letter received from provider on 9/20/2023

Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child's file did not have a signed statement that they received the discipline policy.

Violation confirmed corrected by letter received from provider on 9/20/2023

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. Three new staff members did not have documentation of reviewing the EPR plan during orientation.

Violation confirmed corrected by letter received from provider on 9/20/2023

At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Space 3 had two staff members present, and neither of these staff members have completed ITS-SIDS training.

Violation confirmed corrected by letter received from provider on 9/20/2023

The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. One child's file does not have a signed statement that parents have recieved a copy of the smoking and tobacco restriction.

Violation confirmed corrected by letter received from provider on 9/20/2023

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. Three new staff members did not have a signed acknowledgement that they received a copy of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy.

Violation confirmed corrected by letter received from provider on 9/20/2023

A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. One child's file did not have a signed Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy.

Violation confirmed corrected by letter received from provider on 9/20/2023