Tutor Time Childcare Learning Center

Children were not adequately supervised at all times. A 2-year-old child in space #5 had one (1) injury of which was not observed during outdoor play from the child’s teachers.

Violation confirmed corrected by follow-up visit made by consultant on 7/13/2026

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 not created when children were injured on two (2) occasions.

Violation confirmed corrected by follow-up visit made by consultant on 7/13/2026

Prior to employment a Criminal Background Check was not completed. There were two (2) staff members who did not have a criminal background letter prior to employment, F.B and L.H.

Violation confirmed corrected by follow-up visit made by consultant on 7/13/2026

A valid qualification letter was not on file and available to review at the facility. There were two (2) staff members who did not have a criminal background letter prior to employment, F.B and L.H.

Violation confirmed corrected by follow-up visit made by consultant on 7/13/2026

The depth of the loose surfacing was not based on critical height of the equipment. The mulch on playgrounds did not meet the required six (6) inches of depth.

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

A child was yelled at, shamed, humiliated, frightened, threatened or bullied. A staff member was overheard sharing the following statements to children: Yelling at children making the statement of I can’t wait till parents pick them up, they deserve to be spanked and whooped, Yelling at children, pointing broom at their faces, Yelling at children if you hit another kid, I will hit you.

Violation confirmed corrected by follow-up visit made by consultant on 7/13/2026

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's last fire inspection on file with DCDEE was completed on 1/28/25. It was reported that current information could not be located. This annual inspection was due 1/28/26.

Violation confirmed corrected by follow-up visit made by consultant on 5/29/2026

A current activity plan was not posted for each group of children for reference. A current activity plan (lesson plan) was not posted for space #4, #6, #10 and #11.

Violation confirmed corrected by letter received from provider on 5/19/2026

Four of the five activity area(s): art/creative play, children’s books, blocks/block building, manipulatives, family living/dramatic play was not available daily. In space #5 and #6, sufficient materials were not available for children to engage in 4 out of the 5 activity areas.

Violation confirmed corrected by letter received from provider on 5/19/2026

Menus for all meals and snacks were not current or posted where easily seen by parents and cook. A current menu for meals and snacks was not posted the menu was dated for the week of 4/13/26.

Violation corrected during visit

Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory. In space #6, paper towels were not available.

Violation corrected during visit

Each child's bed, cot, or 2" mat was not individually assigned and identified. Cots were not individually assigned nor identified in space #5, #6 and #7.

Violation confirmed corrected by letter received from provider on 5/19/2026

Diaper changing surfaces were not kept free of storage. In space #6, the diaper changing table surface had materials stored on top.

Violation confirmed corrected by letter received from provider on 5/19/2026

All equipment and furnishings were not in good repair. In space #4, several books were in need of replacement or repair.

Violation confirmed corrected by letter received from provider on 5/19/2026

Fire drills were not practiced monthly and/or the drill record was incomplete. Monthly fire drill records were not accessible.

Violation confirmed corrected by letter received from provider on 5/19/2026

A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. In space #3, #4 and #6, topical ointments did not have written permission forms. In space #6, four (4) emergency medications did not have updated medical permission forms.

Violation confirmed corrected by letter received from provider on 5/19/2026

A drug or medicine was administered after its expiration date. In space #6, I observed an expired EPI pen. In space #4, I observed an expired topical ointment (diaper cream).

Violation confirmed corrected by letter received from provider on 5/19/2026

Incident logs were not completed and maintained as required. Incident logs were not recorded as required, the last date logged was from 1/2026.

Violation confirmed corrected by letter received from provider on 5/19/2026

Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection that was completed and on file was dated for 2/4/26. It was reported that current information could not be located.

Violation confirmed corrected by letter received from provider on 5/19/2026

The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Three (3) staff had not reviewed the EMC plan annually or whenever the plan was revised.

Violation confirmed corrected by follow-up visit made by consultant on 7/13/2026

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. Sleep charts for one (1) child were not maintained for a month.

Violation confirmed corrected by letter received from provider on 5/19/2026

Application for employment and date of birth was not on file for all staff. One (1) staff file did not have an application for employment on file.

Violation confirmed corrected by follow-up visit made by consultant on 7/13/2026

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) staff did not have a medical report on file.

Violation confirmed corrected by follow-up visit made by consultant on 7/13/2026

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) staff did not have a TB test/screening on file.

Violation confirmed corrected by follow-up visit made by consultant on 7/13/2026

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Two (2) staff did not have an annual health questionnaire on file.

Violation confirmed corrected by letter received from provider on 8/3/2026

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. Two (2) staff did not have an annual emergency information form on file.

Violation confirmed corrected by letter received from provider on 8/3/2026

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). A.M. did not have a current qualification letter.

Violation confirmed corrected by follow-up visit made by consultant on 7/13/2026

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Two (2) staff did not have 16 hours of orientation within the 1st 6 weeks on file.

Violation confirmed corrected by follow-up visit made by consultant on 7/13/2026

Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One (1) staff did not have required number of ongoing training hours completed.

Violation confirmed corrected by follow-up visit made by consultant on 7/13/2026

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two (2) staff did not have 6 hours of orientation within the 1st 2 weeks on file.

Violation confirmed corrected by follow-up visit made by consultant on 7/13/2026

For routine transport of children to and from the center, staff did not have a list of the children being transported. A roster was not available for the children being transported.

Violation corrected during visit

Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff file did not have an annual staff evaluation on file.

Violation confirmed corrected by letter received from provider on 8/3/2026

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. One (1) file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies.

Violation confirmed corrected by follow-up visit made by consultant on 7/13/2026

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. Nine (9) files did not have annual updates.

Violation confirmed corrected by letter received from provider on 5/19/2026

Medical exam or health assessment record was not on file before or within 30 days after admission. Four (4) files did not have a medical exam or health assessment on file within thirty (30) days of enrollment.

Violation confirmed corrected by letter received from provider on 5/19/2026

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. Four (4) files did not have immunization records within 30 days of enrollment.

Violation confirmed corrected by letter received from provider on 5/19/2026

A valid qualification letter was not on file and available to review at the facility. A.M did not have a qualification letter on file. K. B did not have a qualification letter on file.

Violation confirmed corrected by follow-up visit made by consultant on 7/13/2026

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Emergency drill records were not accessible.

Violation confirmed corrected by letter received from provider on 5/19/2026

The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. One (1) staff did not review the EPR Plan annually or when information in the plan changed.

Violation confirmed corrected by letter received from provider on 8/3/2026

Application did not include health care needs or concerns, symptoms of and the type of response required for the health care needs or concerns. Four (4) files did not have the health care needs section completed.

Violation confirmed corrected by letter received from provider on 5/19/2026

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. Three (3) medical action plans were not updated annually.

Violation confirmed corrected by letter received from provider on 5/19/2026

The professional development plan was not reviewed annually. One (1) staff file did not have a professional development plan reviewed annually.

Violation confirmed corrected by letter received from provider on 8/3/2026

Children were not adequately supervised at all times. A 2-year-old child was left unattended on the playground for approximately five (5) minutes.

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. An incident report was not completed for a child on 3/27/26.

Violation confirmed corrected by follow-up visit made by consultant on 5/11/2026

Enhanced staff/child ratios and group sizes were not met. Enhanced ratios are not being maintained at all times. Group sizes are not being maintained at all times.

Violation confirmed corrected by follow-up visit made by consultant on 5/11/2026

At least one child care provider, who has completed ITS-SIDS training was not present in the infant room, while children were in care. The teacher in space #2, did not have an ITS-SIDS certificate.

Violation corrected during visit

A safe indoor and outdoor environment was not provided for the children. On 5/2/25, a two-year-old child was given an allergen.

Violation confirmed corrected by letter received from provider on 5/30/2025

Screen time was offered to children under three years of age. In space #6, I observed children who were two-years old engaged in a screen activity.

Violation corrected during visit

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In space #1, the refrigerator read fifty-two (52) degrees. In space #2, the refrigerator read fifty (50) degrees.

Violation confirmed corrected by letter received from provider on 5/20/2025

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space #8, I observed the blue wall with a large section peeled.

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

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. I observed three (3) cans of paint in an unlocked closet.

Violation corrected during visit

A drug or medicine was administered after its expiration date. In space #3, I observed an expired diaper cream.

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. An incident report did not include all information required , a signature was not obtained from the parent.

Violation confirmed corrected by letter received from provider on 5/20/2025

Documentation of staff's on-going training was not on file and/or was not current . Certificates for trainings taken were not available for review in each staff file.

Violation confirmed corrected by letter received from provider on 5/20/2025

Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff did not have updated annual staff development plans.

Violation confirmed corrected by letter received from provider on 5/20/2025

The EPR Plan did not include the date of the last revision of the plan. The date of the last revision plan was in 2018.

Violation confirmed corrected by letter received from provider on 6/25/2025

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. Three (3) MAP's were reviewed, information was missing from the forms and not completed entirely.

Violation confirmed corrected by letter received from provider on 5/20/2025

Staff did not complete the health and safety training within one year of employment. One (1) staff file did not complete the health and safety trainings within one year of employment.

Violation corrected during visit

Children were left in a vehicle unattended by an adult. On 1/21/25 a seven-year-old child was left unattended on a bus for about twenty (20) minutes

Violation confirmed corrected by follow-up visit made by consultant on 2/25/2025

School-aged children were not adequately supervised. On 1/21/25 a seven-year-old child was left unsupervised and unattended on a bus for about twenty (20) minutes.

Violation confirmed corrected by follow-up visit made by consultant on 2/25/2025

A violation was found for which there is no item number.Sanitation Rule: 15A NCAC 18A .2815 WATER SUPPLY specifies the following which requires kitchen's to be locked at all times:(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. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For hand wash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. I observed the kitchen door open and not closed and locked.

Violation corrected during visit

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 #9, screen time was not documented.

Violation confirmed corrected by letter received from provider on 12/17/2024

Lavatories were not kept clean, in good repair and kept free of storage. In space #8 and #11, sinks were dirty.

Violation confirmed corrected by letter received from provider on 12/17/2024

Toilet fixtures were not cleaned and disinfected at least daily and when visibly soiled. In space #8, I observed a toilet with heavy residue inside, the other toilet was visibly soiled.

Violation confirmed corrected by letter received from provider on 12/17/2024

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space #11, I observed the bottom of the door panels with heavy water damage.

Violation confirmed corrected by letter received from provider on 12/17/2024

All equipment and furnishings were not in good repair. In space #4 and #5, I observed several books that were ripped and in many pieces. In space #11, I observed shelving in the dramatic center in need of cleaning due to buildup, there was also a purse with leather peeling. I observed trash and water bottles in the bus used for transportation.

Violation confirmed corrected by letter received from provider on 12/17/2024

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 #9, I observed an outlet without a cover.

Violation corrected during visit

When medication was administered, documentation was not completed or maintained for 6 months and/or the documentation did not include the required information. I observed two (2) prescribed diaper creams with topical ointment permission forms.

Violation confirmed corrected by letter received from provider on 12/17/2024

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 #5 and #6 I observed plastic bags accessible to children under three.

Violation corrected during visit

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. In space #10, a staff member used a harsh tone and delivery when trying to redirect children.

Violation confirmed corrected by letter received from provider on 12/17/2024

Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. One (1) child did not have a photo attached to their information.

Violation corrected during visit

An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident report requirement medical attention on 11/20/24 was not sent to DCDEE within seven (7) days.

Violation corrected during visit

Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. On August 7, 2024, a classroom of sixteen two year children was out of ratio for less than approximately thirty seconds when a staff member stepped out of the classroom leaving only one staff member with the children.

Violation confirmed corrected by letter received from provider on 8/23/2024