Tutor Time Child Care / Learning Center

A safe indoor and outdoor environment was not provided for the children. On August 7, 2026 at approximately 7:05am an infant was in a crib with hot water dispensers.

Violation pending provider response

When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In Pre-K screen time was not logged for children.

Violation confirmed corrected by letter received from provider on 1/23/2026

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 the space for Infant 2 one child did not have bottles labeled with the correct name and date.

Violation corrected during visit

Lavatories were not kept clean, in good repair and kept free of storage. Lavatories in classrooms were used for storage. Classroom materials clothing, chairs, cleaning materials, and other items were stored in the lavatories.

Violation confirmed corrected by letter received from provider on 1/23/2026

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Wall in all classroom have chipped paint. Classroom walls need to be painted.

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

All equipment and furnishings were not in good repair. In space Early Preschool 1 the table in the dramatic play had a broken leg. The Lego table had chipping paint and toy shelves need to be painted.

Violation confirmed corrected by letter received from provider on 1/23/2026

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff with hire date 4/9/18 did not have current health questionnaire on file it was dated 1/9/25.

Violation confirmed corrected by letter received from provider on 1/23/2026

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. Staff member with the hire date of 4/9/18 did not have a emergency information form on file.

Violation confirmed corrected by letter received from provider on 1/23/2026

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). Staff member with the hire date of 9/30/19 did not complete the qualification letter prior to the expiration date.

Violation confirmed corrected by letter received from provider on 1/23/2026

Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff with the hire date of 9/30/19 did not have all the required training hours completed.

Violation confirmed corrected by letter received from provider on 1/23/2026

Emergency information did not name child's health care professional. Child with date of birth 4/30/23 emergency information did not have a health care professional listed.

Violation confirmed corrected by letter received from provider on 1/23/2026

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. Child with date of birth 8/24/25 does not have medical exam on file.

Violation confirmed corrected by letter received from provider on 1/23/2026

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. Child DOB 8/24/25 does not have an immunization record on file.

Violation confirmed corrected by letter received from provider on 1/23/2026

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Staff with the hire date of 4/9/18 did not have information that the EPR plan was reviewed annually.

Violation confirmed corrected by letter received from provider on 1/23/2026

The professional development plan was not reviewed annually. Staff with the hire date of 4/9/18 did not have a annual development plan.

Violation confirmed corrected by letter received from provider on 1/23/2026

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. One sippy cup in space 5 was not labeled with the name of the child and the current date.

Violation corrected during visit

A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space 10 medication authorization form was not with the medication and medication was given to student with out instructions from the health professional.

Violation corrected during visit

Parent's medication authorization did not include required information. In space 3, 5, and 7 medication forms were on completed with the required information by the parent.

Violation confirmed corrected by letter received from provider on 7/31/2025

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 5 one left over medication was not returned to parent after course of treatment.

Violation confirmed corrected by letter received from provider on 7/31/2025

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. Staff had an open energy drink on the counter.

Violation confirmed corrected by letter received from provider on 7/31/2025

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. An emergency drill has not been conducted every three months. The last drill was conducted 3/4/25.

Violation confirmed corrected by letter received from provider on 7/31/2025

A safe indoor and outdoor environment was not provided for the children. A 1-year-old child sustained injuries that were unable to be explained by the staff members who provided care to the child.

Violation confirmed corrected by follow-up visit made by consultant on 11/10/2025

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. Incident reports were completed for injuries sustained by a one-year-old child on 6/10/25 but did not include all required information.

Violation confirmed corrected by letter received from provider on 6/24/2025

A safe indoor and outdoor environment was not provided for the children. Staff left bleach water on changing table and child was laid on the wet table.

Violation confirmed corrected by letter received from provider on 3/19/2025

Incident logs were not completed and maintained as required. The incident log was not current and incident reports that were on file were not logged on the incident log.

Violation confirmed corrected by letter received from provider on 3/19/2025

A copy of the incident report was not given to the parent. An incident occurring on 3/5/25 in space seven (7) and an incident report was not written by the teacher or administrative staff.

Violation confirmed corrected by letter received from provider on 3/19/2025

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. In space 1 classroom for the 3 year-olds when I entered the classroom the ratio was 11 children to one teacher. The ratio for this classroom is 10 children to one teacher.

Violation corrected during visit

All staff did not wash their hands thoroughly after diapering each child. In space 2 teacher was not using the proper diapering procedure concerning washing hands between each change.

Violation confirmed corrected by letter received from provider on 3/6/2025

Each child did not have an opportunity to be outdoors daily, if weather conditions permitted. Infant A and B has not been taking the children outside daily.

Violation confirmed corrected by letter received from provider on 3/6/2025

A current activity plan was not posted for each group of children for reference. In space 1, and space 7 activity plans were not current.

Violation confirmed corrected by letter received from provider on 3/6/2025

When three year old children and older were in care, the materials and equipment in the activity area was not in sufficient quantity to allow at least three children to use the area regardless of whether the children choose the same or different activities. In space 1, 9,10,and 11 materials in activity areas were not of sufficient quantity for children to have a choice of activities.

Violation confirmed corrected by letter received from provider on 3/6/2025

For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In spaces 2, 3, 5, 7,and 8 there was not a sufficient quantity of toys in the activity areas.

Violation confirmed corrected by letter received from provider on 3/6/2025

When children 3 years and older were in care, screen time was not used to stimulate a developmental domain; was not limited to 30 minutes a day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. In space 10 for the four and five year old's the screen chart were not completed for screen time in this classroom.

Violation confirmed corrected by letter received from provider on 3/6/2025

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. Infant B 2 bottles were not labeled with name and date.

Violation confirmed corrected by letter received from provider on 3/6/2025

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Door to space 11 the handle to open the door was broken and coming off the door.

Violation confirmed corrected by letter received from provider on 3/6/2025

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 for the infants A & B sleep logs were not current for the week of February 17-21.

Violation confirmed corrected by letter received from provider on 3/6/2025

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. Employee hire date 6/5/24 did not have a medical report on file. One on file was dated 03/07/23.

Violation confirmed corrected by letter received from provider on 3/6/2025

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. Staff hire date 06/05/24 did not have a TB screening on file. The one on file was dated 03/09/23 and was expired.

Violation confirmed corrected by letter received from provider on 3/6/2025

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. Employee with the hire date 9/9/24 does not have a current First Aid card/certificate on file.

Violation confirmed corrected by letter received from provider on 3/6/2025

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. Employee with the hire date 9/9/24 does not have a current CPR certificate/card on file.

Violation confirmed corrected by letter received from provider on 3/6/2025

A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Diaper Cream was administered without written authorization.

Violation confirmed corrected by letter received from provider on 11/13/2024

Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional. Cream used for child was not in the original container.

Violation confirmed corrected by letter received from provider on 11/13/2024

Parent's medication authorization did not include required information. Parent authorization form for diaper cream did not contain all required information.

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. 8 staff members with the hire dates of 6/03/24, 4/19/2021, 06/10/2024, 12/26/2023, 05/13/2024, 05/16/2022, 01/20/2020, and 06/17/2024 did not have a current First Aid certificate on file for view.

Violation confirmed corrected by letter received from provider on 11/13/2024

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. Eight staff members with the hire dates of 6/03/24, 4/19/2021, 06/10/2024, 12/26/2023, 05/13/2024, 05/16/2022, 01/20/2020, and 06/17/2024 did not have a current CPR certificate on file for view.

Violation confirmed corrected by letter received from provider on 11/13/2024

Sanitation Rule 15A NCAC 18A .2815 (e) Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. The kitchen door was unlocked while unoccupied.

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 report was not completed when a child was injured and a copy was not given to parent to sign.

Violation confirmed corrected by letter received from provider on 8/1/2024

Drinking water was not available to children at all times regardless of where activities were provided. Drinking water was not available to all children during outside play.

Violation confirmed corrected by letter received from provider on 8/1/2024

A current activity plan was not posted for each group of children for reference. Activity plan was not current in School Age room

Violation confirmed corrected by letter received from provider on 6/11/2024

For children under three years of age, materials were not offered in sufficient quantity to allow all children to use them at some time during the day and to allow for a range of choices. In Space 4, 7, 8 materials need to be added to each activity area.

Violation confirmed corrected by letter received from provider on 6/11/2024

Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu was not current in the kitchen.

Violation corrected during visit

An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence)Feeding plan were not posted in the infant spaces.

Violation confirmed corrected by letter received from provider on 6/11/2024

Diaper changing surfaces were not kept free of storage. In infant 1 space markers were stored on changing table.

Violation confirmed corrected by letter received from provider on 6/11/2024

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. Walls through out the building need painting and cleaned.

Violation confirmed corrected by letter received from provider on 6/21/2024

The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests. Standing water was on the playground for the Pre-K and grass needs to be cut on all playgrounds.

Violation confirmed corrected by letter received from provider on 6/11/2024

Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Fence on the toddler playground has protrusions at the top and the bottom. Fence needs to be attached to the in some areas.

Violation confirmed corrected by letter received from provider on 6/11/2024

Gates to the fenced outdoor play area did not remain closed while children occupied the area. Fence on the toddler playground was open to the outside road.

Violation corrected during visit

Gas tanks, gas, and/or charcoal grills, were not inaccessible or in a protective enclosure, making them accessible to children. A charcoal grill was accessible on the playground that is used for the Pre-K children.

Violation confirmed corrected by letter received from provider on 6/11/2024

A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Two medications did not have authorization forms in the two year old space. One medication did not have authorization form in the one year old space.

Violation confirmed corrected by letter received from provider on 6/11/2024

Parent's medication authorization did not include required information. In space 3 and 4 two forms for medication authorization was not completed and one diaper cream was expired. In space 7 and 8 there were forms with not amount of cream to be applied not on authorization sheet.

Violation confirmed corrected by letter received from provider on 6/11/2024

Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month. One student did not have sleep log completed. Last date sleep log was done is 5/21/24.

Violation confirmed corrected by letter received from provider on 6/11/2024

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. Staff hired on 3/26/24 does not have a TB test or screening on file.

Violation confirmed corrected by letter received from provider on 6/11/2024

Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One staff member hired 3/26/24 does not have a annual staff evaluation and staff developmental plan on file.

Violation confirmed corrected by letter received from provider on 6/11/2024

Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Employee with hire date 3/22/24 did not have a signed and dated statement of job description and that they have received personnel and operational policies.

Violation confirmed corrected by letter received from provider on 6/11/2024

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. One staff hired 3/22/24 did not have it reviewed at orientation.

Violation confirmed corrected by letter received from provider on 6/11/2024

The operator did not notify the parent of each child enrolled in writing of the smoking and tobacco restriction. Three children files did not have a signed tobacco restriction in writing.

Violation confirmed corrected by letter received from provider on 6/11/2024

The temperature in a room where infants aged 12 months or younger where sleeping exceeded 75 degrees. Temperature in the infant classrooms was at 75 or above on 2 days 4/30 and 5/1.

Violation confirmed corrected by letter received from provider on 5/8/2024

A safe indoor and outdoor environment was not provided for the children. A staff member engaged in a verbal altercation with a parent of an enrolled child in a classroom on 3/19/24 while children were present.

Violation confirmed corrected by letter received from provider on 5/8/2024

Application for employment and date of birth was not on file for all staff. On March 25, 2024, a staff member did not have an employment application on file.

Violation confirmed corrected by letter received from provider on 5/8/2024