Loading
Loading facility…
Pulling inspections, violations, and complaints.
Loading
Pulling inspections, violations, and complaints.
Home › NC › Charlotte › Presbyterian Hospital Child Development Center
1901 E 5TH Street, Charlotte NC 28204 · License #60000104 · Center · Child Care Center
Not published by the state. Owners can add hours via profile claim.
When they operate
Ages served
10A NCAC 09 .0601 · Violation
Name of Operation: PRESBYTERIAN HOSPITAL CHILD DEVELOPMENT CENTER Facility ID: 60000104 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 1/23/2026 Number Present: 168 Completed Date: 1/23/2026 Age: From 0 To 5 Total Minutes: 360 Time In: 10:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the Annual Compliance Visit. The five-star licensed child care center continued to meet voluntary enhanced ratios and enhanced space. Upon arrival at the center, I was buzzed in by administrative staff. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated April 2025 were used to document compliance. Spaces #1-15, and outdoor learning environments were monitored. No transportation is provided. The center currently operates from 6:00 am until 6:30 pm, Monday through Friday. Spaces #13, and #15 were monitored not in use/open. Children were monitored engaged in center play, group time, eating lunch and naptime. We discussed ensuring children were separated three feet. It was recommended to place children head to feet on their cots. Children were served barbecue chicken, baked beans, dinner roll, pineapples and milk for lunch. In space #2/Butterflies, two children under fifteen (15) months of age did not have feeding schedules posted. Infants sometimes are transferred to other infant classrooms. Their feeding schedules must transfer with them. The feeding schedules were retrieved from another classroom and posted in space #2 during the visit. In space #4 a book was monitored in poor condition and was removed from the shelf. The dirty toy bin was empty and very small for the toddler classroom. It was recommended to retrain staff regarding removing mouthed toys from the environment. Toddler children were given mini/round donuts for their PM snack. The staff were requested to cut the donut in half for the toddlers. A glue gun was monitored plugged in with a glue stick on the countertop in space #6/Ducks. The staff member unplugged the glue-gun and placed it in a locked cabinet. In space #14/Blue Birds a permission slip to administer an epi pen was expired. One medical action plan was not current. It was recommended to contact the Community Health Nurse to conduct an audit of the medications and forms on site for all children. The approved curriculum implemented with the four-year-old children is titled, “The Investigator Club”. Lesson plans were monitored, posted, dated and developmentally appropriate. Assessments were completed three times a year. Results were shared with parents. It was recommended to post the lesson plan activity cards on a ring next to the posted lesson plans in each classroom. Some charting of children’s responses was observed but not consistently. It was recommended to have staff post children’s charting in the same location for every classroom. It was recommended to add photographs of ages, stages and abilities throughout each classroom. There were one hundred and ninety-nine (199) children enrolled. One hundred and sixty-eight (168) children were present. Children and staff records will be monitored during a return visit. The center’s EPR plan and Ready to Go File were monitored for compliance and found to meet child care requirements. Documentation for quarterly safety drills, monthly fire drills, playground inspections and center incident log were monitored for compliance. Administration staff were encouraged to make sure the type of treatment provided is documented in the incident reports. One report was read and the staff member failed to document what treatment was provided for the child. Lesson plans were monitored, posted, current and developmentally appropriate. Monthly outdoor inspections were monitored current. There was a plastic hose case that was monitored cracked on the toddler playground. There were some leaves on the ground. Staff stated lawncare comes about once a week. It was explained once the leaves had fallen from the trees, the fallen leaves were expected to be removed from the children’s outdoor play environments. The last sanitation inspection completed was dated August 27, 2025, with six (6) demerits cited and a Superior classification issued. The last annual fire inspection was completed on February 10, 2025. Violation Number Comment Rule 540 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). Two infant feeding schedules were not posted in space #2. Five infant feeding schedules were not posted in the eating area for space #4 and #5. 10A NCAC 09 .0902(a) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. The dirty toy bin in space #4 was very small and no toys were monitored in the bin. Staff had placed no toys in the container that had been mouthed by children to be cleaned. .2822(a)(1-4) 705 Equipment and furnishings were not sturdy, stable and free of hazards. A book in poor condition was monitored in the bookshelf of space #4. .0601(c) 721 All equipment and furnishings were not in good repair. A plastic hose bin was monitored cracked on the top. A few balls were monitored in poor condition. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Round mini donuts were served for 100th days of school to toddlers. A glue gun was monitored stored on the classroom countertop, plugged in and accessible to children. 10A NCAC 09 .0601(a) 1835 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 medical action plan maintained in space #14 was not current. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. An epi pen was maintained in space #14 without current written permission to administer. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance Provided and General Discussion: 1. The three choices of pathways for a star rating were reviewed with Ms. Green. There are several resources available on the NCRLAP website at www.NCRLAP.org. It was recommended to take advantage of the training available. We discussed the center self-study (NCRLAP) and the CQI quality improvement plan for the center and individuals. Staff education requirements for the five-star rating were reviewed. Pathways #1 and #2 were discussed and reviewed. Ms. Green selected Pathway #1 and the Pathway to the Stars document was completed. It was recommended to contact NCRLAP to request a mock assessment. The three-month self-study QR code was provided in email prior to the visit. It was recommended to have mock assessments via NCRLAP. 2. The center administrators have and know how to link employees and print the roster report from the ABCMS. The administrative staff are still working to link the staff applicants within the ABCMS. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. The ABCMS report was run prior to the visit and verified as current. 3. It was recommended to work on consistency in implementation of the approved curriculum in classrooms. Like charting of children’s responses and where the posting of those responses is maintained. 4. We discussed naming a gross motor activity on the lesson plans (five names of activity for five days a week). Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Friday, February 6, 2026. You may email me with your letter of correction. Mail documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Generated from this facility's specific inspection record
Data synced from North Carolina's child care licensing agency on Jul 9, 2026 · Report an error
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
10A NCAC 09 .0902 · Violation
Name of Operation: PRESBYTERIAN HOSPITAL CHILD DEVELOPMENT CENTER Facility ID: 60000104 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 1/23/2026 Number Present: 168 Completed Date: 1/23/2026 Age: From 0 To 5 Total Minutes: 360 Time In: 10:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the Annual Compliance Visit. The five-star licensed child care center continued to meet voluntary enhanced ratios and enhanced space. Upon arrival at the center, I was buzzed in by administrative staff. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated April 2025 were used to document compliance. Spaces #1-15, and outdoor learning environments were monitored. No transportation is provided. The center currently operates from 6:00 am until 6:30 pm, Monday through Friday. Spaces #13, and #15 were monitored not in use/open. Children were monitored engaged in center play, group time, eating lunch and naptime. We discussed ensuring children were separated three feet. It was recommended to place children head to feet on their cots. Children were served barbecue chicken, baked beans, dinner roll, pineapples and milk for lunch. In space #2/Butterflies, two children under fifteen (15) months of age did not have feeding schedules posted. Infants sometimes are transferred to other infant classrooms. Their feeding schedules must transfer with them. The feeding schedules were retrieved from another classroom and posted in space #2 during the visit. In space #4 a book was monitored in poor condition and was removed from the shelf. The dirty toy bin was empty and very small for the toddler classroom. It was recommended to retrain staff regarding removing mouthed toys from the environment. Toddler children were given mini/round donuts for their PM snack. The staff were requested to cut the donut in half for the toddlers. A glue gun was monitored plugged in with a glue stick on the countertop in space #6/Ducks. The staff member unplugged the glue-gun and placed it in a locked cabinet. In space #14/Blue Birds a permission slip to administer an epi pen was expired. One medical action plan was not current. It was recommended to contact the Community Health Nurse to conduct an audit of the medications and forms on site for all children. The approved curriculum implemented with the four-year-old children is titled, “The Investigator Club”. Lesson plans were monitored, posted, dated and developmentally appropriate. Assessments were completed three times a year. Results were shared with parents. It was recommended to post the lesson plan activity cards on a ring next to the posted lesson plans in each classroom. Some charting of children’s responses was observed but not consistently. It was recommended to have staff post children’s charting in the same location for every classroom. It was recommended to add photographs of ages, stages and abilities throughout each classroom. There were one hundred and ninety-nine (199) children enrolled. One hundred and sixty-eight (168) children were present. Children and staff records will be monitored during a return visit. The center’s EPR plan and Ready to Go File were monitored for compliance and found to meet child care requirements. Documentation for quarterly safety drills, monthly fire drills, playground inspections and center incident log were monitored for compliance. Administration staff were encouraged to make sure the type of treatment provided is documented in the incident reports. One report was read and the staff member failed to document what treatment was provided for the child. Lesson plans were monitored, posted, current and developmentally appropriate. Monthly outdoor inspections were monitored current. There was a plastic hose case that was monitored cracked on the toddler playground. There were some leaves on the ground. Staff stated lawncare comes about once a week. It was explained once the leaves had fallen from the trees, the fallen leaves were expected to be removed from the children’s outdoor play environments. The last sanitation inspection completed was dated August 27, 2025, with six (6) demerits cited and a Superior classification issued. The last annual fire inspection was completed on February 10, 2025. Violation Number Comment Rule 540 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). Two infant feeding schedules were not posted in space #2. Five infant feeding schedules were not posted in the eating area for space #4 and #5. 10A NCAC 09 .0902(a) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. The dirty toy bin in space #4 was very small and no toys were monitored in the bin. Staff had placed no toys in the container that had been mouthed by children to be cleaned. .2822(a)(1-4) 705 Equipment and furnishings were not sturdy, stable and free of hazards. A book in poor condition was monitored in the bookshelf of space #4. .0601(c) 721 All equipment and furnishings were not in good repair. A plastic hose bin was monitored cracked on the top. A few balls were monitored in poor condition. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Round mini donuts were served for 100th days of school to toddlers. A glue gun was monitored stored on the classroom countertop, plugged in and accessible to children. 10A NCAC 09 .0601(a) 1835 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 medical action plan maintained in space #14 was not current. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. An epi pen was maintained in space #14 without current written permission to administer. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance Provided and General Discussion: 1. The three choices of pathways for a star rating were reviewed with Ms. Green. There are several resources available on the NCRLAP website at www.NCRLAP.org. It was recommended to take advantage of the training available. We discussed the center self-study (NCRLAP) and the CQI quality improvement plan for the center and individuals. Staff education requirements for the five-star rating were reviewed. Pathways #1 and #2 were discussed and reviewed. Ms. Green selected Pathway #1 and the Pathway to the Stars document was completed. It was recommended to contact NCRLAP to request a mock assessment. The three-month self-study QR code was provided in email prior to the visit. It was recommended to have mock assessments via NCRLAP. 2. The center administrators have and know how to link employees and print the roster report from the ABCMS. The administrative staff are still working to link the staff applicants within the ABCMS. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. The ABCMS report was run prior to the visit and verified as current. 3. It was recommended to work on consistency in implementation of the approved curriculum in classrooms. Like charting of children’s responses and where the posting of those responses is maintained. 4. We discussed naming a gross motor activity on the lesson plans (five names of activity for five days a week). Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Friday, February 6, 2026. You may email me with your letter of correction. Mail documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: PRESBYTERIAN HOSPITAL CHILD DEVELOPMENT CENTER Facility ID: 60000104 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 1/23/2026 Number Present: 168 Completed Date: 1/23/2026 Age: From 0 To 5 Total Minutes: 360 Time In: 10:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the Annual Compliance Visit. The five-star licensed child care center continued to meet voluntary enhanced ratios and enhanced space. Upon arrival at the center, I was buzzed in by administrative staff. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated April 2025 were used to document compliance. Spaces #1-15, and outdoor learning environments were monitored. No transportation is provided. The center currently operates from 6:00 am until 6:30 pm, Monday through Friday. Spaces #13, and #15 were monitored not in use/open. Children were monitored engaged in center play, group time, eating lunch and naptime. We discussed ensuring children were separated three feet. It was recommended to place children head to feet on their cots. Children were served barbecue chicken, baked beans, dinner roll, pineapples and milk for lunch. In space #2/Butterflies, two children under fifteen (15) months of age did not have feeding schedules posted. Infants sometimes are transferred to other infant classrooms. Their feeding schedules must transfer with them. The feeding schedules were retrieved from another classroom and posted in space #2 during the visit. In space #4 a book was monitored in poor condition and was removed from the shelf. The dirty toy bin was empty and very small for the toddler classroom. It was recommended to retrain staff regarding removing mouthed toys from the environment. Toddler children were given mini/round donuts for their PM snack. The staff were requested to cut the donut in half for the toddlers. A glue gun was monitored plugged in with a glue stick on the countertop in space #6/Ducks. The staff member unplugged the glue-gun and placed it in a locked cabinet. In space #14/Blue Birds a permission slip to administer an epi pen was expired. One medical action plan was not current. It was recommended to contact the Community Health Nurse to conduct an audit of the medications and forms on site for all children. The approved curriculum implemented with the four-year-old children is titled, “The Investigator Club”. Lesson plans were monitored, posted, dated and developmentally appropriate. Assessments were completed three times a year. Results were shared with parents. It was recommended to post the lesson plan activity cards on a ring next to the posted lesson plans in each classroom. Some charting of children’s responses was observed but not consistently. It was recommended to have staff post children’s charting in the same location for every classroom. It was recommended to add photographs of ages, stages and abilities throughout each classroom. There were one hundred and ninety-nine (199) children enrolled. One hundred and sixty-eight (168) children were present. Children and staff records will be monitored during a return visit. The center’s EPR plan and Ready to Go File were monitored for compliance and found to meet child care requirements. Documentation for quarterly safety drills, monthly fire drills, playground inspections and center incident log were monitored for compliance. Administration staff were encouraged to make sure the type of treatment provided is documented in the incident reports. One report was read and the staff member failed to document what treatment was provided for the child. Lesson plans were monitored, posted, current and developmentally appropriate. Monthly outdoor inspections were monitored current. There was a plastic hose case that was monitored cracked on the toddler playground. There were some leaves on the ground. Staff stated lawncare comes about once a week. It was explained once the leaves had fallen from the trees, the fallen leaves were expected to be removed from the children’s outdoor play environments. The last sanitation inspection completed was dated August 27, 2025, with six (6) demerits cited and a Superior classification issued. The last annual fire inspection was completed on February 10, 2025. Violation Number Comment Rule 540 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). Two infant feeding schedules were not posted in space #2. Five infant feeding schedules were not posted in the eating area for space #4 and #5. 10A NCAC 09 .0902(a) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. The dirty toy bin in space #4 was very small and no toys were monitored in the bin. Staff had placed no toys in the container that had been mouthed by children to be cleaned. .2822(a)(1-4) 705 Equipment and furnishings were not sturdy, stable and free of hazards. A book in poor condition was monitored in the bookshelf of space #4. .0601(c) 721 All equipment and furnishings were not in good repair. A plastic hose bin was monitored cracked on the top. A few balls were monitored in poor condition. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Round mini donuts were served for 100th days of school to toddlers. A glue gun was monitored stored on the classroom countertop, plugged in and accessible to children. 10A NCAC 09 .0601(a) 1835 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 medical action plan maintained in space #14 was not current. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. An epi pen was maintained in space #14 without current written permission to administer. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance Provided and General Discussion: 1. The three choices of pathways for a star rating were reviewed with Ms. Green. There are several resources available on the NCRLAP website at www.NCRLAP.org. It was recommended to take advantage of the training available. We discussed the center self-study (NCRLAP) and the CQI quality improvement plan for the center and individuals. Staff education requirements for the five-star rating were reviewed. Pathways #1 and #2 were discussed and reviewed. Ms. Green selected Pathway #1 and the Pathway to the Stars document was completed. It was recommended to contact NCRLAP to request a mock assessment. The three-month self-study QR code was provided in email prior to the visit. It was recommended to have mock assessments via NCRLAP. 2. The center administrators have and know how to link employees and print the roster report from the ABCMS. The administrative staff are still working to link the staff applicants within the ABCMS. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. The ABCMS report was run prior to the visit and verified as current. 3. It was recommended to work on consistency in implementation of the approved curriculum in classrooms. Like charting of children’s responses and where the posting of those responses is maintained. 4. We discussed naming a gross motor activity on the lesson plans (five names of activity for five days a week). Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Friday, February 6, 2026. You may email me with your letter of correction. Mail documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
G.S. 110-91 · Violation
Name of Operation: PRESBYTERIAN HOSPITAL CHILD DEVELOPMENT CENTER Facility ID: 60000104 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 1/23/2026 Number Present: 168 Completed Date: 1/23/2026 Age: From 0 To 5 Total Minutes: 360 Time In: 10:30 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the Annual Compliance Visit. The five-star licensed child care center continued to meet voluntary enhanced ratios and enhanced space. Upon arrival at the center, I was buzzed in by administrative staff. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated April 2025 were used to document compliance. Spaces #1-15, and outdoor learning environments were monitored. No transportation is provided. The center currently operates from 6:00 am until 6:30 pm, Monday through Friday. Spaces #13, and #15 were monitored not in use/open. Children were monitored engaged in center play, group time, eating lunch and naptime. We discussed ensuring children were separated three feet. It was recommended to place children head to feet on their cots. Children were served barbecue chicken, baked beans, dinner roll, pineapples and milk for lunch. In space #2/Butterflies, two children under fifteen (15) months of age did not have feeding schedules posted. Infants sometimes are transferred to other infant classrooms. Their feeding schedules must transfer with them. The feeding schedules were retrieved from another classroom and posted in space #2 during the visit. In space #4 a book was monitored in poor condition and was removed from the shelf. The dirty toy bin was empty and very small for the toddler classroom. It was recommended to retrain staff regarding removing mouthed toys from the environment. Toddler children were given mini/round donuts for their PM snack. The staff were requested to cut the donut in half for the toddlers. A glue gun was monitored plugged in with a glue stick on the countertop in space #6/Ducks. The staff member unplugged the glue-gun and placed it in a locked cabinet. In space #14/Blue Birds a permission slip to administer an epi pen was expired. One medical action plan was not current. It was recommended to contact the Community Health Nurse to conduct an audit of the medications and forms on site for all children. The approved curriculum implemented with the four-year-old children is titled, “The Investigator Club”. Lesson plans were monitored, posted, dated and developmentally appropriate. Assessments were completed three times a year. Results were shared with parents. It was recommended to post the lesson plan activity cards on a ring next to the posted lesson plans in each classroom. Some charting of children’s responses was observed but not consistently. It was recommended to have staff post children’s charting in the same location for every classroom. It was recommended to add photographs of ages, stages and abilities throughout each classroom. There were one hundred and ninety-nine (199) children enrolled. One hundred and sixty-eight (168) children were present. Children and staff records will be monitored during a return visit. The center’s EPR plan and Ready to Go File were monitored for compliance and found to meet child care requirements. Documentation for quarterly safety drills, monthly fire drills, playground inspections and center incident log were monitored for compliance. Administration staff were encouraged to make sure the type of treatment provided is documented in the incident reports. One report was read and the staff member failed to document what treatment was provided for the child. Lesson plans were monitored, posted, current and developmentally appropriate. Monthly outdoor inspections were monitored current. There was a plastic hose case that was monitored cracked on the toddler playground. There were some leaves on the ground. Staff stated lawncare comes about once a week. It was explained once the leaves had fallen from the trees, the fallen leaves were expected to be removed from the children’s outdoor play environments. The last sanitation inspection completed was dated August 27, 2025, with six (6) demerits cited and a Superior classification issued. The last annual fire inspection was completed on February 10, 2025. Violation Number Comment Rule 540 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). Two infant feeding schedules were not posted in space #2. Five infant feeding schedules were not posted in the eating area for space #4 and #5. 10A NCAC 09 .0902(a) 616 Toys and other mouth-contact surfaces were not cleaned and sanitized daily when used or cleaned more frequently if visibly dirty. The dirty toy bin in space #4 was very small and no toys were monitored in the bin. Staff had placed no toys in the container that had been mouthed by children to be cleaned. .2822(a)(1-4) 705 Equipment and furnishings were not sturdy, stable and free of hazards. A book in poor condition was monitored in the bookshelf of space #4. .0601(c) 721 All equipment and furnishings were not in good repair. A plastic hose bin was monitored cracked on the top. A few balls were monitored in poor condition. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Round mini donuts were served for 100th days of school to toddlers. A glue gun was monitored stored on the classroom countertop, plugged in and accessible to children. 10A NCAC 09 .0601(a) 1835 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 medical action plan maintained in space #14 was not current. .0801(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. An epi pen was maintained in space #14 without current written permission to administer. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance Provided and General Discussion: 1. The three choices of pathways for a star rating were reviewed with Ms. Green. There are several resources available on the NCRLAP website at www.NCRLAP.org. It was recommended to take advantage of the training available. We discussed the center self-study (NCRLAP) and the CQI quality improvement plan for the center and individuals. Staff education requirements for the five-star rating were reviewed. Pathways #1 and #2 were discussed and reviewed. Ms. Green selected Pathway #1 and the Pathway to the Stars document was completed. It was recommended to contact NCRLAP to request a mock assessment. The three-month self-study QR code was provided in email prior to the visit. It was recommended to have mock assessments via NCRLAP. 2. The center administrators have and know how to link employees and print the roster report from the ABCMS. The administrative staff are still working to link the staff applicants within the ABCMS. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. The ABCMS report was run prior to the visit and verified as current. 3. It was recommended to work on consistency in implementation of the approved curriculum in classrooms. Like charting of children’s responses and where the posting of those responses is maintained. 4. We discussed naming a gross motor activity on the lesson plans (five names of activity for five days a week). Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Friday, February 6, 2026. You may email me with your letter of correction. Mail documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
10A NCAC 09 .0601 · Violation
Name of Operation: PRESBYTERIAN HOSPITAL CHILD DEVELOPMENT CENTER Facility ID: 60000104 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 154 Completed Date: 7/24/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for compliance with applicable child care requirements during a Routine Unannounced Visit. The five-star licensed center continued to meet enhanced ratios and space. Ms. Sakenah Green, an on-site administrator, was absent. Ms. Melody Warren and Ms. Kinsa Ferguson assisted Lead Consultant, Amy Italiano and me with completing the visit. The child care item number list dated April 2025 was used to identify and determine non-compliance. The following sections were monitored for compliance: A1, B1, C4, C5, C6, E1, E2, F3, G1, G3, G4 and G5. A walk through of spaces # 1-15 were monitored for compliance. The center does not provide daily transportation. The outdoor environment will be in the process of completing some remodeling work soon. Today, children were monitored engaged in outdoor water play. Children were monitored engaged in tummy time eating, napping and outdoor play. Children were monitored napping in cribs or cots with linen. In space #3/Bears a boppy pillow encased in plastic was observed stored in the side cabinet slot, but accessible to children. The plastic was removed from the stored boppy pillow. There were two sound machines clipped to individual cribs. One sound machine was on. I asked if the center had a policy regarding use of sound machines. The American Pediatric Association states sound machines should be used at least seven feet from infants. I also explained the decimal level used should not be the loudest available because it could harm an infant’s hearing. It was recommended to develop a written policy regarding the use of infant sound machines. It was recommended to ensure the parents provide the manufacturer’s instructions to the center staff if the organization approves its use in the licensed facility. We discussed the lighting in the Bears room during nap time hours. It was intermittingly cloudy and there were no direct windows in the sleeping area for infants. The lights on both sides of the classroom were off. Staff could still see children in their cribs or mats, but I expressed concern and asked for the lights on the other side be turned on during nap time. We discussed and staff began to remove push pins located in classrooms with children under the age of three. It was explained they are considered choking hazards, could easily fall off of the walls and an infant or toddler could easily pick it up and place in their mouth. It was recommended to use staple or another kind of command strip to aid in hanging items on the classrooms walls. No medications were monitored on site when asked. The posted safe sleep policy does not indicate the center does not swaddle infants. It is highly recommended to add a statement to the existing organization policy that clearly states no swaddling of infants. The center’s staff and training worksheet was current except for two new staff who began working at the center on Monday. Ms. Warren was in the process of updating the worksheet upon my arrival. There have been seven (7) new hires since the last visit completed on January 30, 2025. The following new staff files were monitored for compliance: S. Jetton, J. Cruz, R. Howard, J. Pratt, T. Bradshaw and J. Blackwelder. Staff were monitored with current CBC, ITS-SIDS, CPR/FA, CMT and Health and Safety Training. We discussed the ABCMS portal and the required process. A DCDEE roster report was run prior to the visit. The roster report was viewed with the staff. There were four staff listed as qualified- expired. A call was made to the CBC unit to have a staff member explain why their status was listed as such. It was explained and the four staff members printed CBC letter was pulled and monitored from each applicable staff file. Monthly outdoor inspections, incident log, monthly fire drills and quarterly safety drills were monitored completed, and current. It was recommended to conduct monthly fire drills at different times of the day. All current monthly inspections were completed at the same time. At least once a year, a fire drill should be completed towards the end of the daily nap time. If there is a misty rain, at least one drill should be completed with active precipitation to ensure the center is prepared. The center’s printed EPR plan and Ready to Go File were monitored for compliance. The last sanitation inspection was completed February 13, 2025, with six (6) demerits cited and a Superior classification issued. The last annual fire inspection was completed on February 10, 2025. It was highly recommended to begin your annual inspection process four to six weeks prior to expiration. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Push pins were used on bulletin boards in classrooms with children under the age of three. 10A NCAC 09 .0601(a) 858 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. A boppy pillow encased in a plastic bag was monitored in the Bears room, accessible to infants. .0604(q) 892 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 posted ITS-SIDS policy was not the most current revised policy dated 2025 in the Kangaroos. .0606(b) Technical Assistance Provided and General Discussion: 1. We discussed Modernization of QRIS. It was highly recommended to get the staff and training worksheet current, ensure a DCDEE WORKS status letter is on file for each staff member, including all lead teachers, and teachers. 2. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 3. It was recommended to add more language to the walls in the Tigers and Kittens A/B classrooms. 4. It was recommended to revise the existing ITS-SIDS policy to include the rule that infants may not be swaddled. 5. There were push pins monitored in a few infant/toddler spaces. The push pins were removed during the visit. Staples were used in there replace. 6. It was recommended to update the staff and training worksheets and the tracking tool maintained in the Shaken Baby and Head Trauma binder. The staff list maintained in front of the binder was not current. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Thursday, August 7, 2025. You may email me with your letter of correction. Mail written documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
G.S. 110-90 · Violation
Name of Operation: PRESBYTERIAN HOSPITAL CHILD DEVELOPMENT CENTER Facility ID: 60000104 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 7/24/2025 Number Present: 154 Completed Date: 7/24/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor for compliance with applicable child care requirements during a Routine Unannounced Visit. The five-star licensed center continued to meet enhanced ratios and space. Ms. Sakenah Green, an on-site administrator, was absent. Ms. Melody Warren and Ms. Kinsa Ferguson assisted Lead Consultant, Amy Italiano and me with completing the visit. The child care item number list dated April 2025 was used to identify and determine non-compliance. The following sections were monitored for compliance: A1, B1, C4, C5, C6, E1, E2, F3, G1, G3, G4 and G5. A walk through of spaces # 1-15 were monitored for compliance. The center does not provide daily transportation. The outdoor environment will be in the process of completing some remodeling work soon. Today, children were monitored engaged in outdoor water play. Children were monitored engaged in tummy time eating, napping and outdoor play. Children were monitored napping in cribs or cots with linen. In space #3/Bears a boppy pillow encased in plastic was observed stored in the side cabinet slot, but accessible to children. The plastic was removed from the stored boppy pillow. There were two sound machines clipped to individual cribs. One sound machine was on. I asked if the center had a policy regarding use of sound machines. The American Pediatric Association states sound machines should be used at least seven feet from infants. I also explained the decimal level used should not be the loudest available because it could harm an infant’s hearing. It was recommended to develop a written policy regarding the use of infant sound machines. It was recommended to ensure the parents provide the manufacturer’s instructions to the center staff if the organization approves its use in the licensed facility. We discussed the lighting in the Bears room during nap time hours. It was intermittingly cloudy and there were no direct windows in the sleeping area for infants. The lights on both sides of the classroom were off. Staff could still see children in their cribs or mats, but I expressed concern and asked for the lights on the other side be turned on during nap time. We discussed and staff began to remove push pins located in classrooms with children under the age of three. It was explained they are considered choking hazards, could easily fall off of the walls and an infant or toddler could easily pick it up and place in their mouth. It was recommended to use staple or another kind of command strip to aid in hanging items on the classrooms walls. No medications were monitored on site when asked. The posted safe sleep policy does not indicate the center does not swaddle infants. It is highly recommended to add a statement to the existing organization policy that clearly states no swaddling of infants. The center’s staff and training worksheet was current except for two new staff who began working at the center on Monday. Ms. Warren was in the process of updating the worksheet upon my arrival. There have been seven (7) new hires since the last visit completed on January 30, 2025. The following new staff files were monitored for compliance: S. Jetton, J. Cruz, R. Howard, J. Pratt, T. Bradshaw and J. Blackwelder. Staff were monitored with current CBC, ITS-SIDS, CPR/FA, CMT and Health and Safety Training. We discussed the ABCMS portal and the required process. A DCDEE roster report was run prior to the visit. The roster report was viewed with the staff. There were four staff listed as qualified- expired. A call was made to the CBC unit to have a staff member explain why their status was listed as such. It was explained and the four staff members printed CBC letter was pulled and monitored from each applicable staff file. Monthly outdoor inspections, incident log, monthly fire drills and quarterly safety drills were monitored completed, and current. It was recommended to conduct monthly fire drills at different times of the day. All current monthly inspections were completed at the same time. At least once a year, a fire drill should be completed towards the end of the daily nap time. If there is a misty rain, at least one drill should be completed with active precipitation to ensure the center is prepared. The center’s printed EPR plan and Ready to Go File were monitored for compliance. The last sanitation inspection was completed February 13, 2025, with six (6) demerits cited and a Superior classification issued. The last annual fire inspection was completed on February 10, 2025. It was highly recommended to begin your annual inspection process four to six weeks prior to expiration. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Push pins were used on bulletin boards in classrooms with children under the age of three. 10A NCAC 09 .0601(a) 858 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. A boppy pillow encased in a plastic bag was monitored in the Bears room, accessible to infants. .0604(q) 892 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 posted ITS-SIDS policy was not the most current revised policy dated 2025 in the Kangaroos. .0606(b) Technical Assistance Provided and General Discussion: 1. We discussed Modernization of QRIS. It was highly recommended to get the staff and training worksheet current, ensure a DCDEE WORKS status letter is on file for each staff member, including all lead teachers, and teachers. 2. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 3. It was recommended to add more language to the walls in the Tigers and Kittens A/B classrooms. 4. It was recommended to revise the existing ITS-SIDS policy to include the rule that infants may not be swaddled. 5. There were push pins monitored in a few infant/toddler spaces. The push pins were removed during the visit. Staples were used in there replace. 6. It was recommended to update the staff and training worksheets and the tracking tool maintained in the Shaken Baby and Head Trauma binder. The staff list maintained in front of the binder was not current. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Thursday, August 7, 2025. You may email me with your letter of correction. Mail written documentation to Mara Brinton, 3687 Stallings Road, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
G.S. 110-91 · Violation
Name of Operation: PRESBYTERIAN HOSPITAL CHILD DEVELOPMENT CENTER Facility ID: 60000104 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 1/30/2025 Number Present: 147 Completed Date: 1/30/2025 Age: From 0 To 5 Total Minutes: 300 Time In: 09:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance with applicable child care requirements during the Annual Compliance Visit. Upon arrival at the center, I was greeted and buzzed inside by the administrator, Ms. Greene. Child Care Consultant, Denise Watson accompanied me during today's visit. The center maintained a five-star rated license and continued to meet enhanced space and ratios. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated November 2024 were used to document compliance. Spaces #1-15, and outdoor learning environments were monitored for compliance. No transportation is provided for children. Children were monitored, engaged in free play, eating lunch, and napping on cots with linen. One hundred and forty-seven children were enrolled. Seventeen children’s records were selected by the consultant and monitored for compliance. The center’s approved and implemented curriculum continued to utilize the Investigator Club. Lesson plans were monitored current and posted. Elements of the curriculum were observed implemented throughout the classrooms. It was recommended to add something live, more pictures of ages, stages, and abilities. There were two fire evacuation cribs in space#5/Kittens CD that did not have a label on them. One child with a recent EPI pen, medical action plan and permission slip were monitored on file. The medical action plan listed Benadryl in addition to the use of an EPI pen. Benadryl was not on site for the child. Staff and Training worksheets were provided upon request and monitored for compliance. There were four new staff hired since the last RU/Admin Action visit conducted in September of 2024. The following new staff files were monitored for compliance: A. Mackins, D. Jones, A. Brown and T. Morris. Staff and Training worksheets were utilized to monitor existing staff requirements. The center’s EPR plan was monitored for compliance and current. The EPR Plan and Ready to Go Files were monitored for compliance. Documentation for quarterly safety drills and monthly fire drills were discussed and monitored. The daily attendance with children’s arrival and departure times were monitored documented and current for today. The outdoor learning environment was monitored for compliance. Monthly inspections were conducted and compliance issued noted and corrected. The Lambs and Owl playground was monitored with protective surfacing in poor repair. A cone was used to mark the area where the foam surfacing was cut/torn. Grass was also observed growing through the required protective surfacing area. We discussed staff picking up garbage in the shrubs outside of the preschool classrooms in route to the outdoor play equipment. The last sanitation inspection was conducted on July 25, 2024, nine (9) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed on March 27, 2024. It was recommended to begin the annual inspection process 4-6 weeks prior to expiration. The fire inspector must complete the DCDEE annual fire inspection report. Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. The Owls/Lambs protective surfacing was monitored in poor condition with grass growing it in one section and another area covered by a cone. Underneath the cone the surfacing was cut, and a portion is now missing. G.S. 110-91(6); .0601(b) Technical Assistance Provided and General Discussion: 1. It was recommended to purchase the third edition of ITERS and ECERS and begin training staff. There are several resources available on the NCRLAP website at www.NCRLAP.org. It was recommended to take advantage of the training available in the New Year. 2. The center’s non for profit was listed as “current-active” by the NC Secretary of State’s office as of January 30, 2025. 3. Ms. Greene was asked to print a roster report from ABCMS. The roster was printed. A discrepancy was identified. One staff member was listed with qualified-expired. The staff member’s DCDEE qualification letter maintained on file indicated the staff member was requalified. The staff member was asked to complete a new reconnecting application in the system. The staff member completed it during the visit. 4. We discussed continued transition in the infant and toddler classrooms. It was recommended to add a statement to the current center ITS-SIDS policy to reflect the center’s policy of what they will do when an infant is awake in a crib. We discussed ensuring each infant’s bottles were stored with the approved labeling system. We discussed staff’s taking care of basic care needs of infants regarding washing faces and wiping of noses. We discussed removing mouthed toys from the children’s environments once the child has completed playing or mouthing the toy. We discussed safety concerns about the number of toys on the floor at any given time as a potential tripping hazard for children and staff. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Thursday, February 13, 2025. You may email me with your letter of correction. Mail documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
10A NCAC 09 .0902 · Violation
Name of Operation: PRESBYTERIAN HOSPITAL CHILD DEVELOPMENT CENTER Facility ID: 60000104 Consultant: MARA BRINTON Operation Type: Center Case Number: 0324-098L Visit Date: 3/20/2024 Number Present: 156 Completed Date: 3/20/2024 Age: From 0 To 5 Total Minutes: 330 Time In: 11:00 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate allegations of violations of child care requirements during a complaint visit. Child Care Consultant, Lisa Eddins-Smith accompanied me during the visit. Upon arrival at the center, we were buzzed inside and went to the administrator’s office to inform Ms. Green of the visit. The printed allegations were read aloud to Ms. Green as followed: There are concerns that: An infant’s feeding plan was not followed. The infant was served another child’s formula bottle. A teacher exited the classroom leaving a group of infants out of ratio. The allegations were self-reported by the center administrator, Ms. Green on March 7, 2024. A staff person gave an infant the incorrect (formula) bottle in space #1/Kangaroos. On November 3, 2023, the center administrator self-reported a staff person gave an infant the incorrect (formula) bottle in space #8/Kittens/CD. It was also researched that the center was cited on October 18, 2018, for giving the incorrect breast milk bottle to an infant. An administrative action was not issued previously based on the center revising their existing policies and retraining staff. A walk through of infant spaces #1 and #2 were conducted. Staff were observed caring for infants with bottle feeding, tummy time and diapering. Voluntary enhanced ratios were monitored in compliance with a 1:5 staff to child ratio. Today, two infant staff were interviewed. Both staff confirmed a staff person heated up more than one bottle at a time and did not follow the center procedures to verify the bottle out loud with the child who was about to receive the bottle. We monitored a color-coded system with signage on the outside of refrigerators in each infant classroom. Each child was assigned a plastic basket with their name and date of birth listed on the outside of the basket with corresponding color. We observed one child who was transferred from space #2 to space #1. The infant’s breast milk bottle was just placed on the formula side of the refrigerator and not in the assigned infant’s basket. The infant’s feeding schedule and one additional bottle did not transfer with the infant. It was recommended to add administrative to the infant classrooms during staff breaks and during feeding times of infants. It was recommended to limit staff and child movements from classroom to classroom, especially with infants. It was recommended increase observations of feeding times. We recommended scheduling regular or monthly meetings with infant staff. It was recommended to develop a transitional worksheet for infants to ensure anything a child would need to transition from one space to another properly transitions. It was recommended to add another college size refrigerator to space#2 to ensure the established color-coded system is consistent in both infant spaces. It was recommended to only heat one bottle up in a bowl or cup at a time. The staff who were interviewed were asked why a staff person left one staff person with six infants. The staff stated she panicked and considered it an emergency when the infant was given and drank some of the incorrect bottle. We discussed slowing down and what the center procedures required. Each classroom has an operable telephone and methods of communication. Based on two staff and two administrators interviewed, the allegation that an infant was served another child’s bottle was SUBSTANTIATED. One interviewed staff admitted to not following procedure and giving the incorrect bottle to an infant. Based on two staff and two administrators interviewed, the allegation of a teacher leaving a group of infants out of ratio was SUBSTANTIATED. One interviewed staff admitted panicking and leaving the classroom to go get assistance for fear of an allergic reaction. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. The posted staff/child ratio worksheet in space #1 was not completed with the required information. .0713(a)(10), (c) & (f)(3); .2818(e) 540 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). One infant was transferred from space #2 over to space #1 and the infant's feeding schedule was not transferred with the infant. After staff lunch breaks, the infant was returned to space #2 where the original feeding schedule was posted. 10A NCAC 09 .0902(a) 1756 Enhanced staff/child ratios and group sizes were not met. On March 5, 2024, a staff left space #2/Buttlerflies leaving one staff member with six infants. 10A NCAC 09 .2818 1887 Each infant was not served only bottles labeled with their individual name. On March 5, 2024, the center administrator self-reported that an infant was given the incorrect formula bottle to another infant in space #1/Kanagoos. .0902(d) Technical Assistance Provided and General Discussion: 1. We discussed that an administrative will be issued. 2. The administrator stated reaching out to the Community Health Nurse and is scheduled to provide come to the center to review procedures and observe infant caregiving staff. 3. Several recommendations were made to address transferring infants and ensuring bottles are properly coded and stored in the classroom refrigerators. We discussed the need for staff to slow down and follow procedures. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Wednesday, April 3, 2024. You may email me your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
10A NCAC 09 .2818 · Violation
Name of Operation: PRESBYTERIAN HOSPITAL CHILD DEVELOPMENT CENTER Facility ID: 60000104 Consultant: MARA BRINTON Operation Type: Center Case Number: 0324-098L Visit Date: 3/20/2024 Number Present: 156 Completed Date: 3/20/2024 Age: From 0 To 5 Total Minutes: 330 Time In: 11:00 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to investigate allegations of violations of child care requirements during a complaint visit. Child Care Consultant, Lisa Eddins-Smith accompanied me during the visit. Upon arrival at the center, we were buzzed inside and went to the administrator’s office to inform Ms. Green of the visit. The printed allegations were read aloud to Ms. Green as followed: There are concerns that: An infant’s feeding plan was not followed. The infant was served another child’s formula bottle. A teacher exited the classroom leaving a group of infants out of ratio. The allegations were self-reported by the center administrator, Ms. Green on March 7, 2024. A staff person gave an infant the incorrect (formula) bottle in space #1/Kangaroos. On November 3, 2023, the center administrator self-reported a staff person gave an infant the incorrect (formula) bottle in space #8/Kittens/CD. It was also researched that the center was cited on October 18, 2018, for giving the incorrect breast milk bottle to an infant. An administrative action was not issued previously based on the center revising their existing policies and retraining staff. A walk through of infant spaces #1 and #2 were conducted. Staff were observed caring for infants with bottle feeding, tummy time and diapering. Voluntary enhanced ratios were monitored in compliance with a 1:5 staff to child ratio. Today, two infant staff were interviewed. Both staff confirmed a staff person heated up more than one bottle at a time and did not follow the center procedures to verify the bottle out loud with the child who was about to receive the bottle. We monitored a color-coded system with signage on the outside of refrigerators in each infant classroom. Each child was assigned a plastic basket with their name and date of birth listed on the outside of the basket with corresponding color. We observed one child who was transferred from space #2 to space #1. The infant’s breast milk bottle was just placed on the formula side of the refrigerator and not in the assigned infant’s basket. The infant’s feeding schedule and one additional bottle did not transfer with the infant. It was recommended to add administrative to the infant classrooms during staff breaks and during feeding times of infants. It was recommended to limit staff and child movements from classroom to classroom, especially with infants. It was recommended increase observations of feeding times. We recommended scheduling regular or monthly meetings with infant staff. It was recommended to develop a transitional worksheet for infants to ensure anything a child would need to transition from one space to another properly transitions. It was recommended to add another college size refrigerator to space#2 to ensure the established color-coded system is consistent in both infant spaces. It was recommended to only heat one bottle up in a bowl or cup at a time. The staff who were interviewed were asked why a staff person left one staff person with six infants. The staff stated she panicked and considered it an emergency when the infant was given and drank some of the incorrect bottle. We discussed slowing down and what the center procedures required. Each classroom has an operable telephone and methods of communication. Based on two staff and two administrators interviewed, the allegation that an infant was served another child’s bottle was SUBSTANTIATED. One interviewed staff admitted to not following procedure and giving the incorrect bottle to an infant. Based on two staff and two administrators interviewed, the allegation of a teacher leaving a group of infants out of ratio was SUBSTANTIATED. One interviewed staff admitted panicking and leaving the classroom to go get assistance for fear of an allergic reaction. Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. The posted staff/child ratio worksheet in space #1 was not completed with the required information. .0713(a)(10), (c) & (f)(3); .2818(e) 540 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). One infant was transferred from space #2 over to space #1 and the infant's feeding schedule was not transferred with the infant. After staff lunch breaks, the infant was returned to space #2 where the original feeding schedule was posted. 10A NCAC 09 .0902(a) 1756 Enhanced staff/child ratios and group sizes were not met. On March 5, 2024, a staff left space #2/Buttlerflies leaving one staff member with six infants. 10A NCAC 09 .2818 1887 Each infant was not served only bottles labeled with their individual name. On March 5, 2024, the center administrator self-reported that an infant was given the incorrect formula bottle to another infant in space #1/Kanagoos. .0902(d) Technical Assistance Provided and General Discussion: 1. We discussed that an administrative will be issued. 2. The administrator stated reaching out to the Community Health Nurse and is scheduled to provide come to the center to review procedures and observe infant caregiving staff. 3. Several recommendations were made to address transferring infants and ensuring bottles are properly coded and stored in the classroom refrigerators. We discussed the need for staff to slow down and follow procedures. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Wednesday, April 3, 2024. You may email me your letter of correction. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
10A NCAC 09 .0601 · Violation
Name of Operation: PRESBYTERIAN HOSPITAL CHILD DEVELOPMENT CENTER Facility ID: 60000104 Consultant: MARA BRINTON Operation Type: Center Case Number: Visit Date: 2/5/2024 Number Present: 146 Completed Date: 2/5/2024 Age: From 0 To 5 Total Minutes: 450 Time In: 09:30 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance with applicable child care requirements during the Annual Compliance Visit. Lead Consultant, Amy Italiano, accompanied me during the visit. Upon arrival, I was buzzed inside by the administration. The center on-site administrator, Ms. Sakenah Green, was in her office. The center continued to maintain a five-star rated license and continued to meet enhanced space and ratios. The center continued approved to operate first and second shifts. The Annual Compliance Monitoring Checklist for Child Care Centers and the Child Care Item Number Listing dated August 2023 were used to document compliance. One hundred and forty-six children were present, ranging in age from three months up to Pre-K five years of age. There were not any school age children enrolled. Fifteen operating/approved spaces and outdoor learning environment were monitored for compliance. The center does not offer transportation to children. Children were monitored eating their lunch, napping on cots with linen, hand washing, eating PM snacks and playing outside. Eighteen children’s files were monitored for compliance. One child’s medical action plan was not completed entirely, and an Epi Pen listed on the medical action plan completed by the child’s doctor was not on site. There was one child who had an inhaler but was monitored without a prescription and written permission to administer. The center implemented The Investigator Club with four-year-old children. We discussed adding a writing center to the children’s indoor environment. The space was divided, and it was recommended to utilize the unoccupied space into a gross motor indoor space or other developmentally appropriate centers for the other children to rotate for specialized activities instead of storage. It was recommended to add something living to the children’s environments. We discussed what evidence was displayed or not to show how the curriculum was implemented. Staff and Training worksheets were provided upon request. There were twenty-five staff who did not have a current annual health questionnaire on file. There was one staff member, newly hired who did not have completed documentation of orientation completed within the first two weeks after hiring and completed by the sixth week of employment. One staff person didn’t obtain negative TB results or medical prior to working with children. The center’s EPR plan and RTGF were monitored for compliance. Documentation for quarterly safety drills and monthly fire drills were discussed and monitored. We discussed and reviewed the quarterly drills and discussed they were date sensitive and should occur at least once every three months. Either safety drill was not completed at least once every three months. The outdoor learning environment was monitored for compliance. There were pockets of fallen leaves inside of the fenced outdoor learning environment. There was rust monitored on the black fence. Several exposed tree roots caused tripping hazards on the upper playground (SA). A wooden retaining wall was monitored partially collapsed/deteriorated, with exposed hardware (nails). The center must address the standing water issue documented in the outdoor playground inspection reports monitored. There was not any standing water monitored today and a violation was not cited for it, but the organization must begin the planning process to resolve the noted issue. Due to the gradient of the land and how rain water washes away from the SA stationary equipment it has left tripping hazards surrounding the edge of the foam surfacing. It was recommended to install stationary borders. The last sanitation inspection was conducted January 30, 2024, with five (5) demerits cited, and a Superior Classification issued. The last annual fire inspection was completed on March 22, 2023. It was highly recommended to begin the annual inspection process 4-6 weeks prior to expiration. The center continues to meet five-star requirements and a three-year reassessment will be required no later than February 23, 2026. The last ERS were completed on March 24, 2022. The overall average ERS was 5.24. It was recommended to review any items scored under a 5.0 with staff during staff meetings. Violation Number Comment Rule 488 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 #7/Ducks there were not enough materials for three children to play with the same toy. Presented materials were not offered in an organized manner to the children. .0510(e)(3) 612 Each child's bed, cot, or 2" mat was not individually assigned and identified. An infant in space#2/Butterflies was monitored in a crib that was not labeled or identified as assigned to the infant. 15A NCAC 18A .2821(b) & (c) 705 Equipment and furnishings were not sturdy, stable and free of hazards. There were exposed tree roots that caused tripping hazards. Washed away borders around the edges of the foam surfacing surrounding outdoor stationary play equipment was monitored with large gaps from the edge to the ground, causing tripping hazards. There was a piece of the SA stationary equipment with a protruding edge. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. In space KD, a child's medical action plan signed by the doctor stated Epi Pen and Benadryl. There was not an Epi Pen on site for the identified child. There several exposed tree roots on the children's outdoor learning environment. There was a partially collapsed wooden retaining wall with exposed hardware. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. There was an inhaler without the medication labeled container. .0803(2)(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Twenty-three staff members did not have a current health questionnaire on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One staff did not have documentation that orientation had been received. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. A new employee did not have documentation that this orientation had been completed. .1101(a)(b) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place/lock down drill was completed October 9.2023 .0604(u);.0302(d)(8) Technical Assistance Provided and General Discussion: 1. The center’s not-for-profit corporation was listed as “current-active” by the NC Secretary of State’s office. 2. We discussed concerns related to two spaces not meeting the environmental expectations of the center and star rating. We recommended utilizing staff who could help with room arrangement and labelling the storage units. 3. We discussed and reviewed the outdoor learning environment and recommendations to develop a plan to address drainage issues. 4. Recommendations were made to plan four safety drills for the entire year and provide some additional days built into the timeline to ensure either drill is completed at least once every three months. It was recommended to use the company’s corporate calendar to track the pending drill dates. It was recommended to use the calendar to track due dates for staff’s annual health questionnaires. 5. It was recommended to add a Shaken Baby and Head Trauma acknowledgement to the application as well as the reviewed with parents’ date. 6. It was emphasized that documentation of orientation hours and date received must be documented correctly to show what date and how long the orientation per topic took to complete. 7. We recommended revamping or reorganizing how infant bottles are color coded and identified on the outside of the refrigerators and once placed inside the refrigerators. Corrective Action Plan: All violations must be corrected immediately. You shall submit a written, signed, and dated statement/compliance letter to me, at the address below detailing how each violation has been corrected and when. This information shall be received by Monday, February 19, 2024. Mail written documentation to Mara Brinton, 7870 Woodmere Drive, Harrisburg, NC 28075. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time-period. If you have any questions, please contact Mara Brinton at 704-594-0140 or email mara.brinton@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.
Open Not marked corrected in the state record
Category: ratio. Open / not marked corrected.