Cadence Academy Preschool, Raintree

Enhanced staff/child ratios and group sizes were not met.

Corrected during the visit

An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.

Corrected during the visit

Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file.

Corrected during the visit

Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics.

The state verified the correction on Feb 16, 2026

Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule.

The state verified the correction on Feb 4, 2026

Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child.

The state verified the correction on Feb 3, 2026

Each employee's personnel file did not contain an annual staff evaluation and a staff development plan.

The state verified the correction on Feb 3, 2026

All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file.

The state verified the correction on Feb 6, 2026

All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file.

The state verified the correction on Feb 6, 2026

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

Corrected during the visit

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.

The state verified the correction on Feb 3, 2026

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

The state verified the correction on Feb 3, 2026

The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care.

The state verified the correction on Feb 3, 2026

All equipment and furnishings were not in good repair.

The state verified the correction on Feb 3, 2026

All beds, cots, or mats with individual linen were not provided for each child.

Corrected during the visit

Running water, soap and individual sanitary towels, or other approved hand-drying devices were not supplied at each lavatory.

The state verified the correction on Feb 3, 2026

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.

The state verified the correction on Feb 3, 2026

A violation was found for which there is no item number. In child care centers, toilet tissue paper shall be provided in each toilet room and stored in a clean, dry place. The toilet room shall include or be adjacent to a handwash lavatory. Storage in toilet rooms shall be limited to toileting and diapering supplies. All toilet fixtures shall be kept clean and in good repair. Toilet fixtures shall be child-sized, adult-sized toilets that are adapted to accommodate children, or potty chairs.

The state verified the correction on Sep 11, 2025

New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks.

The state verified the correction on Oct 22, 2025

Parent's medication authorization did not include required information.

The state verified the correction on Sep 11, 2025

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.

Corrected during the visit

The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care.

The state verified the correction on Sep 11, 2025

A violation was found for which there is no item number. Purses and other personal effects belonging to child care center employees shall be kept inaccessible to children and shall be stored in accordance with this Rule, as applicable.

Corrected during the visit

Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. Two children did not have an immunization record on file.

The state verified the correction on Feb 17, 2025

Medical exam or health assessment record was not on file before or within 30 days after admission.

The state verified the correction on Feb 17, 2025

Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child.

The state verified the correction on Feb 10, 2025

All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file.

The state verified the correction on Feb 10, 2025

All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file.

The state verified the correction on Feb 10, 2025

On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months.

The state verified the correction on Feb 10, 2025

Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months.

The state verified the correction on Feb 10, 2025

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.

Corrected during the visit

Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.

Corrected during the visit

Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible.

Corrected during the visit

All openings to the outer air were not protected against the entrance of flying pest.

The state verified the correction on Feb 10, 2025

A summary of the NC Child Care Law was not posted in a prominent place in the center.

Corrected during the visit