LITTLE RED SCHOOL

2026

1. Medium risk1/12/2026

   GS 110-91(12) — Violation #428

   A current activity plan was not posted for each group of children for reference. In space #4, the activity plan posted was dated October 2025. Source: NC DHHS DCDEE facility visit summary.

   Not corrected
2. Medium-High riskStandard 101/12/2026

   10A NCAC 09 .0509(2) — Violation #434

   The materials and equipment indoors and outdoors were not sufficient to provide a variety of play experiences to promote the children's emotional and social development, health and physical development, approaches to play and learning, language and communication development, and cognitive development. In space #1, four children one year of age had only the book center with twelve books accessible for play while one staff member was assisting children one at a time in an individual art project. Source: NC DHHS DCDEE facility visit summary.

   Not corrected
3. Medium-High riskStandard 101/12/2026

   10A NCAC 09 .0902(a) — Violation #540

   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) In space #1, two children thirteen months of age and two children fourteen months of age did not have feeding plans posted. In space #3, one child six months of age had a feeding plan that did not have the signature of the parent. Source: NC DHHS DCDEE facility visit summary.

   Not corrected
4. Medium-High risk1/12/2026

   .0802(a)(1)(A — Violation #837

   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 specific name and alternate name were not listed for persons in center responsible for giving first aid and CPR on the EMC plan. Source: NC DHHS DCDEE facility visit summary.

   Not corrected
5. High riskStandard 101/12/2026

   10A NCAC 09 .0803(4)(6 — Violation #847

   Parent's medication authorization did not include required information. In space #4, a Destin diaper cream permission form for a two year old child did not include the date the authorization was to begin or to end. Source: NC DHHS DCDEE facility visit summary.

   Not corrected
6. High risk1/12/2026

   G.S. 110-90.2(b) — Violation #1044

   Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Juana Lazano had a qualifying letter that expired October 29, 2025. A new criminal background check application was initiated on December 10, 2025 and a new valid qualification letter dated December 15, 2025 was on file during today's visit. Source: NC DHHS DCDEE facility visit summary.

   Not corrected
7. Medium-High risk1/12/2026

   .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. One staff member employed October 13, 2023 had First Aid certification that expired May 2025 and completed new First Aid certification on December 29, 2025. One staff member employed October 23, 2017 had First Aid certification that expired November 17, 2025 and completed new First Aid certification on December 29, 2025. Source: NC DHHS DCDEE facility visit summary.

   Not corrected
8. Medium-High risk1/12/2026

   .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. One staff member employed October 13, 2023 had CPR certification that expired May 2025 and completed new CPR certification on December 29, 2025. One staff member employed October 23, 2017 had CPR certification that expired November 17, 2025 and completed new CPR certification on December 29, 2025. Source: NC DHHS DCDEE facility visit summary.

   Not corrected
9. Medium-High risk1/12/2026

   GS110-91(1) — Violation #1321

   Medical exam or health assessment record was not on file before or within 30 days after admission. One child two years of age who enrolled on September 8, 2025 did not have a medical exam on file. Source: NC DHHS DCDEE facility visit summary.

   Not corrected
10. Medium-High riskStandard 101/12/2026

    10A NCAC 09 .0302(d)(2) — Violation #1323

    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. One child four months of age who enrolled on November 10, 2025 did not have an immunization record on file. Source: NC DHHS DCDEE facility visit summary.

    Not corrected
11. Medium risk1/12/2026

    .1804(c) — Violation #1324

    Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. In space #6, one child five years of age that enrolled in NC Pre K on August 11, 2025 did not have a signed and dated statement that the discipline policy was received and explained at the time of enrollment. Source: NC DHHS DCDEE facility visit summary.

    Not corrected
12. Medium-High risk1/12/2026

    Violation #1769

    The health assessment did not include a dental screening. In space #5, one child four years of age who enrolled in NC Pre K on August 13, 2025 did not have verification of a completed dental screening on file. .3005 (a)(5) Source: NC DHHS DCDEE facility visit summary.

    Not corrected
13. Medium-High risk1/12/2026

    Violation #1793

    Infants were served juice in a bottle without a prescription or written statement on file from a health care professional or licensed dietitian/nutritionist. In space #3, one child seven months of age was served juice in a bottle without a prescription or written statement on file. .0902( c ) Source: NC DHHS DCDEE facility visit summary.

    Not corrected
14. Medium risk1/12/2026

    .0607(e) — Violation #1824

    The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The EPR Plan annual review verification on file was dated January 18, 2024. Source: NC DHHS DCDEE facility visit summary.

    Not corrected
15. High risk1/12/2026

    .1103(b) — Violation #1899

    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. One staff member employed September 2, 2014 had verification on training for administering medication, prevention of shaken baby syndrome, abusive head trauma and child maltreatment and recognizing and reporting child abuse, child neglect and child maltreatment dated September 2020. Source: NC DHHS DCDEE facility visit summary.

    Not corrected