The Pa-Paw Patch

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

Corrected during the visit

The depth of the loose surfacing was not based on critical height of the equipment.

The state verified the correction on Aug 29, 2025

All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file.

The state verified the correction on Aug 29, 2025

A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days.

The state verified the correction on Aug 29, 2025

Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes.

The state verified the correction on Aug 29, 2025

Staff required to receive on-going training had not completed the required number of hours according to their education and experience.

The state verified the correction on Sep 3, 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 Aug 29, 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 Aug 29, 2025

The child care center premises, including the outdoor learning environment, was not clean, drained to minimize standing water, free of litter and hazards, and/or maintained in a manner which does not create conditions that attract or harbor pests.

Corrected during the visit

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.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 25, 2025

All equipment and furnishings were not in good repair.

The state verified the correction on Feb 25, 2025

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.

The state verified the correction on Feb 25, 2025

All floors and floor coverings were not constructed of nonabsorbent material and/or were not kept clean and in good repair.

The state verified the correction on Feb 25, 2025

Center did not have a plan to encourage parent participation and inform them about the program and its services.

The state verified the correction on Sep 18, 2024

Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age.

Corrected during the visit

Parent's medication authorization did not include required information.

Corrected during the visit

All equipment and furnishings were not in good repair.

The state verified the correction on Sep 18, 2024

All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair.

The state verified the correction on Sep 18, 2024

Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use.

The state verified the correction on Sep 18, 2024

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

Corrected during the visit

A child's hands were not washed after each diaper change.

The state verified the correction on Sep 18, 2024

All staff did not wash their hands thoroughly after diapering each child.

The state verified the correction on Sep 18, 2024

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.

The state verified the correction on Jul 11, 2024

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

Corrected during the visit

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

Corrected during the visit

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

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

Corrected during the visit

All equipment and furnishings were not in good repair.

Corrected during the visit

All walls and ceilings including doors and windows were not kept clean and in good repair.

The state verified the correction on Mar 14, 2024

Toilet fixtures were not cleaned and disinfected at least daily and when visibly soiled.

The state verified the correction on Mar 8, 2024

Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review.

Corrected during the visit