THE NEST SCHOOL

2026

1. Medium risk7/16/2026

   .0511(b)(1) — Violation #491

   Caregiver did not respond at the earliest opportunity to an infant or toddler’s physical and emotional needs. Two children less than twelve months of age were not attended to at the earliest opportunity. Both children were observed crying for more than five minutes while both staff members were engaged in other activities. Source: NC DHHS DCDEE facility visit summary.

   Not corrected
2. High risk7/16/2026

   .0510(e)(6) — Violation #496

   Each child under the age of 12 months was not given supervised tummy time positioned on his/her stomach while awake and alert each day. Two children, under twelve months of age, were not closely supervised during tummy time. Source: NC DHHS DCDEE facility visit summary.

   Not corrected
3. Medium riskStandard 107/16/2026

   10A NCAC 09 .0901(a) — Violation #501

   Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Bread was not served for lunch during the visit. Source: NC DHHS DCDEE facility visit summary.

   Not corrected
4. Medium-High risk7/16/2026

   .2820(b) — Violation #840

   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. Five cans of aerosol foam soap were stored in an unlocked top cabinet in space 6. Cloroguard Disinfectant and Zep Disinfecting Wipes were stored in the unlocked cabinet under the sink in the kitchen. Zep Disinfectant and Suave Detangler were stored in the unlocked storage closet in the lobby of the building. Source: NC DHHS DCDEE facility visit summary.

   Not corrected
5. High riskStandard 157/16/2026

   15A NCAC 18A .2820(d) — Violation #841

   Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Over the counter diaper creams, non-aerosol sunscreen and non-aerosol bug spray were stored on a shelf in the cabinet under the changing table, which was not locked, in space 7. A variety of over the counter medications, including Zyrtec and Benedryl, were stored in the unlocked storage closet in the lobby of the building. Source: NC DHHS DCDEE facility visit summary.

   Not corrected
6. High riskStandard 107/16/2026

   10A NCAC 09 .0606(a) — Violation #871

   Center staff did not comply with the safe sleep policy. A sleeping infant was not moved from a bouncy seat to his/her crib. Source: NC DHHS DCDEE facility visit summary.

   Not corrected
7. Medium-High risk7/16/2026

   .1102(c) — Violation #1048

   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. A first aid course was not completed within ninety days of hire by one staff member with a hire date of 12-15-25. Source: NC DHHS DCDEE facility visit summary.

   Not corrected
8. Medium-High risk7/16/2026

   .1102(d) — Violation #1049

   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. A CPR course was not completed within ninety days of hire by one staff member with a hire date of 12-15-25. Source: NC DHHS DCDEE facility visit summary.

   Not corrected
9. High riskStandard 107/16/2026

   10A NCAC 09 .2818 — Violation #1756

   Enhanced staff/child ratios and group sizes were not met. Eleven children, all under age one, were present in space 1. This exceeds the maximum group size of ten for infants. Source: NC DHHS DCDEE facility visit summary.

   Not corrected
10. Medium-High riskStandard 157/16/2026

    15A NCAC 18A .2815(e) — Violation #9999

    A violation was found for which there is no item number. The kitchen door was not locked as required when a staff member was not present. This is a violation of a requirement in , which states: Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Water in areas accessible to children shall be tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit. Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. For handwash lavatories used exclusively by school-age children, the requirement to provide water tempered between 80 degrees Fahrenheit and 110 degrees Fahrenheit shall not apply. In the event of the loss of hot water at the child care center, the operator shall immediately notify the local health department that serves the county in which the child care center is located. Source: NC DHHS DCDEE facility visit summary.

    Not corrected