The Nest Schools

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 conducted 2/12/2026 was submitted to the Division 6/17/2026.

Violation confirmed corrected by letter received from provider on 7/17/2026

The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. In Space 1, a child enrolled had a feeding schedule on file not signed or dated by a parent.

Violation confirmed corrected by letter received from provider on 7/8/2026

A safe indoor and outdoor environment was not provided for the children. On the preschool rear field play area, a board was missing along the fence line exposing rusty nails and several large holes were observed posing a tripping risk to children. On the play area serving two year old children, a stepping stone was accessible to children with a sharp edge.

Violation confirmed corrected by letter received from provider on 7/17/2026

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 10, an Auvi-Q was not in the original container and a FARE form was on file dated 7/1/2025.

Violation confirmed corrected by letter received from provider on 7/8/2026

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 1, plastic food service gloves were on a counter accessible to children. In Space 8, small wiggly eyes and die were on the counter in a teacher storage bin accessible to children. In Space 8, plastic containing pipe cleaners was accessible to children in an unlocked cabinet.

Violation confirmed corrected by letter received from provider on 7/8/2026

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 1, on 6/26/2026, a caregiver documented a child under 12 months was initially placed on tummy at 9:30 am and 1:00 pm.

Violation confirmed corrected by letter received from provider on 7/8/2026

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. One (1) employee hired 2/20/2026 and one (1) employee hired 1/5/2026 did not have a First Aid certificate on file from an approved organization.

Violation confirmed corrected by letter received from provider on 7/23/2026

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. One (1) employee hired 2/20/2026 did not have a CPR certificate on file from an approved organization.

Violation confirmed corrected by letter received from provider on 7/23/2026

Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) child enrolled 9/7/2023 had a medical assessment on file dated 11/24/2023.

Violation confirmed corrected by letter received from provider on 7/8/2026

The EPR Plan did not include the location of the Ready to Go File and or the required information. The ready to go file did not contain emergency contact information for staff.

Violation confirmed corrected by letter received from provider on 7/8/2026

The depth of the loose surfacing was not based on critical height of the equipment. One the preschool and the two year old outdoor play areas, the resilient surfacing under stationary equipment play structures did not meet sufficient critical depth in the fall zones.

Violation confirmed corrected by letter received from provider on 7/17/2026

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In Space 7, three (3) air vents, one emergency fire light and the ceiling area around each vent were not clean and included visible black residue.

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

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 1, sharp scissors were store in an unlocked cabinet on a shelf lower than five feet. In Space 3, hand cream stating keep out of reach of children and sharp scissors were stored in an unlocked cabinet on a shelf lower than five feet. In Space 4, diaper creams were stored in an unlocked tool box in an unlocked closet on a shelf lower than five feet accessible to children.

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

Parent's medication authorization did not include required information. In Space 10 a child requiring Benadryl had a permission to administer form on file with no customization for required dosage and parent preferences. In Space 7, a child requiring Auvi-Q had no permission to administer form on file.

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

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 2, teethers wrapped in plastic and loose trash bags were stored in an unlocked cabinet on a shelf lower than five feet. In Space 4, diapers wrapped in plastic were stored on the bottom shelf les than five feet accessible to children. In Space 7, a teacher organizer bin containing a small key and a plastic bag with a thermometer was stored on a counter accessible to children.

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

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The January, 2026 playground inspection was completed by an individual without a current playground safety certificate on file.

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

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 1, it was documented a child 8 months old was initially placed on side to sleep on 1/28/2026, 1/29/2026 and 2/4/2026.

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

The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. In Space 1, the safe sleep policy was not posted.

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

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. One (1) employee hired 1/5/2026 had a medical report on file dated 1/7/2026.

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

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. One (1) employee hired 1/5/2026 had a TB test on file dated 1/7/2026.

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

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. A staff member hired 10/15/2025 had a First Aid card on file dated 1/28/2026. The card was not in the staff file.

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

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. A staff member hired 10/15/2025 had a CPR card on file dated 1/28/2026. The card was not in the staff file.

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

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 ABCMS roster is not current.

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

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place or lockdown drill documented is dated 10/31/2025.

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

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. Two (2) new employees hired 2/9/2026 had a policy signed and dated 2/10/2026 on file.

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

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. In Space 9, a three (3) year old child requiring Benadryl did not have a medical action plan with a physician's signature on file. In Space 9, a four year old child requiring diphenhydramine did not have a medical action plan with a physician's signature on file.

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

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On October 7, 2025, a staff member yelled at a child during a verbal dispute.

Violation confirmed corrected by letter received from provider on 10/20/2025

A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. On October 7, 2025, a staff member bit a three-year-old child on the right cheek resulting in a bruise.

Violation confirmed corrected by letter received from provider on 10/20/2025

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

Violation confirmed corrected by follow-up visit made by consultant on 3/31/2026

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. A fire inspection was not obtained within twelve (12) months of the previous inspection. The Fire Inspection was completed April 9 , 2025. The previous Fire Inspection was completed January 5, 2024.The operator did not submit the Fire Inspection on a form provided by the Division within one week of the inspection.

Violation confirmed corrected by letter received from provider on 8/1/2025

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. One (1) child did not have a signed statement on or before enrollment acknowledging receipt of the NC Summary of Child Care Law.

Violation confirmed corrected by letter received from provider on 8/5/2025

Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. In Space 8, allergy information for one (1) child was not posted near the eating area.

Violation confirmed corrected by letter received from provider on 8/5/2025

Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The HVAC units located on the preschool/school age and the twos play area had a carabiner hook only on the gates and did not have a mesh guard to keep objects from being thrown into the unit.

Violation confirmed corrected by letter received from provider on 8/5/2025

Parent's medication authorization did not include required information. In Space 6 and in Space 8 one (1) child requiring emergency medication did not have a physician signed FARE plan on file. In Space 4, one child's permission to administer form did not include his name.

Violation confirmed corrected by letter received from provider on 8/5/2025

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The only playground inspection on file was dated July 15, 2025 completed by the regional director.

Violation confirmed corrected by letter received from provider on 8/5/2025

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 (1) child enrolled 1/6/2025 had a safe sleep policy on file dated 1/30/2025.

Violation confirmed corrected by letter received from provider on 8/5/2025

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 1, it was documented on 7/16/2025 that a child under 12 months of age was placed on the tummy for initial sleep position.

Violation confirmed corrected by letter received from provider on 8/5/2025

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 the health questionnaire on file on or before the first day of work.

Violation confirmed corrected by letter received from provider on 8/5/2025

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. Three (3) employees did not have the Emergency Information Form on file on or before the first day of work.

Violation confirmed corrected by letter received from provider on 8/5/2025

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Six (6) employees, including the Director, did not have documentation showing that each received at least 16 hours orientation within the first 6 weeks of employment.

Violation confirmed corrected by letter received from provider on 8/5/2025

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Five (5) employees, including the Director, did not receive six hours or training in required topic areas within the first two weeks of employment.

Violation confirmed corrected by letter received from provider on 8/5/2025

The depth of the loose surfacing was not based on critical height of the equipment. The mulch under the stationary equipment located on the preschool and school age playground measured 4.25" in depth at the greatest depth in the area located at the end of the slide.

Violation confirmed corrected by letter received from provider on 8/5/2025

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. Five (5) employees did not have a signed acknowledgement on file prior to providing care on the first day of work.

Violation confirmed corrected by letter received from provider on 8/5/2025

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 (1) child enrolled 1/6/2025 had a statement acknowledging receipt and explanation of the policy dated 1/15/2025.

Violation confirmed corrected by letter received from provider on 8/5/2025

Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. Two gates were not locked and HVAC units were accessible to children on outdoor play area serving two year old and three year children.

Violation confirmed corrected by letter received from provider on 6/16/2025

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. A backpack containing sunscreen was on a bench located on the play ground serving two year old children. A backpack containing an epi pen was accessible to children located on a fence lower then five feet on a play area serving three year old children.

Violation confirmed corrected by letter received from provider on 6/16/2025

A safe indoor and outdoor environment was not provided for the children. An infant was held by a visitor without parental consent and a qualifying letter on file.

Violation confirmed corrected by follow-up visit made by consultant on 6/3/2025

Incident logs were not completed and maintained as required. The Incident Log was not up to date/maintained and reports were not filed in the child's file for review.

Violation confirmed corrected by follow-up visit made by consultant on 6/3/2025

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. Three (3) new staff members did not have the policy signed and on file prior to employment.

Violation confirmed corrected by follow-up visit made by consultant on 6/3/2025

Staff used a cellular telephone or other two-way functioning voice communication device when there was not an emergency and when the vehicle was not parked in a safe location. On Wednesday, April 23, 2025, a staff member was using a cellular phone while a child was on the bus.

Violation confirmed corrected by follow-up visit made by consultant on

All children were not held or placed in feeding chairs or other appropriate apparatus to be fed. In Space 1 an infant was fed while propped on a Boppy.

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

Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted December 9, 2024.

Violation confirmed corrected by follow-up visit made by consultant on 4/14/2025

Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 1, outlets were uncovered on a surge protector on the counter accessible to children.

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

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, a teacher's purse containing hand sanitizer was accessible to children in a unlocked closet.

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

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 1, 5, 6, and 7 plastic and small parts were accessible to children in unlocked drawers and cabinets.

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

Prior to employment a Criminal Background Check was not completed. The Director, K. Cudnik did not have a CBC Letter on file prior to employment. The letter is dated March 27, 2025 and date of employment is March 3, 2025. Ms. Cudnik has been in the facility.

Violation confirmed corrected by follow-up visit made by consultant on 4/14/2025

All staff records, except financial records, were not made available for review. One new employee did not have a staff file for review.

Violation confirmed corrected by follow-up visit made by consultant on 4/14/2025

Enhanced staff/child ratios and group sizes were not met. The center was out of ratio for approximately three (3) hours Thursday, March 20, 2025.

Violation confirmed corrected by follow-up visit made by consultant on 4/14/2025

A valid qualification letter was not on file and available to review at the facility. One new employee, S. Reed did not have a qualifying letter on file at the facility.

Violation confirmed corrected by follow-up visit made by consultant on 4/14/2025

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place or lockdown drill was conducted October 16, 2024.

Violation confirmed corrected by follow-up visit made by consultant on 4/14/2025

For each child, there was not at least 30 sq. ft. inside space per the total licensed capacity and 100 sq. ft. outside space for each child using the outdoor learning environment at any one time. Space 10 had 25 children ages 3-5 present with two (2) teachers from 9:50 am - 10:37 am. The space is approved for 22 children.

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

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. Four (4) children previously enrolled for over 30 days did not have a medical exam or health assessment on file.

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

Medical exam or health assessment record was not on file before or within 30 days after admission. Four (4) children currently or previously enrolled did not have a medical exam or health assessment on file within 30 days after enrollment.

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

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. Three (3) children did not have an immunization record on file within 30 days of enrollment.

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

Enhanced staff/child ratios and group sizes were not met. Space 10 had 25 children ages 3-5 present with (2) teachers from 9:50 am - 10:37 am. This is a repeat violation.

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

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 last fire inspection on file is dated January 5, 2024.

Violation confirmed corrected by letter received from provider on 3/10/2025

The operator made an effort to falsify information. A CBC Qualifying Letter for S. Tirumalaraju was altered.

Violation confirmed corrected by letter received from provider on 3/10/2025

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 Spaces 1, 4, 6, 7, 8, and 9 bottles and/or cups brought from home were not dated.

Violation confirmed corrected by letter received from provider on 3/10/2025

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 1 white out was observed unlocked on the counter lower then five (5) feet. In Space 6 and Space 9 batteries were observed in unlocked drawers and a teacher storage bin accessible to children. In Space 8 paint daubers labeled keep out of reach of children were observed in the art area. In Space 9, cocoa butter stick labeled keep out of reach of children and batteries was observed on a counter in an unlocked teacher storage drawer.

Violation confirmed corrected by letter received from provider on 3/10/2025

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 1, paper clips and baggies were observed on the counter accessible to children. In Space 4, a plastic bag on the fence was observed accessible to children. In Space 6, hair bandsand small stickers wre observed in an unlocked drawer. In Space 8 small legos, small puzzle pieces and a plastic bag on the counter were observed.

Violation confirmed corrected by letter received from provider on 3/10/2025

Prior to employment a Criminal Background Check was not completed. One staff member S. Tirumalaraju hired October 28, 2024 does not have a CBC Qualifying Letter on file.

Violation confirmed corrected by letter received from provider on 3/10/2025

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 (1) staff member does not have current First Aid certification on file.

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

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. One (1) staff member does not have current CPR certification on file.

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

Enhanced staff/child ratios and group sizes were not met. In Space 8 nineteen (19) children ages two-three were present with two (2) teachers.

Violation confirmed corrected by letter received from provider on 3/10/2025

A valid qualification letter was not on file and available to review at the facility. One staff member S. Tirumalaraju does not have a CBC Qualifying Letter on file.

Violation confirmed corrected by letter received from provider on 3/10/2025

Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In Space 4, a Dunkin Donut cup was observed on the counter accessible and in view to children

Violation confirmed corrected by letter received from provider on 3/10/2025

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. Three (3) staff members do not have training on file within 90 days of employment.

Violation confirmed corrected by letter received from provider on 3/11/2025

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. The incident report dated 1/8/2025 did not have the time the parent was notified or the type of injury, bite, documented.

Violation confirmed corrected by letter received from provider on 1/21/2025

Incident logs were not completed and maintained as required. The Incident Log documentation had the wrong date of incident. The date of incident was logged in as 1/9/2025 and the date submitted was documented as 1/10/2025.

Violation confirmed corrected by letter received from provider on 1/21/2025

Center staff did not follow the EMC plan. The EMC plan dated 12/2024 was in place the date of the incident. The person(s) responsible for administering First Aid did not administer first aid and the person(s) administering First Aid were not listed on the EMC.

Violation confirmed corrected by letter received from provider on 1/21/2025

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 #3, two sippy cups containing milk was present with no date on either cup.

Violation corrected during visit

A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. A First Aid information sheet was not posted.

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 #1 and #2, Camilia liquid drops for teething was present for two children. The liquid drops were not in the original packaging. In space #1 and #2, diaper creams present for four children was not labeled with the child's name.

Violation confirmed corrected by letter received from provider on 8/13/2024

The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted in space #1.

Violation corrected during visit

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 with a hire date of June 17, 2024 had a medical report on file dated July 9, 2024. One staff with a hire date of January 22, 2024 had a medical report on file dated January 21, 2023.

Violation confirmed corrected by letter received from provider on 8/13/2024

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's emergency information was dated July 21, 2023.

Violation corrected during visit

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. Two staff members First Aid training was completed with an agency that is not approved. One staff member's First Aid training was completed by an approved agency however, the course was not approved.

Violation confirmed corrected by letter received from provider on 8/13/2024

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. One staff member's CPR training was completed with an agency that is not approved. One staff member's CPR training was completed by an approved agency however, the course was not approved.

Violation confirmed corrected by letter received from provider on 8/13/2024

A violation was found for which there is no item number. In child are 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 an art easel, dirty laundry, and child size steps being stored in the restroom. This is a violation of requirement 15A NCAC 18A .2817.

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. Staff did not complete incident reports for injuries that occurred on June 28, 2024 and July 5, 2024 involving a two year old child.

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

An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. Staff did not notify a Division representative on within seven days of the injury on July 5, 2024 that required medical attention.

Violation confirmed corrected by letter received from provider on 7/25/2024