Bethany Elementary School AGE Child Care

10A NCAC 09 .0803 · Violation

Name of Operation: BETHANY ELEMENTARY SCHOOL AGE CHILD CARE Facility ID: 79000247 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 6/11/2026 Number Present: 14 Completed Date: 6/11/2026 Age: From 5 To 11 Total Minutes: 80 Time In: 08:55 AM Time Out: 10:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted with Dana Reynolds, Program Coordinator. Currently this center operates with a Four (4) star license. Restrictions include daytime care only, school age children only, reduced group size by one in each group from the seven point level as required in Rule .2818(c), meets enhanced space and children are not allowed to play on stationary equipment. Rockingham County Schools operates this program. Staff/child ratio was observed and in compliance as indicated on the attached enrollment worksheet. Children were adequately supervised. Indoor and outdoor areas were observed during today's visit. Ms. Reynolds stated that children enrolled have emergency medication. Fourteen (14) children were present during today’s visit. The children were observed arriving and playing outdoors. Fire drill reports and playground inspections were monitored during today's visit. The last fire drill was conducted on May 29, 2026. It took the children forty (40) seconds to evacuate. The last emergency drill, a shelter in place drill was conducted on April 3, 2026. Staff and children’s files were reviewed today following the Division of Child Development and Early Education procedures. They do not provide routine transportation but they do participate in field trips. The following violations were observed during today's visit. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. A child's allergy was not posted. .0901(g) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There is not a menu posted for this week. 10A NCAC 09 .0901(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler and epi-pen were in a ziploc bag with the child's name but was not in the labeled container. .0803(2)(a) 847 Parent's medication authorization did not include required information. There is not an authorization on file for a child's inhaler and epi-pen. 10A NCAC 09 .0803(4)(6-9) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A child did not have a medical action plan on file. .0801(b) Rated License Information: The facility has chosen Pathway 2, Classroom and Instructional Quality Pathway. The Program Specialist has chosen a curriculum. She is waiting for approval from the school system to be able to purchase. All staff have been evaluated in WORKS. Ms. Reynolds will need to begin working on the CQI for the facility and the staff. Consultation: The first field trip that the children will participate in will be on June 25, 2026. We discussed what information needs to be provided to parents, on the permission to transport and the sign posted at the facility regarding the field trip. Compliance: You must correct the violation found during today's visit immediately. You can mail two (2) letters or email the letter verifying compliance by June 25, 2026. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 962, Eden, NC 27289 or sally.allen@dhhs.nc.gov. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. Thank you for your time and assistance during today's visit. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Sally Allen, Child Care Consultant, 336-580-3782, sally.allen@dhhs.nc.gov or Pam Hauser, Supervisor, (336)317-5003, pamela.hauser@dhhs.nc.gov if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: BETHANY ELEMENTARY SCHOOL AGE CHILD CARE Facility ID: 79000247 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 6/11/2026 Number Present: 14 Completed Date: 6/11/2026 Age: From 5 To 11 Total Minutes: 80 Time In: 08:55 AM Time Out: 10:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted with Dana Reynolds, Program Coordinator. Currently this center operates with a Four (4) star license. Restrictions include daytime care only, school age children only, reduced group size by one in each group from the seven point level as required in Rule .2818(c), meets enhanced space and children are not allowed to play on stationary equipment. Rockingham County Schools operates this program. Staff/child ratio was observed and in compliance as indicated on the attached enrollment worksheet. Children were adequately supervised. Indoor and outdoor areas were observed during today's visit. Ms. Reynolds stated that children enrolled have emergency medication. Fourteen (14) children were present during today’s visit. The children were observed arriving and playing outdoors. Fire drill reports and playground inspections were monitored during today's visit. The last fire drill was conducted on May 29, 2026. It took the children forty (40) seconds to evacuate. The last emergency drill, a shelter in place drill was conducted on April 3, 2026. Staff and children’s files were reviewed today following the Division of Child Development and Early Education procedures. They do not provide routine transportation but they do participate in field trips. The following violations were observed during today's visit. Violation Number Comment Rule 508 Special diet or food allergy information was not posted where they can be seen in food preparation and eating areas. A child's allergy was not posted. .0901(g) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. There is not a menu posted for this week. 10A NCAC 09 .0901(b) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler and epi-pen were in a ziploc bag with the child's name but was not in the labeled container. .0803(2)(a) 847 Parent's medication authorization did not include required information. There is not an authorization on file for a child's inhaler and epi-pen. 10A NCAC 09 .0803(4)(6-9) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. A child did not have a medical action plan on file. .0801(b) Rated License Information: The facility has chosen Pathway 2, Classroom and Instructional Quality Pathway. The Program Specialist has chosen a curriculum. She is waiting for approval from the school system to be able to purchase. All staff have been evaluated in WORKS. Ms. Reynolds will need to begin working on the CQI for the facility and the staff. Consultation: The first field trip that the children will participate in will be on June 25, 2026. We discussed what information needs to be provided to parents, on the permission to transport and the sign posted at the facility regarding the field trip. Compliance: You must correct the violation found during today's visit immediately. You can mail two (2) letters or email the letter verifying compliance by June 25, 2026. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 962, Eden, NC 27289 or sally.allen@dhhs.nc.gov. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. Thank you for your time and assistance during today's visit. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at Sally Allen, Child Care Consultant, 336-580-3782, sally.allen@dhhs.nc.gov or Pam Hauser, Supervisor, (336)317-5003, pamela.hauser@dhhs.nc.gov if you have questions. 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: BETHANY ELEMENTARY SCHOOL AGE CHILD CARE Facility ID: 79000247 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 6/19/2025 Number Present: 20 Completed Date: 6/19/2025 Age: From 5 To 12 Total Minutes: 90 Time In: 08:30 AM Time Out: 10:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted with Dana Reynolds, Program Coordinator. Currently this center operates with a Three (3) Star license. The restrictions include daytime care only, school age children only, reduced group size by one in each group from the seven point level as required in Rule .2818(c), meets enhanced space and children are not allowed to play on stationary equipment. The sanitation inspection was completed on March 3, 2025, with a “superior” classification with no demerits. The fire inspection was completed on March 14, 2025. The fire inspector did not sign the fire inspection form. They must get a signature and resubmit the inspection form to me. The facility is owned and operated by Rockingham County Schools. Twenty (20) children were present. The children were observed playing a game, completing routine tasks and preparing to depart for an off premise activity. All indoor and outdoor areas were monitored. Fire drill reports and playground inspections were monitored during today's visit. The last fire drill was conducted on May 29, 2025. It took the children thirty-five (35) seconds to evacuate. The last emergency drill, a lockdown drill, was conducted on March 21, 2025. The emergency drills must be conducted every three (3) months. The staff and children’s files were monitored in accordance with the Division of Child Development and Early Education policies and procedures. Ms. Reynolds stated that no children enrolled have emergency medication. The facility does provide transportation. They use the school’s activity bus to transport for off premise activities. The following violations were observed during today's visit. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff's First Aid expired April 2025. .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. One staff's CPR training expired April 2025. .1102(d) 1327 Accurate records were not maintained for all children. There was a child present that did not have all required paperwork on file. He only had an application and permission to seek emergency care on file. G.S. 110-91(9) 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. There is a new employee hired June 10, 2025 that is not listed in the center's roster in the ABCMS system. G.S. 110-90.2 & .2703(r) Technical Assistance: 1-Child Care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits •See new background check applicants and add to staff roster To get started, complete the ABCMS Child Care Provider Portal Training in Moodle. 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 in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement 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 at (919) 814-8401 and someone will assist you. 2-There were two (2) children present that are related to the bus driver. One can be counted as a volunteer as long as the proper paperwork is on file. The other must have all required paperwork on file due to his age and being present in the licensed facility and participating in off premise activities. Compliance letter: You must correct the violation found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by July 3, 2025. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. If more time is needed to correct any of the violations, then Ms. Reynolds must send a request for an extension as soon as possible. The request must include a reason for the extension and a timeline of when the violation will be corrected. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 if you have questions or concerns or you may contact my supervisor, Pam Hauser, at (336) 317-5003 or pamela.hauser@dhhs.nc.gov. 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. 110-91 · Violation

Name of Operation: BETHANY ELEMENTARY SCHOOL AGE CHILD CARE Facility ID: 79000247 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 6/19/2025 Number Present: 20 Completed Date: 6/19/2025 Age: From 5 To 12 Total Minutes: 90 Time In: 08:30 AM Time Out: 10:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted with Dana Reynolds, Program Coordinator. Currently this center operates with a Three (3) Star license. The restrictions include daytime care only, school age children only, reduced group size by one in each group from the seven point level as required in Rule .2818(c), meets enhanced space and children are not allowed to play on stationary equipment. The sanitation inspection was completed on March 3, 2025, with a “superior” classification with no demerits. The fire inspection was completed on March 14, 2025. The fire inspector did not sign the fire inspection form. They must get a signature and resubmit the inspection form to me. The facility is owned and operated by Rockingham County Schools. Twenty (20) children were present. The children were observed playing a game, completing routine tasks and preparing to depart for an off premise activity. All indoor and outdoor areas were monitored. Fire drill reports and playground inspections were monitored during today's visit. The last fire drill was conducted on May 29, 2025. It took the children thirty-five (35) seconds to evacuate. The last emergency drill, a lockdown drill, was conducted on March 21, 2025. The emergency drills must be conducted every three (3) months. The staff and children’s files were monitored in accordance with the Division of Child Development and Early Education policies and procedures. Ms. Reynolds stated that no children enrolled have emergency medication. The facility does provide transportation. They use the school’s activity bus to transport for off premise activities. The following violations were observed during today's visit. Violation Number Comment Rule 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff's First Aid expired April 2025. .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. One staff's CPR training expired April 2025. .1102(d) 1327 Accurate records were not maintained for all children. There was a child present that did not have all required paperwork on file. He only had an application and permission to seek emergency care on file. G.S. 110-91(9) 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. There is a new employee hired June 10, 2025 that is not listed in the center's roster in the ABCMS system. G.S. 110-90.2 & .2703(r) Technical Assistance: 1-Child Care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits •See new background check applicants and add to staff roster To get started, complete the ABCMS Child Care Provider Portal Training in Moodle. 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 in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement 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 at (919) 814-8401 and someone will assist you. 2-There were two (2) children present that are related to the bus driver. One can be counted as a volunteer as long as the proper paperwork is on file. The other must have all required paperwork on file due to his age and being present in the licensed facility and participating in off premise activities. Compliance letter: You must correct the violation found during today's visit immediately. Please send me two (2) letters verifying compliance. The letters must be received by July 3, 2025. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. If more time is needed to correct any of the violations, then Ms. Reynolds must send a request for an extension as soon as possible. The request must include a reason for the extension and a timeline of when the violation will be corrected. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or call me at 336-580-3782 if you have questions or concerns or you may contact my supervisor, Pam Hauser, at (336) 317-5003 or pamela.hauser@dhhs.nc.gov. 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. 110-91 · Violation

Name of Operation: BETHANY ELEMENTARY SCHOOL AGE CHILD CARE Facility ID: 79000247 Consultant: SALLY ALLEN Operation Type: Center Case Number: Visit Date: 7/15/2024 Number Present: 8 Completed Date: 7/15/2024 Age: From 6 To 11 Total Minutes: 90 Time In: 08:30 AM Time Out: 10:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced An unannounced annual compliance visit was conducted at this child care center to monitor compliance with applicable child care requirements. This visit was conducted by Sally Allen, Child Care Consultant with Dana Reynolds, Interim Program Coordinator. Currently this center operates with a Three (3) star license. Restrictions include daytime care only, school age children only, reduced group size by one in each group from the seven point level as required in Rule .2818(c), enhanced space and children are not allowed to play on stationary equipment. The sanitation inspection was completed March 4, 2024, with a "Superior" classification with no demerits. The fire inspection was completed on September 1, 2023. I received a copy during a previous visit. Rockingham County Schools operates this program. Staff/child ratio was observed and in compliance as indicated on the attached enrollment worksheet. Children were adequately supervised. Indoor and outdoor areas were observed during today's visit. Ms. Reynolds stated that children enrolled have emergency medication. Eight (8) children were present during today’s visit. The children were observed going to play outdoors, routine tasks, and playing indoors. Fire drill reports and playground inspections were monitored during today's visit. The last fire drill was conducted on May 30, 2024. It took the children one (1) minute and forty (40) seconds to evacuate. The last emergency drill, a lockdown drill was conducted on May 1, 2024. The children cannot use the stationary equipment on the outdoor area. The children use a grassy area and a black top area to play outdoors. Staff and children’s files were reviewed today following the Division of Child Development and Early Education procedures. Ms. Reynolds stated that they provide transportation for off premise activities. The public school activity buses are used. The following violations were observed during today's visit. Violation Number Comment Rule 476 Staff did not use the list of participating children to check attendance when leaving the center, periodically when the children were involved in the activity, before leaving the activity to return to the center, and/or upon return to the center. On July 10, 2024, attendance was not checked upon returning to the center. .1005(b)(6) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not practiced in June 2024. .0604(t); .0302(d)(5) 1043 All staff records, except financial records, were not made available for review. The off-site record verification form for one new staff, hire date June 14, 2024, was not on file. G.S. 110-91( 9) Consultation: 1-For all new staff they have the first year of employment to complete the health and safety trainings, with the exception of CPR, First Aid and recognizing and responding to suspicions of child maltreatment, which must be completed within ninety (90) days of employment. For all current staff, the health and safety trainings topics must be completed within five years. There is a training log that the staff can use to document the year that the health and safety training has been completed. 2-Please make sure that the emergency medical care plan is updated as listed staff leave the program. Also, as changes are made, as well as annually, the plan should be reviewed with all staff. Compliance: You must correct the violation found during today's visit immediately. You can mail two (2) letters or email the letter verifying compliance by July 29, 2024. Please include in your letter each violation number and how you corrected each violation and what plan will be implemented to prevent these violations from occurring again. Please include the name of your center and ID number, date, and the title of the person who signs the letter. Please send the letter to: Sally Allen, PO Box 1305, Eden, NC 27289 or sally.allen@dhhs.nc.gov. If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. Failure to correct these violations in a timely manner may result in an administrative action. Thank you for your time and assistance during today's visit. You may e-mail me at sally.allen@dhhs.nc.gov or my supervisor at pamela.hauser@dhhs.nc.gov or call me at 336-580-3782 if you have questions or concerns. 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