Mt. Bethel MC Child Development Center

10A NCAC 09 .0601 · Violation

Name of Operation: Mt. Bethel MC Child Development Center Facility ID: 02000126 Consultant: REBBECCA HAYES Operation Type: Center Case Number: 0626-010L Visit Date: 6/5/2026 Number Present: 32 Completed Date: 6/5/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. You, Natalie Martin, Director, assisted me with the visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored during today’s visit. The allegations are as follows: There are concerns regarding supervision, children’s records related to incident reports, and general safety. Children were observed during outdoor play, free choice activities, toileting and handwashing routines, lunch, and rest time. Video footage from May 7th and May 20th was not available for review. I reviewed video footage for May 28th, 2026. I observed in the classroom caring for two-year-old children, one child and one staff member arrive at the classroom at 7:40am. At 7:41am, the child was playing inside the classroom when the staff member stepped outside the door into the hallway placing their left hand in the doorway to keep it from latching. The staff member entered back in the room and proceeded to sit in a rocking chair from 7:43am until 8:23am. The staff member was observed to be engaged on their personal cell phone from 7:44am until 8:19am. The child continues to play with toys and talks to a friend that was outside on the outdoor play area. By 8:25am two additional children had arrived at the classroom. The three children present did not wash their hands upon arriving at the classroom. It was observed that children were not offered breakfast. The facility operates from 6:00am until 6:00pm. The parent handbook states that breakfast is served to children at 8:00am. The children were outside from 8:27am until 10:47am. When returning from outdoor play, there were seven children and two staff members present. I did not observe the children or staff wash their hands after outdoor play. Lunch was observed to be brought to the classroom at 10:43 and sat on the counter. Children were expected to sit at the table without an activity. Diapering occurred from 10:47am until around 11:00am. One staff member was observed to be changing diapers with their back turned to the children while the other staff member present walked into the bathroom to toilet a child. During diaper changes, a staff member was observed to change five children and check one child, totaling six children. The staff member did not wash their hands or the children’s hands after diapering. The diaper changing table was not sanitized between use. The staff member was also observed stepping away from the children while they were on the changing table to throw away diapers. At 10:49am when the staff member was throwing away a diaper, another child was opening the lid to the trash can. The staff member was observed grabbing the child’s left forearm to move the child from the trashcan. During this occurrence, the child hit another child that was coming near them. The staff member began touching the child’s hand and said, “no ma’am, we do not hit”. Around 10:50am both staff members were at the changing table, and the children were still sitting at the table without an activity. At 10:52am two children were around the bathroom door. One child was engaged with the door when they appeared to smash their finger. The staff member changing diapers turns away from the child who is now standing up on the changing table to console the child who smashed their finger. At 10:53am another child is behind the staff member who is changing diapers. The staff member proceeds to pick the child off them floor first by their left arm, then both arms, turns the child around, and gives the child a slight push saying “honey, go to the table, you are not listening. The child proceeds to climb in the rocking chair. The staff member that was in the bathroom toileting a child walks out as the child appears to almost fall off the back of the rocking chair. At 11:01am, lunch that had been available since 10:43am was served to the children. While children were eating, staff began preparing for rest time at 11:09am. On May 26th, May 27th, May 28th, June 1st, June 2nd, June 3rd, and June 4th, a bucket of mop water was observed to be sitting in the hallway throughout various times of the day. Upon arrival, I observed a bucket of mop water sitting in the hallway. I spoke with you and asked if you had any concerns regarding supervision, children’s records related to incident reports, and general safety. Regarding supervision, you stated that you feel that the facility could use more professional development on the topic along with professional development. You stated that staff are expected to maintain ratios, know how many children they have, know the needs of children, engage with children indoor and outdoors, and ensure that children are within sight and reach at all times. It was reported that the supervision policy was reviewed with staff during their initial hire, when issues arise, and a mass text is sent out to staff. I asked if the facility had a biting policy. You stated that the facility does have a policy and it is in the parent handbook. You stated that it is reviewed when it becomes habitual. You stated that children have not been dismissed from the facility for biting. You also stated that the facility has a biting log and the parents of the child who bit is informed. You stated that when a child is bitten, an incident is documented within the Brightwheel app along with a picture and an incident report is completed. Regarding children’s records related to incident reports and biting, I asked if the facility had a biting policy. You stated that the facility does have a policy and it is in the parent handbook. You stated that it is reviewed when it becomes habitual. You stated that children have not been dismissed from the facility for biting. You also stated that the facility has a biting log and the parents of the child who bit is informed. You stated that when a child is bitten, an incident is documented within the Brightwheel app along with a picture and an incident report is completed. Regarding general safety, you stated that staff clean after meals, during rest time, and at the end of the day. You stated the cook prepares the mop water and the custodian or closing staff disposes of the water daily. I asked where the mop buckets were stored between use, and you reported that they are left in the hallway. Regarding general safety on the outdoor play areas, you stated that best practice is for children to have their shoes on. You stated that staff go back and forth with putting shoes on and children taking them off and some staff are more persistent than others. When it comes to monitoring the outdoor play areas, you stated that the areas are monitored monthly and documented on the outdoor playground inspections and daily before each use. Staff are required to check for hot surfaces, hazardous, and broken items. I interviewed a selection of staff members caring for children two years of age. Staff were asked if they had any concerns regarding supervision, children’s records related to incident reports, and general safety. Regarding supervision, staff stated no but also “what does that mean”. I explained what supervision means. It was reported that they are to stay in staff/child ratios, maintaining safety, mingle, and play with children. It was reported that when biting occurs the director may transition the child to the next age group. Staff stated that they do have children who bite when others take things from the child. Regarding children’s records related to incident reports, staff stated that they complete an incident report and document it in Brightwheel with a photo. When issues occur, it was reported that staff assess the situation, provide first aid, and find out what happened if they didn’t see the incident. It was reported that staff were not aware if the facility has a biting policy that is implemented. Regarding general safety, it was reported that staff clean their classroom after meals, during nap, and at the end of the day. It was reported that the rooms are also vacuumed and toys are sanitized. The facility does have a janitor that cleans the facility in the afternoons. It was reported that mop water is stored in the hallway between use. When discussing outdoor play, it was reported that it is challenging to keep children’s shoes on. Staff stated that all children’s shoes are on prior to going outside. Children take their shoes off and staff put them back on a number of times. It was reported that the outdoor play areas are checked prior to any class using them. I was to confirm the allegation based on information received from observations, video footage, and interviewed staff today’s visit. Therefore, the allegation regarding supervision was substantiated. I was unable to confirm the allegation based on information received from observations, program records reviewed, and interviewed staff today’s visit. Therefore, the allegation regarding children’s records related to incident reports was unsubstantiated. I was to confirm the allegation based on information received from observations, video footage, and interviewed staff today’s visit. Therefore, the allegation regarding general safety was substantiated. Due to the allegation of supervision being substantiated, an Administrative Action may be issued to the facility. Based on the information provided during today’s visit, thirty-two (32) children ages birth to five were present during today’s visit. Seven (7) additional violations, unrelated to the above allegations, were observed during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On 5/28/26, video footage of space 3 showed a staff member stepping into the hallway while one child two years of age was inside of the classroom alone. The same staff member was observed on their cell phone from 7:43am until 8:23am with one child two years of age present in the classroom with no interaction with the child. The video later showed two staff members in space 3 conducting diapering and toileting routines at the same time while positioned in a manner that kept them from visually supervising children properly. On 6/5/26, two occurrences of biting took place in space 3 while both teachers were completing routine tasks at the same time and one teacher had their back turned to the children. .1801(a)(1-5) 316 Children under one year of age were not kept separate from children two years and older. Children under one year of age were on the playground with children two years of age. 10A NCAC 09 .0713(a)(5) 513 Children were not provided a meal or snack a minimum of every four hours. On May 28, 2026, video footage showed children were not offered breakfast in space 3. 0.0903 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space 3, children did not wash their hands upon arrival, after outdoor play, prior to lunch, and after diapering. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. In space 3, staff did not wash their hands upon arrival, after outdoor play, prior to lunch, and after diapering. 15A NCAC 18A .2803(a) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. In space 3, the diaper changing table was not cleaned after each use. 15A NCAC 18A .2819(c) 807 A safe indoor and outdoor environment was not provided for the children. A bucket of mop water was stored in the hallway on May 26th, May 27th, May 28th, June 1st, June 2nd, June 3rd, June 4th, and June 5th. 10A NCAC 09 .0601(a) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. In space 3, a child was grabbed by the forearm and a child was picked up off floor first by their left arm, then both arms, turns the child around, and given a slight push. .1803(a)(1) 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. Upon arrival, one staff member had a Bojangles cup during outdoor play. In space 3, a staff member consumed Bojangles during rest time, however one child was still awake moving about the room. .0901(i) Technical Assistance was provided on the following: • It is recommended that the director revise the facility’s supervision policy and review it with all staff in depth. The supervision policy should be reviewed with new hires and when issues or changes occur. • It is recommended that the director reach out to the Alexander County Partnership for Children to inquire about a series of technical assistance visits that focus on supervision, classroom engagement, classroom set up, activity plans, and transitions. • It is recommended that the director also consult with the Alexander County Partnership for Children for opportunities to work with the Healthy Social Behavior Specialist to implement age-appropriate activities and coaching. • It is recommended that the director reach out to Rachel Lentz, Child Care Health Consultant at rlentz@unc.edu or by phone at 828-544-1532 for training opportunities regarding proper handwashing and diapering procedures. • It is recommended that the director hold a staff meeting with all staff members to review the handwashing procedures for staff and children along with the proper techniques to clean and sanitize the diaper changing table between each use. • It is recommended that while one staff member is performing duties such as cleaning, toileting/diapering, preparing for lunch, etc. the other staff present should be readily available to render assistance and/or engaging with children. • It is recommended that modeling observations be conducted with staff. This will allow the director to address strengths and weaknesses within the indoor and outdoor areas along with providing direct feedback to staff. • It is recommended that staff move about the indoor and outdoor spaces engaging with children in care. This will allow staff to know the location of all children and be aware of any situations that may occur. • It is recommended that mop buckets for cleaning be stored in the storage rooms when they are not in use. Staff are permitted to clean their classrooms during rest time, but the mop buckets should be returned to their designated location after each use. • It is recommended that when staff monitor the outdoor play spaces prior to use that they are also checking the equipment to ensure that it isn’t too hot for children to use or touch. • It is recommended that movable play items be stored under the shaded areas while not in use and brought back to the mulch area when the staff member checks the outdoor play areas. This can prevent the items from getting too hot and may cause children’s hands, feet, or arms to get burned. • It is recommended that staff encourage children to keep their shoes on at all times for their safety. Staff can also discuss with parents the importance of children keeping their shoes on and recommending that children wear closed-toed shoes that are not easy to take off. • It is recommended that when staff are consuming drinks, they pour the liquid into an undisclosed cup with a lid and labeled with the staff member’s name. Outside foods that do not meet nutritional guidelines should be consumed in a location where children are not cared for. • It is recommended that infants are provided with an outdoor area with items that are age appropriate. Infants are not permitted to be with children two years of age and older. • It is recommended that children are offered breakfast upon arriving at the facility. Children should be provided with a meal or snack a minimum of every four hours. • It is recommended that the director monitor staff by classroom observations or by monitoring the camera system to ensure that child care rules are being maintained. • It is recommended that the director review the discipline policy with staff quarterly and make revisions as needed. • It is recommended that techniques be implemented on handling children in an appropriate nurturing manner. 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. On or before June 19, 2026, 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 considered 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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 .0713 · Violation

Name of Operation: Mt. Bethel MC Child Development Center Facility ID: 02000126 Consultant: REBBECCA HAYES Operation Type: Center Case Number: 0626-010L Visit Date: 6/5/2026 Number Present: 32 Completed Date: 6/5/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. You, Natalie Martin, Director, assisted me with the visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored during today’s visit. The allegations are as follows: There are concerns regarding supervision, children’s records related to incident reports, and general safety. Children were observed during outdoor play, free choice activities, toileting and handwashing routines, lunch, and rest time. Video footage from May 7th and May 20th was not available for review. I reviewed video footage for May 28th, 2026. I observed in the classroom caring for two-year-old children, one child and one staff member arrive at the classroom at 7:40am. At 7:41am, the child was playing inside the classroom when the staff member stepped outside the door into the hallway placing their left hand in the doorway to keep it from latching. The staff member entered back in the room and proceeded to sit in a rocking chair from 7:43am until 8:23am. The staff member was observed to be engaged on their personal cell phone from 7:44am until 8:19am. The child continues to play with toys and talks to a friend that was outside on the outdoor play area. By 8:25am two additional children had arrived at the classroom. The three children present did not wash their hands upon arriving at the classroom. It was observed that children were not offered breakfast. The facility operates from 6:00am until 6:00pm. The parent handbook states that breakfast is served to children at 8:00am. The children were outside from 8:27am until 10:47am. When returning from outdoor play, there were seven children and two staff members present. I did not observe the children or staff wash their hands after outdoor play. Lunch was observed to be brought to the classroom at 10:43 and sat on the counter. Children were expected to sit at the table without an activity. Diapering occurred from 10:47am until around 11:00am. One staff member was observed to be changing diapers with their back turned to the children while the other staff member present walked into the bathroom to toilet a child. During diaper changes, a staff member was observed to change five children and check one child, totaling six children. The staff member did not wash their hands or the children’s hands after diapering. The diaper changing table was not sanitized between use. The staff member was also observed stepping away from the children while they were on the changing table to throw away diapers. At 10:49am when the staff member was throwing away a diaper, another child was opening the lid to the trash can. The staff member was observed grabbing the child’s left forearm to move the child from the trashcan. During this occurrence, the child hit another child that was coming near them. The staff member began touching the child’s hand and said, “no ma’am, we do not hit”. Around 10:50am both staff members were at the changing table, and the children were still sitting at the table without an activity. At 10:52am two children were around the bathroom door. One child was engaged with the door when they appeared to smash their finger. The staff member changing diapers turns away from the child who is now standing up on the changing table to console the child who smashed their finger. At 10:53am another child is behind the staff member who is changing diapers. The staff member proceeds to pick the child off them floor first by their left arm, then both arms, turns the child around, and gives the child a slight push saying “honey, go to the table, you are not listening. The child proceeds to climb in the rocking chair. The staff member that was in the bathroom toileting a child walks out as the child appears to almost fall off the back of the rocking chair. At 11:01am, lunch that had been available since 10:43am was served to the children. While children were eating, staff began preparing for rest time at 11:09am. On May 26th, May 27th, May 28th, June 1st, June 2nd, June 3rd, and June 4th, a bucket of mop water was observed to be sitting in the hallway throughout various times of the day. Upon arrival, I observed a bucket of mop water sitting in the hallway. I spoke with you and asked if you had any concerns regarding supervision, children’s records related to incident reports, and general safety. Regarding supervision, you stated that you feel that the facility could use more professional development on the topic along with professional development. You stated that staff are expected to maintain ratios, know how many children they have, know the needs of children, engage with children indoor and outdoors, and ensure that children are within sight and reach at all times. It was reported that the supervision policy was reviewed with staff during their initial hire, when issues arise, and a mass text is sent out to staff. I asked if the facility had a biting policy. You stated that the facility does have a policy and it is in the parent handbook. You stated that it is reviewed when it becomes habitual. You stated that children have not been dismissed from the facility for biting. You also stated that the facility has a biting log and the parents of the child who bit is informed. You stated that when a child is bitten, an incident is documented within the Brightwheel app along with a picture and an incident report is completed. Regarding children’s records related to incident reports and biting, I asked if the facility had a biting policy. You stated that the facility does have a policy and it is in the parent handbook. You stated that it is reviewed when it becomes habitual. You stated that children have not been dismissed from the facility for biting. You also stated that the facility has a biting log and the parents of the child who bit is informed. You stated that when a child is bitten, an incident is documented within the Brightwheel app along with a picture and an incident report is completed. Regarding general safety, you stated that staff clean after meals, during rest time, and at the end of the day. You stated the cook prepares the mop water and the custodian or closing staff disposes of the water daily. I asked where the mop buckets were stored between use, and you reported that they are left in the hallway. Regarding general safety on the outdoor play areas, you stated that best practice is for children to have their shoes on. You stated that staff go back and forth with putting shoes on and children taking them off and some staff are more persistent than others. When it comes to monitoring the outdoor play areas, you stated that the areas are monitored monthly and documented on the outdoor playground inspections and daily before each use. Staff are required to check for hot surfaces, hazardous, and broken items. I interviewed a selection of staff members caring for children two years of age. Staff were asked if they had any concerns regarding supervision, children’s records related to incident reports, and general safety. Regarding supervision, staff stated no but also “what does that mean”. I explained what supervision means. It was reported that they are to stay in staff/child ratios, maintaining safety, mingle, and play with children. It was reported that when biting occurs the director may transition the child to the next age group. Staff stated that they do have children who bite when others take things from the child. Regarding children’s records related to incident reports, staff stated that they complete an incident report and document it in Brightwheel with a photo. When issues occur, it was reported that staff assess the situation, provide first aid, and find out what happened if they didn’t see the incident. It was reported that staff were not aware if the facility has a biting policy that is implemented. Regarding general safety, it was reported that staff clean their classroom after meals, during nap, and at the end of the day. It was reported that the rooms are also vacuumed and toys are sanitized. The facility does have a janitor that cleans the facility in the afternoons. It was reported that mop water is stored in the hallway between use. When discussing outdoor play, it was reported that it is challenging to keep children’s shoes on. Staff stated that all children’s shoes are on prior to going outside. Children take their shoes off and staff put them back on a number of times. It was reported that the outdoor play areas are checked prior to any class using them. I was to confirm the allegation based on information received from observations, video footage, and interviewed staff today’s visit. Therefore, the allegation regarding supervision was substantiated. I was unable to confirm the allegation based on information received from observations, program records reviewed, and interviewed staff today’s visit. Therefore, the allegation regarding children’s records related to incident reports was unsubstantiated. I was to confirm the allegation based on information received from observations, video footage, and interviewed staff today’s visit. Therefore, the allegation regarding general safety was substantiated. Due to the allegation of supervision being substantiated, an Administrative Action may be issued to the facility. Based on the information provided during today’s visit, thirty-two (32) children ages birth to five were present during today’s visit. Seven (7) additional violations, unrelated to the above allegations, were observed during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On 5/28/26, video footage of space 3 showed a staff member stepping into the hallway while one child two years of age was inside of the classroom alone. The same staff member was observed on their cell phone from 7:43am until 8:23am with one child two years of age present in the classroom with no interaction with the child. The video later showed two staff members in space 3 conducting diapering and toileting routines at the same time while positioned in a manner that kept them from visually supervising children properly. On 6/5/26, two occurrences of biting took place in space 3 while both teachers were completing routine tasks at the same time and one teacher had their back turned to the children. .1801(a)(1-5) 316 Children under one year of age were not kept separate from children two years and older. Children under one year of age were on the playground with children two years of age. 10A NCAC 09 .0713(a)(5) 513 Children were not provided a meal or snack a minimum of every four hours. On May 28, 2026, video footage showed children were not offered breakfast in space 3. 0.0903 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space 3, children did not wash their hands upon arrival, after outdoor play, prior to lunch, and after diapering. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. In space 3, staff did not wash their hands upon arrival, after outdoor play, prior to lunch, and after diapering. 15A NCAC 18A .2803(a) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. In space 3, the diaper changing table was not cleaned after each use. 15A NCAC 18A .2819(c) 807 A safe indoor and outdoor environment was not provided for the children. A bucket of mop water was stored in the hallway on May 26th, May 27th, May 28th, June 1st, June 2nd, June 3rd, June 4th, and June 5th. 10A NCAC 09 .0601(a) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. In space 3, a child was grabbed by the forearm and a child was picked up off floor first by their left arm, then both arms, turns the child around, and given a slight push. .1803(a)(1) 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. Upon arrival, one staff member had a Bojangles cup during outdoor play. In space 3, a staff member consumed Bojangles during rest time, however one child was still awake moving about the room. .0901(i) Technical Assistance was provided on the following: • It is recommended that the director revise the facility’s supervision policy and review it with all staff in depth. The supervision policy should be reviewed with new hires and when issues or changes occur. • It is recommended that the director reach out to the Alexander County Partnership for Children to inquire about a series of technical assistance visits that focus on supervision, classroom engagement, classroom set up, activity plans, and transitions. • It is recommended that the director also consult with the Alexander County Partnership for Children for opportunities to work with the Healthy Social Behavior Specialist to implement age-appropriate activities and coaching. • It is recommended that the director reach out to Rachel Lentz, Child Care Health Consultant at rlentz@unc.edu or by phone at 828-544-1532 for training opportunities regarding proper handwashing and diapering procedures. • It is recommended that the director hold a staff meeting with all staff members to review the handwashing procedures for staff and children along with the proper techniques to clean and sanitize the diaper changing table between each use. • It is recommended that while one staff member is performing duties such as cleaning, toileting/diapering, preparing for lunch, etc. the other staff present should be readily available to render assistance and/or engaging with children. • It is recommended that modeling observations be conducted with staff. This will allow the director to address strengths and weaknesses within the indoor and outdoor areas along with providing direct feedback to staff. • It is recommended that staff move about the indoor and outdoor spaces engaging with children in care. This will allow staff to know the location of all children and be aware of any situations that may occur. • It is recommended that mop buckets for cleaning be stored in the storage rooms when they are not in use. Staff are permitted to clean their classrooms during rest time, but the mop buckets should be returned to their designated location after each use. • It is recommended that when staff monitor the outdoor play spaces prior to use that they are also checking the equipment to ensure that it isn’t too hot for children to use or touch. • It is recommended that movable play items be stored under the shaded areas while not in use and brought back to the mulch area when the staff member checks the outdoor play areas. This can prevent the items from getting too hot and may cause children’s hands, feet, or arms to get burned. • It is recommended that staff encourage children to keep their shoes on at all times for their safety. Staff can also discuss with parents the importance of children keeping their shoes on and recommending that children wear closed-toed shoes that are not easy to take off. • It is recommended that when staff are consuming drinks, they pour the liquid into an undisclosed cup with a lid and labeled with the staff member’s name. Outside foods that do not meet nutritional guidelines should be consumed in a location where children are not cared for. • It is recommended that infants are provided with an outdoor area with items that are age appropriate. Infants are not permitted to be with children two years of age and older. • It is recommended that children are offered breakfast upon arriving at the facility. Children should be provided with a meal or snack a minimum of every four hours. • It is recommended that the director monitor staff by classroom observations or by monitoring the camera system to ensure that child care rules are being maintained. • It is recommended that the director review the discipline policy with staff quarterly and make revisions as needed. • It is recommended that techniques be implemented on handling children in an appropriate nurturing manner. 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. On or before June 19, 2026, 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 considered 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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 · Violation

Name of Operation: Mt. Bethel MC Child Development Center Facility ID: 02000126 Consultant: REBBECCA HAYES Operation Type: Center Case Number: 0626-010L Visit Date: 6/5/2026 Number Present: 32 Completed Date: 6/5/2026 Age: From 0 To 5 Total Minutes: 300 Time In: 10:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to obtain information regarding alleged violations of child care requirements. You, Natalie Martin, Director, assisted me with the visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored during today’s visit. The allegations are as follows: There are concerns regarding supervision, children’s records related to incident reports, and general safety. Children were observed during outdoor play, free choice activities, toileting and handwashing routines, lunch, and rest time. Video footage from May 7th and May 20th was not available for review. I reviewed video footage for May 28th, 2026. I observed in the classroom caring for two-year-old children, one child and one staff member arrive at the classroom at 7:40am. At 7:41am, the child was playing inside the classroom when the staff member stepped outside the door into the hallway placing their left hand in the doorway to keep it from latching. The staff member entered back in the room and proceeded to sit in a rocking chair from 7:43am until 8:23am. The staff member was observed to be engaged on their personal cell phone from 7:44am until 8:19am. The child continues to play with toys and talks to a friend that was outside on the outdoor play area. By 8:25am two additional children had arrived at the classroom. The three children present did not wash their hands upon arriving at the classroom. It was observed that children were not offered breakfast. The facility operates from 6:00am until 6:00pm. The parent handbook states that breakfast is served to children at 8:00am. The children were outside from 8:27am until 10:47am. When returning from outdoor play, there were seven children and two staff members present. I did not observe the children or staff wash their hands after outdoor play. Lunch was observed to be brought to the classroom at 10:43 and sat on the counter. Children were expected to sit at the table without an activity. Diapering occurred from 10:47am until around 11:00am. One staff member was observed to be changing diapers with their back turned to the children while the other staff member present walked into the bathroom to toilet a child. During diaper changes, a staff member was observed to change five children and check one child, totaling six children. The staff member did not wash their hands or the children’s hands after diapering. The diaper changing table was not sanitized between use. The staff member was also observed stepping away from the children while they were on the changing table to throw away diapers. At 10:49am when the staff member was throwing away a diaper, another child was opening the lid to the trash can. The staff member was observed grabbing the child’s left forearm to move the child from the trashcan. During this occurrence, the child hit another child that was coming near them. The staff member began touching the child’s hand and said, “no ma’am, we do not hit”. Around 10:50am both staff members were at the changing table, and the children were still sitting at the table without an activity. At 10:52am two children were around the bathroom door. One child was engaged with the door when they appeared to smash their finger. The staff member changing diapers turns away from the child who is now standing up on the changing table to console the child who smashed their finger. At 10:53am another child is behind the staff member who is changing diapers. The staff member proceeds to pick the child off them floor first by their left arm, then both arms, turns the child around, and gives the child a slight push saying “honey, go to the table, you are not listening. The child proceeds to climb in the rocking chair. The staff member that was in the bathroom toileting a child walks out as the child appears to almost fall off the back of the rocking chair. At 11:01am, lunch that had been available since 10:43am was served to the children. While children were eating, staff began preparing for rest time at 11:09am. On May 26th, May 27th, May 28th, June 1st, June 2nd, June 3rd, and June 4th, a bucket of mop water was observed to be sitting in the hallway throughout various times of the day. Upon arrival, I observed a bucket of mop water sitting in the hallway. I spoke with you and asked if you had any concerns regarding supervision, children’s records related to incident reports, and general safety. Regarding supervision, you stated that you feel that the facility could use more professional development on the topic along with professional development. You stated that staff are expected to maintain ratios, know how many children they have, know the needs of children, engage with children indoor and outdoors, and ensure that children are within sight and reach at all times. It was reported that the supervision policy was reviewed with staff during their initial hire, when issues arise, and a mass text is sent out to staff. I asked if the facility had a biting policy. You stated that the facility does have a policy and it is in the parent handbook. You stated that it is reviewed when it becomes habitual. You stated that children have not been dismissed from the facility for biting. You also stated that the facility has a biting log and the parents of the child who bit is informed. You stated that when a child is bitten, an incident is documented within the Brightwheel app along with a picture and an incident report is completed. Regarding children’s records related to incident reports and biting, I asked if the facility had a biting policy. You stated that the facility does have a policy and it is in the parent handbook. You stated that it is reviewed when it becomes habitual. You stated that children have not been dismissed from the facility for biting. You also stated that the facility has a biting log and the parents of the child who bit is informed. You stated that when a child is bitten, an incident is documented within the Brightwheel app along with a picture and an incident report is completed. Regarding general safety, you stated that staff clean after meals, during rest time, and at the end of the day. You stated the cook prepares the mop water and the custodian or closing staff disposes of the water daily. I asked where the mop buckets were stored between use, and you reported that they are left in the hallway. Regarding general safety on the outdoor play areas, you stated that best practice is for children to have their shoes on. You stated that staff go back and forth with putting shoes on and children taking them off and some staff are more persistent than others. When it comes to monitoring the outdoor play areas, you stated that the areas are monitored monthly and documented on the outdoor playground inspections and daily before each use. Staff are required to check for hot surfaces, hazardous, and broken items. I interviewed a selection of staff members caring for children two years of age. Staff were asked if they had any concerns regarding supervision, children’s records related to incident reports, and general safety. Regarding supervision, staff stated no but also “what does that mean”. I explained what supervision means. It was reported that they are to stay in staff/child ratios, maintaining safety, mingle, and play with children. It was reported that when biting occurs the director may transition the child to the next age group. Staff stated that they do have children who bite when others take things from the child. Regarding children’s records related to incident reports, staff stated that they complete an incident report and document it in Brightwheel with a photo. When issues occur, it was reported that staff assess the situation, provide first aid, and find out what happened if they didn’t see the incident. It was reported that staff were not aware if the facility has a biting policy that is implemented. Regarding general safety, it was reported that staff clean their classroom after meals, during nap, and at the end of the day. It was reported that the rooms are also vacuumed and toys are sanitized. The facility does have a janitor that cleans the facility in the afternoons. It was reported that mop water is stored in the hallway between use. When discussing outdoor play, it was reported that it is challenging to keep children’s shoes on. Staff stated that all children’s shoes are on prior to going outside. Children take their shoes off and staff put them back on a number of times. It was reported that the outdoor play areas are checked prior to any class using them. I was to confirm the allegation based on information received from observations, video footage, and interviewed staff today’s visit. Therefore, the allegation regarding supervision was substantiated. I was unable to confirm the allegation based on information received from observations, program records reviewed, and interviewed staff today’s visit. Therefore, the allegation regarding children’s records related to incident reports was unsubstantiated. I was to confirm the allegation based on information received from observations, video footage, and interviewed staff today’s visit. Therefore, the allegation regarding general safety was substantiated. Due to the allegation of supervision being substantiated, an Administrative Action may be issued to the facility. Based on the information provided during today’s visit, thirty-two (32) children ages birth to five were present during today’s visit. Seven (7) additional violations, unrelated to the above allegations, were observed during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On 5/28/26, video footage of space 3 showed a staff member stepping into the hallway while one child two years of age was inside of the classroom alone. The same staff member was observed on their cell phone from 7:43am until 8:23am with one child two years of age present in the classroom with no interaction with the child. The video later showed two staff members in space 3 conducting diapering and toileting routines at the same time while positioned in a manner that kept them from visually supervising children properly. On 6/5/26, two occurrences of biting took place in space 3 while both teachers were completing routine tasks at the same time and one teacher had their back turned to the children. .1801(a)(1-5) 316 Children under one year of age were not kept separate from children two years and older. Children under one year of age were on the playground with children two years of age. 10A NCAC 09 .0713(a)(5) 513 Children were not provided a meal or snack a minimum of every four hours. On May 28, 2026, video footage showed children were not offered breakfast in space 3. 0.0903 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. In space 3, children did not wash their hands upon arrival, after outdoor play, prior to lunch, and after diapering. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. In space 3, staff did not wash their hands upon arrival, after outdoor play, prior to lunch, and after diapering. 15A NCAC 18A .2803(a) 619 Diaper changing surfaces were not cleaned with a detergent solution and disinfected after each use. In space 3, the diaper changing table was not cleaned after each use. 15A NCAC 18A .2819(c) 807 A safe indoor and outdoor environment was not provided for the children. A bucket of mop water was stored in the hallway on May 26th, May 27th, May 28th, June 1st, June 2nd, June 3rd, June 4th, and June 5th. 10A NCAC 09 .0601(a) 904 A child was handled in a rough way, including shaking, pushing, shoving, pinching, slapping, biting, kicking, or spanking. In space 3, a child was grabbed by the forearm and a child was picked up off floor first by their left arm, then both arms, turns the child around, and given a slight push. .1803(a)(1) 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. Upon arrival, one staff member had a Bojangles cup during outdoor play. In space 3, a staff member consumed Bojangles during rest time, however one child was still awake moving about the room. .0901(i) Technical Assistance was provided on the following: • It is recommended that the director revise the facility’s supervision policy and review it with all staff in depth. The supervision policy should be reviewed with new hires and when issues or changes occur. • It is recommended that the director reach out to the Alexander County Partnership for Children to inquire about a series of technical assistance visits that focus on supervision, classroom engagement, classroom set up, activity plans, and transitions. • It is recommended that the director also consult with the Alexander County Partnership for Children for opportunities to work with the Healthy Social Behavior Specialist to implement age-appropriate activities and coaching. • It is recommended that the director reach out to Rachel Lentz, Child Care Health Consultant at rlentz@unc.edu or by phone at 828-544-1532 for training opportunities regarding proper handwashing and diapering procedures. • It is recommended that the director hold a staff meeting with all staff members to review the handwashing procedures for staff and children along with the proper techniques to clean and sanitize the diaper changing table between each use. • It is recommended that while one staff member is performing duties such as cleaning, toileting/diapering, preparing for lunch, etc. the other staff present should be readily available to render assistance and/or engaging with children. • It is recommended that modeling observations be conducted with staff. This will allow the director to address strengths and weaknesses within the indoor and outdoor areas along with providing direct feedback to staff. • It is recommended that staff move about the indoor and outdoor spaces engaging with children in care. This will allow staff to know the location of all children and be aware of any situations that may occur. • It is recommended that mop buckets for cleaning be stored in the storage rooms when they are not in use. Staff are permitted to clean their classrooms during rest time, but the mop buckets should be returned to their designated location after each use. • It is recommended that when staff monitor the outdoor play spaces prior to use that they are also checking the equipment to ensure that it isn’t too hot for children to use or touch. • It is recommended that movable play items be stored under the shaded areas while not in use and brought back to the mulch area when the staff member checks the outdoor play areas. This can prevent the items from getting too hot and may cause children’s hands, feet, or arms to get burned. • It is recommended that staff encourage children to keep their shoes on at all times for their safety. Staff can also discuss with parents the importance of children keeping their shoes on and recommending that children wear closed-toed shoes that are not easy to take off. • It is recommended that when staff are consuming drinks, they pour the liquid into an undisclosed cup with a lid and labeled with the staff member’s name. Outside foods that do not meet nutritional guidelines should be consumed in a location where children are not cared for. • It is recommended that infants are provided with an outdoor area with items that are age appropriate. Infants are not permitted to be with children two years of age and older. • It is recommended that children are offered breakfast upon arriving at the facility. Children should be provided with a meal or snack a minimum of every four hours. • It is recommended that the director monitor staff by classroom observations or by monitoring the camera system to ensure that child care rules are being maintained. • It is recommended that the director review the discipline policy with staff quarterly and make revisions as needed. • It is recommended that techniques be implemented on handling children in an appropriate nurturing manner. 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. On or before June 19, 2026, 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 considered 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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 · Violation

Name of Operation: Mt. Bethel MC Child Development Center Facility ID: 02000126 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 2/24/2026 Number Present: 29 Completed Date: 2/24/2026 Age: From 0 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: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during a Routine Unannounced Visit. You, Natalie Martin, Director, assisted me with today’s visit. The last annual compliance visit was conducted on October 21, 2025. The last sanitation inspection was completed on December 8, 2025, with a “Superior” classification. The last fire inspection was conducted September 26, 2025, and your facility was approved for daytime care only. The facility's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the facility was completed. Children were observed engaging in free choice activities, toileting and handwashing routines, lunch, and rest time. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on January 30, 2026. Emergency drills are being completed every three months as required. A lockdown was completed on February 17, 2026. Your playground meets child care safety standards. The last outdoor playground inspection was completed on January 30, 2026. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments and their permission to administer forms were monitored during today’s visit. Staff files were monitored for a current Criminal Background qualification letter, current First Aid and CPR training, ITS-SIDS, and special training during today’s visit. The facility does not provide transportation. QRIS Information: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization . You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. The following steps are how you can begin preparing for the Rated License process: Next Steps by Pathway If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant no later than July 1, 2026. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant no later than July 1, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant no later than July 1, 2026. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Ensure all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. The following violation was documented today: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, a topical ointment expired in 2025 and the permission to administer form for the topical ointment expired 11/2025. .0803(12) Technical Assistance was provided on the following: 1. We discussed putting staff checking their topical ointments and permission to administer forms monthly to ensure that the ointments and/or the permission forms remain in compliance. The violation was corrected during today’s visit by the director removing the topical ointment and permission slip from the classroom. Consultation was provided on the following: 1. WORKS STATUS LETTER: Child Care Rule .0703(c) Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (2) a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; 2. We discussed the possibility of the facility transitioning to a Notice of Compliance. I have sent you an email with information for the facility to become a Notice of Compliance. Please notify me by April 30, 2026, of the facilities decision. DCDEE WEBSITE RESOURCES: -QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-ProfessionalDevelopment/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New 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. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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 .0514 · Violation

Name of Operation: Mt. Bethel MC Child Development Center Facility ID: 02000126 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 10/21/2025 Number Present: 24 Completed Date: 10/21/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:00 AM Time Out: 04:45 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 your program for compliance with applicable child care requirements during a Annual Compliance Visit. You, Natalie Martin, Director, assisted me with today’s visit. The last annual compliance visit was conducted on November 12, 2024. The program’s compliance history was ninety-five percent prior to today’s visit. The last sanitation inspection was completed on June 10, 2025, with a superior classification. The last fire inspection was completed on September 26, 2025. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in outdoor play, free choice activities, toileting and handwashing routines, diapering procedures, lunch, and rest time. Infants were observed receiving care based on their individual needs. The Emergency Drill Log was monitored for completed fire, lock down, and shelter-in-place drills. Your outdoor play area meets child care safety standards. The last documented outdoor inspection was completed on September 29, 2025. Materials, toys, and equipment throughout the facility were of sufficient quantity, developmentally appropriate, and in good repair. All medications and their permission to administer forms were monitored during today’s visit. A selection of eight new staff and three existing staff files were monitored. A selection of three children’s files were monitored during today’s visit. The facility does not provide transportation. The facility has completed lead water, lead paint, and asbestos testing with Clean Water for Carolina Kids. The facility has not completed the provider portal roster within the ABCMS system. The following violations were documented today: Violation Number Comment Rule 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The facility did not have Safe pick-up and delivery procedures posted in a prominent location. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The facility has not documented any monthly fire drills on the emergency drill log. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. In space 1, one child's prescription medication did not have a permission to administer form on file for review. In space 4, one child's topical ointment did not have a permission to administer form on file for review. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 3, a topical ointment expired 5/2024. .0803(12) 853 Incident logs were not completed and maintained as required. Incident logs were not maintained as incidents occurred at the facility. Incident reports were not filed in children's individual files. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playground inspections were not completed for May, June, July, and August of 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been updated when changes occur and reviewed with staff annually. 10A NCAC 09 .0802(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. Staff members hired on 7/15/25, 8/21/25 did not complete an emergency information for on or before the first day of work. Staff members hired on 9/17/19, 3/9/16, and 8/13/24 did not update their emergency information annually. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff hired on 7/14/25, 8/21/25, 9/15/25, 6/30/25, 7/15/25, and 5/12/25 did not have documentation of completing at least 16 hours of orientation within the first 6 weeks of hire. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 7/14/25 did not complete First Aid within 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 7/14/25 did not complete CPR within 90 days of hire. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff members hired on 9/17/19 and 3/9/16 did not complete the required number of on-going training hour annually. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff members hired on 4/27/15, 9/17/19, 3/9/16, and 8/13/24 did not have annual staff evaluations or staff development plans available for review. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff members hired on 7/14/25, 8/21/25, 9/15/25, 6/30/25, 7/15/25, and 5/12/25 did not have documentation of receiving and reviewing the facility's personnel and operational policies. 10A NCAC 09 .0514(g) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The provider roster within ABCMS is incomplete. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The emergency drill log did not document any drills in the form of a shelter-in-place or lockdown being conducted. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff hired on 7/14/25, 6/10/25, 6/30/25, 7/15/25, and 5/12/25 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) Technical Assistance was provided on the following: 1. ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit (CBC) at (919) 814-6401 and someone will assist you. We discussed that there is a Powerform within the Moodle training that will need to be signed electronically. Once the training is completed, a provider code will be sent to you within 24-48 hours. If you do not receive a code, please contact the CBC Unit. Staff will need to create an application within their ABCMS portal using the provider code. Once staff has connected their application to the facility, you will login using the facility’s business NCID and “hire” each staff member using their current qualification letter date as the “hire” date. 2. We discussed visiting the DCDEE website and reviewing the safe arrival and departure procedures sample. It was recommended that you use the sample to create safe and arrival and departure guidelines for parents to follow. This policy should be posted in a prominent location in the facility for parents to reference. 3. We discussed creating a reminder on a calendar or your phone as a reminder to complete and document fire drills monthly. A reminder can also be created to complete and document emergency drills every three months. It is recommended that these drills be conducted on various days and times of the day. It was suggested to keep the emergency drill log form visible in the director’s office as a reminder to document drills as they occur. You stated that you have conducted fire drills monthly and have contacted the alarm company each time to put the fire system in "test" mode. 4. We discussed creating a document that has children’s medication expiration dates and permission to administer expiration dates. This could serve as a quick reference for staff to identify when items will soon be expiring. Medications and topical ointments should be returned to the parent within 72 hours or discarded. The topical ointment in space 3 was removed from the classroom during today's visit. 5. We discussed creating a reminder on a calendar or your phone as a reminder to complete and document outdoor playground inspections monthly. It is recommended that a rotational schedule be completed to utilize all staff that are trained in playground safety to conduct these inspections monthly. Although these inspections are to be documented monthly, someone should be checking the outdoor play areas daily. 6. We discussed logging incidents that occur during operating hours on the incident log as they occur. Incident reports should be completed in its entirety and filed in the child’s individual file. 7. We discussed listing different staff members and an alternate on the Emergency Medical Care (EMC) plan. When a staff member is no longer employed at the facility, the EMC plan should be revised. The EMC should also be reviewed on an annual basis and when changes occur. Staff should sign documentation that this document has been reviewed, and documentation should be maintained in staffs files. 8. We discussed creating a timeline for newly hired staff to complete required documents and training. It is recommended that administrative staff set aside time within the first two and six weeks of employment to complete orientation topics in depth and allow employees to ask questions during this time. Orientation should be documented on the orientation form that can be found on the DCDEE website under provider forms and documents. 9. We discussed operational and personnel policies being reviewed with staff during new hire orientation. If the operational and/or personnel policies are revised, they should be reviewed and signed documentation of receipt should be completed by staff. 10. We discussed staff creating a timeline for staff that is a quick reference for when staff need to have required trainings completed. Recognizing and Responding to Suspicions of Child Maltreatment and First Aid/CPR training should be completed within 90 days of hire. First Aid/CPR training should be renewed every two years prior to the expiration date. It is recommended that staff inquire training opportunities in advance from approved agencies. The Recognizing and Responding of Suspicions of Child Maltreatment training can be found at https://positivechildhoodalliancenc.org/online-trainings/ 11. We discussed putting staff on the same cycle to complete annual staff evaluations and professional development plans. This will ensure that all staff members have these items completed annually. 12. We discussed creating a document that outlines items that are required to be reviewed and/or updated annually by staff. 13. We discussed how staff should document their on-going training hours on the on-going training log and maintain training certificates in their file. Staff are permitted to carry over up to half of the required number of on-going training hours annually. Consultation was provided on the following: • We discussed that all staff will need to create a WORKS account within six months of hire. Staff will need to request official transcripts from their schools to mail in to the Workforce Unit for evaluation. Administrators and lead teachers are required to have a copy of their status letter in their personnel file for review. • We discussed creating activity plans that are implemented daily within the classrooms and staff having materials readily accessible to be used. • We discussed that when the director’s office is not in use, best practice is to keep the doors locked. • I reminded you that upon completion of the Emergency Preparedness and Response in Child Care training, the trained staff shall develop the Emergency Preparedness and Response Plan. This Plan must be on a template provided by the Division available at https://rmp.nc.gov/portal/# and completed within four months of completion of the Emergency Preparedness and Response in Child Care training on or before December 18, 2025. • We discussed when you receive annual fire inspections to send the inspection to the consultant within seven days. • DCDEE WEBSITE RESOURCES: -QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-ProfessionalDevelopment/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • QRIS Information: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization . You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. The following steps are how you can begin preparing for the Rated License process: If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Ensure all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. 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. On or before November 4, 2025, 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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 .0802 · Violation

Name of Operation: Mt. Bethel MC Child Development Center Facility ID: 02000126 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 10/21/2025 Number Present: 24 Completed Date: 10/21/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:00 AM Time Out: 04:45 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 your program for compliance with applicable child care requirements during a Annual Compliance Visit. You, Natalie Martin, Director, assisted me with today’s visit. The last annual compliance visit was conducted on November 12, 2024. The program’s compliance history was ninety-five percent prior to today’s visit. The last sanitation inspection was completed on June 10, 2025, with a superior classification. The last fire inspection was completed on September 26, 2025. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in outdoor play, free choice activities, toileting and handwashing routines, diapering procedures, lunch, and rest time. Infants were observed receiving care based on their individual needs. The Emergency Drill Log was monitored for completed fire, lock down, and shelter-in-place drills. Your outdoor play area meets child care safety standards. The last documented outdoor inspection was completed on September 29, 2025. Materials, toys, and equipment throughout the facility were of sufficient quantity, developmentally appropriate, and in good repair. All medications and their permission to administer forms were monitored during today’s visit. A selection of eight new staff and three existing staff files were monitored. A selection of three children’s files were monitored during today’s visit. The facility does not provide transportation. The facility has completed lead water, lead paint, and asbestos testing with Clean Water for Carolina Kids. The facility has not completed the provider portal roster within the ABCMS system. The following violations were documented today: Violation Number Comment Rule 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The facility did not have Safe pick-up and delivery procedures posted in a prominent location. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The facility has not documented any monthly fire drills on the emergency drill log. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. In space 1, one child's prescription medication did not have a permission to administer form on file for review. In space 4, one child's topical ointment did not have a permission to administer form on file for review. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 3, a topical ointment expired 5/2024. .0803(12) 853 Incident logs were not completed and maintained as required. Incident logs were not maintained as incidents occurred at the facility. Incident reports were not filed in children's individual files. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playground inspections were not completed for May, June, July, and August of 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been updated when changes occur and reviewed with staff annually. 10A NCAC 09 .0802(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. Staff members hired on 7/15/25, 8/21/25 did not complete an emergency information for on or before the first day of work. Staff members hired on 9/17/19, 3/9/16, and 8/13/24 did not update their emergency information annually. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff hired on 7/14/25, 8/21/25, 9/15/25, 6/30/25, 7/15/25, and 5/12/25 did not have documentation of completing at least 16 hours of orientation within the first 6 weeks of hire. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 7/14/25 did not complete First Aid within 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 7/14/25 did not complete CPR within 90 days of hire. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff members hired on 9/17/19 and 3/9/16 did not complete the required number of on-going training hour annually. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff members hired on 4/27/15, 9/17/19, 3/9/16, and 8/13/24 did not have annual staff evaluations or staff development plans available for review. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff members hired on 7/14/25, 8/21/25, 9/15/25, 6/30/25, 7/15/25, and 5/12/25 did not have documentation of receiving and reviewing the facility's personnel and operational policies. 10A NCAC 09 .0514(g) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The provider roster within ABCMS is incomplete. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The emergency drill log did not document any drills in the form of a shelter-in-place or lockdown being conducted. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff hired on 7/14/25, 6/10/25, 6/30/25, 7/15/25, and 5/12/25 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) Technical Assistance was provided on the following: 1. ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit (CBC) at (919) 814-6401 and someone will assist you. We discussed that there is a Powerform within the Moodle training that will need to be signed electronically. Once the training is completed, a provider code will be sent to you within 24-48 hours. If you do not receive a code, please contact the CBC Unit. Staff will need to create an application within their ABCMS portal using the provider code. Once staff has connected their application to the facility, you will login using the facility’s business NCID and “hire” each staff member using their current qualification letter date as the “hire” date. 2. We discussed visiting the DCDEE website and reviewing the safe arrival and departure procedures sample. It was recommended that you use the sample to create safe and arrival and departure guidelines for parents to follow. This policy should be posted in a prominent location in the facility for parents to reference. 3. We discussed creating a reminder on a calendar or your phone as a reminder to complete and document fire drills monthly. A reminder can also be created to complete and document emergency drills every three months. It is recommended that these drills be conducted on various days and times of the day. It was suggested to keep the emergency drill log form visible in the director’s office as a reminder to document drills as they occur. You stated that you have conducted fire drills monthly and have contacted the alarm company each time to put the fire system in "test" mode. 4. We discussed creating a document that has children’s medication expiration dates and permission to administer expiration dates. This could serve as a quick reference for staff to identify when items will soon be expiring. Medications and topical ointments should be returned to the parent within 72 hours or discarded. The topical ointment in space 3 was removed from the classroom during today's visit. 5. We discussed creating a reminder on a calendar or your phone as a reminder to complete and document outdoor playground inspections monthly. It is recommended that a rotational schedule be completed to utilize all staff that are trained in playground safety to conduct these inspections monthly. Although these inspections are to be documented monthly, someone should be checking the outdoor play areas daily. 6. We discussed logging incidents that occur during operating hours on the incident log as they occur. Incident reports should be completed in its entirety and filed in the child’s individual file. 7. We discussed listing different staff members and an alternate on the Emergency Medical Care (EMC) plan. When a staff member is no longer employed at the facility, the EMC plan should be revised. The EMC should also be reviewed on an annual basis and when changes occur. Staff should sign documentation that this document has been reviewed, and documentation should be maintained in staffs files. 8. We discussed creating a timeline for newly hired staff to complete required documents and training. It is recommended that administrative staff set aside time within the first two and six weeks of employment to complete orientation topics in depth and allow employees to ask questions during this time. Orientation should be documented on the orientation form that can be found on the DCDEE website under provider forms and documents. 9. We discussed operational and personnel policies being reviewed with staff during new hire orientation. If the operational and/or personnel policies are revised, they should be reviewed and signed documentation of receipt should be completed by staff. 10. We discussed staff creating a timeline for staff that is a quick reference for when staff need to have required trainings completed. Recognizing and Responding to Suspicions of Child Maltreatment and First Aid/CPR training should be completed within 90 days of hire. First Aid/CPR training should be renewed every two years prior to the expiration date. It is recommended that staff inquire training opportunities in advance from approved agencies. The Recognizing and Responding of Suspicions of Child Maltreatment training can be found at https://positivechildhoodalliancenc.org/online-trainings/ 11. We discussed putting staff on the same cycle to complete annual staff evaluations and professional development plans. This will ensure that all staff members have these items completed annually. 12. We discussed creating a document that outlines items that are required to be reviewed and/or updated annually by staff. 13. We discussed how staff should document their on-going training hours on the on-going training log and maintain training certificates in their file. Staff are permitted to carry over up to half of the required number of on-going training hours annually. Consultation was provided on the following: • We discussed that all staff will need to create a WORKS account within six months of hire. Staff will need to request official transcripts from their schools to mail in to the Workforce Unit for evaluation. Administrators and lead teachers are required to have a copy of their status letter in their personnel file for review. • We discussed creating activity plans that are implemented daily within the classrooms and staff having materials readily accessible to be used. • We discussed that when the director’s office is not in use, best practice is to keep the doors locked. • I reminded you that upon completion of the Emergency Preparedness and Response in Child Care training, the trained staff shall develop the Emergency Preparedness and Response Plan. This Plan must be on a template provided by the Division available at https://rmp.nc.gov/portal/# and completed within four months of completion of the Emergency Preparedness and Response in Child Care training on or before December 18, 2025. • We discussed when you receive annual fire inspections to send the inspection to the consultant within seven days. • DCDEE WEBSITE RESOURCES: -QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-ProfessionalDevelopment/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • QRIS Information: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization . You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. The following steps are how you can begin preparing for the Rated License process: If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Ensure all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. 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. On or before November 4, 2025, 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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 .0803 · Violation

Name of Operation: Mt. Bethel MC Child Development Center Facility ID: 02000126 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 10/21/2025 Number Present: 24 Completed Date: 10/21/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:00 AM Time Out: 04:45 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 your program for compliance with applicable child care requirements during a Annual Compliance Visit. You, Natalie Martin, Director, assisted me with today’s visit. The last annual compliance visit was conducted on November 12, 2024. The program’s compliance history was ninety-five percent prior to today’s visit. The last sanitation inspection was completed on June 10, 2025, with a superior classification. The last fire inspection was completed on September 26, 2025. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in outdoor play, free choice activities, toileting and handwashing routines, diapering procedures, lunch, and rest time. Infants were observed receiving care based on their individual needs. The Emergency Drill Log was monitored for completed fire, lock down, and shelter-in-place drills. Your outdoor play area meets child care safety standards. The last documented outdoor inspection was completed on September 29, 2025. Materials, toys, and equipment throughout the facility were of sufficient quantity, developmentally appropriate, and in good repair. All medications and their permission to administer forms were monitored during today’s visit. A selection of eight new staff and three existing staff files were monitored. A selection of three children’s files were monitored during today’s visit. The facility does not provide transportation. The facility has completed lead water, lead paint, and asbestos testing with Clean Water for Carolina Kids. The facility has not completed the provider portal roster within the ABCMS system. The following violations were documented today: Violation Number Comment Rule 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The facility did not have Safe pick-up and delivery procedures posted in a prominent location. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The facility has not documented any monthly fire drills on the emergency drill log. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. In space 1, one child's prescription medication did not have a permission to administer form on file for review. In space 4, one child's topical ointment did not have a permission to administer form on file for review. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 3, a topical ointment expired 5/2024. .0803(12) 853 Incident logs were not completed and maintained as required. Incident logs were not maintained as incidents occurred at the facility. Incident reports were not filed in children's individual files. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playground inspections were not completed for May, June, July, and August of 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been updated when changes occur and reviewed with staff annually. 10A NCAC 09 .0802(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. Staff members hired on 7/15/25, 8/21/25 did not complete an emergency information for on or before the first day of work. Staff members hired on 9/17/19, 3/9/16, and 8/13/24 did not update their emergency information annually. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff hired on 7/14/25, 8/21/25, 9/15/25, 6/30/25, 7/15/25, and 5/12/25 did not have documentation of completing at least 16 hours of orientation within the first 6 weeks of hire. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 7/14/25 did not complete First Aid within 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 7/14/25 did not complete CPR within 90 days of hire. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff members hired on 9/17/19 and 3/9/16 did not complete the required number of on-going training hour annually. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff members hired on 4/27/15, 9/17/19, 3/9/16, and 8/13/24 did not have annual staff evaluations or staff development plans available for review. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff members hired on 7/14/25, 8/21/25, 9/15/25, 6/30/25, 7/15/25, and 5/12/25 did not have documentation of receiving and reviewing the facility's personnel and operational policies. 10A NCAC 09 .0514(g) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The provider roster within ABCMS is incomplete. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The emergency drill log did not document any drills in the form of a shelter-in-place or lockdown being conducted. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff hired on 7/14/25, 6/10/25, 6/30/25, 7/15/25, and 5/12/25 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) Technical Assistance was provided on the following: 1. ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit (CBC) at (919) 814-6401 and someone will assist you. We discussed that there is a Powerform within the Moodle training that will need to be signed electronically. Once the training is completed, a provider code will be sent to you within 24-48 hours. If you do not receive a code, please contact the CBC Unit. Staff will need to create an application within their ABCMS portal using the provider code. Once staff has connected their application to the facility, you will login using the facility’s business NCID and “hire” each staff member using their current qualification letter date as the “hire” date. 2. We discussed visiting the DCDEE website and reviewing the safe arrival and departure procedures sample. It was recommended that you use the sample to create safe and arrival and departure guidelines for parents to follow. This policy should be posted in a prominent location in the facility for parents to reference. 3. We discussed creating a reminder on a calendar or your phone as a reminder to complete and document fire drills monthly. A reminder can also be created to complete and document emergency drills every three months. It is recommended that these drills be conducted on various days and times of the day. It was suggested to keep the emergency drill log form visible in the director’s office as a reminder to document drills as they occur. You stated that you have conducted fire drills monthly and have contacted the alarm company each time to put the fire system in "test" mode. 4. We discussed creating a document that has children’s medication expiration dates and permission to administer expiration dates. This could serve as a quick reference for staff to identify when items will soon be expiring. Medications and topical ointments should be returned to the parent within 72 hours or discarded. The topical ointment in space 3 was removed from the classroom during today's visit. 5. We discussed creating a reminder on a calendar or your phone as a reminder to complete and document outdoor playground inspections monthly. It is recommended that a rotational schedule be completed to utilize all staff that are trained in playground safety to conduct these inspections monthly. Although these inspections are to be documented monthly, someone should be checking the outdoor play areas daily. 6. We discussed logging incidents that occur during operating hours on the incident log as they occur. Incident reports should be completed in its entirety and filed in the child’s individual file. 7. We discussed listing different staff members and an alternate on the Emergency Medical Care (EMC) plan. When a staff member is no longer employed at the facility, the EMC plan should be revised. The EMC should also be reviewed on an annual basis and when changes occur. Staff should sign documentation that this document has been reviewed, and documentation should be maintained in staffs files. 8. We discussed creating a timeline for newly hired staff to complete required documents and training. It is recommended that administrative staff set aside time within the first two and six weeks of employment to complete orientation topics in depth and allow employees to ask questions during this time. Orientation should be documented on the orientation form that can be found on the DCDEE website under provider forms and documents. 9. We discussed operational and personnel policies being reviewed with staff during new hire orientation. If the operational and/or personnel policies are revised, they should be reviewed and signed documentation of receipt should be completed by staff. 10. We discussed staff creating a timeline for staff that is a quick reference for when staff need to have required trainings completed. Recognizing and Responding to Suspicions of Child Maltreatment and First Aid/CPR training should be completed within 90 days of hire. First Aid/CPR training should be renewed every two years prior to the expiration date. It is recommended that staff inquire training opportunities in advance from approved agencies. The Recognizing and Responding of Suspicions of Child Maltreatment training can be found at https://positivechildhoodalliancenc.org/online-trainings/ 11. We discussed putting staff on the same cycle to complete annual staff evaluations and professional development plans. This will ensure that all staff members have these items completed annually. 12. We discussed creating a document that outlines items that are required to be reviewed and/or updated annually by staff. 13. We discussed how staff should document their on-going training hours on the on-going training log and maintain training certificates in their file. Staff are permitted to carry over up to half of the required number of on-going training hours annually. Consultation was provided on the following: • We discussed that all staff will need to create a WORKS account within six months of hire. Staff will need to request official transcripts from their schools to mail in to the Workforce Unit for evaluation. Administrators and lead teachers are required to have a copy of their status letter in their personnel file for review. • We discussed creating activity plans that are implemented daily within the classrooms and staff having materials readily accessible to be used. • We discussed that when the director’s office is not in use, best practice is to keep the doors locked. • I reminded you that upon completion of the Emergency Preparedness and Response in Child Care training, the trained staff shall develop the Emergency Preparedness and Response Plan. This Plan must be on a template provided by the Division available at https://rmp.nc.gov/portal/# and completed within four months of completion of the Emergency Preparedness and Response in Child Care training on or before December 18, 2025. • We discussed when you receive annual fire inspections to send the inspection to the consultant within seven days. • DCDEE WEBSITE RESOURCES: -QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-ProfessionalDevelopment/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • QRIS Information: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization . You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. The following steps are how you can begin preparing for the Rated License process: If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Ensure all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. 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. On or before November 4, 2025, 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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 · Violation

Name of Operation: Mt. Bethel MC Child Development Center Facility ID: 02000126 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 10/21/2025 Number Present: 24 Completed Date: 10/21/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:00 AM Time Out: 04:45 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 your program for compliance with applicable child care requirements during a Annual Compliance Visit. You, Natalie Martin, Director, assisted me with today’s visit. The last annual compliance visit was conducted on November 12, 2024. The program’s compliance history was ninety-five percent prior to today’s visit. The last sanitation inspection was completed on June 10, 2025, with a superior classification. The last fire inspection was completed on September 26, 2025. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in outdoor play, free choice activities, toileting and handwashing routines, diapering procedures, lunch, and rest time. Infants were observed receiving care based on their individual needs. The Emergency Drill Log was monitored for completed fire, lock down, and shelter-in-place drills. Your outdoor play area meets child care safety standards. The last documented outdoor inspection was completed on September 29, 2025. Materials, toys, and equipment throughout the facility were of sufficient quantity, developmentally appropriate, and in good repair. All medications and their permission to administer forms were monitored during today’s visit. A selection of eight new staff and three existing staff files were monitored. A selection of three children’s files were monitored during today’s visit. The facility does not provide transportation. The facility has completed lead water, lead paint, and asbestos testing with Clean Water for Carolina Kids. The facility has not completed the provider portal roster within the ABCMS system. The following violations were documented today: Violation Number Comment Rule 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The facility did not have Safe pick-up and delivery procedures posted in a prominent location. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The facility has not documented any monthly fire drills on the emergency drill log. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. In space 1, one child's prescription medication did not have a permission to administer form on file for review. In space 4, one child's topical ointment did not have a permission to administer form on file for review. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 3, a topical ointment expired 5/2024. .0803(12) 853 Incident logs were not completed and maintained as required. Incident logs were not maintained as incidents occurred at the facility. Incident reports were not filed in children's individual files. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playground inspections were not completed for May, June, July, and August of 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been updated when changes occur and reviewed with staff annually. 10A NCAC 09 .0802(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. Staff members hired on 7/15/25, 8/21/25 did not complete an emergency information for on or before the first day of work. Staff members hired on 9/17/19, 3/9/16, and 8/13/24 did not update their emergency information annually. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff hired on 7/14/25, 8/21/25, 9/15/25, 6/30/25, 7/15/25, and 5/12/25 did not have documentation of completing at least 16 hours of orientation within the first 6 weeks of hire. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 7/14/25 did not complete First Aid within 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 7/14/25 did not complete CPR within 90 days of hire. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff members hired on 9/17/19 and 3/9/16 did not complete the required number of on-going training hour annually. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff members hired on 4/27/15, 9/17/19, 3/9/16, and 8/13/24 did not have annual staff evaluations or staff development plans available for review. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff members hired on 7/14/25, 8/21/25, 9/15/25, 6/30/25, 7/15/25, and 5/12/25 did not have documentation of receiving and reviewing the facility's personnel and operational policies. 10A NCAC 09 .0514(g) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The provider roster within ABCMS is incomplete. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The emergency drill log did not document any drills in the form of a shelter-in-place or lockdown being conducted. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff hired on 7/14/25, 6/10/25, 6/30/25, 7/15/25, and 5/12/25 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) Technical Assistance was provided on the following: 1. ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit (CBC) at (919) 814-6401 and someone will assist you. We discussed that there is a Powerform within the Moodle training that will need to be signed electronically. Once the training is completed, a provider code will be sent to you within 24-48 hours. If you do not receive a code, please contact the CBC Unit. Staff will need to create an application within their ABCMS portal using the provider code. Once staff has connected their application to the facility, you will login using the facility’s business NCID and “hire” each staff member using their current qualification letter date as the “hire” date. 2. We discussed visiting the DCDEE website and reviewing the safe arrival and departure procedures sample. It was recommended that you use the sample to create safe and arrival and departure guidelines for parents to follow. This policy should be posted in a prominent location in the facility for parents to reference. 3. We discussed creating a reminder on a calendar or your phone as a reminder to complete and document fire drills monthly. A reminder can also be created to complete and document emergency drills every three months. It is recommended that these drills be conducted on various days and times of the day. It was suggested to keep the emergency drill log form visible in the director’s office as a reminder to document drills as they occur. You stated that you have conducted fire drills monthly and have contacted the alarm company each time to put the fire system in "test" mode. 4. We discussed creating a document that has children’s medication expiration dates and permission to administer expiration dates. This could serve as a quick reference for staff to identify when items will soon be expiring. Medications and topical ointments should be returned to the parent within 72 hours or discarded. The topical ointment in space 3 was removed from the classroom during today's visit. 5. We discussed creating a reminder on a calendar or your phone as a reminder to complete and document outdoor playground inspections monthly. It is recommended that a rotational schedule be completed to utilize all staff that are trained in playground safety to conduct these inspections monthly. Although these inspections are to be documented monthly, someone should be checking the outdoor play areas daily. 6. We discussed logging incidents that occur during operating hours on the incident log as they occur. Incident reports should be completed in its entirety and filed in the child’s individual file. 7. We discussed listing different staff members and an alternate on the Emergency Medical Care (EMC) plan. When a staff member is no longer employed at the facility, the EMC plan should be revised. The EMC should also be reviewed on an annual basis and when changes occur. Staff should sign documentation that this document has been reviewed, and documentation should be maintained in staffs files. 8. We discussed creating a timeline for newly hired staff to complete required documents and training. It is recommended that administrative staff set aside time within the first two and six weeks of employment to complete orientation topics in depth and allow employees to ask questions during this time. Orientation should be documented on the orientation form that can be found on the DCDEE website under provider forms and documents. 9. We discussed operational and personnel policies being reviewed with staff during new hire orientation. If the operational and/or personnel policies are revised, they should be reviewed and signed documentation of receipt should be completed by staff. 10. We discussed staff creating a timeline for staff that is a quick reference for when staff need to have required trainings completed. Recognizing and Responding to Suspicions of Child Maltreatment and First Aid/CPR training should be completed within 90 days of hire. First Aid/CPR training should be renewed every two years prior to the expiration date. It is recommended that staff inquire training opportunities in advance from approved agencies. The Recognizing and Responding of Suspicions of Child Maltreatment training can be found at https://positivechildhoodalliancenc.org/online-trainings/ 11. We discussed putting staff on the same cycle to complete annual staff evaluations and professional development plans. This will ensure that all staff members have these items completed annually. 12. We discussed creating a document that outlines items that are required to be reviewed and/or updated annually by staff. 13. We discussed how staff should document their on-going training hours on the on-going training log and maintain training certificates in their file. Staff are permitted to carry over up to half of the required number of on-going training hours annually. Consultation was provided on the following: • We discussed that all staff will need to create a WORKS account within six months of hire. Staff will need to request official transcripts from their schools to mail in to the Workforce Unit for evaluation. Administrators and lead teachers are required to have a copy of their status letter in their personnel file for review. • We discussed creating activity plans that are implemented daily within the classrooms and staff having materials readily accessible to be used. • We discussed that when the director’s office is not in use, best practice is to keep the doors locked. • I reminded you that upon completion of the Emergency Preparedness and Response in Child Care training, the trained staff shall develop the Emergency Preparedness and Response Plan. This Plan must be on a template provided by the Division available at https://rmp.nc.gov/portal/# and completed within four months of completion of the Emergency Preparedness and Response in Child Care training on or before December 18, 2025. • We discussed when you receive annual fire inspections to send the inspection to the consultant within seven days. • DCDEE WEBSITE RESOURCES: -QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-ProfessionalDevelopment/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • QRIS Information: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization . You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. The following steps are how you can begin preparing for the Rated License process: If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Ensure all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. 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. On or before November 4, 2025, 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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 · Violation

Name of Operation: Mt. Bethel MC Child Development Center Facility ID: 02000126 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 10/21/2025 Number Present: 24 Completed Date: 10/21/2025 Age: From 0 To 5 Total Minutes: 405 Time In: 10:00 AM Time Out: 04:45 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 your program for compliance with applicable child care requirements during a Annual Compliance Visit. You, Natalie Martin, Director, assisted me with today’s visit. The last annual compliance visit was conducted on November 12, 2024. The program’s compliance history was ninety-five percent prior to today’s visit. The last sanitation inspection was completed on June 10, 2025, with a superior classification. The last fire inspection was completed on September 26, 2025. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in outdoor play, free choice activities, toileting and handwashing routines, diapering procedures, lunch, and rest time. Infants were observed receiving care based on their individual needs. The Emergency Drill Log was monitored for completed fire, lock down, and shelter-in-place drills. Your outdoor play area meets child care safety standards. The last documented outdoor inspection was completed on September 29, 2025. Materials, toys, and equipment throughout the facility were of sufficient quantity, developmentally appropriate, and in good repair. All medications and their permission to administer forms were monitored during today’s visit. A selection of eight new staff and three existing staff files were monitored. A selection of three children’s files were monitored during today’s visit. The facility does not provide transportation. The facility has completed lead water, lead paint, and asbestos testing with Clean Water for Carolina Kids. The facility has not completed the provider portal roster within the ABCMS system. The following violations were documented today: Violation Number Comment Rule 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The facility did not have Safe pick-up and delivery procedures posted in a prominent location. .1003(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The facility has not documented any monthly fire drills on the emergency drill log. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. In space 1, one child's prescription medication did not have a permission to administer form on file for review. In space 4, one child's topical ointment did not have a permission to administer form on file for review. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 3, a topical ointment expired 5/2024. .0803(12) 853 Incident logs were not completed and maintained as required. Incident logs were not maintained as incidents occurred at the facility. Incident reports were not filed in children's individual files. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Monthly playground inspections were not completed for May, June, July, and August of 2025. .0605(q) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan has not been updated when changes occur and reviewed with staff annually. 10A NCAC 09 .0802(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. Staff members hired on 7/15/25, 8/21/25 did not complete an emergency information for on or before the first day of work. Staff members hired on 9/17/19, 3/9/16, and 8/13/24 did not update their emergency information annually. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff hired on 7/14/25, 8/21/25, 9/15/25, 6/30/25, 7/15/25, and 5/12/25 did not have documentation of completing at least 16 hours of orientation within the first 6 weeks of hire. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 7/14/25 did not complete First Aid within 90 days of hire. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 7/14/25 did not complete CPR within 90 days of hire. .1102(d) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Staff members hired on 9/17/19 and 3/9/16 did not complete the required number of on-going training hour annually. .1103(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff members hired on 4/27/15, 9/17/19, 3/9/16, and 8/13/24 did not have annual staff evaluations or staff development plans available for review. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff members hired on 7/14/25, 8/21/25, 9/15/25, 6/30/25, 7/15/25, and 5/12/25 did not have documentation of receiving and reviewing the facility's personnel and operational policies. 10A NCAC 09 .0514(g) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The provider roster within ABCMS is incomplete. G.S. 110-90.2 & .2703(r) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The emergency drill log did not document any drills in the form of a shelter-in-place or lockdown being conducted. .0604(u);.0302(d)(8) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff hired on 7/14/25, 6/10/25, 6/30/25, 7/15/25, and 5/12/25 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) Technical Assistance was provided on the following: 1. ABCMS SYSTEM: The process of notifying the Division of any new child care providers working who are hired or moved into the child care facility within five business days has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement as stated in G.S. 110-90.2 & .2703(r) to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit (CBC) at (919) 814-6401 and someone will assist you. We discussed that there is a Powerform within the Moodle training that will need to be signed electronically. Once the training is completed, a provider code will be sent to you within 24-48 hours. If you do not receive a code, please contact the CBC Unit. Staff will need to create an application within their ABCMS portal using the provider code. Once staff has connected their application to the facility, you will login using the facility’s business NCID and “hire” each staff member using their current qualification letter date as the “hire” date. 2. We discussed visiting the DCDEE website and reviewing the safe arrival and departure procedures sample. It was recommended that you use the sample to create safe and arrival and departure guidelines for parents to follow. This policy should be posted in a prominent location in the facility for parents to reference. 3. We discussed creating a reminder on a calendar or your phone as a reminder to complete and document fire drills monthly. A reminder can also be created to complete and document emergency drills every three months. It is recommended that these drills be conducted on various days and times of the day. It was suggested to keep the emergency drill log form visible in the director’s office as a reminder to document drills as they occur. You stated that you have conducted fire drills monthly and have contacted the alarm company each time to put the fire system in "test" mode. 4. We discussed creating a document that has children’s medication expiration dates and permission to administer expiration dates. This could serve as a quick reference for staff to identify when items will soon be expiring. Medications and topical ointments should be returned to the parent within 72 hours or discarded. The topical ointment in space 3 was removed from the classroom during today's visit. 5. We discussed creating a reminder on a calendar or your phone as a reminder to complete and document outdoor playground inspections monthly. It is recommended that a rotational schedule be completed to utilize all staff that are trained in playground safety to conduct these inspections monthly. Although these inspections are to be documented monthly, someone should be checking the outdoor play areas daily. 6. We discussed logging incidents that occur during operating hours on the incident log as they occur. Incident reports should be completed in its entirety and filed in the child’s individual file. 7. We discussed listing different staff members and an alternate on the Emergency Medical Care (EMC) plan. When a staff member is no longer employed at the facility, the EMC plan should be revised. The EMC should also be reviewed on an annual basis and when changes occur. Staff should sign documentation that this document has been reviewed, and documentation should be maintained in staffs files. 8. We discussed creating a timeline for newly hired staff to complete required documents and training. It is recommended that administrative staff set aside time within the first two and six weeks of employment to complete orientation topics in depth and allow employees to ask questions during this time. Orientation should be documented on the orientation form that can be found on the DCDEE website under provider forms and documents. 9. We discussed operational and personnel policies being reviewed with staff during new hire orientation. If the operational and/or personnel policies are revised, they should be reviewed and signed documentation of receipt should be completed by staff. 10. We discussed staff creating a timeline for staff that is a quick reference for when staff need to have required trainings completed. Recognizing and Responding to Suspicions of Child Maltreatment and First Aid/CPR training should be completed within 90 days of hire. First Aid/CPR training should be renewed every two years prior to the expiration date. It is recommended that staff inquire training opportunities in advance from approved agencies. The Recognizing and Responding of Suspicions of Child Maltreatment training can be found at https://positivechildhoodalliancenc.org/online-trainings/ 11. We discussed putting staff on the same cycle to complete annual staff evaluations and professional development plans. This will ensure that all staff members have these items completed annually. 12. We discussed creating a document that outlines items that are required to be reviewed and/or updated annually by staff. 13. We discussed how staff should document their on-going training hours on the on-going training log and maintain training certificates in their file. Staff are permitted to carry over up to half of the required number of on-going training hours annually. Consultation was provided on the following: • We discussed that all staff will need to create a WORKS account within six months of hire. Staff will need to request official transcripts from their schools to mail in to the Workforce Unit for evaluation. Administrators and lead teachers are required to have a copy of their status letter in their personnel file for review. • We discussed creating activity plans that are implemented daily within the classrooms and staff having materials readily accessible to be used. • We discussed that when the director’s office is not in use, best practice is to keep the doors locked. • I reminded you that upon completion of the Emergency Preparedness and Response in Child Care training, the trained staff shall develop the Emergency Preparedness and Response Plan. This Plan must be on a template provided by the Division available at https://rmp.nc.gov/portal/# and completed within four months of completion of the Emergency Preparedness and Response in Child Care training on or before December 18, 2025. • We discussed when you receive annual fire inspections to send the inspection to the consultant within seven days. • DCDEE WEBSITE RESOURCES: -QRIS Modernization: https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization -Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. -Child Care Rules and Laws: https://ncchildcare.ncdhhs.gov/Services/Licensing/Getting-a-License -Training and Professional Development: https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development -Required Health and Safety Training: https://ncchildcare.ncdhhs.gov/Provider/Training-and-ProfessionalDevelopment/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-ChildCare/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New • QRIS Information: During today’s visit, we discussed the three QRIS Pathways to the Stars effective July 1, 2025. We covered staff education (including ensuring all staff have WORKS accounts, understanding the 50% requirement for lead teachers and for other educators, and how work experience may count), enhanced ratios and space expectations, the Family and Community Engagement Foundational Practices, and Continuous Quality Improvement (CQI) Plans. Please visit the following link: https://ncchildcare.ncdhhs.gov/Provider/Licensing/StarRated-License/QRIS-Modernization . You will find more information and details about the three different pathways so that your program can begin working towards the star rated license. The following steps are how you can begin preparing for the Rated License process: If you choose Pathway 1: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Complete the “Environmental Rating Scale (ERS) Assessment Request” form electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Begin planning for your three-month self-study using the applicable ITERS-3, ECERS-3, SACERS-U, OR FCCERS-3 books. • Prepare for Environmental Rating Scale (ERS) assessments. o Access resources, trainings, and outreach via ncrlap.org. o Work with CCR&R or Smart Start for support in preparation. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • If four-year-olds are enrolled, select and implement an approved curriculum. If you choose Pathway 2: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Confirm all staff have active WORKS accounts. • Complete the QRIS Staff Information and Education Worksheet electronically. • Identify CQI goals and begin planning for implementation. • Develop strategies for Family and Community Engagement. • Select and implement a curriculum. (4- and 5-star centers must use an approved curriculum and formative assessment tool for all ages.) • Arranging coaching or training options for administrators and lead teachers. If you choose Pathway 3: • Complete the “Application For Assessment for a Rated License for Centers” electronically and submit to your child care consultant. • Ensure all staff have active WORKS accounts. • If you are accredited through NAFCC, NECPA, AMS, or IMC, you may earn a three star rated license with NO Education standards evaluation. • If you are accredited through NAFCC, NECPA, AMS, or IMC and would like to earn a four or five star rated license, the Education standard evaluation will determine the star rating earned. • If you are accredited through NAEYC, NAC, COGNIA, or your facility is Head Start and/or Early Head Start Education, NO Education standards evaluation is needed. • Documentation of accreditation status and Head Start designation must be submitted to process your star rated license. 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. On or before November 4, 2025, 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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 · Violation

Name of Operation: Mt. Bethel MC Child Development Center Facility ID: 02000126 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 11/12/2024 Number Present: 29 Completed Date: 11/12/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 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 your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Summer Eldreth, Director, assisted me with today’s visit. The last annual compliance visit was conducted on December 1, 2023. The last sanitation inspection was completed on May 22, 2024, with a “Superior” classification. The last fire inspection was conducted March 1, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 85 percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in outdoor play, toileting and handwashing routines, free choice activities, and lunch. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on October 31, 2024. Emergency drills are being completed. The last emergency drill was completed on September 26, 2024. Your playground meets child care safety standards. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All medications and Medical Action Plans were monitored during today’s visit, no concerns were observed. A selection of staff files and children’s files were monitored during today’s visit. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In space 1 and space 4, the activity plan did not contain an outdoor activity. .0508(g)(2) Technical Assistance was provided on the following: 1. We discussed administration reviewing activity plans to ensure that each plan has an outdoor activity planned daily. Consultation was provided on the following: 1. https://www.positivechildhoodalliancenc.org/online-trainings/ is the new website to complete the Recognizing and Responding to Suspicions of Child Maltreatment training. Please print a copy of the training certificate and place it in each staff members file. 2. Please ensure that staff and training worksheets are completed for each visit. Consultants are not permitted to complete or make changes to the worksheet. 3. Please ensure that all staff have a WORKS account and that they send in official transcripts to the Workforce Unit for evaluation. Once staff have received a status letter they should place a copy of their letter in their staff file. 4. As of July 8, 2024, the Senate Bill 425/Session Law 2024-34 for Hold harmless has been extended until the new QRIS is implemented. At this time providers are not required to go any further with a rated license assessment unless they want to. Please reach out to me if you would like to proceed with the Rated License Assessment. 5. Please ensure that you are utilizing the most recent forms for your facility. You can visit https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms to locate all required documents. 6. Please visit https://ncchildcare.ncdhhs.gov/ to sign up to receive DHHS updates. 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. On or before November 26, 2024, 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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 · Violation

Name of Operation: Mt. Bethel MC Child Development Center Facility ID: 02000126 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 11/12/2024 Number Present: 29 Completed Date: 11/12/2024 Age: From 0 To 5 Total Minutes: 180 Time In: 09:00 AM Time Out: 12:00 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 your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Summer Eldreth, Director, assisted me with today’s visit. The last annual compliance visit was conducted on December 1, 2023. The last sanitation inspection was completed on May 22, 2024, with a “Superior” classification. The last fire inspection was conducted March 1, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 85 percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed engaging in outdoor play, toileting and handwashing routines, free choice activities, and lunch. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on October 31, 2024. Emergency drills are being completed. The last emergency drill was completed on September 26, 2024. Your playground meets child care safety standards. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All medications and Medical Action Plans were monitored during today’s visit, no concerns were observed. A selection of staff files and children’s files were monitored during today’s visit. The program does not provide transportation. The following violations were documented today: Violation Number Comment Rule 431 The activity plan did not provide at least 4 different activities daily listed in GS 110-91(12): art/creative play; books; blocks; manipulatives; and family living and dramatic play, including one of which is outdoors if weather conditions permit. In space 1 and space 4, the activity plan did not contain an outdoor activity. .0508(g)(2) Technical Assistance was provided on the following: 1. We discussed administration reviewing activity plans to ensure that each plan has an outdoor activity planned daily. Consultation was provided on the following: 1. https://www.positivechildhoodalliancenc.org/online-trainings/ is the new website to complete the Recognizing and Responding to Suspicions of Child Maltreatment training. Please print a copy of the training certificate and place it in each staff members file. 2. Please ensure that staff and training worksheets are completed for each visit. Consultants are not permitted to complete or make changes to the worksheet. 3. Please ensure that all staff have a WORKS account and that they send in official transcripts to the Workforce Unit for evaluation. Once staff have received a status letter they should place a copy of their letter in their staff file. 4. As of July 8, 2024, the Senate Bill 425/Session Law 2024-34 for Hold harmless has been extended until the new QRIS is implemented. At this time providers are not required to go any further with a rated license assessment unless they want to. Please reach out to me if you would like to proceed with the Rated License Assessment. 5. Please ensure that you are utilizing the most recent forms for your facility. You can visit https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms to locate all required documents. 6. Please visit https://ncchildcare.ncdhhs.gov/ to sign up to receive DHHS updates. 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. On or before November 26, 2024, 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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 · Violation

Name of Operation: Mt. Bethel MC Child Development Center Facility ID: 02000126 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 6/18/2024 Number Present: 31 Completed Date: 6/18/2024 Age: From 0 To 5 Total Minutes: 155 Time In: 09:30 AM Time Out: 12:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during a Routine Unannounced Visit. You, Summer Eldreth, Director assisted me with today’s visit. The last sanitation inspection was completed on May 22, 2024, with a “Superior” classification. The last fire inspection was conducted March 1, 2024, and your facility was approved for daytime care only. The center's compliance history was reviewed with the operator. The program’s compliance history was 83 percent prior to today’s visit. The center's three-star rated license, NC Child Care law summary, safe arrival and departure procedures, emergency phone numbers, tobacco restriction, monthly menu, and Emergency Medical Care Plan were prominently posted. The following was monitored during today’s visit: supervision, staff/child ratios, permit restrictions, group size, capacity, adequate and approved space, and hazardous product storage. A walkthrough of the indoor and outdoor environment was completed. Children were observed during outdoor play, teacher directed activities, lunch, and rest time. Infants were observed receiving care according to their individual needs. Fire drills were completed monthly as required. The last fire drill was completed on May 31, 2024. Emergency drills are being conducted. The last emergency drill was completed on February 29, 2024. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments, sunscreens, and emergency medications were monitored during today’s visit. All staff files were monitored for a current Criminal Background Qualification letter, current First Aid and CPR, ITS-SIDS training, and Recognizing and Responding to Suspicions of Child Maltreatment training. The facility does not provide transportation. The following violations were documented today: Violation Number Comment Rule 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 3, a topical ointment expired 4/2024. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last emergency drill was completed on 2/29/24. An emergency drill should have been completed in May 2024. .0604(u);.0302(d)(8) Technical Assistance was provided on the following: 1. We discussed staff checking medications, ointments, and their permission to administer forms at the end of each month to ensure that they have not expired. Expired ointments and medications should be returned to parents within 72 hours of expiration or discarded. 2. We discussed ensuring that emergency drills are being conducted every three months. A reminder can be placed in your cell phone, paper calendar, etc. to keep the facility on track with conducting these drills. Consultation was provided on the following: 1. Several staff members have Criminal Background Qualification letters that will be expiring in the upcoming months. It is recommended that staff begin this process soon to renew their criminal background check. A copy of the most current qualification letter should be placed in the staffs personnel file. 2. We discussed staff moving about the playgrounds monitoring and interacting with children during outdoor times. It is recommended that staff be positioned on the playgrounds where all children can be actively supervised. 3. Several staff members First Aid and CPR certification will be expiring in the upcoming months. It is recommended that staff begin looking for training opportunities to ensure that the training is taken on or before the current expiration date. Staff member may have to seek training opportunities outside of Alexander County. 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. On or before July 2, 2024, 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 may be conducted. Mail or email the information to: Rebbecca Hayes, Child Care Consultant P.O. Box 954 Taylorsville, NC 28681 Email: rebbecca.hayes@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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 .0601 · Violation

Name of Operation: Mt. Bethel MC Child Development Center Facility ID: 02000126 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 38 Completed Date: 3/13/2024 Age: From 0 To 5 Total Minutes: 250 Time In: 09:50 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your program for compliance with all applicable child care requirements during a temporary time period visit. You, Summer Eldreth, Administrator, assisted me with today’s visit. Your facility currently operates with a temporary license issued on December 1, 2023, and expires on June 1, 2024, with the following restrictions: Daytime care only. The Secretary of State website was checked prior to today’s visit, and your business Mt. Bethel Methodist Church, Inc. was listed as current/active. If any changes to the corporation need to be made or your decide to sell your business, you must first notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was completed on December 5, 2023, and you received a superior rating and four demerits. The last fire inspection was completed on March 1, 2024. I observed adequate supervision, staff/child ratios maintained, licensed capacity maintained, and approved space used during today’s visit. I observed your Temporary License, Safe Procedures for Arrival and Departure, current menu, sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid information sheet, tobacco free policy signage, Summary of NC Child Care Law dated September 2023, evacuation plans, daily schedules, current activity plans, staff-child ratio sheets, and allergies posted as required. I observed children engaged in free choice activities, outdoor play, lunch, and rest time. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. I observed your menu to be meeting all nutritional guidelines for each meal. I observed monthly outdoor inspections documented on the outdoor inspection log. I observed your most recent outdoor inspection was conducted on February 29, 2024. I observed monthly fire drills documented on the Emergency Drill Log and Report form. I observed the most recent fire drill was conducted on February 29, 2024, at 10:30am. I observed the most recent emergency drill in the form of a lockdown was conducted on February 29, 2024, at 10:50am. Emergency drills are being conducted every three months as required. During today’s visit, I also monitored and measured a new space that you would like to make into a gross motor room for children when inclement weather occurs. The room will need to be cleaned out from the previous school age materials and set up for children ages birth through five. I will complete the floor plan, space calculations and capacity for the space. Once these items are completed I will then submit the documents to my supervisor for approval, then I will send them to you by mail. I monitored four new staff files, a selection of existing staff files, and a selection of children’s files during today’s visit. Rated License Summary: Due to the Change of Ownership that took place for your facility, you have the choice to be issued the three-star rated license that you previously earned and then have the star rated license reassessed during your cohort year. You stated that you are requesting to be issued the three-star rated license as it was earned prior to the Change of Ownership. Program Standards You reviewed and signed the Application for Assessment for a Two Component Star Rated License form during today’s visit to request a two through five star rated license. You will earn 2 points in program standards as earned on 3/22/19. Education Standards: The facility will earn 5 points in education for the Administrator earning 5 points, the lead teachers earning 5 points, the teacher earning 6 points on the license issued on 3/22/19. Quality Option: The facility has earned one quality point for the child care administrator having at least 10 years of documented child care administration work experience in a licensed program as earned on the license issue on 7/8/19. A total of 8 points is earned for a three-star rated license. The facility will be issued a three-star rated license. Please remember that programs with less than a three-star rated license will not be eligible to receive subsidy funding. The following violations were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In space 1, an air fryer was observed plugged in on the countertop. A staff member removed the air fryer from the building during the visit. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. In space 3, two topical ointments did not have permission to administer topical ointment forms on file for review. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, two permission to administer topical ointment forms expired in January 2024. In space 2, one topical ointment expired in February 2024. In space 3, one topical ointment expired in February 2024. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 9/17/19 first aid training expired on 2/10/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 9/17/19 CPR training expired on 2/10/24. .1102(d) Technical Assistance was provided on the following: 1. We discussed creating a checklist for staff to post in a prominent location to reference when topical ointments expire and when the permission to administer topical ointments expire. Once the ointment or slip has expired, staff have 72 hours to return the ointment or discard it. 2. We discussed that as staff members First Aid and CPR training approaches the expiration date, it is recommended that you begin searching for available training courses in advance to enroll staff in. You may search for training opportunities at your local Partnership for Young Children, Fire Departments, approved trainers, EMS, and outside of your county. Please keep in mind that first aid and CPR must be renewed on or before the expiration date. 3. We discussed that items such as an air fryer that lack proper ventilation to dispose of grease laden vapors are not permitted in classrooms. A microwave that is for staff use only can be stored in the classroom along with the approval and documentation from the Environmental Health Inspector. It is recommended that the microwave be labeled “for staff use only”. Meals for children are not able to be warmed in the microwave by staff members. Consultation was provided on the following: 1. We discussed that your facility is listed in cohort 2 for resuming the star rated license. July 1, 2024, through June 30, 2025, will be your facility’s planning year. July 1, 2025, through June 30, 2026, will be your facility's reassessment year. 2. We discussed ensuring that all staffs information is updated in their WORKS account. New staff should create a WORKS account and send in the required information. Staff’s education should be uploaded for the Workforce Unit to evaluate staff’s education. 3. We discussed working with your consultant to establish a timeline for technical assistance visits that the facility may need. 4. We discussed reaching out to your local partners such as the Partnership for Young Children for technical assistance. The Partnership for Young Children also conducts mock assessments and will look at your facilities materials. 5. We discussed visiting the NCRLAP website (www.ncrlap.org) for resources and training opportunities to prepare for the star rated license. 6. We discussed that once a permission to administer topical ointment has expired, a new form should be completed to reflect current dates. Whiteout should not used to revise the permission form valid dates. 7. We discussed when receiving medications and/or topical ointments that the permission form and medication should be reviewed with the parents. Parents should write a sizeable amount such as pea size, dime size, quarter size, etc. 8. We discussed that a training in Child Maltreatment should be taken every 5 years. You can reach out to local partnering agencies to see if a Child Maltreatment training is offered. If a training cannot be found, staff may retake the Recognizing and Responding to Suspicious of Child Maltreatment training through www.preventchildabusenc.org 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. On or before March 27, 2024, 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 may be conducted. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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 .0803 · Violation

Name of Operation: Mt. Bethel MC Child Development Center Facility ID: 02000126 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 38 Completed Date: 3/13/2024 Age: From 0 To 5 Total Minutes: 250 Time In: 09:50 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your program for compliance with all applicable child care requirements during a temporary time period visit. You, Summer Eldreth, Administrator, assisted me with today’s visit. Your facility currently operates with a temporary license issued on December 1, 2023, and expires on June 1, 2024, with the following restrictions: Daytime care only. The Secretary of State website was checked prior to today’s visit, and your business Mt. Bethel Methodist Church, Inc. was listed as current/active. If any changes to the corporation need to be made or your decide to sell your business, you must first notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was completed on December 5, 2023, and you received a superior rating and four demerits. The last fire inspection was completed on March 1, 2024. I observed adequate supervision, staff/child ratios maintained, licensed capacity maintained, and approved space used during today’s visit. I observed your Temporary License, Safe Procedures for Arrival and Departure, current menu, sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid information sheet, tobacco free policy signage, Summary of NC Child Care Law dated September 2023, evacuation plans, daily schedules, current activity plans, staff-child ratio sheets, and allergies posted as required. I observed children engaged in free choice activities, outdoor play, lunch, and rest time. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. I observed your menu to be meeting all nutritional guidelines for each meal. I observed monthly outdoor inspections documented on the outdoor inspection log. I observed your most recent outdoor inspection was conducted on February 29, 2024. I observed monthly fire drills documented on the Emergency Drill Log and Report form. I observed the most recent fire drill was conducted on February 29, 2024, at 10:30am. I observed the most recent emergency drill in the form of a lockdown was conducted on February 29, 2024, at 10:50am. Emergency drills are being conducted every three months as required. During today’s visit, I also monitored and measured a new space that you would like to make into a gross motor room for children when inclement weather occurs. The room will need to be cleaned out from the previous school age materials and set up for children ages birth through five. I will complete the floor plan, space calculations and capacity for the space. Once these items are completed I will then submit the documents to my supervisor for approval, then I will send them to you by mail. I monitored four new staff files, a selection of existing staff files, and a selection of children’s files during today’s visit. Rated License Summary: Due to the Change of Ownership that took place for your facility, you have the choice to be issued the three-star rated license that you previously earned and then have the star rated license reassessed during your cohort year. You stated that you are requesting to be issued the three-star rated license as it was earned prior to the Change of Ownership. Program Standards You reviewed and signed the Application for Assessment for a Two Component Star Rated License form during today’s visit to request a two through five star rated license. You will earn 2 points in program standards as earned on 3/22/19. Education Standards: The facility will earn 5 points in education for the Administrator earning 5 points, the lead teachers earning 5 points, the teacher earning 6 points on the license issued on 3/22/19. Quality Option: The facility has earned one quality point for the child care administrator having at least 10 years of documented child care administration work experience in a licensed program as earned on the license issue on 7/8/19. A total of 8 points is earned for a three-star rated license. The facility will be issued a three-star rated license. Please remember that programs with less than a three-star rated license will not be eligible to receive subsidy funding. The following violations were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In space 1, an air fryer was observed plugged in on the countertop. A staff member removed the air fryer from the building during the visit. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. In space 3, two topical ointments did not have permission to administer topical ointment forms on file for review. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, two permission to administer topical ointment forms expired in January 2024. In space 2, one topical ointment expired in February 2024. In space 3, one topical ointment expired in February 2024. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 9/17/19 first aid training expired on 2/10/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 9/17/19 CPR training expired on 2/10/24. .1102(d) Technical Assistance was provided on the following: 1. We discussed creating a checklist for staff to post in a prominent location to reference when topical ointments expire and when the permission to administer topical ointments expire. Once the ointment or slip has expired, staff have 72 hours to return the ointment or discard it. 2. We discussed that as staff members First Aid and CPR training approaches the expiration date, it is recommended that you begin searching for available training courses in advance to enroll staff in. You may search for training opportunities at your local Partnership for Young Children, Fire Departments, approved trainers, EMS, and outside of your county. Please keep in mind that first aid and CPR must be renewed on or before the expiration date. 3. We discussed that items such as an air fryer that lack proper ventilation to dispose of grease laden vapors are not permitted in classrooms. A microwave that is for staff use only can be stored in the classroom along with the approval and documentation from the Environmental Health Inspector. It is recommended that the microwave be labeled “for staff use only”. Meals for children are not able to be warmed in the microwave by staff members. Consultation was provided on the following: 1. We discussed that your facility is listed in cohort 2 for resuming the star rated license. July 1, 2024, through June 30, 2025, will be your facility’s planning year. July 1, 2025, through June 30, 2026, will be your facility's reassessment year. 2. We discussed ensuring that all staffs information is updated in their WORKS account. New staff should create a WORKS account and send in the required information. Staff’s education should be uploaded for the Workforce Unit to evaluate staff’s education. 3. We discussed working with your consultant to establish a timeline for technical assistance visits that the facility may need. 4. We discussed reaching out to your local partners such as the Partnership for Young Children for technical assistance. The Partnership for Young Children also conducts mock assessments and will look at your facilities materials. 5. We discussed visiting the NCRLAP website (www.ncrlap.org) for resources and training opportunities to prepare for the star rated license. 6. We discussed that once a permission to administer topical ointment has expired, a new form should be completed to reflect current dates. Whiteout should not used to revise the permission form valid dates. 7. We discussed when receiving medications and/or topical ointments that the permission form and medication should be reviewed with the parents. Parents should write a sizeable amount such as pea size, dime size, quarter size, etc. 8. We discussed that a training in Child Maltreatment should be taken every 5 years. You can reach out to local partnering agencies to see if a Child Maltreatment training is offered. If a training cannot be found, staff may retake the Recognizing and Responding to Suspicious of Child Maltreatment training through www.preventchildabusenc.org 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. On or before March 27, 2024, 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 may be conducted. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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 · Violation

Name of Operation: Mt. Bethel MC Child Development Center Facility ID: 02000126 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 3/13/2024 Number Present: 38 Completed Date: 3/13/2024 Age: From 0 To 5 Total Minutes: 250 Time In: 09:50 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's unannounced visit has been to monitor your program for compliance with all applicable child care requirements during a temporary time period visit. You, Summer Eldreth, Administrator, assisted me with today’s visit. Your facility currently operates with a temporary license issued on December 1, 2023, and expires on June 1, 2024, with the following restrictions: Daytime care only. The Secretary of State website was checked prior to today’s visit, and your business Mt. Bethel Methodist Church, Inc. was listed as current/active. If any changes to the corporation need to be made or your decide to sell your business, you must first notify your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. The last sanitation inspection was completed on December 5, 2023, and you received a superior rating and four demerits. The last fire inspection was completed on March 1, 2024. I observed adequate supervision, staff/child ratios maintained, licensed capacity maintained, and approved space used during today’s visit. I observed your Temporary License, Safe Procedures for Arrival and Departure, current menu, sanitation placard, Emergency Numbers, Emergency Medical Care Plan, First Aid information sheet, tobacco free policy signage, Summary of NC Child Care Law dated September 2023, evacuation plans, daily schedules, current activity plans, staff-child ratio sheets, and allergies posted as required. I observed children engaged in free choice activities, outdoor play, lunch, and rest time. Children under twelve months old received care according to individual needs including diapering and bottle feeding. Proper hand washing techniques and diaper changing procedures were observed. I observed your menu to be meeting all nutritional guidelines for each meal. I observed monthly outdoor inspections documented on the outdoor inspection log. I observed your most recent outdoor inspection was conducted on February 29, 2024. I observed monthly fire drills documented on the Emergency Drill Log and Report form. I observed the most recent fire drill was conducted on February 29, 2024, at 10:30am. I observed the most recent emergency drill in the form of a lockdown was conducted on February 29, 2024, at 10:50am. Emergency drills are being conducted every three months as required. During today’s visit, I also monitored and measured a new space that you would like to make into a gross motor room for children when inclement weather occurs. The room will need to be cleaned out from the previous school age materials and set up for children ages birth through five. I will complete the floor plan, space calculations and capacity for the space. Once these items are completed I will then submit the documents to my supervisor for approval, then I will send them to you by mail. I monitored four new staff files, a selection of existing staff files, and a selection of children’s files during today’s visit. Rated License Summary: Due to the Change of Ownership that took place for your facility, you have the choice to be issued the three-star rated license that you previously earned and then have the star rated license reassessed during your cohort year. You stated that you are requesting to be issued the three-star rated license as it was earned prior to the Change of Ownership. Program Standards You reviewed and signed the Application for Assessment for a Two Component Star Rated License form during today’s visit to request a two through five star rated license. You will earn 2 points in program standards as earned on 3/22/19. Education Standards: The facility will earn 5 points in education for the Administrator earning 5 points, the lead teachers earning 5 points, the teacher earning 6 points on the license issued on 3/22/19. Quality Option: The facility has earned one quality point for the child care administrator having at least 10 years of documented child care administration work experience in a licensed program as earned on the license issue on 7/8/19. A total of 8 points is earned for a three-star rated license. The facility will be issued a three-star rated license. Please remember that programs with less than a three-star rated license will not be eligible to receive subsidy funding. The following violations were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In space 1, an air fryer was observed plugged in on the countertop. A staff member removed the air fryer from the building during the visit. 10A NCAC 09 .0601(a) 847 Parent's medication authorization did not include required information. In space 3, two topical ointments did not have permission to administer topical ointment forms on file for review. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In space 2, two permission to administer topical ointment forms expired in January 2024. In space 2, one topical ointment expired in February 2024. In space 3, one topical ointment expired in February 2024. .0803(12) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. A staff member hired on 9/17/19 first aid training expired on 2/10/24. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. A staff member hired on 9/17/19 CPR training expired on 2/10/24. .1102(d) Technical Assistance was provided on the following: 1. We discussed creating a checklist for staff to post in a prominent location to reference when topical ointments expire and when the permission to administer topical ointments expire. Once the ointment or slip has expired, staff have 72 hours to return the ointment or discard it. 2. We discussed that as staff members First Aid and CPR training approaches the expiration date, it is recommended that you begin searching for available training courses in advance to enroll staff in. You may search for training opportunities at your local Partnership for Young Children, Fire Departments, approved trainers, EMS, and outside of your county. Please keep in mind that first aid and CPR must be renewed on or before the expiration date. 3. We discussed that items such as an air fryer that lack proper ventilation to dispose of grease laden vapors are not permitted in classrooms. A microwave that is for staff use only can be stored in the classroom along with the approval and documentation from the Environmental Health Inspector. It is recommended that the microwave be labeled “for staff use only”. Meals for children are not able to be warmed in the microwave by staff members. Consultation was provided on the following: 1. We discussed that your facility is listed in cohort 2 for resuming the star rated license. July 1, 2024, through June 30, 2025, will be your facility’s planning year. July 1, 2025, through June 30, 2026, will be your facility's reassessment year. 2. We discussed ensuring that all staffs information is updated in their WORKS account. New staff should create a WORKS account and send in the required information. Staff’s education should be uploaded for the Workforce Unit to evaluate staff’s education. 3. We discussed working with your consultant to establish a timeline for technical assistance visits that the facility may need. 4. We discussed reaching out to your local partners such as the Partnership for Young Children for technical assistance. The Partnership for Young Children also conducts mock assessments and will look at your facilities materials. 5. We discussed visiting the NCRLAP website (www.ncrlap.org) for resources and training opportunities to prepare for the star rated license. 6. We discussed that once a permission to administer topical ointment has expired, a new form should be completed to reflect current dates. Whiteout should not used to revise the permission form valid dates. 7. We discussed when receiving medications and/or topical ointments that the permission form and medication should be reviewed with the parents. Parents should write a sizeable amount such as pea size, dime size, quarter size, etc. 8. We discussed that a training in Child Maltreatment should be taken every 5 years. You can reach out to local partnering agencies to see if a Child Maltreatment training is offered. If a training cannot be found, staff may retake the Recognizing and Responding to Suspicious of Child Maltreatment training through www.preventchildabusenc.org 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. On or before March 27, 2024, 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 may be conducted. You may contact me by phone at (828) 405-8111 or by email at rebbecca.hayes@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov, if you have questions. Thank you for your time today. 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