Tots World

The number of children present was not within permit capacity. The program is currently licensed to provide care for twelve (12) children during its daytime shift but thirteen (13) enrolled children were observed present including two children from the program's second shift.

Violation confirmed corrected by follow-up visit made by consultant on 8/12/2026

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. The program was due to have its annual Fire Inspection conducted either on or before December 13, 2025 as the last one on file is dated December 13, 2024 but this did not occur.

Violation confirmed corrected by follow-up visit made by consultant on 8/12/2026

When combining age groups, the staff/child ratios for the youngest child in the group was not maintained for the entire group. During today's visit a teacher was observed alone and providing care for a group of eleven (11) enrolled children including children two-years-old.

Violation confirmed corrected by follow-up visit made by consultant on 8/12/2026

Children under one year of age were not kept separate from children two years and older. Upon entry into the home a teacher was observed alone and present with a group of children ranging between the ages of Infant and School-Age.

Violation confirmed corrected by follow-up visit made by consultant on 8/12/2026

A current activity plan was not posted for each group of children for reference. In the designated area for Infants and Toddlers in Space #1 it was observed that the posted activity plan was dated February 2026 and there was not a recent one available for review.

Violation confirmed corrected by follow-up visit made by consultant on 8/12/2026

Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The program’s kitchen was monitored. It was observed that the posted menu was dated June 16th-June 19th.

Violation confirmed corrected by follow-up visit made by consultant on 8/12/2026

The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Infant feeding schedules were monitored, it was observed that the one posted for the child currently ten (10) months of age had not been signed or dated by a parent/caregiver.

Violation confirmed corrected by follow-up visit made by consultant on 8/12/2026

Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In the bathroom utilized by children enrolled in the program it was observed that there was no soap available for handwashing.

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 Space #1, a shared wall between the Block Center and the Manipulative Area was observed with chipping paint. It was also observed in that same area that a visible hole was present in the wall and accessible to children.

Violation confirmed corrected by follow-up visit made by consultant on 8/12/2026

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, one (1) aerosol can of air freshener and one (1) bottle of sunscreen were each observed being stored on a shelf near the changing table. It was also observed that one (1) aerosol can of foam was also being stored on a shelf attached to the wall in this same area. In the bathroom utilized by children enrolled in the program it was observed that a spray bottle of M9 Odor Eliminator Spray labeled with the warning Keep Out of the Reach of children and accompanied by other warnings was being stored on a shelf in an unlocked cabinet.

Violation corrected during visit

The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Four (4) staff files were monitored. It was observed that none of the four (4) staff members files contained an annual reviews for the program’s Emergency Medical Plan.

Violation confirmed corrected by letter received from provider on 8/14/2026

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Four (4) staff files were monitored. It was observed that none of the four (4) staff members' files contained an annual update for the required health questionnaire.

Violation confirmed corrected by follow-up visit made by consultant on 8/12/2026

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. Four (4) staff files were monitored. It was observed that none of the four (4) staff members files contained an annual update for the required emergency information form.

Violation confirmed corrected by follow-up visit made by consultant on 8/12/2026

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). Criminal Background checks were reviewed for all four (4) staff members and three (3) persons living in the home over fifteen (15) years of age. It was observed that one (1) staff member and two (2) household members Criminal Background Checks had each expired in October 2025.

Violation pending provider response

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Training records were reviewed for all staff members it was observed that one staff member hired on February 10, 2025 did not have documentation on file for successfully completing the required sixteen (16) hours of training within her first six weeks of employment.

Violation confirmed corrected by letter received from provider on 8/13/2026

Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Training records were reviewed for all staff members it was observed that the three (3) veteran staff members are each required to complete at least ten (10) in-service training hours annually but neither had documentation on file showing the successful completion of this requirement.

Violation confirmed corrected by follow-up visit made by consultant on 8/12/2026

Before children were transported, written permission from a parent was not obtained that included when and where the child was to be transported, expected time of departure and arrival, and the transportation provider. Four (4) children’s files were monitored. It was observed that one (1) child did not have a current travel authorization form on file.

Violation confirmed corrected by follow-up visit made by consultant on 8/12/2026

Center did not maintain a record of daily attendance. The program’s daily attendance record was reviewed and it was observed that thirteen (13) children were present but only eight (8) had been signed in for the day.

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. Four (4) children’s files were monitored. It was observed that one (1) child did not have documentation on file confirming their emergency medical care information had been reviewed at least annually, as required.

Violation confirmed corrected by follow-up visit made by consultant on 8/12/2026

Medical exam or health assessment record was not on file before or within 30 days after admission. Four (4) children’s files were monitored. It was observed that one (1) child did not have a completed health assessment on file within 30 days of enrollment, as required.

Violation confirmed corrected by follow-up visit made by consultant on 8/12/2026

Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Four (4) children’s files were monitored. It was observed that one (1) child did not have and signed/date statement from parents acknowledging the facility’s discipline policy complete with the child’s date of enrollment on file.

Violation confirmed corrected by follow-up visit made by consultant on 8/12/2026

A valid qualification letter was not on file and available to review at the facility. Criminal Background checks were reviewed for all four (4) staff members and three (3) persons living in the home over fifteen (15) years of age. It was observed that one (1) staff member and two (2) household members did not have current qualifying letters on file.

Violation pending provider response

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. During today’s visit the facility's current Criminal Background Check Roster was requested for review. It was shared that this document was not available, so an attempt was made to monitor it through ABCMS but there was no document accessible.

Violation confirmed corrected by letter received from provider on 8/13/2026

The EPR Plan did not include the location of the Ready to Go File and or the required information. The facility’s Ready to Go File was monitored today. It was observed not to contain the facility’s most current information and have been updated either annually, or as changes have occurred.

Violation confirmed corrected by letter received from provider on 8/14/2026

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility’s Emergency Preparedness Plan was monitored today. It was observed not to contain the facility’s most current information and have been updated either annually, or as changes have occurred.

Violation confirmed corrected by letter received from provider on 8/14/2026

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. Four (4) staff files were monitored. It was observed that none of the four (4) staff members files contained an annual review for the program’s Emergency Preparedness Plan.

Violation confirmed corrected by letter received from provider on 8/14/2026

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. Training records were reviewed for all staff members it was observed that one staff member hired on February 10, 2025 did not have documentation on file for successfully completing the required Recognizing and Responding training within her first ninety days of employment.

Violation confirmed corrected by follow-up visit made by consultant on 8/12/2026

Staff did not complete the health and safety training within one year of employment. Training records were reviewed for all staff members it was observed that one staff member hired on February 10, 2025 did not have documentation on file for successfully completing the required Health and Safety trainings within her first year of employment, as required.

Violation pending provider response

All administrators and staff did not complete a professional development plan within one year of employment, that included all the required information. Four (4) staff files were monitored. It was observed that one (1) new staff member hired in February 2025 did not have documentation on file of completing a professional development plan.

Violation confirmed corrected by letter received from provider on 8/14/2026

The professional development plan was not reviewed annually. Four (4) staff files were monitored. It was observed that three (3) veteran staff members' files did not contain documentation of completing an annual review of their professional development plan.

Violation confirmed corrected by letter received from provider on 8/14/2026

The written feeding plan did not include the type of milk, formula or food and/or the frequency of the feedings. Infant feeding schedules were monitored. It was observed that the one posted for the child currently ten (10) months of age was not completed including information that reflects the child’s current dietary needs.

Violation confirmed corrected by follow-up visit made by consultant on 8/12/2026

A current activity plan was not posted for each group of children for reference. In Space #1 posted activity plans for both Infants and Preschoolers were reviewed. It was observed that the Infant activity plan was dated July 2025 and the posted Preschool activity plan was dated February 2025.

Violation confirmed corrected by letter received from provider on 8/6/2025

Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. The posted Allergy list was observed not current, as it listed two (2) children no longer enrolled in the program.

Violation confirmed corrected by letter received from provider on 8/6/2025

The written feeding plan was not modified as the child's needs changed. Infant feeding schedules were monitored, as there are currently two (2) children enrolled under fifteen (15) months of age. It was observed that the infant feeding schedule posted for a child currently fourteen (14) months of age had not been updated to reflect the child currently eats solid foods.

Violation confirmed corrected by letter received from provider on 8/6/2025

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 #2 the supply closet was observed opened and unlocked containing one spray bottle of Febreze, six (6) containers of disinfecting wipes, three (3) aerosol cans of Lysol and four (4) bottles of disinfecting spray each with the warning Keep Out of the Reach of children printed on the label and accompanied by other warnings.

Violation corrected during visit

Center did not maintain a record of daily attendance. Arrival and departure times were monitored and it was observed that although seven (7) children were present only six (6) children had been signed in upon arrival, as required.

Violation corrected during visit

The completed, signed application was not on file on the first day each child attends. Four (4) children’s files were monitored. It was observed that two (2) children had applications on file that were not complete, containing all required information.

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

Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Four (4) children’s files were monitored. It was observed that two (2) children did not have a signed/date statement from parents acknowledging the facility’s discipline policy complete with each child’s date of enrollment on file.

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

The EPR Plan did not include the location of the Ready to Go File and or the required information. The facility’s Emergency Preparedness Plan and Ready to Go File were both monitored today. Each was observed not to contain the facility’s most current information and have been updated either annually, or changes have occurred.

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

Only one caregiver was required to meet ratio for a center located in a residence, but the name, address, and telephone number of agreed emergency relief was not posted or a second adult was not on the premises for emergency relief. Ms. Smith was observed as the only provider onsite to meet the program’s ratio however there was no information posted for an agreed emergency relief including the person’s name, address and telephone number.

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

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. Four (4) staff files were monitored. It was observed that two (2) staff member’s files contained both personnel and medical information.

Violation confirmed corrected by letter received from provider on 8/14/2025

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. Four (4) children’s files were monitored. It was observed that one (1) child had an incomplete the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgement form on file that did not contain all the required information.

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

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Program records were monitored. It was observed that one (1) emergency drill had occurred at 120 day intervals instead of the required 90 days.

Violation corrected during visit

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. Arrival and departure times were monitored and it was observed that although seven (7) children were present only six (6) children had been signed in upon arrival, as required.

Violation corrected during visit

A current activity plan was not posted for each group of children for reference. A walk through of the indoor space was conducted and it was observed that lesson plans posted in both classrooms were dated May 2024.

Violation confirmed corrected by letter received from provider on 8/18/2024

A safe indoor and outdoor environment was not provided for the children. In the outdoor learning environment, a large tree root was observed present and in the path of travel for children. It was also observed that the latching device on the chain linked fence surrounding the outdoor learning area did not close properly.

Violation confirmed corrected by letter received from provider on 8/18/2024

The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Three (3) staff files were monitored. It was observed that all three (3) staff members did not have documentation on file of completing an annual review of the facility’s Emergency Medical Care Plan in the past year, as required.

Violation confirmed corrected by letter received from provider on 8/15/2024

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three (3) staff files were monitored. It was observed that two (2) staff members had not completed annual health questionnaires, as required.

Violation confirmed corrected by letter received from provider on 8/18/2024

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. Three (3) staff files were monitored. It was observed that all three (3) staff members had not completed annual emergency information forms, as required.

Violation confirmed corrected by letter received from provider on 8/15/2024

Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Three (3) staff files were monitored. It was observed that all three (3) staff members did not have documentation on file of completing an annual professional development plan and an annual staff evaluation on file in the past year, as required.

Violation confirmed corrected by letter received from provider on 8/15/2024

The EPR Plan did not include the location of the Ready to Go File and or the required information. The facility’s Ready to Go File was monitored today. It was observed not to contain the facility’s most current information and have been updated either annually or changes have occurred.

Violation confirmed corrected by letter received from provider on 8/15/2024

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The facility’s Emergency Preparedness Plan was monitored today. It was observed not to contain the facility’s most current information and have been updated either annually or changes have occurred.

Violation confirmed corrected by letter received from provider on 8/15/2024

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 (3) staff files were monitored. It was observed that all three (3) staff members did not have documentation on file of completing an annual review of the facility’s Emergency Preparedness plan in the past year, as required.

Violation confirmed corrected by letter received from provider on 8/15/2024

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. Seven (7) enrolled preschool children were present but only five (5) enrolled preschool children were observed documented on the program’s daily sign-in sheet.

Violation corrected during visit

A current activity plan was not posted for each group of children for reference. It was observed in the childcare space that there was no lesson plan posted or available for review.

Violation corrected during visit

Equipment and furnishings were not sturdy, stable and free of hazards. During the walk through it was observed that five (5) foam blocks located in the bottom compartment of a storage shelf in the child care space had visible teeth impressions.

Violation corrected during visit

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 the bathroom it was observed that there was a First Aid kit containing ointments and a bottle of rubbing alcohol each with the warning ‘Keep out the reach of children’ accompanied by other warnings being stored on a shelf in an unlocked cabinet.

Violation corrected during visit

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The monthly outdoor inspections were monitored for the past twelve months and there was not one available for the month of April 2024 for review.

Violation corrected during visit

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Program records were monitored and it was observed that two (2) emergency drills had occurred at 120 day intervals instead of the required 90 days.

Violation corrected during visit

At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. Three (3) staff files were reviewed, and it was observed that one (1) staff member was due to recertify her ITS-SIDS training by January 12, 2024 but that did not occur.

Violation confirmed corrected by letter received from provider on 6/10/2024