Tutor Time Child Care/Learning Center

A current activity plan was not posted for each group of children for reference. Spaces 2, 4, and 11 did not have current activity plans posted.

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. There was a hole in the wall with exposed dry wall above the molding in Space 6 for infant care. The hole was accessible to children.

Violation confirmed corrected by letter received from provider on 7/20/2026

A safe indoor and outdoor environment was not provided for the children. A child's emergency medication was stored behind lock and key.

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. An Air Wick gel air freshener was stored on top of a cabinet below 5 feet in Space 1. Packets of alcohol swabs were stored in a drawer accessible to children in Space 2.

Violation corrected during visit

Parent's medication authorization did not include required information. There was not a permission form completed for an Epi pen or Benadryl in Space 3.

Violation confirmed corrected by letter received from provider on 7/20/2026

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. Safe sleep checks were not maintained or completed for four (4) infants in Space 6. There were no sleep checks documented for J.W. Safe sleep checks were documented on 6/8 for M.D. on 6/8/26 but attendance showed he was present since 6/8/26. A.T. had a safe sleep check documented 6/22/26 and attendance showed she was present every day since 6/22/26. O.L. did not have any documented safe sleep checks and attendance showed he was present every day.

Violation corrected during visit

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Two (2) employees hired 5/11/26 and 5/18/26 did not have documentation of 16 hours of orientation within the first 6 weeks of employment.

Violation confirmed corrected by letter received from provider on 7/20/2026

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Four (2) new employees did not have documentation of 6 hours of orientation in the first 2 weeks of employment.

Violation confirmed corrected by letter received from provider on 7/20/2026

Each child's bed, cot, or 2" mat was not individually assigned and identified. One (1) infant was visiting Space 6 today from Space 7. The crib the infant was observed sleeping in was not labeled with the child's name.

Violation confirmed corrected by follow-up visit made by consultant on 5/27/2026

Equipment and furnishings were not sturdy, stable and free of hazards. The wooden slats on the fence surrounding the air conditioning units were pulled away and nails were observed loose. Screws were loose and rusted along the bottom of the slats. Children had access to the area next to air conditioning units.

Violation confirmed corrected by follow-up visit made by consultant on 5/27/2026

Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The latch to the air conditioning units was broken. The units were accessible to children.

Violation confirmed corrected by follow-up visit made by consultant on 5/27/2026

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. The measured maximum group size for Space 8 was twelve (12) children. There were fourteen (14) children present from 8:30 am - 8:55 am today.

Violation corrected during visit

Enhanced staff/child ratios and group sizes were not met. The director reported that Space 8 was out of ratio this morning. The face-to-name sheet indicated fourteen (14) children two years of age were present with one (1) teacher from 8:30 am to 8:55 am.

Violation corrected during visit

A valid qualification letter was not on file and available to review at the facility. One (1) new employee hired 4/13/26 did not have a qualification letter on file to review. The qualification was verified in the ABCMS portal.

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 (1) infant was observed asleep in her crib in Space 7. There was not a safe sleep chart completed for the child.

Violation corrected during visit

Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. Special diet or food allergy information was posted inside the cabinet doors in Spaces 2, 3, 4, and 5.

Violation confirmed corrected by letter received from provider on 4/21/2026

Center administrators and staff did not use the information provided in the application to ensure that each individual child's needs are met. The updated application dated 2/3/25 stated the child was allergic to bananas and peaches. The center's parent communication app stated the child was given peaches on 6/30/25 for lunch. On 7/8/25 the child was given banana muffins for afternoon snack. On 8/18/25 the child was given peaches for lunch. On 9/11/25 the child was given fresh bananas for lunch. On 11/5/25 the child was given peaches for lunch. On 2/19/26 the child was given fresh bananas for lunch and banana muffins for afternoon snack.

Violation confirmed corrected by letter received from provider on 4/21/2026

Enhanced staff/child ratios and group sizes were not met. Six (6) children 0-12 months of age were present with one (1) teacher from 8:23 am - 8:29 am on 3/31/26.

Violation confirmed corrected by follow-up visit made by consultant on 4/14/2026

Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. A piece of cabinet was observed propped against the diaper changing table accessible to children in Space 8. The board had two (2) screws poking out of the back.

Violation corrected during visit

Children were not adequately supervised at all times. While typing the visit summary in Space 1 I observed a four (4) year old child enter the classroom alone and give a piece of paper to a therapist. The child opened the door and left Space 1 and returned to Space 4 where the teacher came to the doorway and watched the child as she walked down the hall to Space 4.

Violation confirmed corrected by follow-up visit made by consultant on 4/1/2026

Incident logs were not completed and maintained as required. Incident reports were not documented in the incident log since January 2026.

Violation confirmed corrected by follow-up visit made by consultant on 3/17/2026

Enhanced staff/child ratios and group sizes were not met. On 3/4/26 one (1) teacher was present with nine (9) children one year of age. The ratio for one year old children is 1:6.

Violation confirmed corrected by follow-up visit made by consultant on 3/17/2026

A drug or medicine was administered in a manner not authorized by the child's parent, physician or other authorized health professional. On 3/2/26 Aquafor was applied to a scrape on a child’s forehead. The completed permission form for the Aquaor stated the ointment was to be applied to the child’s nose and surrounding area prior to going outdoors.

Violation confirmed corrected by follow-up visit made by consultant on 3/17/2026

Center has not passed required sanitation inspection and received an approved or superior rating. The center received a "disapproved" sanitation inspection on 12/18/25 and repairs have not been completed for reinspection.

Violation confirmed corrected by letter received from provider on 2/19/2026

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. The safe sleep policy was not posted in Space 7.

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. One (1) employee's First Aid training expired 12/29/25.

Violation confirmed corrected by letter received from provider on 2/10/2026

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's CPR expired 12/29/25.

Violation confirmed corrected by letter received from provider on 2/10/2026

A violation was found for which there is no item number. Sanitation Rule 15A NCAC 18A .2815 (e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. The hot water measured 108 degrees at the three-compartment sink in the kitchen.

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

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. Diapers were stored in torn plastic bags on the floor of the bathroom between Spaces 8 & 9. Two year old children were present in both classrooms.

Violation corrected during visit

Potential biocontaminants were not stored properly (locked storage, removed from premises, inaccessible to children, or covered plastic lined receptacle). The trashcan lid removed from the restroom can located between Spaces 8 & 9. Soiled diapers were observed inside the trashcan.

Violation corrected during visit

A current activity plan was not posted for each group of children for reference. The posted activity plan in Space 3 was not current.

Violation confirmed corrected by letter received from provider on 12/24/2025

The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Two (2) children did not have feeding schedules posted in Space 5. One (1) child's feeding plan was not signed by the parents.

Violation confirmed corrected by letter received from provider on 12/24/2025

Air conditioning units were accessible or did not have a guard to keep objects from being thrown into the unit. The gate to the air conditioners on early preschool side of the playground was unlocked.

Violation confirmed corrected by letter received from provider on 12/24/2025

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. An aerosol can of Glade was stored on a shelf in the bathroom between Spaces 8 & 9. An aerosol can of cologne was stored on a bus 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. Incident reports were maintained in a notebook and not in the children's file.

Violation confirmed corrected by letter received from provider on 12/24/2025

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. Diapers were stored in torn plastic bags on the floor of the bathroom between Spaces 8 & 9. Two year old children were present in both classrooms.

Violation confirmed corrected by letter received from provider on 12/24/2025

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. No playground inspections were completed for October and November of 2025.

Violation confirmed corrected by letter received from provider on 12/24/2025

The EMC plan was not reviewed with all staff annually and whenever the plan was revised. An intern director started August 2025 and added her name to the EMC and did not review it with the staff.

Violation confirmed corrected by letter received from provider on 12/24/2025

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

Violation confirmed corrected by letter received from provider on 12/24/2025

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff member started employment on May 5, 2025 and did not complete the required training within the first two week of employment until June 2, 2025.

Violation confirmed corrected by letter received from provider on 12/24/2025

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. A child's permission to transport expired 7/7/24.The child was listed on the morning transportation roster today.

Violation confirmed corrected by letter received from provider on 12/24/2025

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The plan has not been reviewed since November 27, 2024.

Violation confirmed corrected by letter received from provider on 12/24/2025

The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for a child with a chronic allergy expired 8/8/25. The medication listed on the medical action plan was not onsite.

Violation confirmed corrected by letter received from provider on 12/24/2025

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Permission for a child's nystatin was expired 11/28/25. A child's diaper cream permission expired 8/2/25.

Violation confirmed corrected by letter received from provider on 12/24/2025

Children were not adequately supervised at all times. On December 3, 2025 a 2-year-old child was left on the playground unsupervised for approximately three (3) minutes. The child was discovered by another teacher who was inside and took the child back to their classroom

Violation confirmed corrected by follow-up visit made by consultant on 12/19/2025

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Multiple doors and door frames throughout the building were observed peeling paint and paint was observed bubbling in areas. Classroom walls were observed peeling paint as well. Repeat violation

Violation confirmed corrected by follow-up visit made by consultant on 12/11/2025

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Multiple doors and door frames throughout the building were observed peeling paint and paint was observed bubbling in areas. Classroom walls were observed peeling paint as well.

Violation confirmed corrected by follow-up visit made by consultant on 12/11/2025

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. Since the previous visit conducted on 9/14/25, it was reported that a teacher observed another teacher in Space 11 roll a child off his cot onto the floor to wake him from rest time. Repeat violation.

Violation confirmed corrected by follow-up visit made by consultant on 10/8/2025

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. It was reported during staff interviews that a they observed a teacher use inappropriate tone and volume when speaking to children. They also reported they witnessed her pull children by their wrists to the seated position.

Violation confirmed corrected by follow-up visit made by consultant on 10/8/2025

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. Two (2) sets of bottles were not dated.

Violation confirmed corrected by letter received from provider on 1/29/2025

The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents.

Violation confirmed corrected by letter received from provider on 1/29/2025

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls throughout the building were observed in poor repair. The paint was observed chipped and peeling.

Violation confirmed corrected by letter received from provider on 1/29/2025

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. Two (2) bags of ice melt was stored on the floor in the village accessible to children.

Violation corrected during visit

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) employee hired 4/4/24 did not have documentation of receiving 16 hrs of orientation.

Violation confirmed corrected by letter received from provider on 1/29/2025

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. One (1) child did not have a permission to transport on file for review. Permission to transport were current for all other children, however several children’s permissions did not indicate where the child was being pick up from and the times.

Violation confirmed corrected by letter received from provider on 1/29/2025

Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Six (6) children did not have the date of enrollment listed on the discipline policy. One (1) child did not have the date the policy was signed.

Violation confirmed corrected by letter received from provider on 1/29/2025

Application for enrollment did not include all required information. One (1) child's application did not include all of the required information completed.

Violation confirmed corrected by letter received from provider on 1/29/2025

The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. A child's medical action plan for a chronic condition was expired in Space 3.

Violation confirmed corrected by letter received from provider on 1/29/2025

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. A child's medication permission was expired in Space 3.

Violation confirmed corrected by letter received from provider on 1/29/2025

A violation was found for which there is no item number. 15A NCAC 18A .2806 (d) (d) Bulk food stored in a refrigerator shall be stored at 45 degrees Fahrenheit or below and stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator. Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in this Paragraph when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs. A child’s specialty milk from home was stored in a glass Starbucks jar labeled “Lactaid milk" in Space 5.

Violation confirmed corrected by letter received from provider on 1/29/2025

Balloons were accessible to children. Two (2) latex balloons were observed accessible to children in Space 2.

Violation corrected during visit