The Tree of Knowledge Daycare Center

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

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.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 Sep 28, 2026

Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division.

The state verified the correction on Sep 29, 2026

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 Jul 30, 2026

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

The state verified the correction on Jul 7, 2026

All staff records, except financial records, were not made available for review.

The state verified the correction on Jul 7, 2026

Prior to employment a Criminal Background Check was not completed.

The state verified the correction on Jul 7, 2026

Menus for all meals and snacks were not current or posted where easily seen by parents and cook.

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

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

Corrected during the visit

Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter.

The state verified the correction on Mar 11, 2026

Center staff did not comply with the safe sleep policy.

The state verified the correction on Mar 11, 2026

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.

The state verified the correction on Mar 11, 2026

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file.

The state verified the correction on Mar 11, 2026

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 Mar 11, 2026

Center did not maintain a record of daily attendance.

Corrected during the visit

Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.

The state verified the correction on Mar 11, 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 Mar 11, 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 Mar 11, 2026

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

The state verified the correction on Mar 11, 2026

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

The state verified the correction on Mar 11, 2026

Application for employment and date of birth was not on file for all staff.

The state verified the correction on Mar 11, 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

Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.

Corrected during the visit

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

Corrected during the visit

Child care providers scheduled to work in the infant room, did not complete ITS-SIDS training within two months of employment or did not complete the training every three years. Child care administrators did not complete the ITS-SIDS training within 90 days of employment and every three years thereafter.

The state verified the correction on Mar 11, 2026

Center staff did not comply with the safe sleep policy.

The state verified the correction on Mar 11, 2026

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.

The state verified the correction on Mar 11, 2026

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file.

The state verified the correction on Mar 11, 2026

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 Mar 11, 2026

Center did not maintain a record of daily attendance.

Corrected during the visit

Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.

The state verified the correction on Mar 11, 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 Mar 11, 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 Mar 11, 2026

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

The state verified the correction on Mar 11, 2026

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

The state verified the correction on Mar 11, 2026

Application for employment and date of birth was not on file for all staff.

The state verified the correction on Mar 11, 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

Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.

Corrected during the visit

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

Corrected during the visit

The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file.

Corrected during the visit

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 Oct 10, 2025

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.

The state verified the correction on Oct 10, 2025

Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies.

The state verified the correction on Oct 10, 2025

Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas.

The state verified the correction on Oct 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 Oct 14, 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 10, 2025

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

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 Oct 10, 2025

The EMC plan was not reviewed with all staff annually and whenever the plan was revised.

The state verified the correction on Oct 10, 2025

Menus for all meals and snacks were not current or posted where easily seen by parents and cook.

Corrected during the visit

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

The state verified the correction on Oct 10, 2025

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

Corrected during the visit

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.

The state verified the correction on May 5, 2025

Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.

Corrected during the visit

Staff/child ratios applicable to a classroom, were not posted in each classroom.

Corrected during the visit