7demerits
ABSOLUTE CHILD CARE
4111 FREEDOM DR, Charlotte, NC 28208
Child Care · NC permit/State ID 2060421363
Latest result7 demerits
Last inspectedMay 18, 2026
Inspections on record24
On record sinceJul 18, 2013
This facility type is scored in demerits: lower is better (0 = no violations found).
Score history
Jul 18, 2013Lower is betterMay 18, 2026
Inspections & violations
May 18, 2026 7 demerits · 4 violations
Inspector comments: NOTE: lunches are catered from LMC as a part of the food program. Ensure foods are received at 135F or above prior to serving children. Replace battery in digital thermometer. Facility has appropriate dial thermometer.
#22 · Soap, approved hand drying devices, toilet tissue paper available: .2817, .2818, .2836 −3
Observed paper towels missing at class room 1 and 2 restroom hand sinks. CDI- Paper towels placed at hand sinks.
#30 · Non-hazardous products properly stored: .2820
15A NCAC 18A .2820. Observed baby wipes with keep out of reach of children stored on shelf below 5ft in class 4. Store non-hazardous items with Keep Out Of Reach Of Children store above 5ft. CDI_ placed on shelving above 5ft.
#34 · Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 −4
15A NCAC 18A .2822 (a) Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. Observed debris in kitchen set in class 2 and in washer/dryer set in class 4. Clean toys daily or when visibly soiled.
#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836
15A NCAC 18A .2824 (b). Floors and floor coverings in sleeping and play areas shall be kept clean and in good repair.
15A NCAC 18A .2824 (a). Floors and floor coverings in food preparation, food storage, utensil washing, toilet rooms, and laundry areas shall be constructed of nonabsorbent material and shall be kept clean and in good repair.
Observed floors(laminate) peeling in class 5 near door to hall. Caulk along baseboard in class 4 restroom.
Jul 24, 2025 0 demerits · 0 violations
Inspector comments: No violations were observed during the inspection.
No violations were recorded for this inspection.
Jan 14, 2025 2 demerits · 2 violations
#26 · Approved cleaning solution and approved disinfectant provided; test kit available when required: .2817, .2818, .2819, .2820, .2836 −2
15A NCAC 18A .2812 (i) An approved disinfectant shall be provided for cleaning purposes. When a chlorine solution is prepared by a child care center employee for use as an approved disinfectant, then the solution shall be prepared for use within 24 hours, and a testing method shall be used to ensure compliance with the prescribed chlorine concentration (500 -800 ppm). Observed disinfectant at less than 500 ppm. Needs to be 500-800 ppm.
#30 · Non-hazardous products properly stored: .2820
General Comment:
15A NCAC 18A .2820 (c). Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use by storing the items 5 ft above the floor or behind lock and key. Observed bottle of oil stored less than 5ft up in front classroom. Needs to be stored 5ft up or locked.
Jul 15, 2024 0 demerits · 0 violations
Inspector comments: No violations noted.
No violations were recorded for this inspection.
Jul 8, 2024 8 demerits · 4 violations
#26 · Approved cleaning solution and approved disinfectant provided; test kit available when required: .2817, .2818, .2819, .2820, .2836 −2
15A NCAC 18A .2812 (i) An approved disinfectant shall be provided for cleaning purposes. When a chlorine solution is prepared by a child care center employee for use as an approved disinfectant, then the solution shall be prepared for use within 24 hours, and a testing method shall be used to ensure compliance with the prescribed chlorine concentration (500 -800 ppm). Observed disinfectant at less than 250 ppm chlorine. Needs to be 500-800. EHS and assistant director looked at bleach and corrected formula being used.
#29 · Hazardous products properly stored and locked: .2820 −6
15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed closet containing cleaners and aerosols in 3-5s (summer camp) classroom unlocked. Needs to be locked. REPEAT. PROVISIONAL ITEM.
#30 · Non-hazardous products properly stored: .2820
15A NCAC 18A .2820 (c). Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use by storing the items 5 ft above the floor or behind lock and key. Observed disinfectant bottle hanging from rack but bottom was less than 5ft from the floor. Needs to be stored 5ft above the floor.
#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836
15A NCAC 18A .2825 (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas, shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint. Observed backsplash peeling in younger classroom bathroom. Needs repair.
Jan 8, 2024 3 demerits · 3 violations
#29 · Hazardous products properly stored and locked: .2820
No points deducted.
15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed dry erase cleaning spray, in 4/5s class labeled “Keep out of reach of children” with irritant and flammable warnings as well, stored unlocked. Needs to be stored locked.
#32 · Adequate linen provided and properly stored; adequate beds, cots, mats provided, in good repair, properly stored, labeled, spaced during use: .2821, .2836 −3
15A NCAC 18A .2821 (e). When in use, cribs, cots, mats and play pens shall be placed at least 18 inches apart or separated by partitions that prevent physical contact between children. Observed cots spaced less than 18 inches apart during nap time in Class 1. Needs to be 18 inches apart.
#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836
15A NCAC 18A .2825 (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas, shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint. Observed small stains on ceiling tiles in 4/5s room. Check for leaks and replace tiles.
Jul 6, 2023 0 demerits · 2 violations
#20 · No identified lead poisoning hazards in accordance with NCGS 130A-131.7(7): .2816
In child care centers, areas accessible to children shall be free of identified lead poisoning hazards as defined in G.S. 130A-131.7(7). Observed lead in drinking water last tested 4/29/20. Lead needs to be tested every 3 years.
Facility missed the last inspection and was not notified that their lead testing was expiring. EHS and operator discussed lead testing as soon as possible. Environmental health shall verify lead is tested.
#42 · Designated area for sick children; maintained as required; written procedures for vomiting or diarrheal events: .2827, .2836
GeneralComment:Thechildcarecentershallhaveawrittenprocedurethatemployeesshallfollowwhenrespondingtovomiting or diarrheal events that involve the discharge of vomitus or fecal matter onto surfaces in the center. 15A NCAC 18A .2827 (d). Observed facility does not have a written procedure. Requirement has recently been adopted in rule changes on July 1, 2023. EHS emailed PIC link to page with procedures and rule update information.
Sep 21, 2022 2 demerits · 2 violations
Inspector comments: Observed bottles of sanitizer and disinfectant solution not labeled with the words “sanitizer” and “disinfectant.” Operator uses the concentration of the liquid to identify the solution. Today, labels corrected during inspection to include the name of the solution.
#21 · Properly sized, located, accessible, and in good repair; sinks, toilets and potty chairs cleaned and disinfected; proper change of use procedure: .2817, .2818, .2836
Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed two toilet seats loose in two year old and three year old class restrooms. Operator stated these items will be added to repair list for maintenance to tighten seats. -0-
#42 · Designated area for sick children; maintained as required; written procedures for vomiting or diarrheal events: .2827, .2836 −2
All sick children shall be placed in a designated sick area that is separate from the other children. 15A NCAC 18A .2827 (a). Observed no designated area for sick children today. Per operator, exterior office had an area that was repurposed for a small desk. Corrected during inspection by placing divider in main office to separate slick children from other children. -2-
Oct 6, 2021 2 demerits · 3 violations
Inspector comments: Foods are currently being catered Charter One Foods.
Reginal staff member Alan Huneycutt accompanied inspection.
#35 · Mouth-contact surfaces cleaned and sanitized in rooms designated for children who are not toilet trained: .2822, .2836
In areas where children are not toilet trained, large mouth contact toys and toys not designed to be submerged shall be washed, rinsed in place, sprayed with a sanitizing solution, and allowed to air dry, after use and more frequently when visibly dirty. 15A NCAC 18A .2822 (a). Ensure that soft toys are being washed, rinsed, and sanitized. When asked about cleaning of soft mouth-able toys. Person in charge stated toys were disinfected. No observed during the inspection therefore no points.
#39 · Equipment clean and in good repair; maintained as required: .2826
Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a). Observed blown bulbs inside of the Pre-K #1 room. Facility is currently waiting on electrician to repair bulbs in disrepair. (G.C)
#49 · Premises clean and free of standing water; utility equipment inaccessible; equipment and toys clean and in good repair; sandboxes properly constructed, clean and covered; adherence to air quality forecast quality forecast outdoor activity restrictions when applicable: .2831, .2832 −2
Secure loose board on board walkway leading to the playground. Remove damaged toy house fixture from playground area.
General cleaning of toys on the playground area.
All play ground equipment must be kept clean and in good repair. 15A NCAC 18A .2832 (c ).
Jun 11, 2021 0 demerits · 0 violations
Inspector comments: Facility only using 2 classrooms at time. All classrooms were inspected. Covid 19 restrictions, no signature required. Inspection completed with assistant, Ashley.
No violations were recorded for this inspection.
Aug 11, 2020 0 demerits · 0 violations
Inspector comments: NOTE---Only 2 classrooms in operation at the time. All classes inspected.
No violations were recorded for this inspection.
Feb 19, 2020 4 demerits · 1 violation
#34 · Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 −4
Observed damaged paper blocks.
Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).
Jul 23, 2019 4 demerits · 1 violation
Inspector comments: No points deducted: #21-- Reseal handsink to wall in toddler restroom. Observed toilet seat turned/loose in toodler restroom.
#37---Observed paint peeling on wall at sanitizer rack in 2s. Observed dust on ceiling fan in 2s.
#34 · Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 −4
Observed debris in crevices on hard toys such as, farm houses, kitchen set, or damage to paper blocks in 2s, toddlers, and Pre school classes.
Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).
Jan 16, 2019 4 demerits · 1 violation
#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 −4
Observed stained carpet in toddlers room. Half carpet room.
Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.
Apr 5, 2018 4 demerits · 1 violation
#21 · Properly sized, located, accessible, and in good repair; sinks, toilets and potty chairs cleaned and disinfected; proper change of use procedure: .2817, .2818, .2836 −4
Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed toilet seat in 2's room very loose in need of tightening.
Nov 20, 2017 4 demerits · 1 violation
Inspector comments: General Comment:
#21. Loose toilet seats tighten at time of inspection.**Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).
#29. Observed newly install automatic aerosol air freshener dispenser on wall in kitchen, front entrance and in after school room. Dispenser removed from wall and zip ties placed on units at time of inspection. **All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b).
#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 −4
Observed bare wood on half door in toddler room. Paint or apply wood sealant to bare wood on half door to bathroom. Wipe/clean edge of door to bathroom in 2's room. Repaint rusted areas on door where rust is starting to form in pre school room. Secure electrical outlet cover in after school room. Repair slates on door in after school room. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.
Jun 9, 2017 6 demerits · 2 violations
Inspector comments: General Comment:
#12. Replace damaged gasket on refrigeration unit in infant room. Replace stained bottle warmer in infant room.***Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3).
#34. Clean cracks and crevices on pirate ship in afterschool room. The damaged lid remove from play fixtureand discard in preschool room.**Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).
#39. Replace torn/damaged paper window covering/blinds in classrooms.***Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a).
#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 −4
Repair or replace damaged linoleum flooring in hallway area. Repair or replace fraying carpet in hallway area. Wipe/clean edge of half door/gates/shelving on half doors entering into classrooms. Touch-up paint door around door handle in 2's class. Install quarter round shoe molding along base of linoleum flooring in classroom where gaps are present and linoleum flooring is starting to roll along edge.
Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.
#49 · Premises clean and free of standing water; utility equipment inaccessible; equipment and toys clean and in good repair; sandboxes properly constructed, clean and covered; adherence to air quality forecast quality forecast outdoor activity restrictions when applicable: .2831, .2832 −2
Replace rotten and damaged boards on ramp leading to front entrance of establishment. Tighten loose railing on front porch/ramp area. Repair loose/damaged board on walkway leading to playground area. Touch-up paint white metal railing at front entrance. Observed paint chiping/flaking! Lead swab test performed; results read negative.
Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).
Nov 9, 2016 2 demerits · 1 violation
#49 · Premises clean and free of standing water; utility equipment inaccessible; equipment and toys clean and in good repair; sandboxes properly constructed, clean and covered; adherence to air quality forecast quality forecast outdoor activity restrictions when applicable: .2831, .2832 −2
Tighten loose screw/bolts on bench within playground area. General cleaning of larger toy fixtures on playground area. Repair exterior of wall of office leading out to can wash on back side of daycare.
Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).
General Comment: #34. The one damaged toy removed from classroom at time of inspection. #37. Install quarter round shoe molding in infant room along edge of linoleum flooring.
Mrs. Heather and Mrs. Cherry present at time of inspection.
Apr 28, 2016 8 demerits · 2 violations
Inspector comments: General Comment: #5. Observed 2 baby bottle not labeled with child's name and date and 2 baby bottles labeled with intials but no date(4 bottle being same child). Label baby bottles and sippy cups brought from home with child's name and date. Baby bottles properly labeled at time of inspection.**Label all baby bottles, sippy-cups, and bottled beverages sent from home with the child's name and date it was brought into the facility. 15A NCAC 18A .2804 (d) . #22.Observed wall mounted toilet paper holder in pre schooler bathroom beside toilet, but the other toilets did not have toilet paper holder and the toilet paper was stored on back of toilet. Provide toilet paper holder for other toilets. #23. Observed emergency to go kit stored in laundry room/bathroom. No storage in bathroom. Emergency to go kit removed from bathroom/laundry room. Limit storage in bathroom to toileting and diaper changing supplies. #34. Observed varnish/sealant wearing and worn from shelving/fixtures in 1's room and pre schooler room. Apply wood sealant/stain on fixtures in classrooms which varnish/sealant is worn and wearing off.. Replace cracked/damaged blue chairs in after school room.***Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). Mrs. Africa Cherry present at time of inspection.
#27 · Free of storage and in good repair; cleaning and disinfecting solutions labeled; approved diapering methods used; diaper changing and handwashing signs posted: .2817, .2818, .2819, .2820, .2836 −4
Observed some fixtures missing from top boarder of diaper changing table. Replace missing fixture on diaper changing table to eliminate gaps/cracks and crevices.
Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b).
#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 −4
Observed flooring rolling up along edge throughout in several rooms. Install quarter round shoe moulding throughout in rooms. Touch-up paint window sill in 1's room.
Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.
Aug 27, 2015 6 demerits · 2 violations
Inspector comments: General Comment: #21. Observed caulking around hand washing sink in pre school bathroom separating from the sink. Remove old caulking from hand washing sink counter and sink and recaulk.**Keep hand washing sinks clean . and in good repair. 15A NCAC 18A .2818 (a). #27. Diaper changing pad in infant room with small tear on bottom removed and discarded at time of inspection.***Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b). #44. Observed old wire fencing and boards behind day care from where playground fencing was replaced. Remove old wire fencing and boards from behind daycare.**Solid wastes shall be disposed of in a manner that prevents insect breeding and public nuisances. 15A NCAC 18A .2830 (d). Mrs. Africa Cherry present at time of inspection.
#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 −4
Observed edge of linoleum flooring coming loose along edges throughout in infant room, toddler room, after school room and pre school room. Tightly secure loose edges of flooring. I recommend secure loose edge of flooring and installing quarter round shoe moulding throughout to help secure edge of flooring. Repair floor around floor drain in pre school bathroom.
#49 · Premises clean and free of standing water; utility equipment inaccessible; equipment and toys clean and in good repair; sandboxes properly constructed, clean and covered; adherence to air quality forecast quality forecast outdoor activity restrictions when applicable: .2831, .2832 −2
Secure loose board on board walkway leading to the playground. Remove damaged toy house fixture from playground area. General cleaning of toys on the playground area.All play ground equipment must be kept clean and in good repair. 15A NCAC 18A .2832 (c ).
Mar 2, 2015 4 demerits · 1 violation
Inspector comments: 21: Loose toilet seat in 1's. **Keep toilets in good repair. 49: Damaged carousel on playground. **Keep all toys in good repair. Africa Cherry present. Keep up the good work.
#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 −4
Observed: Floor damage around the floor drain in the Preschool Restroom. Some paper towel dispensers rusting.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.
Sep 24, 2014 5 demerits · 2 violations
Inspector comments: General Comment: #33. Damaged linen to cover cot was discarded at time of inspection.**Individual linen must be kept clean and in good repair. 15A NCAC 18A .2821 (f). #34. Observed blue bean bag chair torn/damaged near the zipper in 2's room. Blue bean bag chair pulled at time of inspection. **Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). #37. Tightly secure floor transitional moulding at entrance to bathroom in after school room. Carpet mat remove from over clean out drain cover and floor drain in bathrooms.**Floors and floor coverings of all food preparation, food storage, utensil-washing areas, toilet rooms, and laundry areas shall be constructed of non-absorbent, easily cleanable material. 15A NCAC 18A .2824 (a). Carpet cleaned June 7, 2014. Mrs. Africa Cherry present at time of inspection.
#26 · Approved cleaning solution and approved disinfectant provided; test kit available when required: .2817, .2818, .2819, .2820, .2836 −2
Observed disinfectant solution in spray bottle too weak. Disinfectant solution shall be 500ppm-800ppm. Disinfectant was registering 300ppm-450ppmPrepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).
#32 · Adequate linen provided and properly stored; adequate beds, cots, mats provided, in good repair, properly stored, labeled, spaced during use: .2821, .2836 −3
Observed some sleeping cots missing name/label and cribs numbered. Replace missing name/label on cots and label cribs with the child's name.All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ).
Mar 5, 2014 13 demerits · 5 violations
Inspector comments: General Comment: #18 Provide back flow preventer on faucet fixtures on can wash. #34 Thoroughly clean or replace stained plush toys. #37 Highly recommend installing shoe moulding in classrooms where shoe moulding is missing. #21 Repair handle on diaper changing hand sink in one year old room. Hand sink is working, faucet handle is missing screws/bolt. Tightly secure register vent in 1 year old bathroom. Repair counter top in two year old classroom. Tightly secure floor transitional moulding in pre school. Repair wall in after school.
#1 · Handwashing when required: .2803, .2836 −5
Today observed day care employee clean child nose and not wash her hands. Also observed teacher checking child diaper on diaper changing table and not washing her hands or child hands. Employee shall wash hands upon reporting to work, before and after handling food, before bottle feeding or serving to other children, after toileting or handling of body fluids(saliva, nasal secretions, vomitus, etc.) Refer to section 15A NCAC 18A.2803 in rule book
#26 · Approved cleaning solution and approved disinfectant provided; test kit available when required: .2817, .2818, .2819, .2820, .2836 −2
Provide properly mixed disinfectant at all times. Today disinfectant too weak throughout entire day care. Left handouts on how to properly mix disinfectant and sanitizer solution. Disinfectant shall be 500ppm-800ppm.
#31 · Facilities provided for proper storage, used and kept clean: .2820 −2
Store employee personal items(purses) out of reach of children. Today observed employee purse stored in open area under cabinet not out of reach of children.
#39 · Equipment clean and in good repair; maintained as required: .2826 −2
Repair light fixtures in classrooms (1 year old, after school, hallway and kitchen area).
#44 · Solid waste properly handled; containers and cleaning equipment kept clean; can cleaning facilities adequate: .2830, .2836 −2
Replace damaged roll out trash cans and provide additional trash cans. Clean out can wash located on back of daycare.
Jul 18, 2013 6 demerits · 2 violations
Inspector comments: 25- General Comment: Observed the disinfectant chlorine solution less than 500 ppm chlorine. **The diaper changing surface shall be properly disinfected between each child. See rule .2819 (c ).
#12 · Equipment, non-food contact surfaces clean; in good repair: .2809, .2810, .2812, .2814 −4
Observed fridge gasket collecting debris and residue.**Keep all non-food contact surfaces and equipment clean and in good repair. See rule .2812 (f) and .2809 (1) and (3).
#26 · Approved cleaning solution and approved disinfectant provided; test kit available when required: .2817, .2818, .2819, .2820, .2836 −2
Observed disinfectant solution throughout the facility at 250 ppm chlorine.**Prepare disinfectant between 500-800 ppm chlorine daily. See rule .2819 (c ) and .2801 (7).
Source: Mecklenburg County Public Health – Environmental Health public inspection portal (search for “ABSOLUTE CHILD CARE” or State ID 2060421363). Inspection type (routine vs. follow-up) is not published in the county's data.