The Children's Courtyard #3212

Children were not provided a meal or snack a minimum of every four hours. On May 7, 2026, breakfast was served at 8:30am, lunch was not served until between 1:30pm and 1:45pm.

Violation confirmed corrected by letter received from provider on 6/5/2026

Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. Staff stated on they have not had paper towels available in the center.

Violation confirmed corrected by letter received from provider on 6/5/2026

Enhanced staff/child ratios and group sizes were not met. On May 15, 2026, there were 20 children two years of age with two staff. The maximum group size for two year old children is eighteen.

Violation confirmed corrected by letter received from provider on 6/5/2026

The staff/child ratio for the youngest child was not maintained when children of all ages were cared for together in groups for the first and last operating hour of the day. There was a six year old child placed in a room with two year old children outside of the first or last operating hour of the day.

Violation confirmed corrected by letter received from provider on 6/5/2026

A current activity plan was not posted for each group of children for reference. In Space 108B there was not a current activity plan posted.

Violation confirmed corrected by letter received from provider on 5/29/2026

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 Spaces 108B, 115, and 120 there were cups which did not include the date or child's name.

Violation corrected during visit

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In Spaces 117 and 119, there is visible markings and paint peeling which has exposed the drywall.

Violation confirmed corrected by letter received from provider on 5/29/2026

All equipment and furnishings were not in good repair. The fence separating the toddler and preschool playground is cracked and has sharp edges. The fencing on the gate is falling off.

Violation confirmed corrected by letter received from provider on 5/29/2026

Fire drills were not practiced monthly and/or the drill record was incomplete. The last documented fire drill was 2/13/2026.

Violation confirmed corrected by letter received from provider on 6/8/2026

A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In Space 108B there was not a permission to administer form and the age documented on the medication required physicians instructions.

Violation corrected during visit

A drug or medicine was administered after its expiration date. In space 107A there was an ointment which had expired.

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. In Space 108A, a prescription ointment did not have instructions from a physician or the pharmaceutical label.

Violation corrected during visit

Application for employment and date of birth was not on file for all staff. An employee with a hire date of 12/18/25 did not have an application on file.

Violation confirmed corrected by letter received from provider on 5/29/2026

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. An employee hired on 2/4/26 had a medical report which was older than 12 months. An employee hired on 3/9/26 had a medical report dated after the hire date.

Violation confirmed corrected by letter received from provider on 5/29/2026

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. An employee with a hire date of 2/4/26 had a TB skin test result which was older than 12 months.

Violation confirmed corrected by letter received from provider on 5/29/2026

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. Employees with hire dates of 11/17/25 and 11/3/25 did not have a valid First Aid training certification.

Violation confirmed corrected by letter received from provider on 7/2/2026

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. Employees with the hire dates of 11/17/25 and 11/3/25 did not have a valid CPR certification on file.

Violation confirmed corrected by letter received from provider on 7/2/2026

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. An employee with a hire date of 4/13/26 had not completed the required orientation within the first two weeks of employment.

Violation confirmed corrected by letter received from provider on 5/29/2026

Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. The registration for each bus expired on 4/30/26.

Violation confirmed corrected by letter received from provider on 5/29/2026

Emergency information did not name child's health care professional. Files for children enrolled on 10/14/25 and 3/9/26 did not include the health care professional of choice.

Violation confirmed corrected by letter received from provider on 5/29/2026

Medical exam or health assessment record was not on file before or within 30 days after admission. Files for children enrolled on 10/14/25 and 2/9/26 did not contain a medical report.

Violation confirmed corrected by letter received from provider on 5/29/2026

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. Files for children enrolled on 10/14/25 and 2/9/26 did not have a record of immunizations.

Violation confirmed corrected by letter received from provider on 5/29/2026

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. There were no documented Shelter-in-place or lockdown drills recorded as required.

Violation confirmed corrected by letter received from provider on 6/8/2026

A drug or medicine was administered in a manner not authorized by the child's parent, physician or other authorized health professional. In Spaces 107A, 108A, and 108B there were ointments with expired permission to administer forms.

Violation corrected during visit

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. Files for five employees did not have the medical information stored separately from the personnel information.

Violation confirmed corrected by letter received from provider on 5/29/2026

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. Employees hired on 12/16/25, 11/17/25, and 12/18/25 did not have documentation of completing the required Recognizing and Responding to Suspicions of Child Maltreatment.

Violation confirmed corrected by letter received from provider on 5/29/2026

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. Files for children enrolled on 9/9/24 and 10/28/24 did not have an enrollment date listed on the policy acknowledgement.

Violation confirmed corrected by letter received from provider on 5/29/2026

The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The EMC plan needs to be updated as staff changes occur.

Violation confirmed corrected by letter received from provider on 5/29/2026

Following the issuance of any administrative action the operator did not post the administrative action, cover letter, and/or corrective action plan, if applicable, in a location visible to parents and visitors near the entrance of the child care facility during the pendency of an appeal and/or throughout the effective time period of the administrative action. (Applicable to administrative actions after 2/1/19) The Administrative Action issued on 4/29/26 was not displayed as required.

Violation confirmed corrected by letter received from provider on 5/29/2026

Enhanced staff/child ratios and group sizes were not met. On 4/17/26, Twos 1, and Twos 2 classrooms were out of ratio for approximately 10 minutes. Twos 1 class had 12 children and 1 staff (out of ratio by 3 children). Twos 2 class had 10 children and 1 staff (out of ratio by 1 child). On 4/23/26, the director stated that the Toddler 1 class was out of ratio for an unknown amount of time in the morning with 1 teacher and 13 children (out of ratio by 7 children).

Violation confirmed corrected by letter received from provider on 6/12/2026

Children were not adequately supervised at all times. On 3/4/26 a staff member found a four year old child left unattended in space 116 while the class was walking down the hallway, transitioning to the playground.

Violation confirmed corrected by letter received from provider on 3/31/2026

Children shall not be in the kitchen except when participating in a supervised activity. On 3/4/26 a child from space 116 was walking with their classroom to the playground when the child ran out of line into the kitchen where the door was open. During today's visit I observed the kitchen door open with no staff member present inside. This is a violation of a requirement in 15A NCAC 18A .2808 (e).

Violation confirmed corrected by letter received from provider on 3/31/2026

Staff did not interact with children in positive ways by helping them feel welcome and comfortable, treating them with respect, listening to what they say, responding to them with acceptance and appreciation, and/or participating in activities with the children. On 2/13/26 a classroom teacher from space 115 used foul language in front of a child while in the hallway.

Violation confirmed corrected by letter received from provider on 2/24/2026

When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group. On December 10, 2025, a teacher in space 115 was left out of ratio for 25 minutes. The classroom ratio for 3-4 year olds at this facility is 1:10. The teacher had a ratio of 1:13.

Violation confirmed corrected by letter received from provider on 1/2/2026

Children were not adequately supervised at all times. On November 12, 2025, a three year old child was left alone in space 119 for an unknown amount of time.

Violation confirmed corrected by letter received from provider on 12/3/2025

Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Several menu items throughout the month were missing the required components and did not comply with the Meal Patterns for Children in Child Care Programs.

Violation confirmed corrected by letter received from provider on 12/3/2025

Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Prior to several meals being served during the week of November 17, 2025, and on occasion during the weeks prior, food substitution was not recorded on the menu prior to the meal or snack being served.

Violation confirmed corrected by letter received from provider on 12/3/2025

Enhanced staff/child ratios and group sizes were not met. On April 10, 2025 a classroom teacher with four and five year old children in space 117 was left out of ratio for several minutes.

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

Children were not adequately supervised at all times. In space 118 a four year old was left unattended in a classroom for several minutes.

Violation confirmed corrected by letter received from provider on 3/25/2025

All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training. A staff member hired on 3/28/23 as the group leader for the school age classroom did not have a current BSAC certificate on file and available for review.

Violation confirmed corrected by letter received from provider on 12/18/2024

A valid qualification letter was not on file and available to review at the facility. A staff member hired on 2/16/21 did not have a current criminal qualification letter on file and available for review.

Violation confirmed corrected by letter received from provider on 12/18/2024

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. A staff member hired on 5/13/24 did not have a current child maltreatment certificate on file and available for review.

Violation confirmed corrected by letter received from provider on 12/18/2024