Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/9/2026 Number Present: 7 Completed Date: 1/9/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Due to no internet connection, running out of ink for my printer and my laptop refusing to boot up upon charging; a hand written report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elizabeth Rodden, lead teacher, during the visit. An electronic copy of the visit summary was electronically emailed to you along with all the other scanned documents. The lead teacher was available to assist me during today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was sent to the operator. The program’s compliance history was ninety-one (91%) percentage as of 1/2/26. This NC-Pre-k/Developmental Day facility is owned and operated by Watauga County Schools and is housed in Bethel Elementary School. Permit type – Five-star license, issued on June 3, 2022. Special Services/Restrictions – Daytime care only, meeting reduced ratios, certified developmental day, meeting enhanced space. The last annual compliance visit was conducted on 1/23/25. The last fire drill was practiced on 12/17/25. The last lock down drill was practiced on 11/24/25. The last playground inspection was documented on 12/17/25. The last fire inspection was approved on 8/29/25. The last sanitation inspection was conducted on 11/6/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Lead water testing was completed on 5/29/25 without hazards. Lead paint and asbestos testing states “Survey Review by RTI”. Upon my arrival, I checked in at the office. When I entered the classroom, the children were participating in group-time with their teacher participating in music and movement using the smart board, then they listened to a story and they calmed their body. Children transitioned to get their coats on to go outside. When they went outside, they ran and jumped into a big pile of leaves and began to throw them up in the air. They played in the sandbox and participated in pretend play. Once the children came inside, they washed their hands to prepare for lunch time. Lunch today consisted of pizza, mixed vegetables, fruit melody and milk. After lunch children cleaned up and moved to their cots for rest time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #1. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 7 a.m. to 3 p.m. Monday-Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. a vent on the building in the playground was in poor repair. It had sharp edges that children could get hurt on. 10A NCAC 09 .0601(a) 1035 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. A substitute did not have the required Emergency Information Form on file on or before the first day of work. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute teacher did not have a qualifying letter on file at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1874 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. A substitute had not signed the Shaken Baby Syndrome and Abusive Head Trauma policy prior to providing care for children. .0608(d)(1-4) Technical assistance was provided as follows: Item #807 A safe outdoor environment was not provided for the children due to a vent on the building in the playground was in poor repair. It had sharp edges that children could get hurt on. We discussed getting the vent replaced or removed. Before the end of the visit, Ms. Rodden had called maintenance and arranged for the vent to be replaced. Item #1757 A valid qualification letter was not on file and available for review at the facility. A substitute teacher did not have a qualifying letter on file at the facility. Even if the main office has cleared someone to be a sub, make sure they bring their qualifying letter with them. Item #1874 A substitute had not signed the Shaken Baby Syndrome and Abusive Head Trauma policy prior to providing care for children. We discussed pulling the substitute checklist from the website to make sure they have everything. Item #1035 A substitute did not have the required Emergency Information Form on file on or before the first day of work. We discussed pulling the substitute checklist from the website to make sure they have everything. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by January 23, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New rated license rules went into effect on 7/1/25. We discussed the new rules and the options that best apply to your child care facility; pathway 1, the program assessment option, or pathway 2, classroom instructional quality pathway. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). • Pathway 1 is the most like the previous star rated license process and the most familiar option for upcoming Rated License Assessment. • We discussed Outreach Assessment to learn more about the strengths and challenges program currently faces. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/9/2026 Number Present: 7 Completed Date: 1/9/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Due to no internet connection, running out of ink for my printer and my laptop refusing to boot up upon charging; a hand written report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elizabeth Rodden, lead teacher, during the visit. An electronic copy of the visit summary was electronically emailed to you along with all the other scanned documents. The lead teacher was available to assist me during today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was sent to the operator. The program’s compliance history was ninety-one (91%) percentage as of 1/2/26. This NC-Pre-k/Developmental Day facility is owned and operated by Watauga County Schools and is housed in Bethel Elementary School. Permit type – Five-star license, issued on June 3, 2022. Special Services/Restrictions – Daytime care only, meeting reduced ratios, certified developmental day, meeting enhanced space. The last annual compliance visit was conducted on 1/23/25. The last fire drill was practiced on 12/17/25. The last lock down drill was practiced on 11/24/25. The last playground inspection was documented on 12/17/25. The last fire inspection was approved on 8/29/25. The last sanitation inspection was conducted on 11/6/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Lead water testing was completed on 5/29/25 without hazards. Lead paint and asbestos testing states “Survey Review by RTI”. Upon my arrival, I checked in at the office. When I entered the classroom, the children were participating in group-time with their teacher participating in music and movement using the smart board, then they listened to a story and they calmed their body. Children transitioned to get their coats on to go outside. When they went outside, they ran and jumped into a big pile of leaves and began to throw them up in the air. They played in the sandbox and participated in pretend play. Once the children came inside, they washed their hands to prepare for lunch time. Lunch today consisted of pizza, mixed vegetables, fruit melody and milk. After lunch children cleaned up and moved to their cots for rest time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #1. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 7 a.m. to 3 p.m. Monday-Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. a vent on the building in the playground was in poor repair. It had sharp edges that children could get hurt on. 10A NCAC 09 .0601(a) 1035 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. A substitute did not have the required Emergency Information Form on file on or before the first day of work. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute teacher did not have a qualifying letter on file at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1874 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. A substitute had not signed the Shaken Baby Syndrome and Abusive Head Trauma policy prior to providing care for children. .0608(d)(1-4) Technical assistance was provided as follows: Item #807 A safe outdoor environment was not provided for the children due to a vent on the building in the playground was in poor repair. It had sharp edges that children could get hurt on. We discussed getting the vent replaced or removed. Before the end of the visit, Ms. Rodden had called maintenance and arranged for the vent to be replaced. Item #1757 A valid qualification letter was not on file and available for review at the facility. A substitute teacher did not have a qualifying letter on file at the facility. Even if the main office has cleared someone to be a sub, make sure they bring their qualifying letter with them. Item #1874 A substitute had not signed the Shaken Baby Syndrome and Abusive Head Trauma policy prior to providing care for children. We discussed pulling the substitute checklist from the website to make sure they have everything. Item #1035 A substitute did not have the required Emergency Information Form on file on or before the first day of work. We discussed pulling the substitute checklist from the website to make sure they have everything. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by January 23, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New rated license rules went into effect on 7/1/25. We discussed the new rules and the options that best apply to your child care facility; pathway 1, the program assessment option, or pathway 2, classroom instructional quality pathway. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). • Pathway 1 is the most like the previous star rated license process and the most familiar option for upcoming Rated License Assessment. • We discussed Outreach Assessment to learn more about the strengths and challenges program currently faces. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/9/2026 Number Present: 7 Completed Date: 1/9/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Due to no internet connection, running out of ink for my printer and my laptop refusing to boot up upon charging; a hand written report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elizabeth Rodden, lead teacher, during the visit. An electronic copy of the visit summary was electronically emailed to you along with all the other scanned documents. The lead teacher was available to assist me during today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was sent to the operator. The program’s compliance history was ninety-one (91%) percentage as of 1/2/26. This NC-Pre-k/Developmental Day facility is owned and operated by Watauga County Schools and is housed in Bethel Elementary School. Permit type – Five-star license, issued on June 3, 2022. Special Services/Restrictions – Daytime care only, meeting reduced ratios, certified developmental day, meeting enhanced space. The last annual compliance visit was conducted on 1/23/25. The last fire drill was practiced on 12/17/25. The last lock down drill was practiced on 11/24/25. The last playground inspection was documented on 12/17/25. The last fire inspection was approved on 8/29/25. The last sanitation inspection was conducted on 11/6/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Lead water testing was completed on 5/29/25 without hazards. Lead paint and asbestos testing states “Survey Review by RTI”. Upon my arrival, I checked in at the office. When I entered the classroom, the children were participating in group-time with their teacher participating in music and movement using the smart board, then they listened to a story and they calmed their body. Children transitioned to get their coats on to go outside. When they went outside, they ran and jumped into a big pile of leaves and began to throw them up in the air. They played in the sandbox and participated in pretend play. Once the children came inside, they washed their hands to prepare for lunch time. Lunch today consisted of pizza, mixed vegetables, fruit melody and milk. After lunch children cleaned up and moved to their cots for rest time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #1. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 7 a.m. to 3 p.m. Monday-Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. a vent on the building in the playground was in poor repair. It had sharp edges that children could get hurt on. 10A NCAC 09 .0601(a) 1035 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. A substitute did not have the required Emergency Information Form on file on or before the first day of work. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute teacher did not have a qualifying letter on file at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1874 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. A substitute had not signed the Shaken Baby Syndrome and Abusive Head Trauma policy prior to providing care for children. .0608(d)(1-4) Technical assistance was provided as follows: Item #807 A safe outdoor environment was not provided for the children due to a vent on the building in the playground was in poor repair. It had sharp edges that children could get hurt on. We discussed getting the vent replaced or removed. Before the end of the visit, Ms. Rodden had called maintenance and arranged for the vent to be replaced. Item #1757 A valid qualification letter was not on file and available for review at the facility. A substitute teacher did not have a qualifying letter on file at the facility. Even if the main office has cleared someone to be a sub, make sure they bring their qualifying letter with them. Item #1874 A substitute had not signed the Shaken Baby Syndrome and Abusive Head Trauma policy prior to providing care for children. We discussed pulling the substitute checklist from the website to make sure they have everything. Item #1035 A substitute did not have the required Emergency Information Form on file on or before the first day of work. We discussed pulling the substitute checklist from the website to make sure they have everything. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by January 23, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New rated license rules went into effect on 7/1/25. We discussed the new rules and the options that best apply to your child care facility; pathway 1, the program assessment option, or pathway 2, classroom instructional quality pathway. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). • Pathway 1 is the most like the previous star rated license process and the most familiar option for upcoming Rated License Assessment. • We discussed Outreach Assessment to learn more about the strengths and challenges program currently faces. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/9/2026 Number Present: 7 Completed Date: 1/9/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Due to no internet connection, running out of ink for my printer and my laptop refusing to boot up upon charging; a hand written report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elizabeth Rodden, lead teacher, during the visit. An electronic copy of the visit summary was electronically emailed to you along with all the other scanned documents. The lead teacher was available to assist me during today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was sent to the operator. The program’s compliance history was ninety-one (91%) percentage as of 1/2/26. This NC-Pre-k/Developmental Day facility is owned and operated by Watauga County Schools and is housed in Bethel Elementary School. Permit type – Five-star license, issued on June 3, 2022. Special Services/Restrictions – Daytime care only, meeting reduced ratios, certified developmental day, meeting enhanced space. The last annual compliance visit was conducted on 1/23/25. The last fire drill was practiced on 12/17/25. The last lock down drill was practiced on 11/24/25. The last playground inspection was documented on 12/17/25. The last fire inspection was approved on 8/29/25. The last sanitation inspection was conducted on 11/6/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Lead water testing was completed on 5/29/25 without hazards. Lead paint and asbestos testing states “Survey Review by RTI”. Upon my arrival, I checked in at the office. When I entered the classroom, the children were participating in group-time with their teacher participating in music and movement using the smart board, then they listened to a story and they calmed their body. Children transitioned to get their coats on to go outside. When they went outside, they ran and jumped into a big pile of leaves and began to throw them up in the air. They played in the sandbox and participated in pretend play. Once the children came inside, they washed their hands to prepare for lunch time. Lunch today consisted of pizza, mixed vegetables, fruit melody and milk. After lunch children cleaned up and moved to their cots for rest time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #1. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 7 a.m. to 3 p.m. Monday-Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. a vent on the building in the playground was in poor repair. It had sharp edges that children could get hurt on. 10A NCAC 09 .0601(a) 1035 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. A substitute did not have the required Emergency Information Form on file on or before the first day of work. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute teacher did not have a qualifying letter on file at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1874 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. A substitute had not signed the Shaken Baby Syndrome and Abusive Head Trauma policy prior to providing care for children. .0608(d)(1-4) Technical assistance was provided as follows: Item #807 A safe outdoor environment was not provided for the children due to a vent on the building in the playground was in poor repair. It had sharp edges that children could get hurt on. We discussed getting the vent replaced or removed. Before the end of the visit, Ms. Rodden had called maintenance and arranged for the vent to be replaced. Item #1757 A valid qualification letter was not on file and available for review at the facility. A substitute teacher did not have a qualifying letter on file at the facility. Even if the main office has cleared someone to be a sub, make sure they bring their qualifying letter with them. Item #1874 A substitute had not signed the Shaken Baby Syndrome and Abusive Head Trauma policy prior to providing care for children. We discussed pulling the substitute checklist from the website to make sure they have everything. Item #1035 A substitute did not have the required Emergency Information Form on file on or before the first day of work. We discussed pulling the substitute checklist from the website to make sure they have everything. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by January 23, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New rated license rules went into effect on 7/1/25. We discussed the new rules and the options that best apply to your child care facility; pathway 1, the program assessment option, or pathway 2, classroom instructional quality pathway. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). • Pathway 1 is the most like the previous star rated license process and the most familiar option for upcoming Rated License Assessment. • We discussed Outreach Assessment to learn more about the strengths and challenges program currently faces. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/9/2026 Number Present: 7 Completed Date: 1/9/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Due to no internet connection, running out of ink for my printer and my laptop refusing to boot up upon charging; a hand written report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elizabeth Rodden, lead teacher, during the visit. An electronic copy of the visit summary was electronically emailed to you along with all the other scanned documents. The lead teacher was available to assist me during today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was sent to the operator. The program’s compliance history was ninety-one (91%) percentage as of 1/2/26. This NC-Pre-k/Developmental Day facility is owned and operated by Watauga County Schools and is housed in Bethel Elementary School. Permit type – Five-star license, issued on June 3, 2022. Special Services/Restrictions – Daytime care only, meeting reduced ratios, certified developmental day, meeting enhanced space. The last annual compliance visit was conducted on 1/23/25. The last fire drill was practiced on 12/17/25. The last lock down drill was practiced on 11/24/25. The last playground inspection was documented on 12/17/25. The last fire inspection was approved on 8/29/25. The last sanitation inspection was conducted on 11/6/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Lead water testing was completed on 5/29/25 without hazards. Lead paint and asbestos testing states “Survey Review by RTI”. Upon my arrival, I checked in at the office. When I entered the classroom, the children were participating in group-time with their teacher participating in music and movement using the smart board, then they listened to a story and they calmed their body. Children transitioned to get their coats on to go outside. When they went outside, they ran and jumped into a big pile of leaves and began to throw them up in the air. They played in the sandbox and participated in pretend play. Once the children came inside, they washed their hands to prepare for lunch time. Lunch today consisted of pizza, mixed vegetables, fruit melody and milk. After lunch children cleaned up and moved to their cots for rest time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #1. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 7 a.m. to 3 p.m. Monday-Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. a vent on the building in the playground was in poor repair. It had sharp edges that children could get hurt on. 10A NCAC 09 .0601(a) 1035 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. A substitute did not have the required Emergency Information Form on file on or before the first day of work. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute teacher did not have a qualifying letter on file at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1874 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. A substitute had not signed the Shaken Baby Syndrome and Abusive Head Trauma policy prior to providing care for children. .0608(d)(1-4) Technical assistance was provided as follows: Item #807 A safe outdoor environment was not provided for the children due to a vent on the building in the playground was in poor repair. It had sharp edges that children could get hurt on. We discussed getting the vent replaced or removed. Before the end of the visit, Ms. Rodden had called maintenance and arranged for the vent to be replaced. Item #1757 A valid qualification letter was not on file and available for review at the facility. A substitute teacher did not have a qualifying letter on file at the facility. Even if the main office has cleared someone to be a sub, make sure they bring their qualifying letter with them. Item #1874 A substitute had not signed the Shaken Baby Syndrome and Abusive Head Trauma policy prior to providing care for children. We discussed pulling the substitute checklist from the website to make sure they have everything. Item #1035 A substitute did not have the required Emergency Information Form on file on or before the first day of work. We discussed pulling the substitute checklist from the website to make sure they have everything. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by January 23, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New rated license rules went into effect on 7/1/25. We discussed the new rules and the options that best apply to your child care facility; pathway 1, the program assessment option, or pathway 2, classroom instructional quality pathway. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). • Pathway 1 is the most like the previous star rated license process and the most familiar option for upcoming Rated License Assessment. • We discussed Outreach Assessment to learn more about the strengths and challenges program currently faces. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/9/2026 Number Present: 7 Completed Date: 1/9/2026 Age: From 4 To 5 Total Minutes: 210 Time In: 10:00 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. Due to no internet connection, running out of ink for my printer and my laptop refusing to boot up upon charging; a hand written report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elizabeth Rodden, lead teacher, during the visit. An electronic copy of the visit summary was electronically emailed to you along with all the other scanned documents. The lead teacher was available to assist me during today’s visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was sent to the operator. The program’s compliance history was ninety-one (91%) percentage as of 1/2/26. This NC-Pre-k/Developmental Day facility is owned and operated by Watauga County Schools and is housed in Bethel Elementary School. Permit type – Five-star license, issued on June 3, 2022. Special Services/Restrictions – Daytime care only, meeting reduced ratios, certified developmental day, meeting enhanced space. The last annual compliance visit was conducted on 1/23/25. The last fire drill was practiced on 12/17/25. The last lock down drill was practiced on 11/24/25. The last playground inspection was documented on 12/17/25. The last fire inspection was approved on 8/29/25. The last sanitation inspection was conducted on 11/6/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Lead water testing was completed on 5/29/25 without hazards. Lead paint and asbestos testing states “Survey Review by RTI”. Upon my arrival, I checked in at the office. When I entered the classroom, the children were participating in group-time with their teacher participating in music and movement using the smart board, then they listened to a story and they calmed their body. Children transitioned to get their coats on to go outside. When they went outside, they ran and jumped into a big pile of leaves and began to throw them up in the air. They played in the sandbox and participated in pretend play. Once the children came inside, they washed their hands to prepare for lunch time. Lunch today consisted of pizza, mixed vegetables, fruit melody and milk. After lunch children cleaned up and moved to their cots for rest time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in space #1. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 7 a.m. to 3 p.m. Monday-Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. a vent on the building in the playground was in poor repair. It had sharp edges that children could get hurt on. 10A NCAC 09 .0601(a) 1035 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. A substitute did not have the required Emergency Information Form on file on or before the first day of work. .0701(a) 1757 A valid qualification letter was not on file and available to review at the facility. A substitute teacher did not have a qualifying letter on file at the facility. G.S. 110-90.2(b) & (d) & .2703(e) 1874 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. A substitute had not signed the Shaken Baby Syndrome and Abusive Head Trauma policy prior to providing care for children. .0608(d)(1-4) Technical assistance was provided as follows: Item #807 A safe outdoor environment was not provided for the children due to a vent on the building in the playground was in poor repair. It had sharp edges that children could get hurt on. We discussed getting the vent replaced or removed. Before the end of the visit, Ms. Rodden had called maintenance and arranged for the vent to be replaced. Item #1757 A valid qualification letter was not on file and available for review at the facility. A substitute teacher did not have a qualifying letter on file at the facility. Even if the main office has cleared someone to be a sub, make sure they bring their qualifying letter with them. Item #1874 A substitute had not signed the Shaken Baby Syndrome and Abusive Head Trauma policy prior to providing care for children. We discussed pulling the substitute checklist from the website to make sure they have everything. Item #1035 A substitute did not have the required Emergency Information Form on file on or before the first day of work. We discussed pulling the substitute checklist from the website to make sure they have everything. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by January 23, 2026. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New rated license rules went into effect on 7/1/25. We discussed the new rules and the options that best apply to your child care facility; pathway 1, the program assessment option, or pathway 2, classroom instructional quality pathway. • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • Today we discussed the QRIS Modernization, Pathway to the Stars. We mostly talked about pathways one (1) and two (2). • Pathway 1 is the most like the previous star rated license process and the most familiar option for upcoming Rated License Assessment. • We discussed Outreach Assessment to learn more about the strengths and challenges program currently faces. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/22/2025 Number Present: 8 Completed Date: 9/22/2025 Age: From 2 To 4 Total Minutes: 165 Time In: 10:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Beth Rodden, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I checked in at the front office. When I arrived in the classroom, the group of children and teachers were outside on the playground. I greeted the teachers and observed children playing in the sandbox, riding on riding toys, pulling/pushing a wagon and exploring their surroundings. Children had their own water bottles on the picnic table. I monitored the classroom while children were outside playing. Children came inside to wash hands and sit down for lunch. After lunch, children cleaned up and transitioned to their cots for rest time. Lunch today consisted of barbeque sandwich, baked beans, peaches and milk. Some children chose a “Yo Go lunch bag”, which consisted of a cheese stick, Greek yogurt, baked chips, carrots, tomatoes, a pear and milk. This facility is owned and operated by Watauga County Schools and housed in Bethel Elementary School. This is a Developmental Day and an NC Pre-K classroom combination. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percentage as of 9/22/25. There were no new teachers at this facility. There are eight (8) children enrolled and eight (8) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 1/23/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 6/3/2022. Permit Restrictions- Daytime care only, certified developmental day, meets enhanced space, meets reduced ratios. The last fire drill was practiced on 9/17/25. A shelter in place was practiced on 8/29/25. The last playground inspection was conducted on 8/25/25. The last fire inspection was 8/29/25. The last sanitation inspection was completed on 1/17/25 with eight (8) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing was completed on 5/29/25 without hazards. Lead paint and asbestos status states “survey review by RTI”. The following violations were documented during today’s visit: Violation Number Comment Rule 125 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. Six (6) out of eight (8) children were signed in today. Make sure every child is signed in and out each day. 10A NCAC 09 .0302(d)(4) 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. One side of the cabinet under the sink in the classroom was unlocked. This is where cleaning supplies are stored along with aerosol sprays. .2820(b) 1755 Certified developmental day center staff/child ratios and group sizes were not met. One teacher came inside to go get lunch and put it out leaving one teacher with eight (8) children instead of 1:6. .2902 (f) Technical assistance was provided as follows: Item #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. *One side of the cabinet under the sink in the classroom was unlocked. These cabinets lock with a magnet lock and I opened and closed it several times and it kept opening. When I mentioned it to Ms. Shannon, she flipped the magnet back down correcting this violation during the visit. I told both teachers to make sure they watch that the magnet is latched each time. This is where cleaning supplies are stored along with aerosol sprays. Item #125 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. *Six (6) out of eight (8) children were signed in today. Make sure every child is signed in and out each day. The two (2) that were not signed in rode a bus to school today. This was corrected during the visit. Item #1755 Certified developmental day center staff/child ratios and group sizes for the number and ages of children in care were not met. *One teacher came inside to go get lunch and put it out leaving one teacher with eight (8) children instead of 1:6. A follow-up visit will be conducted to verify compliance of 1755 (due to staff/child ratio violation being a 6 point item) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by October 6, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 29698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • There will be a provider meeting on 9/25/25 that your director plans to attend and share the information with each of you. • If you have questions about which pathway you want to pursue, please feel free to reach out to me. • Today we discussed you or maintenance fluffing or tilling the mulch. In the large area, there may need to be more mulch added soon if fluffing doesn’t help. • Today we discussed that they have a lot of bugs on the playground. Try planting bug-repelling plants along the outside of the fence: Place plants like basil, lavender, lemongrass, mint, rosemary, or marigolds around the play area. You can also try sprinkling cinnamon over the surface of a sandbox and other areas. • We discussed Ms. Beth getting in touch with Kim Hall for her to add Mr. Paul ward (bus driver) to the ABCMS roster. • I loved the sound machines and lamps. It made the classroom feel so cozy and calm. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/22/2025 Number Present: 8 Completed Date: 9/22/2025 Age: From 2 To 4 Total Minutes: 165 Time In: 10:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Beth Rodden, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I checked in at the front office. When I arrived in the classroom, the group of children and teachers were outside on the playground. I greeted the teachers and observed children playing in the sandbox, riding on riding toys, pulling/pushing a wagon and exploring their surroundings. Children had their own water bottles on the picnic table. I monitored the classroom while children were outside playing. Children came inside to wash hands and sit down for lunch. After lunch, children cleaned up and transitioned to their cots for rest time. Lunch today consisted of barbeque sandwich, baked beans, peaches and milk. Some children chose a “Yo Go lunch bag”, which consisted of a cheese stick, Greek yogurt, baked chips, carrots, tomatoes, a pear and milk. This facility is owned and operated by Watauga County Schools and housed in Bethel Elementary School. This is a Developmental Day and an NC Pre-K classroom combination. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percentage as of 9/22/25. There were no new teachers at this facility. There are eight (8) children enrolled and eight (8) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 1/23/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 6/3/2022. Permit Restrictions- Daytime care only, certified developmental day, meets enhanced space, meets reduced ratios. The last fire drill was practiced on 9/17/25. A shelter in place was practiced on 8/29/25. The last playground inspection was conducted on 8/25/25. The last fire inspection was 8/29/25. The last sanitation inspection was completed on 1/17/25 with eight (8) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing was completed on 5/29/25 without hazards. Lead paint and asbestos status states “survey review by RTI”. The following violations were documented during today’s visit: Violation Number Comment Rule 125 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. Six (6) out of eight (8) children were signed in today. Make sure every child is signed in and out each day. 10A NCAC 09 .0302(d)(4) 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. One side of the cabinet under the sink in the classroom was unlocked. This is where cleaning supplies are stored along with aerosol sprays. .2820(b) 1755 Certified developmental day center staff/child ratios and group sizes were not met. One teacher came inside to go get lunch and put it out leaving one teacher with eight (8) children instead of 1:6. .2902 (f) Technical assistance was provided as follows: Item #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. *One side of the cabinet under the sink in the classroom was unlocked. These cabinets lock with a magnet lock and I opened and closed it several times and it kept opening. When I mentioned it to Ms. Shannon, she flipped the magnet back down correcting this violation during the visit. I told both teachers to make sure they watch that the magnet is latched each time. This is where cleaning supplies are stored along with aerosol sprays. Item #125 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. *Six (6) out of eight (8) children were signed in today. Make sure every child is signed in and out each day. The two (2) that were not signed in rode a bus to school today. This was corrected during the visit. Item #1755 Certified developmental day center staff/child ratios and group sizes for the number and ages of children in care were not met. *One teacher came inside to go get lunch and put it out leaving one teacher with eight (8) children instead of 1:6. A follow-up visit will be conducted to verify compliance of 1755 (due to staff/child ratio violation being a 6 point item) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by October 6, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 29698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • There will be a provider meeting on 9/25/25 that your director plans to attend and share the information with each of you. • If you have questions about which pathway you want to pursue, please feel free to reach out to me. • Today we discussed you or maintenance fluffing or tilling the mulch. In the large area, there may need to be more mulch added soon if fluffing doesn’t help. • Today we discussed that they have a lot of bugs on the playground. Try planting bug-repelling plants along the outside of the fence: Place plants like basil, lavender, lemongrass, mint, rosemary, or marigolds around the play area. You can also try sprinkling cinnamon over the surface of a sandbox and other areas. • We discussed Ms. Beth getting in touch with Kim Hall for her to add Mr. Paul ward (bus driver) to the ABCMS roster. • I loved the sound machines and lamps. It made the classroom feel so cozy and calm. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/22/2025 Number Present: 8 Completed Date: 9/22/2025 Age: From 2 To 4 Total Minutes: 165 Time In: 10:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Beth Rodden, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I checked in at the front office. When I arrived in the classroom, the group of children and teachers were outside on the playground. I greeted the teachers and observed children playing in the sandbox, riding on riding toys, pulling/pushing a wagon and exploring their surroundings. Children had their own water bottles on the picnic table. I monitored the classroom while children were outside playing. Children came inside to wash hands and sit down for lunch. After lunch, children cleaned up and transitioned to their cots for rest time. Lunch today consisted of barbeque sandwich, baked beans, peaches and milk. Some children chose a “Yo Go lunch bag”, which consisted of a cheese stick, Greek yogurt, baked chips, carrots, tomatoes, a pear and milk. This facility is owned and operated by Watauga County Schools and housed in Bethel Elementary School. This is a Developmental Day and an NC Pre-K classroom combination. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percentage as of 9/22/25. There were no new teachers at this facility. There are eight (8) children enrolled and eight (8) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 1/23/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 6/3/2022. Permit Restrictions- Daytime care only, certified developmental day, meets enhanced space, meets reduced ratios. The last fire drill was practiced on 9/17/25. A shelter in place was practiced on 8/29/25. The last playground inspection was conducted on 8/25/25. The last fire inspection was 8/29/25. The last sanitation inspection was completed on 1/17/25 with eight (8) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing was completed on 5/29/25 without hazards. Lead paint and asbestos status states “survey review by RTI”. The following violations were documented during today’s visit: Violation Number Comment Rule 125 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. Six (6) out of eight (8) children were signed in today. Make sure every child is signed in and out each day. 10A NCAC 09 .0302(d)(4) 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. One side of the cabinet under the sink in the classroom was unlocked. This is where cleaning supplies are stored along with aerosol sprays. .2820(b) 1755 Certified developmental day center staff/child ratios and group sizes were not met. One teacher came inside to go get lunch and put it out leaving one teacher with eight (8) children instead of 1:6. .2902 (f) Technical assistance was provided as follows: Item #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. *One side of the cabinet under the sink in the classroom was unlocked. These cabinets lock with a magnet lock and I opened and closed it several times and it kept opening. When I mentioned it to Ms. Shannon, she flipped the magnet back down correcting this violation during the visit. I told both teachers to make sure they watch that the magnet is latched each time. This is where cleaning supplies are stored along with aerosol sprays. Item #125 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. *Six (6) out of eight (8) children were signed in today. Make sure every child is signed in and out each day. The two (2) that were not signed in rode a bus to school today. This was corrected during the visit. Item #1755 Certified developmental day center staff/child ratios and group sizes for the number and ages of children in care were not met. *One teacher came inside to go get lunch and put it out leaving one teacher with eight (8) children instead of 1:6. A follow-up visit will be conducted to verify compliance of 1755 (due to staff/child ratio violation being a 6 point item) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by October 6, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 29698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • There will be a provider meeting on 9/25/25 that your director plans to attend and share the information with each of you. • If you have questions about which pathway you want to pursue, please feel free to reach out to me. • Today we discussed you or maintenance fluffing or tilling the mulch. In the large area, there may need to be more mulch added soon if fluffing doesn’t help. • Today we discussed that they have a lot of bugs on the playground. Try planting bug-repelling plants along the outside of the fence: Place plants like basil, lavender, lemongrass, mint, rosemary, or marigolds around the play area. You can also try sprinkling cinnamon over the surface of a sandbox and other areas. • We discussed Ms. Beth getting in touch with Kim Hall for her to add Mr. Paul ward (bus driver) to the ABCMS roster. • I loved the sound machines and lamps. It made the classroom feel so cozy and calm. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/22/2025 Number Present: 8 Completed Date: 9/22/2025 Age: From 2 To 4 Total Minutes: 165 Time In: 10:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Beth Rodden, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I checked in at the front office. When I arrived in the classroom, the group of children and teachers were outside on the playground. I greeted the teachers and observed children playing in the sandbox, riding on riding toys, pulling/pushing a wagon and exploring their surroundings. Children had their own water bottles on the picnic table. I monitored the classroom while children were outside playing. Children came inside to wash hands and sit down for lunch. After lunch, children cleaned up and transitioned to their cots for rest time. Lunch today consisted of barbeque sandwich, baked beans, peaches and milk. Some children chose a “Yo Go lunch bag”, which consisted of a cheese stick, Greek yogurt, baked chips, carrots, tomatoes, a pear and milk. This facility is owned and operated by Watauga County Schools and housed in Bethel Elementary School. This is a Developmental Day and an NC Pre-K classroom combination. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percentage as of 9/22/25. There were no new teachers at this facility. There are eight (8) children enrolled and eight (8) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 1/23/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 6/3/2022. Permit Restrictions- Daytime care only, certified developmental day, meets enhanced space, meets reduced ratios. The last fire drill was practiced on 9/17/25. A shelter in place was practiced on 8/29/25. The last playground inspection was conducted on 8/25/25. The last fire inspection was 8/29/25. The last sanitation inspection was completed on 1/17/25 with eight (8) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing was completed on 5/29/25 without hazards. Lead paint and asbestos status states “survey review by RTI”. The following violations were documented during today’s visit: Violation Number Comment Rule 125 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. Six (6) out of eight (8) children were signed in today. Make sure every child is signed in and out each day. 10A NCAC 09 .0302(d)(4) 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. One side of the cabinet under the sink in the classroom was unlocked. This is where cleaning supplies are stored along with aerosol sprays. .2820(b) 1755 Certified developmental day center staff/child ratios and group sizes were not met. One teacher came inside to go get lunch and put it out leaving one teacher with eight (8) children instead of 1:6. .2902 (f) Technical assistance was provided as follows: Item #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. *One side of the cabinet under the sink in the classroom was unlocked. These cabinets lock with a magnet lock and I opened and closed it several times and it kept opening. When I mentioned it to Ms. Shannon, she flipped the magnet back down correcting this violation during the visit. I told both teachers to make sure they watch that the magnet is latched each time. This is where cleaning supplies are stored along with aerosol sprays. Item #125 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. *Six (6) out of eight (8) children were signed in today. Make sure every child is signed in and out each day. The two (2) that were not signed in rode a bus to school today. This was corrected during the visit. Item #1755 Certified developmental day center staff/child ratios and group sizes for the number and ages of children in care were not met. *One teacher came inside to go get lunch and put it out leaving one teacher with eight (8) children instead of 1:6. A follow-up visit will be conducted to verify compliance of 1755 (due to staff/child ratio violation being a 6 point item) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by October 6, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 29698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • There will be a provider meeting on 9/25/25 that your director plans to attend and share the information with each of you. • If you have questions about which pathway you want to pursue, please feel free to reach out to me. • Today we discussed you or maintenance fluffing or tilling the mulch. In the large area, there may need to be more mulch added soon if fluffing doesn’t help. • Today we discussed that they have a lot of bugs on the playground. Try planting bug-repelling plants along the outside of the fence: Place plants like basil, lavender, lemongrass, mint, rosemary, or marigolds around the play area. You can also try sprinkling cinnamon over the surface of a sandbox and other areas. • We discussed Ms. Beth getting in touch with Kim Hall for her to add Mr. Paul ward (bus driver) to the ABCMS roster. • I loved the sound machines and lamps. It made the classroom feel so cozy and calm. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 9/22/2025 Number Present: 8 Completed Date: 9/22/2025 Age: From 2 To 4 Total Minutes: 165 Time In: 10:30 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Beth Rodden, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I checked in at the front office. When I arrived in the classroom, the group of children and teachers were outside on the playground. I greeted the teachers and observed children playing in the sandbox, riding on riding toys, pulling/pushing a wagon and exploring their surroundings. Children had their own water bottles on the picnic table. I monitored the classroom while children were outside playing. Children came inside to wash hands and sit down for lunch. After lunch, children cleaned up and transitioned to their cots for rest time. Lunch today consisted of barbeque sandwich, baked beans, peaches and milk. Some children chose a “Yo Go lunch bag”, which consisted of a cheese stick, Greek yogurt, baked chips, carrots, tomatoes, a pear and milk. This facility is owned and operated by Watauga County Schools and housed in Bethel Elementary School. This is a Developmental Day and an NC Pre-K classroom combination. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percentage as of 9/22/25. There were no new teachers at this facility. There are eight (8) children enrolled and eight (8) present today. No children’s files were monitored during today’s routine unannounced visit. The last annual compliance visit was 1/23/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 6/3/2022. Permit Restrictions- Daytime care only, certified developmental day, meets enhanced space, meets reduced ratios. The last fire drill was practiced on 9/17/25. A shelter in place was practiced on 8/29/25. The last playground inspection was conducted on 8/25/25. The last fire inspection was 8/29/25. The last sanitation inspection was completed on 1/17/25 with eight (8) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. Lead water testing was completed on 5/29/25 without hazards. Lead paint and asbestos status states “survey review by RTI”. The following violations were documented during today’s visit: Violation Number Comment Rule 125 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. Six (6) out of eight (8) children were signed in today. Make sure every child is signed in and out each day. 10A NCAC 09 .0302(d)(4) 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. One side of the cabinet under the sink in the classroom was unlocked. This is where cleaning supplies are stored along with aerosol sprays. .2820(b) 1755 Certified developmental day center staff/child ratios and group sizes were not met. One teacher came inside to go get lunch and put it out leaving one teacher with eight (8) children instead of 1:6. .2902 (f) Technical assistance was provided as follows: Item #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. *One side of the cabinet under the sink in the classroom was unlocked. These cabinets lock with a magnet lock and I opened and closed it several times and it kept opening. When I mentioned it to Ms. Shannon, she flipped the magnet back down correcting this violation during the visit. I told both teachers to make sure they watch that the magnet is latched each time. This is where cleaning supplies are stored along with aerosol sprays. Item #125 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. *Six (6) out of eight (8) children were signed in today. Make sure every child is signed in and out each day. The two (2) that were not signed in rode a bus to school today. This was corrected during the visit. Item #1755 Certified developmental day center staff/child ratios and group sizes for the number and ages of children in care were not met. *One teacher came inside to go get lunch and put it out leaving one teacher with eight (8) children instead of 1:6. A follow-up visit will be conducted to verify compliance of 1755 (due to staff/child ratio violation being a 6 point item) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by October 6, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 29698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • The new Pathway to the Stars and QRIS System is here. You can find information on our website at https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization and there are Moodle Modules to review the New Rule Rollout (training hours are given for these). • There will be a provider meeting on 9/25/25 that your director plans to attend and share the information with each of you. • If you have questions about which pathway you want to pursue, please feel free to reach out to me. • Today we discussed you or maintenance fluffing or tilling the mulch. In the large area, there may need to be more mulch added soon if fluffing doesn’t help. • Today we discussed that they have a lot of bugs on the playground. Try planting bug-repelling plants along the outside of the fence: Place plants like basil, lavender, lemongrass, mint, rosemary, or marigolds around the play area. You can also try sprinkling cinnamon over the surface of a sandbox and other areas. • We discussed Ms. Beth getting in touch with Kim Hall for her to add Mr. Paul ward (bus driver) to the ABCMS roster. • I loved the sound machines and lamps. It made the classroom feel so cozy and calm. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/21/2025 Number Present: 8 Completed Date: 5/21/2025 Age: From 4 To 5 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Elizabeth Rodden, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I checked in at the front office. When I arrived in the classroom, the children and teachers were outside playing on the playground. I greeted both teachers and explained the reason for today’s visit. The school had a fire drill just as I was walking in the school today. Children were playing in the sandbox with their shoes off pretending they were at the beach. Other children were playing in water with filling and dumping from one container to another. Children were also running around, riding trikes and exploring bugs and spiders. Two children came inside, washed their hands and helped Ms. Roberts washed tables and go get the lunches. All the children came inside, washed their hands and sat down for lunch. Cots were out and ready for children to transition to rest time. Lunch today consisted of ham and cheese sandwiches, mixed vegetables, strawberry cup and milk. This facility is an NC Pre-K and Developmental Day classroom. It is owned and operated by Watauga County Schools and is housed in Bethel Elementary School. There were no new teachers at this facility. There are eight (8) children enrolled and eight (8) present today. No children’s files were monitored during today’s routine unannounced visit. I shared the facility compliance history with you today which was ninety-two (92%) percent as of 5/19/25. The last annual compliance visit was 1/23/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 6/3/22. Permit Restrictions- Daytime care only, meets enhanced space, meets reduced ratios, certified Developmental Day. The last fire drill was practiced on 4/28/25 and again today as I was arriving. A lock down drill was conducted on 4/10/25. The last fire inspection was 8/29/24. The last sanitation inspection was completed on 1/17/25 with eight (8) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The last lead water test was dated 7/15/21 and is due every three (3) years. This was due on 7/15/24. The Lead-Based Paint and Asbestos testing has not been completed, but it does look like the process has been started. Please follow up on this with the maintenance director. The following violations were documented during today’s visit: Violation Number Comment Rule 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of the loose surfacing (mulch) was not at least six (6) inched deep around the climbers and slides. .0605(k)(1-4) Technical assistance: Item #1867 The depth of the loose surfacing (mulch) was not at least six (6) inched deep around the climbers and slides. The much has not been replenished since before Tropical Storm Helene and needs to be fluffed as well. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by June 4, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. • A water bottle station (possibly hanging on the hooks) should be set up outside to prevent them from getting contaminated/dirty. Water bottles should be labeled with the child’s name and sent home daily to be sanitized/washed. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/21/2025 Number Present: 8 Completed Date: 5/21/2025 Age: From 4 To 5 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Elizabeth Rodden, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I checked in at the front office. When I arrived in the classroom, the children and teachers were outside playing on the playground. I greeted both teachers and explained the reason for today’s visit. The school had a fire drill just as I was walking in the school today. Children were playing in the sandbox with their shoes off pretending they were at the beach. Other children were playing in water with filling and dumping from one container to another. Children were also running around, riding trikes and exploring bugs and spiders. Two children came inside, washed their hands and helped Ms. Roberts washed tables and go get the lunches. All the children came inside, washed their hands and sat down for lunch. Cots were out and ready for children to transition to rest time. Lunch today consisted of ham and cheese sandwiches, mixed vegetables, strawberry cup and milk. This facility is an NC Pre-K and Developmental Day classroom. It is owned and operated by Watauga County Schools and is housed in Bethel Elementary School. There were no new teachers at this facility. There are eight (8) children enrolled and eight (8) present today. No children’s files were monitored during today’s routine unannounced visit. I shared the facility compliance history with you today which was ninety-two (92%) percent as of 5/19/25. The last annual compliance visit was 1/23/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 6/3/22. Permit Restrictions- Daytime care only, meets enhanced space, meets reduced ratios, certified Developmental Day. The last fire drill was practiced on 4/28/25 and again today as I was arriving. A lock down drill was conducted on 4/10/25. The last fire inspection was 8/29/24. The last sanitation inspection was completed on 1/17/25 with eight (8) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The last lead water test was dated 7/15/21 and is due every three (3) years. This was due on 7/15/24. The Lead-Based Paint and Asbestos testing has not been completed, but it does look like the process has been started. Please follow up on this with the maintenance director. The following violations were documented during today’s visit: Violation Number Comment Rule 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of the loose surfacing (mulch) was not at least six (6) inched deep around the climbers and slides. .0605(k)(1-4) Technical assistance: Item #1867 The depth of the loose surfacing (mulch) was not at least six (6) inched deep around the climbers and slides. The much has not been replenished since before Tropical Storm Helene and needs to be fluffed as well. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by June 4, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. • A water bottle station (possibly hanging on the hooks) should be set up outside to prevent them from getting contaminated/dirty. Water bottles should be labeled with the child’s name and sent home daily to be sanitized/washed. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/21/2025 Number Present: 8 Completed Date: 5/21/2025 Age: From 4 To 5 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Elizabeth Rodden, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I checked in at the front office. When I arrived in the classroom, the children and teachers were outside playing on the playground. I greeted both teachers and explained the reason for today’s visit. The school had a fire drill just as I was walking in the school today. Children were playing in the sandbox with their shoes off pretending they were at the beach. Other children were playing in water with filling and dumping from one container to another. Children were also running around, riding trikes and exploring bugs and spiders. Two children came inside, washed their hands and helped Ms. Roberts washed tables and go get the lunches. All the children came inside, washed their hands and sat down for lunch. Cots were out and ready for children to transition to rest time. Lunch today consisted of ham and cheese sandwiches, mixed vegetables, strawberry cup and milk. This facility is an NC Pre-K and Developmental Day classroom. It is owned and operated by Watauga County Schools and is housed in Bethel Elementary School. There were no new teachers at this facility. There are eight (8) children enrolled and eight (8) present today. No children’s files were monitored during today’s routine unannounced visit. I shared the facility compliance history with you today which was ninety-two (92%) percent as of 5/19/25. The last annual compliance visit was 1/23/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 6/3/22. Permit Restrictions- Daytime care only, meets enhanced space, meets reduced ratios, certified Developmental Day. The last fire drill was practiced on 4/28/25 and again today as I was arriving. A lock down drill was conducted on 4/10/25. The last fire inspection was 8/29/24. The last sanitation inspection was completed on 1/17/25 with eight (8) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The last lead water test was dated 7/15/21 and is due every three (3) years. This was due on 7/15/24. The Lead-Based Paint and Asbestos testing has not been completed, but it does look like the process has been started. Please follow up on this with the maintenance director. The following violations were documented during today’s visit: Violation Number Comment Rule 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of the loose surfacing (mulch) was not at least six (6) inched deep around the climbers and slides. .0605(k)(1-4) Technical assistance: Item #1867 The depth of the loose surfacing (mulch) was not at least six (6) inched deep around the climbers and slides. The much has not been replenished since before Tropical Storm Helene and needs to be fluffed as well. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by June 4, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. • A water bottle station (possibly hanging on the hooks) should be set up outside to prevent them from getting contaminated/dirty. Water bottles should be labeled with the child’s name and sent home daily to be sanitized/washed. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 5/21/2025 Number Present: 8 Completed Date: 5/21/2025 Age: From 4 To 5 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit was to conduct limited compliance monitoring and offer consultation to the program. The visit summary was completed, reviewed with you, and signed by me, Georgia Lee Marshall, Child Care Consultant and also signed by Elizabeth Rodden, lead teacher. The computerized generated report of today’s visit was completed and left on site. It is also available electronically upon request. Upon my arrival I checked in at the front office. When I arrived in the classroom, the children and teachers were outside playing on the playground. I greeted both teachers and explained the reason for today’s visit. The school had a fire drill just as I was walking in the school today. Children were playing in the sandbox with their shoes off pretending they were at the beach. Other children were playing in water with filling and dumping from one container to another. Children were also running around, riding trikes and exploring bugs and spiders. Two children came inside, washed their hands and helped Ms. Roberts washed tables and go get the lunches. All the children came inside, washed their hands and sat down for lunch. Cots were out and ready for children to transition to rest time. Lunch today consisted of ham and cheese sandwiches, mixed vegetables, strawberry cup and milk. This facility is an NC Pre-K and Developmental Day classroom. It is owned and operated by Watauga County Schools and is housed in Bethel Elementary School. There were no new teachers at this facility. There are eight (8) children enrolled and eight (8) present today. No children’s files were monitored during today’s routine unannounced visit. I shared the facility compliance history with you today which was ninety-two (92%) percent as of 5/19/25. The last annual compliance visit was 1/23/25. The following items were monitored today: Supervision Staff Child Ratios CPR First Aid Special Training Criminal Record Checks Completed Emergency Medical Care Plan Administration of Medication Storage of Hazardous Substances Storage of Medication Adequate/Approved Space General Safety Discipline Program Records License Posted- Five-star license, effective 6/3/22. Permit Restrictions- Daytime care only, meets enhanced space, meets reduced ratios, certified Developmental Day. The last fire drill was practiced on 4/28/25 and again today as I was arriving. A lock down drill was conducted on 4/10/25. The last fire inspection was 8/29/24. The last sanitation inspection was completed on 1/17/25 with eight (8) demerits for a superior rating. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The last lead water test was dated 7/15/21 and is due every three (3) years. This was due on 7/15/24. The Lead-Based Paint and Asbestos testing has not been completed, but it does look like the process has been started. Please follow up on this with the maintenance director. The following violations were documented during today’s visit: Violation Number Comment Rule 1867 The depth of the loose surfacing was not based on critical height of the equipment. The depth of the loose surfacing (mulch) was not at least six (6) inched deep around the climbers and slides. .0605(k)(1-4) Technical assistance: Item #1867 The depth of the loose surfacing (mulch) was not at least six (6) inched deep around the climbers and slides. The much has not been replenished since before Tropical Storm Helene and needs to be fluffed as well. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: •Facility name •Facility ID# •Date of visit •Violation item number •Statement of compliance I must receive your compliance statement by June 4, 2025. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: [email protected] or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828.434.0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828.713.8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Consultation is provided as follows: • New Environment Rating Scales have arrived! Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE assessments. Go to https://ncrlap.org/ for resources and training opportunities. • Lead and asbestos testing deadlines have been extended till May 2025 with remediation funding available. • Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. • Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. • A water bottle station (possibly hanging on the hooks) should be set up outside to prevent them from getting contaminated/dirty. Water bottles should be labeled with the child’s name and sent home daily to be sanitized/washed. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/23/2025 Number Present: 7 Completed Date: 1/23/2025 Age: From 4 To 5 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elizabeth Rodden, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Elizabeth Rodden, lead teacher was available to answer questions during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percentage as of 1/23/25. This facility is owned by Watauga County Schools and is housed in Bethel Elementary School. This classroom is a certified Developmental Day program. Permit type – Five-star license issued on 6/3/22. Special Services/Restrictions – Daytime care only, meeting reduced ratios, Meeting enhanced space and Certified Developmental Day. The last annual compliance visit was conducted on 2/1/24. The last fire drill was practiced on 12/18/24. The last lock down drill was practiced on 12/11/24. The last playground inspection was documented on 1/17/25. The last fire inspection was approved on 8//27/24. The last sanitation inspection was conducted on 1/17/25 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the main office. I greeted Mr. Ward, the administrator/principal. When I entered the classroom, I greeted the teachers and washed my hands. The children were in the large group time area where an activity was being displayed on the smartboard. Some children that didn’t want to participate, played with manipulative toys. After the activity, Ms. Rodden read the story of The Snowy Day. After the story children went to centers where water color painting was set up at a table near the sink. Some children built structures in blocks and others played with magna-tiles. Today school was on a two (2) hour delay due to snow and ice. Ms. Roberts took two (2) children with her to go get the lunch cart. Lunch today consisted of pot stickers (some children chose peanut butter & jelly sandwich or grilled cheese), carrots, oranges and milk. The teachers sat with the children while eating their own lunch and having conversations. After everyone cleaned up from lunch, children sat together in the cozy corner looking at books while taking turns going to the bathroom. A therapist took two (2) children out for OT services. The children walked down the hall to play in the gym since it is too cold to go outside. After returning from the gym everyone washed hands and settled down on mats for rest time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport four (4) children ages 4 and 5 years old. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in the primary space #1. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. There are eight (8) children enrolled and one (1) children file was monitored today. The classroom operates from 7 a.m. to 3 p.m. Monday-Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu that was posted was from December 2024. 10A NCAC 09 .0901(b) 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. • Hand sanitizer was on the stage in the gym which is lower than five (5) feet. .2820(b) Technical assistance was provided as follows: • A current menu was not posted. I know the schedule hasn’t been consistent due to weather closures and delays. The menu that was posted was from December. When menu items are changed to allow for food to be used before the expiration date, please document it on the menu. • Hand sanitizer was on the stage in the gym which is lower than five (5) feet. This was corrected during the visit by placing it on top of the mounted first aid kit on the wall. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 6, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • The new third edition of the ECERS-3 will begin 2/1/25. There are trainings available on NCRLAP.org. • We are currently still under a hold harmless; however it is optional for facilities to apply for the star rated license and ERS. • Today we discussed that when using the gym for gross motor play, they would need to bring outlet covers (and possibly take them back when they leave to prevent them from getting lost). • We discussed that hand sanitizer would need to be placed five (5) feet up out of reach of children. • We discussed that due to Hurricane Helene, the fire drill and emergency drills were off schedule. We are allowing flexibilities in this area. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/23/2025 Number Present: 7 Completed Date: 1/23/2025 Age: From 4 To 5 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elizabeth Rodden, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Elizabeth Rodden, lead teacher was available to answer questions during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percentage as of 1/23/25. This facility is owned by Watauga County Schools and is housed in Bethel Elementary School. This classroom is a certified Developmental Day program. Permit type – Five-star license issued on 6/3/22. Special Services/Restrictions – Daytime care only, meeting reduced ratios, Meeting enhanced space and Certified Developmental Day. The last annual compliance visit was conducted on 2/1/24. The last fire drill was practiced on 12/18/24. The last lock down drill was practiced on 12/11/24. The last playground inspection was documented on 1/17/25. The last fire inspection was approved on 8//27/24. The last sanitation inspection was conducted on 1/17/25 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the main office. I greeted Mr. Ward, the administrator/principal. When I entered the classroom, I greeted the teachers and washed my hands. The children were in the large group time area where an activity was being displayed on the smartboard. Some children that didn’t want to participate, played with manipulative toys. After the activity, Ms. Rodden read the story of The Snowy Day. After the story children went to centers where water color painting was set up at a table near the sink. Some children built structures in blocks and others played with magna-tiles. Today school was on a two (2) hour delay due to snow and ice. Ms. Roberts took two (2) children with her to go get the lunch cart. Lunch today consisted of pot stickers (some children chose peanut butter & jelly sandwich or grilled cheese), carrots, oranges and milk. The teachers sat with the children while eating their own lunch and having conversations. After everyone cleaned up from lunch, children sat together in the cozy corner looking at books while taking turns going to the bathroom. A therapist took two (2) children out for OT services. The children walked down the hall to play in the gym since it is too cold to go outside. After returning from the gym everyone washed hands and settled down on mats for rest time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport four (4) children ages 4 and 5 years old. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in the primary space #1. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. There are eight (8) children enrolled and one (1) children file was monitored today. The classroom operates from 7 a.m. to 3 p.m. Monday-Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu that was posted was from December 2024. 10A NCAC 09 .0901(b) 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. • Hand sanitizer was on the stage in the gym which is lower than five (5) feet. .2820(b) Technical assistance was provided as follows: • A current menu was not posted. I know the schedule hasn’t been consistent due to weather closures and delays. The menu that was posted was from December. When menu items are changed to allow for food to be used before the expiration date, please document it on the menu. • Hand sanitizer was on the stage in the gym which is lower than five (5) feet. This was corrected during the visit by placing it on top of the mounted first aid kit on the wall. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 6, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • The new third edition of the ECERS-3 will begin 2/1/25. There are trainings available on NCRLAP.org. • We are currently still under a hold harmless; however it is optional for facilities to apply for the star rated license and ERS. • Today we discussed that when using the gym for gross motor play, they would need to bring outlet covers (and possibly take them back when they leave to prevent them from getting lost). • We discussed that hand sanitizer would need to be placed five (5) feet up out of reach of children. • We discussed that due to Hurricane Helene, the fire drill and emergency drills were off schedule. We are allowing flexibilities in this area. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/23/2025 Number Present: 7 Completed Date: 1/23/2025 Age: From 4 To 5 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elizabeth Rodden, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Elizabeth Rodden, lead teacher was available to answer questions during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percentage as of 1/23/25. This facility is owned by Watauga County Schools and is housed in Bethel Elementary School. This classroom is a certified Developmental Day program. Permit type – Five-star license issued on 6/3/22. Special Services/Restrictions – Daytime care only, meeting reduced ratios, Meeting enhanced space and Certified Developmental Day. The last annual compliance visit was conducted on 2/1/24. The last fire drill was practiced on 12/18/24. The last lock down drill was practiced on 12/11/24. The last playground inspection was documented on 1/17/25. The last fire inspection was approved on 8//27/24. The last sanitation inspection was conducted on 1/17/25 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the main office. I greeted Mr. Ward, the administrator/principal. When I entered the classroom, I greeted the teachers and washed my hands. The children were in the large group time area where an activity was being displayed on the smartboard. Some children that didn’t want to participate, played with manipulative toys. After the activity, Ms. Rodden read the story of The Snowy Day. After the story children went to centers where water color painting was set up at a table near the sink. Some children built structures in blocks and others played with magna-tiles. Today school was on a two (2) hour delay due to snow and ice. Ms. Roberts took two (2) children with her to go get the lunch cart. Lunch today consisted of pot stickers (some children chose peanut butter & jelly sandwich or grilled cheese), carrots, oranges and milk. The teachers sat with the children while eating their own lunch and having conversations. After everyone cleaned up from lunch, children sat together in the cozy corner looking at books while taking turns going to the bathroom. A therapist took two (2) children out for OT services. The children walked down the hall to play in the gym since it is too cold to go outside. After returning from the gym everyone washed hands and settled down on mats for rest time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport four (4) children ages 4 and 5 years old. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in the primary space #1. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. There are eight (8) children enrolled and one (1) children file was monitored today. The classroom operates from 7 a.m. to 3 p.m. Monday-Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu that was posted was from December 2024. 10A NCAC 09 .0901(b) 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. • Hand sanitizer was on the stage in the gym which is lower than five (5) feet. .2820(b) Technical assistance was provided as follows: • A current menu was not posted. I know the schedule hasn’t been consistent due to weather closures and delays. The menu that was posted was from December. When menu items are changed to allow for food to be used before the expiration date, please document it on the menu. • Hand sanitizer was on the stage in the gym which is lower than five (5) feet. This was corrected during the visit by placing it on top of the mounted first aid kit on the wall. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 6, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • The new third edition of the ECERS-3 will begin 2/1/25. There are trainings available on NCRLAP.org. • We are currently still under a hold harmless; however it is optional for facilities to apply for the star rated license and ERS. • Today we discussed that when using the gym for gross motor play, they would need to bring outlet covers (and possibly take them back when they leave to prevent them from getting lost). • We discussed that hand sanitizer would need to be placed five (5) feet up out of reach of children. • We discussed that due to Hurricane Helene, the fire drill and emergency drills were off schedule. We are allowing flexibilities in this area. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/23/2025 Number Present: 7 Completed Date: 1/23/2025 Age: From 4 To 5 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elizabeth Rodden, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Elizabeth Rodden, lead teacher was available to answer questions during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percentage as of 1/23/25. This facility is owned by Watauga County Schools and is housed in Bethel Elementary School. This classroom is a certified Developmental Day program. Permit type – Five-star license issued on 6/3/22. Special Services/Restrictions – Daytime care only, meeting reduced ratios, Meeting enhanced space and Certified Developmental Day. The last annual compliance visit was conducted on 2/1/24. The last fire drill was practiced on 12/18/24. The last lock down drill was practiced on 12/11/24. The last playground inspection was documented on 1/17/25. The last fire inspection was approved on 8//27/24. The last sanitation inspection was conducted on 1/17/25 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the main office. I greeted Mr. Ward, the administrator/principal. When I entered the classroom, I greeted the teachers and washed my hands. The children were in the large group time area where an activity was being displayed on the smartboard. Some children that didn’t want to participate, played with manipulative toys. After the activity, Ms. Rodden read the story of The Snowy Day. After the story children went to centers where water color painting was set up at a table near the sink. Some children built structures in blocks and others played with magna-tiles. Today school was on a two (2) hour delay due to snow and ice. Ms. Roberts took two (2) children with her to go get the lunch cart. Lunch today consisted of pot stickers (some children chose peanut butter & jelly sandwich or grilled cheese), carrots, oranges and milk. The teachers sat with the children while eating their own lunch and having conversations. After everyone cleaned up from lunch, children sat together in the cozy corner looking at books while taking turns going to the bathroom. A therapist took two (2) children out for OT services. The children walked down the hall to play in the gym since it is too cold to go outside. After returning from the gym everyone washed hands and settled down on mats for rest time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport four (4) children ages 4 and 5 years old. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in the primary space #1. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. There are eight (8) children enrolled and one (1) children file was monitored today. The classroom operates from 7 a.m. to 3 p.m. Monday-Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu that was posted was from December 2024. 10A NCAC 09 .0901(b) 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. • Hand sanitizer was on the stage in the gym which is lower than five (5) feet. .2820(b) Technical assistance was provided as follows: • A current menu was not posted. I know the schedule hasn’t been consistent due to weather closures and delays. The menu that was posted was from December. When menu items are changed to allow for food to be used before the expiration date, please document it on the menu. • Hand sanitizer was on the stage in the gym which is lower than five (5) feet. This was corrected during the visit by placing it on top of the mounted first aid kit on the wall. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 6, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • The new third edition of the ECERS-3 will begin 2/1/25. There are trainings available on NCRLAP.org. • We are currently still under a hold harmless; however it is optional for facilities to apply for the star rated license and ERS. • Today we discussed that when using the gym for gross motor play, they would need to bring outlet covers (and possibly take them back when they leave to prevent them from getting lost). • We discussed that hand sanitizer would need to be placed five (5) feet up out of reach of children. • We discussed that due to Hurricane Helene, the fire drill and emergency drills were off schedule. We are allowing flexibilities in this area. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 1/23/2025 Number Present: 7 Completed Date: 1/23/2025 Age: From 4 To 5 Total Minutes: 180 Time In: 10:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Elizabeth Rodden, lead teacher, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to you. Today, Elizabeth Rodden, lead teacher was available to answer questions during the visit. The indoor and outdoor areas were monitored today, including (but not limited to) supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92%) percentage as of 1/23/25. This facility is owned by Watauga County Schools and is housed in Bethel Elementary School. This classroom is a certified Developmental Day program. Permit type – Five-star license issued on 6/3/22. Special Services/Restrictions – Daytime care only, meeting reduced ratios, Meeting enhanced space and Certified Developmental Day. The last annual compliance visit was conducted on 2/1/24. The last fire drill was practiced on 12/18/24. The last lock down drill was practiced on 12/11/24. The last playground inspection was documented on 1/17/25. The last fire inspection was approved on 8//27/24. The last sanitation inspection was conducted on 1/17/25 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the main office. I greeted Mr. Ward, the administrator/principal. When I entered the classroom, I greeted the teachers and washed my hands. The children were in the large group time area where an activity was being displayed on the smartboard. Some children that didn’t want to participate, played with manipulative toys. After the activity, Ms. Rodden read the story of The Snowy Day. After the story children went to centers where water color painting was set up at a table near the sink. Some children built structures in blocks and others played with magna-tiles. Today school was on a two (2) hour delay due to snow and ice. Ms. Roberts took two (2) children with her to go get the lunch cart. Lunch today consisted of pot stickers (some children chose peanut butter & jelly sandwich or grilled cheese), carrots, oranges and milk. The teachers sat with the children while eating their own lunch and having conversations. After everyone cleaned up from lunch, children sat together in the cozy corner looking at books while taking turns going to the bathroom. A therapist took two (2) children out for OT services. The children walked down the hall to play in the gym since it is too cold to go outside. After returning from the gym everyone washed hands and settled down on mats for rest time. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that you do transport four (4) children ages 4 and 5 years old. The program uses public school buses. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in the primary space #1. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. There are eight (8) children enrolled and one (1) children file was monitored today. The classroom operates from 7 a.m. to 3 p.m. Monday-Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu that was posted was from December 2024. 10A NCAC 09 .0901(b) 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. • Hand sanitizer was on the stage in the gym which is lower than five (5) feet. .2820(b) Technical assistance was provided as follows: • A current menu was not posted. I know the schedule hasn’t been consistent due to weather closures and delays. The menu that was posted was from December. When menu items are changed to allow for food to be used before the expiration date, please document it on the menu. • Hand sanitizer was on the stage in the gym which is lower than five (5) feet. This was corrected during the visit by placing it on top of the mounted first aid kit on the wall. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 6, 2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall PO Box 253 Zionville, NC 28698 Please call me at 828-434-0236, or email [email protected], if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • The new third edition of the ECERS-3 will begin 2/1/25. There are trainings available on NCRLAP.org. • We are currently still under a hold harmless; however it is optional for facilities to apply for the star rated license and ERS. • Today we discussed that when using the gym for gross motor play, they would need to bring outlet covers (and possibly take them back when they leave to prevent them from getting lost). • We discussed that hand sanitizer would need to be placed five (5) feet up out of reach of children. • We discussed that due to Hurricane Helene, the fire drill and emergency drills were off schedule. We are allowing flexibilities in this area. Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Criminal Background Check System (ABCMS)- All child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at [email protected] or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 12 Completed Date: 2/1/2024 Age: From 3 To 5 Total Minutes: 330 Time In: 10:15 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Olivia Boudwin, lead teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Boudwin was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percentage as of January 31, 2024. This facility is an NC Pre-K and Developmental Day classroom operated by Watauga County Schools and located in Bethel Elementary School. Permit type – Five (5) Star facility issued on 6/3/22. Special Services/Restrictions – 1st shift (Daytime care), Meets enhanced space, Meets reduced ratios and Certified Developmental Day. The last annual compliance visit was conducted on 3/28/23. The last fire drill was practiced on 1/24/24. The last shelter-in-place drill was practiced on 1/30/24. The last playground inspection was documented 1/11/24. The last fire inspection was approved on 8/29/23. The last sanitation inspection was conducted on 12/12/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay due to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having breakfast when I arrived. Once they were finished eating, children continued free play activities in centers. When I went outside to monitor the playground, the children wanted to go outside too. When children came back inside, they washed hands and sat down for lunch. Lunch consisted of turkey medallion, (some chose peanut butter and jelly sandwich), rice with gravy, green beans, applesauce and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time, however some children went with one teacher to the gym before resting. Teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, some children went outside to play on the playground while others were still resting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that six (6) to ten (10) children that ride the bus. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. 10A NCAC 09 .0901(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence does not measure four (4) feet in height. GS 110-91(6); .0605((i) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff ‘s health questionnaire was not updated. .0701(a) 1035 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. All staff ‘s health questionnaire was not updated. .0701(a) 1329 Application for enrollment did not include all required information. Children’s applications do not have a space for parents to list fears or behavior characteristics. .0801(a)(1-7) 1755 Certified developmental day center staff/child ratios and group sizes were not met. On several occasions, one teacher was left alone with 9 to 11 children. .2902 (f) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not on-site for VC, PW and DD. G.S. 110-90.2(b) & (d) & .2703(e) 1791 The child care provider did not provide the required beverage(s). Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. .0901(e)(1-7) 1792 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. One teacher was drinking tea in a clear cup. .0901(i) Technical assistance was provided as follows: Item # 1329 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (6) fears or behavior characteristics that the child has; Note: Children’s applications do not have a space for parents to list fears or behavior characteristics. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters were not on-site for VC, PW and DD. Items #1034 & 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. • Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. • Health Questionnaire, A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Note: All staff ‘s emergency information and health questionnaire was not updated. Item #824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The fence does not measure four (4) feet in height. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: One teacher was drinking tea in a clear cup. Items #0501 & 1791 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Note: Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or low-fat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. Note: Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. Item #1755 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 Note: On several occasions, one teacher was left alone with 9 to 11 children. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed removing any items from under the climbers and slides in case a child falls. • We discussed that hot dogs, grapes and anything that is a choking hazard must be cut up in the cafeteria prior to entering the pre-k classroom. The classroom does not have a food prep area. • We discussed that the bolts around the sandbox needs to be hammered down. • The mulch needs to be even with the end of the ramp to prevent a tripping hazard. • The fence in the corner behind the tree needs to be repaired. • We discussed that the sign in sheet needs to be brought in from the hallway once children have arrived or remove the children’s personal emergency information from inside the clipboard. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 12 Completed Date: 2/1/2024 Age: From 3 To 5 Total Minutes: 330 Time In: 10:15 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Olivia Boudwin, lead teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Boudwin was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percentage as of January 31, 2024. This facility is an NC Pre-K and Developmental Day classroom operated by Watauga County Schools and located in Bethel Elementary School. Permit type – Five (5) Star facility issued on 6/3/22. Special Services/Restrictions – 1st shift (Daytime care), Meets enhanced space, Meets reduced ratios and Certified Developmental Day. The last annual compliance visit was conducted on 3/28/23. The last fire drill was practiced on 1/24/24. The last shelter-in-place drill was practiced on 1/30/24. The last playground inspection was documented 1/11/24. The last fire inspection was approved on 8/29/23. The last sanitation inspection was conducted on 12/12/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay due to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having breakfast when I arrived. Once they were finished eating, children continued free play activities in centers. When I went outside to monitor the playground, the children wanted to go outside too. When children came back inside, they washed hands and sat down for lunch. Lunch consisted of turkey medallion, (some chose peanut butter and jelly sandwich), rice with gravy, green beans, applesauce and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time, however some children went with one teacher to the gym before resting. Teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, some children went outside to play on the playground while others were still resting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that six (6) to ten (10) children that ride the bus. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. 10A NCAC 09 .0901(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence does not measure four (4) feet in height. GS 110-91(6); .0605((i) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff ‘s health questionnaire was not updated. .0701(a) 1035 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. All staff ‘s health questionnaire was not updated. .0701(a) 1329 Application for enrollment did not include all required information. Children’s applications do not have a space for parents to list fears or behavior characteristics. .0801(a)(1-7) 1755 Certified developmental day center staff/child ratios and group sizes were not met. On several occasions, one teacher was left alone with 9 to 11 children. .2902 (f) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not on-site for VC, PW and DD. G.S. 110-90.2(b) & (d) & .2703(e) 1791 The child care provider did not provide the required beverage(s). Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. .0901(e)(1-7) 1792 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. One teacher was drinking tea in a clear cup. .0901(i) Technical assistance was provided as follows: Item # 1329 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (6) fears or behavior characteristics that the child has; Note: Children’s applications do not have a space for parents to list fears or behavior characteristics. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters were not on-site for VC, PW and DD. Items #1034 & 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. • Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. • Health Questionnaire, A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Note: All staff ‘s emergency information and health questionnaire was not updated. Item #824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The fence does not measure four (4) feet in height. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: One teacher was drinking tea in a clear cup. Items #0501 & 1791 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Note: Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or low-fat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. Note: Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. Item #1755 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 Note: On several occasions, one teacher was left alone with 9 to 11 children. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed removing any items from under the climbers and slides in case a child falls. • We discussed that hot dogs, grapes and anything that is a choking hazard must be cut up in the cafeteria prior to entering the pre-k classroom. The classroom does not have a food prep area. • We discussed that the bolts around the sandbox needs to be hammered down. • The mulch needs to be even with the end of the ramp to prevent a tripping hazard. • The fence in the corner behind the tree needs to be repaired. • We discussed that the sign in sheet needs to be brought in from the hallway once children have arrived or remove the children’s personal emergency information from inside the clipboard. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 12 Completed Date: 2/1/2024 Age: From 3 To 5 Total Minutes: 330 Time In: 10:15 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Olivia Boudwin, lead teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Boudwin was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percentage as of January 31, 2024. This facility is an NC Pre-K and Developmental Day classroom operated by Watauga County Schools and located in Bethel Elementary School. Permit type – Five (5) Star facility issued on 6/3/22. Special Services/Restrictions – 1st shift (Daytime care), Meets enhanced space, Meets reduced ratios and Certified Developmental Day. The last annual compliance visit was conducted on 3/28/23. The last fire drill was practiced on 1/24/24. The last shelter-in-place drill was practiced on 1/30/24. The last playground inspection was documented 1/11/24. The last fire inspection was approved on 8/29/23. The last sanitation inspection was conducted on 12/12/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay due to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having breakfast when I arrived. Once they were finished eating, children continued free play activities in centers. When I went outside to monitor the playground, the children wanted to go outside too. When children came back inside, they washed hands and sat down for lunch. Lunch consisted of turkey medallion, (some chose peanut butter and jelly sandwich), rice with gravy, green beans, applesauce and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time, however some children went with one teacher to the gym before resting. Teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, some children went outside to play on the playground while others were still resting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that six (6) to ten (10) children that ride the bus. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. 10A NCAC 09 .0901(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence does not measure four (4) feet in height. GS 110-91(6); .0605((i) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff ‘s health questionnaire was not updated. .0701(a) 1035 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. All staff ‘s health questionnaire was not updated. .0701(a) 1329 Application for enrollment did not include all required information. Children’s applications do not have a space for parents to list fears or behavior characteristics. .0801(a)(1-7) 1755 Certified developmental day center staff/child ratios and group sizes were not met. On several occasions, one teacher was left alone with 9 to 11 children. .2902 (f) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not on-site for VC, PW and DD. G.S. 110-90.2(b) & (d) & .2703(e) 1791 The child care provider did not provide the required beverage(s). Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. .0901(e)(1-7) 1792 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. One teacher was drinking tea in a clear cup. .0901(i) Technical assistance was provided as follows: Item # 1329 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (6) fears or behavior characteristics that the child has; Note: Children’s applications do not have a space for parents to list fears or behavior characteristics. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters were not on-site for VC, PW and DD. Items #1034 & 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. • Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. • Health Questionnaire, A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Note: All staff ‘s emergency information and health questionnaire was not updated. Item #824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The fence does not measure four (4) feet in height. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: One teacher was drinking tea in a clear cup. Items #0501 & 1791 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Note: Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or low-fat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. Note: Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. Item #1755 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 Note: On several occasions, one teacher was left alone with 9 to 11 children. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed removing any items from under the climbers and slides in case a child falls. • We discussed that hot dogs, grapes and anything that is a choking hazard must be cut up in the cafeteria prior to entering the pre-k classroom. The classroom does not have a food prep area. • We discussed that the bolts around the sandbox needs to be hammered down. • The mulch needs to be even with the end of the ramp to prevent a tripping hazard. • The fence in the corner behind the tree needs to be repaired. • We discussed that the sign in sheet needs to be brought in from the hallway once children have arrived or remove the children’s personal emergency information from inside the clipboard. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 12 Completed Date: 2/1/2024 Age: From 3 To 5 Total Minutes: 330 Time In: 10:15 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Olivia Boudwin, lead teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Boudwin was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percentage as of January 31, 2024. This facility is an NC Pre-K and Developmental Day classroom operated by Watauga County Schools and located in Bethel Elementary School. Permit type – Five (5) Star facility issued on 6/3/22. Special Services/Restrictions – 1st shift (Daytime care), Meets enhanced space, Meets reduced ratios and Certified Developmental Day. The last annual compliance visit was conducted on 3/28/23. The last fire drill was practiced on 1/24/24. The last shelter-in-place drill was practiced on 1/30/24. The last playground inspection was documented 1/11/24. The last fire inspection was approved on 8/29/23. The last sanitation inspection was conducted on 12/12/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay due to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having breakfast when I arrived. Once they were finished eating, children continued free play activities in centers. When I went outside to monitor the playground, the children wanted to go outside too. When children came back inside, they washed hands and sat down for lunch. Lunch consisted of turkey medallion, (some chose peanut butter and jelly sandwich), rice with gravy, green beans, applesauce and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time, however some children went with one teacher to the gym before resting. Teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, some children went outside to play on the playground while others were still resting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that six (6) to ten (10) children that ride the bus. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. 10A NCAC 09 .0901(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence does not measure four (4) feet in height. GS 110-91(6); .0605((i) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff ‘s health questionnaire was not updated. .0701(a) 1035 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. All staff ‘s health questionnaire was not updated. .0701(a) 1329 Application for enrollment did not include all required information. Children’s applications do not have a space for parents to list fears or behavior characteristics. .0801(a)(1-7) 1755 Certified developmental day center staff/child ratios and group sizes were not met. On several occasions, one teacher was left alone with 9 to 11 children. .2902 (f) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not on-site for VC, PW and DD. G.S. 110-90.2(b) & (d) & .2703(e) 1791 The child care provider did not provide the required beverage(s). Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. .0901(e)(1-7) 1792 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. One teacher was drinking tea in a clear cup. .0901(i) Technical assistance was provided as follows: Item # 1329 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (6) fears or behavior characteristics that the child has; Note: Children’s applications do not have a space for parents to list fears or behavior characteristics. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters were not on-site for VC, PW and DD. Items #1034 & 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. • Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. • Health Questionnaire, A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Note: All staff ‘s emergency information and health questionnaire was not updated. Item #824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The fence does not measure four (4) feet in height. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: One teacher was drinking tea in a clear cup. Items #0501 & 1791 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Note: Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or low-fat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. Note: Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. Item #1755 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 Note: On several occasions, one teacher was left alone with 9 to 11 children. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed removing any items from under the climbers and slides in case a child falls. • We discussed that hot dogs, grapes and anything that is a choking hazard must be cut up in the cafeteria prior to entering the pre-k classroom. The classroom does not have a food prep area. • We discussed that the bolts around the sandbox needs to be hammered down. • The mulch needs to be even with the end of the ramp to prevent a tripping hazard. • The fence in the corner behind the tree needs to be repaired. • We discussed that the sign in sheet needs to be brought in from the hallway once children have arrived or remove the children’s personal emergency information from inside the clipboard. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 12 Completed Date: 2/1/2024 Age: From 3 To 5 Total Minutes: 330 Time In: 10:15 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Olivia Boudwin, lead teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Boudwin was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percentage as of January 31, 2024. This facility is an NC Pre-K and Developmental Day classroom operated by Watauga County Schools and located in Bethel Elementary School. Permit type – Five (5) Star facility issued on 6/3/22. Special Services/Restrictions – 1st shift (Daytime care), Meets enhanced space, Meets reduced ratios and Certified Developmental Day. The last annual compliance visit was conducted on 3/28/23. The last fire drill was practiced on 1/24/24. The last shelter-in-place drill was practiced on 1/30/24. The last playground inspection was documented 1/11/24. The last fire inspection was approved on 8/29/23. The last sanitation inspection was conducted on 12/12/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay due to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having breakfast when I arrived. Once they were finished eating, children continued free play activities in centers. When I went outside to monitor the playground, the children wanted to go outside too. When children came back inside, they washed hands and sat down for lunch. Lunch consisted of turkey medallion, (some chose peanut butter and jelly sandwich), rice with gravy, green beans, applesauce and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time, however some children went with one teacher to the gym before resting. Teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, some children went outside to play on the playground while others were still resting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that six (6) to ten (10) children that ride the bus. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. 10A NCAC 09 .0901(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence does not measure four (4) feet in height. GS 110-91(6); .0605((i) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff ‘s health questionnaire was not updated. .0701(a) 1035 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. All staff ‘s health questionnaire was not updated. .0701(a) 1329 Application for enrollment did not include all required information. Children’s applications do not have a space for parents to list fears or behavior characteristics. .0801(a)(1-7) 1755 Certified developmental day center staff/child ratios and group sizes were not met. On several occasions, one teacher was left alone with 9 to 11 children. .2902 (f) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not on-site for VC, PW and DD. G.S. 110-90.2(b) & (d) & .2703(e) 1791 The child care provider did not provide the required beverage(s). Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. .0901(e)(1-7) 1792 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. One teacher was drinking tea in a clear cup. .0901(i) Technical assistance was provided as follows: Item # 1329 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (6) fears or behavior characteristics that the child has; Note: Children’s applications do not have a space for parents to list fears or behavior characteristics. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters were not on-site for VC, PW and DD. Items #1034 & 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. • Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. • Health Questionnaire, A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Note: All staff ‘s emergency information and health questionnaire was not updated. Item #824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The fence does not measure four (4) feet in height. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: One teacher was drinking tea in a clear cup. Items #0501 & 1791 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Note: Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or low-fat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. Note: Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. Item #1755 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 Note: On several occasions, one teacher was left alone with 9 to 11 children. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed removing any items from under the climbers and slides in case a child falls. • We discussed that hot dogs, grapes and anything that is a choking hazard must be cut up in the cafeteria prior to entering the pre-k classroom. The classroom does not have a food prep area. • We discussed that the bolts around the sandbox needs to be hammered down. • The mulch needs to be even with the end of the ramp to prevent a tripping hazard. • The fence in the corner behind the tree needs to be repaired. • We discussed that the sign in sheet needs to be brought in from the hallway once children have arrived or remove the children’s personal emergency information from inside the clipboard. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 12 Completed Date: 2/1/2024 Age: From 3 To 5 Total Minutes: 330 Time In: 10:15 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Olivia Boudwin, lead teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Boudwin was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percentage as of January 31, 2024. This facility is an NC Pre-K and Developmental Day classroom operated by Watauga County Schools and located in Bethel Elementary School. Permit type – Five (5) Star facility issued on 6/3/22. Special Services/Restrictions – 1st shift (Daytime care), Meets enhanced space, Meets reduced ratios and Certified Developmental Day. The last annual compliance visit was conducted on 3/28/23. The last fire drill was practiced on 1/24/24. The last shelter-in-place drill was practiced on 1/30/24. The last playground inspection was documented 1/11/24. The last fire inspection was approved on 8/29/23. The last sanitation inspection was conducted on 12/12/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay due to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having breakfast when I arrived. Once they were finished eating, children continued free play activities in centers. When I went outside to monitor the playground, the children wanted to go outside too. When children came back inside, they washed hands and sat down for lunch. Lunch consisted of turkey medallion, (some chose peanut butter and jelly sandwich), rice with gravy, green beans, applesauce and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time, however some children went with one teacher to the gym before resting. Teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, some children went outside to play on the playground while others were still resting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that six (6) to ten (10) children that ride the bus. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. 10A NCAC 09 .0901(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence does not measure four (4) feet in height. GS 110-91(6); .0605((i) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff ‘s health questionnaire was not updated. .0701(a) 1035 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. All staff ‘s health questionnaire was not updated. .0701(a) 1329 Application for enrollment did not include all required information. Children’s applications do not have a space for parents to list fears or behavior characteristics. .0801(a)(1-7) 1755 Certified developmental day center staff/child ratios and group sizes were not met. On several occasions, one teacher was left alone with 9 to 11 children. .2902 (f) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not on-site for VC, PW and DD. G.S. 110-90.2(b) & (d) & .2703(e) 1791 The child care provider did not provide the required beverage(s). Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. .0901(e)(1-7) 1792 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. One teacher was drinking tea in a clear cup. .0901(i) Technical assistance was provided as follows: Item # 1329 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (6) fears or behavior characteristics that the child has; Note: Children’s applications do not have a space for parents to list fears or behavior characteristics. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters were not on-site for VC, PW and DD. Items #1034 & 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. • Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. • Health Questionnaire, A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Note: All staff ‘s emergency information and health questionnaire was not updated. Item #824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The fence does not measure four (4) feet in height. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: One teacher was drinking tea in a clear cup. Items #0501 & 1791 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Note: Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or low-fat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. Note: Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. Item #1755 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 Note: On several occasions, one teacher was left alone with 9 to 11 children. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed removing any items from under the climbers and slides in case a child falls. • We discussed that hot dogs, grapes and anything that is a choking hazard must be cut up in the cafeteria prior to entering the pre-k classroom. The classroom does not have a food prep area. • We discussed that the bolts around the sandbox needs to be hammered down. • The mulch needs to be even with the end of the ramp to prevent a tripping hazard. • The fence in the corner behind the tree needs to be repaired. • We discussed that the sign in sheet needs to be brought in from the hallway once children have arrived or remove the children’s personal emergency information from inside the clipboard. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 12 Completed Date: 2/1/2024 Age: From 3 To 5 Total Minutes: 330 Time In: 10:15 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Olivia Boudwin, lead teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Boudwin was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percentage as of January 31, 2024. This facility is an NC Pre-K and Developmental Day classroom operated by Watauga County Schools and located in Bethel Elementary School. Permit type – Five (5) Star facility issued on 6/3/22. Special Services/Restrictions – 1st shift (Daytime care), Meets enhanced space, Meets reduced ratios and Certified Developmental Day. The last annual compliance visit was conducted on 3/28/23. The last fire drill was practiced on 1/24/24. The last shelter-in-place drill was practiced on 1/30/24. The last playground inspection was documented 1/11/24. The last fire inspection was approved on 8/29/23. The last sanitation inspection was conducted on 12/12/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay due to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having breakfast when I arrived. Once they were finished eating, children continued free play activities in centers. When I went outside to monitor the playground, the children wanted to go outside too. When children came back inside, they washed hands and sat down for lunch. Lunch consisted of turkey medallion, (some chose peanut butter and jelly sandwich), rice with gravy, green beans, applesauce and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time, however some children went with one teacher to the gym before resting. Teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, some children went outside to play on the playground while others were still resting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that six (6) to ten (10) children that ride the bus. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. 10A NCAC 09 .0901(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence does not measure four (4) feet in height. GS 110-91(6); .0605((i) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff ‘s health questionnaire was not updated. .0701(a) 1035 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. All staff ‘s health questionnaire was not updated. .0701(a) 1329 Application for enrollment did not include all required information. Children’s applications do not have a space for parents to list fears or behavior characteristics. .0801(a)(1-7) 1755 Certified developmental day center staff/child ratios and group sizes were not met. On several occasions, one teacher was left alone with 9 to 11 children. .2902 (f) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not on-site for VC, PW and DD. G.S. 110-90.2(b) & (d) & .2703(e) 1791 The child care provider did not provide the required beverage(s). Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. .0901(e)(1-7) 1792 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. One teacher was drinking tea in a clear cup. .0901(i) Technical assistance was provided as follows: Item # 1329 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (6) fears or behavior characteristics that the child has; Note: Children’s applications do not have a space for parents to list fears or behavior characteristics. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters were not on-site for VC, PW and DD. Items #1034 & 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. • Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. • Health Questionnaire, A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Note: All staff ‘s emergency information and health questionnaire was not updated. Item #824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The fence does not measure four (4) feet in height. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: One teacher was drinking tea in a clear cup. Items #0501 & 1791 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Note: Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or low-fat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. Note: Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. Item #1755 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 Note: On several occasions, one teacher was left alone with 9 to 11 children. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed removing any items from under the climbers and slides in case a child falls. • We discussed that hot dogs, grapes and anything that is a choking hazard must be cut up in the cafeteria prior to entering the pre-k classroom. The classroom does not have a food prep area. • We discussed that the bolts around the sandbox needs to be hammered down. • The mulch needs to be even with the end of the ramp to prevent a tripping hazard. • The fence in the corner behind the tree needs to be repaired. • We discussed that the sign in sheet needs to be brought in from the hallway once children have arrived or remove the children’s personal emergency information from inside the clipboard. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 12 Completed Date: 2/1/2024 Age: From 3 To 5 Total Minutes: 330 Time In: 10:15 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Olivia Boudwin, lead teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Boudwin was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percentage as of January 31, 2024. This facility is an NC Pre-K and Developmental Day classroom operated by Watauga County Schools and located in Bethel Elementary School. Permit type – Five (5) Star facility issued on 6/3/22. Special Services/Restrictions – 1st shift (Daytime care), Meets enhanced space, Meets reduced ratios and Certified Developmental Day. The last annual compliance visit was conducted on 3/28/23. The last fire drill was practiced on 1/24/24. The last shelter-in-place drill was practiced on 1/30/24. The last playground inspection was documented 1/11/24. The last fire inspection was approved on 8/29/23. The last sanitation inspection was conducted on 12/12/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay due to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having breakfast when I arrived. Once they were finished eating, children continued free play activities in centers. When I went outside to monitor the playground, the children wanted to go outside too. When children came back inside, they washed hands and sat down for lunch. Lunch consisted of turkey medallion, (some chose peanut butter and jelly sandwich), rice with gravy, green beans, applesauce and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time, however some children went with one teacher to the gym before resting. Teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, some children went outside to play on the playground while others were still resting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that six (6) to ten (10) children that ride the bus. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. 10A NCAC 09 .0901(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence does not measure four (4) feet in height. GS 110-91(6); .0605((i) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff ‘s health questionnaire was not updated. .0701(a) 1035 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. All staff ‘s health questionnaire was not updated. .0701(a) 1329 Application for enrollment did not include all required information. Children’s applications do not have a space for parents to list fears or behavior characteristics. .0801(a)(1-7) 1755 Certified developmental day center staff/child ratios and group sizes were not met. On several occasions, one teacher was left alone with 9 to 11 children. .2902 (f) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not on-site for VC, PW and DD. G.S. 110-90.2(b) & (d) & .2703(e) 1791 The child care provider did not provide the required beverage(s). Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. .0901(e)(1-7) 1792 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. One teacher was drinking tea in a clear cup. .0901(i) Technical assistance was provided as follows: Item # 1329 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (6) fears or behavior characteristics that the child has; Note: Children’s applications do not have a space for parents to list fears or behavior characteristics. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters were not on-site for VC, PW and DD. Items #1034 & 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. • Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. • Health Questionnaire, A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Note: All staff ‘s emergency information and health questionnaire was not updated. Item #824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The fence does not measure four (4) feet in height. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: One teacher was drinking tea in a clear cup. Items #0501 & 1791 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Note: Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or low-fat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. Note: Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. Item #1755 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 Note: On several occasions, one teacher was left alone with 9 to 11 children. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed removing any items from under the climbers and slides in case a child falls. • We discussed that hot dogs, grapes and anything that is a choking hazard must be cut up in the cafeteria prior to entering the pre-k classroom. The classroom does not have a food prep area. • We discussed that the bolts around the sandbox needs to be hammered down. • The mulch needs to be even with the end of the ramp to prevent a tripping hazard. • The fence in the corner behind the tree needs to be repaired. • We discussed that the sign in sheet needs to be brought in from the hallway once children have arrived or remove the children’s personal emergency information from inside the clipboard. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2703 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 12 Completed Date: 2/1/2024 Age: From 3 To 5 Total Minutes: 330 Time In: 10:15 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Olivia Boudwin, lead teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Boudwin was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percentage as of January 31, 2024. This facility is an NC Pre-K and Developmental Day classroom operated by Watauga County Schools and located in Bethel Elementary School. Permit type – Five (5) Star facility issued on 6/3/22. Special Services/Restrictions – 1st shift (Daytime care), Meets enhanced space, Meets reduced ratios and Certified Developmental Day. The last annual compliance visit was conducted on 3/28/23. The last fire drill was practiced on 1/24/24. The last shelter-in-place drill was practiced on 1/30/24. The last playground inspection was documented 1/11/24. The last fire inspection was approved on 8/29/23. The last sanitation inspection was conducted on 12/12/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay due to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having breakfast when I arrived. Once they were finished eating, children continued free play activities in centers. When I went outside to monitor the playground, the children wanted to go outside too. When children came back inside, they washed hands and sat down for lunch. Lunch consisted of turkey medallion, (some chose peanut butter and jelly sandwich), rice with gravy, green beans, applesauce and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time, however some children went with one teacher to the gym before resting. Teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, some children went outside to play on the playground while others were still resting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that six (6) to ten (10) children that ride the bus. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. 10A NCAC 09 .0901(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence does not measure four (4) feet in height. GS 110-91(6); .0605((i) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff ‘s health questionnaire was not updated. .0701(a) 1035 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. All staff ‘s health questionnaire was not updated. .0701(a) 1329 Application for enrollment did not include all required information. Children’s applications do not have a space for parents to list fears or behavior characteristics. .0801(a)(1-7) 1755 Certified developmental day center staff/child ratios and group sizes were not met. On several occasions, one teacher was left alone with 9 to 11 children. .2902 (f) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not on-site for VC, PW and DD. G.S. 110-90.2(b) & (d) & .2703(e) 1791 The child care provider did not provide the required beverage(s). Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. .0901(e)(1-7) 1792 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. One teacher was drinking tea in a clear cup. .0901(i) Technical assistance was provided as follows: Item # 1329 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (6) fears or behavior characteristics that the child has; Note: Children’s applications do not have a space for parents to list fears or behavior characteristics. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters were not on-site for VC, PW and DD. Items #1034 & 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. • Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. • Health Questionnaire, A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Note: All staff ‘s emergency information and health questionnaire was not updated. Item #824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The fence does not measure four (4) feet in height. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: One teacher was drinking tea in a clear cup. Items #0501 & 1791 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Note: Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or low-fat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. Note: Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. Item #1755 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 Note: On several occasions, one teacher was left alone with 9 to 11 children. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed removing any items from under the climbers and slides in case a child falls. • We discussed that hot dogs, grapes and anything that is a choking hazard must be cut up in the cafeteria prior to entering the pre-k classroom. The classroom does not have a food prep area. • We discussed that the bolts around the sandbox needs to be hammered down. • The mulch needs to be even with the end of the ramp to prevent a tripping hazard. • The fence in the corner behind the tree needs to be repaired. • We discussed that the sign in sheet needs to be brought in from the hallway once children have arrived or remove the children’s personal emergency information from inside the clipboard. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 12 Completed Date: 2/1/2024 Age: From 3 To 5 Total Minutes: 330 Time In: 10:15 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Olivia Boudwin, lead teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Boudwin was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percentage as of January 31, 2024. This facility is an NC Pre-K and Developmental Day classroom operated by Watauga County Schools and located in Bethel Elementary School. Permit type – Five (5) Star facility issued on 6/3/22. Special Services/Restrictions – 1st shift (Daytime care), Meets enhanced space, Meets reduced ratios and Certified Developmental Day. The last annual compliance visit was conducted on 3/28/23. The last fire drill was practiced on 1/24/24. The last shelter-in-place drill was practiced on 1/30/24. The last playground inspection was documented 1/11/24. The last fire inspection was approved on 8/29/23. The last sanitation inspection was conducted on 12/12/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay due to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having breakfast when I arrived. Once they were finished eating, children continued free play activities in centers. When I went outside to monitor the playground, the children wanted to go outside too. When children came back inside, they washed hands and sat down for lunch. Lunch consisted of turkey medallion, (some chose peanut butter and jelly sandwich), rice with gravy, green beans, applesauce and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time, however some children went with one teacher to the gym before resting. Teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, some children went outside to play on the playground while others were still resting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that six (6) to ten (10) children that ride the bus. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. 10A NCAC 09 .0901(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence does not measure four (4) feet in height. GS 110-91(6); .0605((i) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff ‘s health questionnaire was not updated. .0701(a) 1035 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. All staff ‘s health questionnaire was not updated. .0701(a) 1329 Application for enrollment did not include all required information. Children’s applications do not have a space for parents to list fears or behavior characteristics. .0801(a)(1-7) 1755 Certified developmental day center staff/child ratios and group sizes were not met. On several occasions, one teacher was left alone with 9 to 11 children. .2902 (f) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not on-site for VC, PW and DD. G.S. 110-90.2(b) & (d) & .2703(e) 1791 The child care provider did not provide the required beverage(s). Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. .0901(e)(1-7) 1792 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. One teacher was drinking tea in a clear cup. .0901(i) Technical assistance was provided as follows: Item # 1329 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (6) fears or behavior characteristics that the child has; Note: Children’s applications do not have a space for parents to list fears or behavior characteristics. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters were not on-site for VC, PW and DD. Items #1034 & 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. • Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. • Health Questionnaire, A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Note: All staff ‘s emergency information and health questionnaire was not updated. Item #824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The fence does not measure four (4) feet in height. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: One teacher was drinking tea in a clear cup. Items #0501 & 1791 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Note: Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or low-fat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. Note: Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. Item #1755 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 Note: On several occasions, one teacher was left alone with 9 to 11 children. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed removing any items from under the climbers and slides in case a child falls. • We discussed that hot dogs, grapes and anything that is a choking hazard must be cut up in the cafeteria prior to entering the pre-k classroom. The classroom does not have a food prep area. • We discussed that the bolts around the sandbox needs to be hammered down. • The mulch needs to be even with the end of the ramp to prevent a tripping hazard. • The fence in the corner behind the tree needs to be repaired. • We discussed that the sign in sheet needs to be brought in from the hallway once children have arrived or remove the children’s personal emergency information from inside the clipboard. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 12 Completed Date: 2/1/2024 Age: From 3 To 5 Total Minutes: 330 Time In: 10:15 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Olivia Boudwin, lead teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Boudwin was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percentage as of January 31, 2024. This facility is an NC Pre-K and Developmental Day classroom operated by Watauga County Schools and located in Bethel Elementary School. Permit type – Five (5) Star facility issued on 6/3/22. Special Services/Restrictions – 1st shift (Daytime care), Meets enhanced space, Meets reduced ratios and Certified Developmental Day. The last annual compliance visit was conducted on 3/28/23. The last fire drill was practiced on 1/24/24. The last shelter-in-place drill was practiced on 1/30/24. The last playground inspection was documented 1/11/24. The last fire inspection was approved on 8/29/23. The last sanitation inspection was conducted on 12/12/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay due to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having breakfast when I arrived. Once they were finished eating, children continued free play activities in centers. When I went outside to monitor the playground, the children wanted to go outside too. When children came back inside, they washed hands and sat down for lunch. Lunch consisted of turkey medallion, (some chose peanut butter and jelly sandwich), rice with gravy, green beans, applesauce and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time, however some children went with one teacher to the gym before resting. Teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, some children went outside to play on the playground while others were still resting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that six (6) to ten (10) children that ride the bus. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. 10A NCAC 09 .0901(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence does not measure four (4) feet in height. GS 110-91(6); .0605((i) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff ‘s health questionnaire was not updated. .0701(a) 1035 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. All staff ‘s health questionnaire was not updated. .0701(a) 1329 Application for enrollment did not include all required information. Children’s applications do not have a space for parents to list fears or behavior characteristics. .0801(a)(1-7) 1755 Certified developmental day center staff/child ratios and group sizes were not met. On several occasions, one teacher was left alone with 9 to 11 children. .2902 (f) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not on-site for VC, PW and DD. G.S. 110-90.2(b) & (d) & .2703(e) 1791 The child care provider did not provide the required beverage(s). Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. .0901(e)(1-7) 1792 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. One teacher was drinking tea in a clear cup. .0901(i) Technical assistance was provided as follows: Item # 1329 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (6) fears or behavior characteristics that the child has; Note: Children’s applications do not have a space for parents to list fears or behavior characteristics. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters were not on-site for VC, PW and DD. Items #1034 & 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. • Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. • Health Questionnaire, A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Note: All staff ‘s emergency information and health questionnaire was not updated. Item #824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The fence does not measure four (4) feet in height. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: One teacher was drinking tea in a clear cup. Items #0501 & 1791 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Note: Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or low-fat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. Note: Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. Item #1755 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 Note: On several occasions, one teacher was left alone with 9 to 11 children. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed removing any items from under the climbers and slides in case a child falls. • We discussed that hot dogs, grapes and anything that is a choking hazard must be cut up in the cafeteria prior to entering the pre-k classroom. The classroom does not have a food prep area. • We discussed that the bolts around the sandbox needs to be hammered down. • The mulch needs to be even with the end of the ramp to prevent a tripping hazard. • The fence in the corner behind the tree needs to be repaired. • We discussed that the sign in sheet needs to be brought in from the hallway once children have arrived or remove the children’s personal emergency information from inside the clipboard. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 12 Completed Date: 2/1/2024 Age: From 3 To 5 Total Minutes: 330 Time In: 10:15 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Olivia Boudwin, lead teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Boudwin was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percentage as of January 31, 2024. This facility is an NC Pre-K and Developmental Day classroom operated by Watauga County Schools and located in Bethel Elementary School. Permit type – Five (5) Star facility issued on 6/3/22. Special Services/Restrictions – 1st shift (Daytime care), Meets enhanced space, Meets reduced ratios and Certified Developmental Day. The last annual compliance visit was conducted on 3/28/23. The last fire drill was practiced on 1/24/24. The last shelter-in-place drill was practiced on 1/30/24. The last playground inspection was documented 1/11/24. The last fire inspection was approved on 8/29/23. The last sanitation inspection was conducted on 12/12/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay due to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having breakfast when I arrived. Once they were finished eating, children continued free play activities in centers. When I went outside to monitor the playground, the children wanted to go outside too. When children came back inside, they washed hands and sat down for lunch. Lunch consisted of turkey medallion, (some chose peanut butter and jelly sandwich), rice with gravy, green beans, applesauce and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time, however some children went with one teacher to the gym before resting. Teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, some children went outside to play on the playground while others were still resting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that six (6) to ten (10) children that ride the bus. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. 10A NCAC 09 .0901(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence does not measure four (4) feet in height. GS 110-91(6); .0605((i) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff ‘s health questionnaire was not updated. .0701(a) 1035 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. All staff ‘s health questionnaire was not updated. .0701(a) 1329 Application for enrollment did not include all required information. Children’s applications do not have a space for parents to list fears or behavior characteristics. .0801(a)(1-7) 1755 Certified developmental day center staff/child ratios and group sizes were not met. On several occasions, one teacher was left alone with 9 to 11 children. .2902 (f) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not on-site for VC, PW and DD. G.S. 110-90.2(b) & (d) & .2703(e) 1791 The child care provider did not provide the required beverage(s). Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. .0901(e)(1-7) 1792 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. One teacher was drinking tea in a clear cup. .0901(i) Technical assistance was provided as follows: Item # 1329 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (6) fears or behavior characteristics that the child has; Note: Children’s applications do not have a space for parents to list fears or behavior characteristics. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters were not on-site for VC, PW and DD. Items #1034 & 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. • Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. • Health Questionnaire, A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Note: All staff ‘s emergency information and health questionnaire was not updated. Item #824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The fence does not measure four (4) feet in height. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: One teacher was drinking tea in a clear cup. Items #0501 & 1791 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Note: Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or low-fat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. Note: Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. Item #1755 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 Note: On several occasions, one teacher was left alone with 9 to 11 children. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed removing any items from under the climbers and slides in case a child falls. • We discussed that hot dogs, grapes and anything that is a choking hazard must be cut up in the cafeteria prior to entering the pre-k classroom. The classroom does not have a food prep area. • We discussed that the bolts around the sandbox needs to be hammered down. • The mulch needs to be even with the end of the ramp to prevent a tripping hazard. • The fence in the corner behind the tree needs to be repaired. • We discussed that the sign in sheet needs to be brought in from the hallway once children have arrived or remove the children’s personal emergency information from inside the clipboard. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 12 Completed Date: 2/1/2024 Age: From 3 To 5 Total Minutes: 330 Time In: 10:15 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Olivia Boudwin, lead teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Boudwin was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percentage as of January 31, 2024. This facility is an NC Pre-K and Developmental Day classroom operated by Watauga County Schools and located in Bethel Elementary School. Permit type – Five (5) Star facility issued on 6/3/22. Special Services/Restrictions – 1st shift (Daytime care), Meets enhanced space, Meets reduced ratios and Certified Developmental Day. The last annual compliance visit was conducted on 3/28/23. The last fire drill was practiced on 1/24/24. The last shelter-in-place drill was practiced on 1/30/24. The last playground inspection was documented 1/11/24. The last fire inspection was approved on 8/29/23. The last sanitation inspection was conducted on 12/12/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay due to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having breakfast when I arrived. Once they were finished eating, children continued free play activities in centers. When I went outside to monitor the playground, the children wanted to go outside too. When children came back inside, they washed hands and sat down for lunch. Lunch consisted of turkey medallion, (some chose peanut butter and jelly sandwich), rice with gravy, green beans, applesauce and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time, however some children went with one teacher to the gym before resting. Teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, some children went outside to play on the playground while others were still resting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that six (6) to ten (10) children that ride the bus. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. 10A NCAC 09 .0901(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence does not measure four (4) feet in height. GS 110-91(6); .0605((i) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff ‘s health questionnaire was not updated. .0701(a) 1035 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. All staff ‘s health questionnaire was not updated. .0701(a) 1329 Application for enrollment did not include all required information. Children’s applications do not have a space for parents to list fears or behavior characteristics. .0801(a)(1-7) 1755 Certified developmental day center staff/child ratios and group sizes were not met. On several occasions, one teacher was left alone with 9 to 11 children. .2902 (f) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not on-site for VC, PW and DD. G.S. 110-90.2(b) & (d) & .2703(e) 1791 The child care provider did not provide the required beverage(s). Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. .0901(e)(1-7) 1792 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. One teacher was drinking tea in a clear cup. .0901(i) Technical assistance was provided as follows: Item # 1329 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (6) fears or behavior characteristics that the child has; Note: Children’s applications do not have a space for parents to list fears or behavior characteristics. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters were not on-site for VC, PW and DD. Items #1034 & 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. • Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. • Health Questionnaire, A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Note: All staff ‘s emergency information and health questionnaire was not updated. Item #824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The fence does not measure four (4) feet in height. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: One teacher was drinking tea in a clear cup. Items #0501 & 1791 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Note: Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or low-fat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. Note: Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. Item #1755 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 Note: On several occasions, one teacher was left alone with 9 to 11 children. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed removing any items from under the climbers and slides in case a child falls. • We discussed that hot dogs, grapes and anything that is a choking hazard must be cut up in the cafeteria prior to entering the pre-k classroom. The classroom does not have a food prep area. • We discussed that the bolts around the sandbox needs to be hammered down. • The mulch needs to be even with the end of the ramp to prevent a tripping hazard. • The fence in the corner behind the tree needs to be repaired. • We discussed that the sign in sheet needs to be brought in from the hallway once children have arrived or remove the children’s personal emergency information from inside the clipboard. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Correction status not published

Supervision

Name of Operation: BETHEL PRESCHOOL & DEVELOPMENTAL DAY Facility ID: 95000157 Consultant: GEORGIA MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 12 Completed Date: 2/1/2024 Age: From 3 To 5 Total Minutes: 330 Time In: 10:15 AM Time Out: 03:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Georgia Lee Marshall, Child Care Consultant and also signed by Olivia Boudwin, lead teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Boudwin was available to assist me and answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to, supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96%) percentage as of January 31, 2024. This facility is an NC Pre-K and Developmental Day classroom operated by Watauga County Schools and located in Bethel Elementary School. Permit type – Five (5) Star facility issued on 6/3/22. Special Services/Restrictions – 1st shift (Daytime care), Meets enhanced space, Meets reduced ratios and Certified Developmental Day. The last annual compliance visit was conducted on 3/28/23. The last fire drill was practiced on 1/24/24. The last shelter-in-place drill was practiced on 1/30/24. The last playground inspection was documented 1/11/24. The last fire inspection was approved on 8/29/23. The last sanitation inspection was conducted on 12/12/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted but not current. The approved curriculum for four-year-old children is Creative Curriculum Teaching Strategies Gold. Upon my arrival, I checked in at the front office. When I entered the classroom, I greeted the teachers and explained the reason for today’s visit. Watauga County Schools operated on a two (2) hour delay due to snow and ice. Therefore, the schedule was altered. Children were sitting at the tables having breakfast when I arrived. Once they were finished eating, children continued free play activities in centers. When I went outside to monitor the playground, the children wanted to go outside too. When children came back inside, they washed hands and sat down for lunch. Lunch consisted of turkey medallion, (some chose peanut butter and jelly sandwich), rice with gravy, green beans, applesauce and milk. Once lunch was over, children took care of their bodies and laid down on their cots for rest time, however some children went with one teacher to the gym before resting. Teachers rubbed children’s backs to help them rest their bodies, Teachers were very responsive to the needs of the children and assisted them in making good choices. After rest time, some children went outside to play on the playground while others were still resting. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. You stated that six (6) to ten (10) children that ride the bus. The program uses public school buses. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:30 p.m. Monday through Friday. The following violations were documented during today’s visit: Violation Number Comment Rule 501 Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs. Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. 10A NCAC 09 .0901(a) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence does not measure four (4) feet in height. GS 110-91(6); .0605((i) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. All staff ‘s health questionnaire was not updated. .0701(a) 1035 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. All staff ‘s health questionnaire was not updated. .0701(a) 1329 Application for enrollment did not include all required information. Children’s applications do not have a space for parents to list fears or behavior characteristics. .0801(a)(1-7) 1755 Certified developmental day center staff/child ratios and group sizes were not met. On several occasions, one teacher was left alone with 9 to 11 children. .2902 (f) 1757 A valid qualification letter was not on file and available to review at the facility. Qualification letters were not on-site for VC, PW and DD. G.S. 110-90.2(b) & (d) & .2703(e) 1791 The child care provider did not provide the required beverage(s). Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. .0901(e)(1-7) 1792 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. One teacher was drinking tea in a clear cup. .0901(i) Technical assistance was provided as follows: Item # 1329 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (a) Each child in care shall have an individual application for enrollment completed and signed by the child's parent, as defined in 10A NCAC 09 .0102. The completed, signed application shall be on file in the center on the first day the child attends and shall include the following information: (6) fears or behavior characteristics that the child has; Note: Children’s applications do not have a space for parents to list fears or behavior characteristics. Item #1757 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers shall have a valid qualification letter prior to employment or living in the family child care home, and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Note: Qualification letters were not on-site for VC, PW and DD. Items #1034 & 1035 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. • Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. • Health Questionnaire, A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Note: All staff ‘s emergency information and health questionnaire was not updated. Item #824 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. Note: The fence does not measure four (4) feet in height. Item #1792 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Note: One teacher was drinking tea in a clear cup. Items #0501 & 1791 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (a) Meals and snacks served to children in a child care center shall comply with the Meal Patterns for Children in Child Care Programs from the United States Department of Agriculture (USDA) which are based on the recommended nutrient intake judged by the National Research Council to be adequate for maintaining good nutrition. The types of food, number and size of servings shall be appropriate for the ages and developmental levels of the children in care. The Meal Patterns for Children in Child Care Programs are incorporated by reference and include subsequent amendments. A copy of the Meal Patterns for Children in Child Care Programs is available online at https://www.fns.usda.gov/cacfp/meals-and-snacks. Note: Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk. (f) The child care provider shall serve only the following beverages: (1) breast milk, as specified in Paragraph (k) of this Rule; (2) formula; (3) water; (4) unflavored whole milk, for children ages 12-23 months; (5) unflavored skim or low-fat milk for children 24 months through five years; (6) unflavored skim milk, unflavored low-fat milk, or flavored skim milk for children six years and older; or (7) 100 percent fruit juice, limited to 6 ounces per day, for all ages. Note: Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day. Item #1755 10A NCAC 09 .2902 LICENSE (f) The center shall comply with the staff-child ratio and maximum group size as follows: MAXIMUM AGE RATIO STAFF/CHILDREN GROUP SIZE 0-12 Months 1/4 8 1 to 2 Years 1/5 10 2 Years and Older 1/6 18 Note: On several occasions, one teacher was left alone with 9 to 11 children. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by February 15, 2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: lee.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Georgia Lee Marshall P.O. Box 253 Zionville Please call me at 828-434-0236, or email lee.marshall @dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: • Today we discussed removing any items from under the climbers and slides in case a child falls. • We discussed that hot dogs, grapes and anything that is a choking hazard must be cut up in the cafeteria prior to entering the pre-k classroom. The classroom does not have a food prep area. • We discussed that the bolts around the sandbox needs to be hammered down. • The mulch needs to be even with the end of the ramp to prevent a tripping hazard. • The fence in the corner behind the tree needs to be repaired. • We discussed that the sign in sheet needs to be brought in from the hallway once children have arrived or remove the children’s personal emergency information from inside the clipboard. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email [email protected]. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at lee.marshall @dhhs.nc.gov or 828.434.0236, or Bonnie Mathis, Licensing Supervisor, at [email protected]. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Correction status not published