Little Stepping Stones

A valid qualification letter was not on file and available to review at the facility.

Corrected during the visit

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

The state verified the correction on Sep 14, 2026

Caregivers did not document compliance with visually checking on sleeping infants aged 12 months or younger and/or the documents were not maintained for a minimum of one month.

The state verified the correction on Sep 14, 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Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

Corrected during the visit

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

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

A safe indoor and outdoor environment was not provided for the children.

The state verified the correction on Sep 14, 2026

A current activity plan was not posted for each group of children for reference.

Corrected during the visit

The center did not separate from others those children who became ill or who were suspected of being ill with a communicable disease or condition that would exclude them from care.

The state verified the correction on Jul 9, 2026

The center did not follow all procedures to prevent the spread of communicable diseases described in 15A NCAC 18A .2800.

The state verified the correction on Jul 9, 2026

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

Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages.

The state verified the correction on Jul 9, 2026

Each child did not have an opportunity to be outdoors daily, if weather conditions permitted.

The state verified the correction on Jul 9, 2026

A current activity plan was not posted for each group of children for reference.

Corrected during the visit

All staff records, except financial records, were not made available for review. A file was not available for one staff member.

The state verified the correction on Jun 12, 2025

The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily. The safe sleep policy was not posted.

The state verified the correction on Jun 12, 2025

There was no written emergency medical care (EMC) plan.

The state verified the correction on Jun 12, 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

The child care provider did not provide the required beverage(s).

The state verified the correction on Aug 23, 2024

There was no written emergency medical care (EMC) plan.

The state verified the correction on Aug 23, 2024

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

Corrected during the visit

A current activity plan was not posted for each group of children for reference.

Corrected during the visit

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

Corrected during the visit

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 Nov 30, 2023

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 Nov 30, 2023

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

Corrected during the visit

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

Corrected during the visit

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

The state verified the correction on Nov 30, 2023

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)

The state verified the correction on Nov 30, 2023

Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child.

The state verified the correction on Nov 30, 2023

A current activity plan was not posted for each group of children for reference.

Corrected during the visit