G.S. 110-91 · Violation

Name of Operation: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: JENNIFER HILL Operation Type: Center Case Number: 0326-300A Visit Date: 3/23/2026 Number Present: 62 Completed Date: 3/23/2026 Age: From 0 To 5 Total Minutes: 240 Time In: 10:30 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of this unannounced visit was to investigate allegations of violations of child care requirements at this child care facility. Laura Feeney, administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the allegations with Ms. Feeney and additional staff members. Limited monitoring of child care requirements occurred during today’s visit. The following violations were observed and/or confirmed during today’s visit. Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On unknown dates multiple staff members spoke to one, two, and three-year-old children in a harsh tone of voice when redirecting children's behaviors. G.S. 110-91(10) 908 Discipline was not appropriate for the child's age and development. On unknown dates multiple staff members placed children in high chairs for up to 10 minutes in response to children's behaviors. .1803(b) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. On an unknown date a staff member threatened children that she would get the grinch to talk to them, in response to their behavior, knowing the children were afraid of the grinch. .1803(a)(9) Violations must be corrected immediately. Within one week (March 30, 2026), you must submit documentation of the corrections you made and your plan to maintain compliance with the identified child care requirements to me at (Jennifer Hill, Investigations Consultant, 828-358-5387, e-mail- Jennifer.hill@dhhs.nc.gov, fax- 984-236-8224) You may contact me at Jennifer Hill, Investigations Consultant, 828-358-5387, Jennifer.Hill@dhhs.nc.gov or Natosha Lambeth, Western Investigations Team Supervisor, Natosha.Lambeth@dhhs.nc.gov. Thank you for your time. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0803 · Violation

Name of Operation: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 58 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 240 Time In: 10:00 AM Time Out: 02:00 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, Laura Feeny, Director, assisted me with today’s visit. The last annual compliance visit was conducted on February 19, 2025. The last sanitation inspection was completed on December 16, 2025, with a “Superior” classification. The last fire inspection was completed on May 2025 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 eighty-three percent prior to today’s visit. The center's Notice of Compliance issued on March 1, 2024, 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 environment was completed. Children were observed engaging in free choice activities, toileting and handwashing routines, indoor gross motor, and lunch. Infants were observed receiving care according to their individual needs. Due to the weather, the outdoor play areas will be monitored during the next visit. Fire drills are being completed as required. The last documented fire drill was completed on January 14, 2026. Emergency drills are being completed. The last documented emergency drill was completed on January 21, 2026. Your playground meets child care safety standards. The last documented playground inspection was completed on December 16, 2025. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments, emergency medications and Medical Action Plans were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The facility does not provide transportation. The following violations were documented today: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 4, a prescribed medication was not in the original labeled container. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space 5, a child's emergency medication did not have parent's authorization. 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 October 2025. .0803(12) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 1-6-25 did not have a medical exam on file. GS110-91(1) 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. In space 5, a child's emergency medication did not contain a medical action plan. .0801(b) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. A staff member hired on 5/8/25 did not have a medical report on file. A staff member hired on 8/13/25 medical report and tuberculosis test was older than 12 months. .0701(d) 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 5/12/25 and 8/13/25 did not complete Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of employment. .1102(g) Technical Assistance was provided on the following: 1. We discussed that prescription medications should be in the original pharmacy packaging. It is recommended that a designated staff member check in medications prior to the medication being stored in classrooms to ensure that all requirements are being met. 2. We discussed administrative staff checking in emergency medications prior to them being sent to classrooms to ensure that all paperwork and medical action plans are in compliance. 3. We discussed staff referencing their list posted in classrooms monthly to ensure that expired medications and/or topical ointments are returned to parents within 72 hours or discarded. 4. We discussed that children should have a medical exam completed by a physician within thirty days of enrollment. It is recommended to create a reminder to correspond with the parents of the status of the child receiving a medical exam. 5. We discussed creating a timeline for new staff to complete all required training within the specified timeframe. Child Care Rule 09 .1102 states that child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. 6. We discussed that new staff should have a medical statement and TB test completed prior to employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. The medical statement shall not be older than 12 months. 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 February 20, 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 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

GS110-91 · Violation

Name of Operation: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 58 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 240 Time In: 10:00 AM Time Out: 02:00 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, Laura Feeny, Director, assisted me with today’s visit. The last annual compliance visit was conducted on February 19, 2025. The last sanitation inspection was completed on December 16, 2025, with a “Superior” classification. The last fire inspection was completed on May 2025 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 eighty-three percent prior to today’s visit. The center's Notice of Compliance issued on March 1, 2024, 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 environment was completed. Children were observed engaging in free choice activities, toileting and handwashing routines, indoor gross motor, and lunch. Infants were observed receiving care according to their individual needs. Due to the weather, the outdoor play areas will be monitored during the next visit. Fire drills are being completed as required. The last documented fire drill was completed on January 14, 2026. Emergency drills are being completed. The last documented emergency drill was completed on January 21, 2026. Your playground meets child care safety standards. The last documented playground inspection was completed on December 16, 2025. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments, emergency medications and Medical Action Plans were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The facility does not provide transportation. The following violations were documented today: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 4, a prescribed medication was not in the original labeled container. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space 5, a child's emergency medication did not have parent's authorization. 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 October 2025. .0803(12) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 1-6-25 did not have a medical exam on file. GS110-91(1) 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. In space 5, a child's emergency medication did not contain a medical action plan. .0801(b) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. A staff member hired on 5/8/25 did not have a medical report on file. A staff member hired on 8/13/25 medical report and tuberculosis test was older than 12 months. .0701(d) 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 5/12/25 and 8/13/25 did not complete Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of employment. .1102(g) Technical Assistance was provided on the following: 1. We discussed that prescription medications should be in the original pharmacy packaging. It is recommended that a designated staff member check in medications prior to the medication being stored in classrooms to ensure that all requirements are being met. 2. We discussed administrative staff checking in emergency medications prior to them being sent to classrooms to ensure that all paperwork and medical action plans are in compliance. 3. We discussed staff referencing their list posted in classrooms monthly to ensure that expired medications and/or topical ointments are returned to parents within 72 hours or discarded. 4. We discussed that children should have a medical exam completed by a physician within thirty days of enrollment. It is recommended to create a reminder to correspond with the parents of the status of the child receiving a medical exam. 5. We discussed creating a timeline for new staff to complete all required training within the specified timeframe. Child Care Rule 09 .1102 states that child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. 6. We discussed that new staff should have a medical statement and TB test completed prior to employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. The medical statement shall not be older than 12 months. 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 February 20, 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 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: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 58 Completed Date: 2/6/2026 Age: From 0 To 5 Total Minutes: 240 Time In: 10:00 AM Time Out: 02:00 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, Laura Feeny, Director, assisted me with today’s visit. The last annual compliance visit was conducted on February 19, 2025. The last sanitation inspection was completed on December 16, 2025, with a “Superior” classification. The last fire inspection was completed on May 2025 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 eighty-three percent prior to today’s visit. The center's Notice of Compliance issued on March 1, 2024, 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 environment was completed. Children were observed engaging in free choice activities, toileting and handwashing routines, indoor gross motor, and lunch. Infants were observed receiving care according to their individual needs. Due to the weather, the outdoor play areas will be monitored during the next visit. Fire drills are being completed as required. The last documented fire drill was completed on January 14, 2026. Emergency drills are being completed. The last documented emergency drill was completed on January 21, 2026. Your playground meets child care safety standards. The last documented playground inspection was completed on December 16, 2025. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments, emergency medications and Medical Action Plans were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The facility does not provide transportation. The following violations were documented today: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 4, a prescribed medication was not in the original labeled container. .0803(2)(a) 847 Parent's medication authorization did not include required information. In space 5, a child's emergency medication did not have parent's authorization. 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 October 2025. .0803(12) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. A child enrolled on 1-6-25 did not have a medical exam on file. GS110-91(1) 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. In space 5, a child's emergency medication did not contain a medical action plan. .0801(b) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. A staff member hired on 5/8/25 did not have a medical report on file. A staff member hired on 8/13/25 medical report and tuberculosis test was older than 12 months. .0701(d) 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 5/12/25 and 8/13/25 did not complete Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of employment. .1102(g) Technical Assistance was provided on the following: 1. We discussed that prescription medications should be in the original pharmacy packaging. It is recommended that a designated staff member check in medications prior to the medication being stored in classrooms to ensure that all requirements are being met. 2. We discussed administrative staff checking in emergency medications prior to them being sent to classrooms to ensure that all paperwork and medical action plans are in compliance. 3. We discussed staff referencing their list posted in classrooms monthly to ensure that expired medications and/or topical ointments are returned to parents within 72 hours or discarded. 4. We discussed that children should have a medical exam completed by a physician within thirty days of enrollment. It is recommended to create a reminder to correspond with the parents of the status of the child receiving a medical exam. 5. We discussed creating a timeline for new staff to complete all required training within the specified timeframe. Child Care Rule 09 .1102 states that child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. 6. We discussed that new staff should have a medical statement and TB test completed prior to employment. The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. The medical statement shall not be older than 12 months. 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 February 20, 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 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: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: 0325-418L Visit Date: 4/10/2025 Number Present: 71 Completed Date: 4/10/2025 Age: From 0 To 5 Total Minutes: 115 Time In: 09:50 AM Time Out: 11:45 AM 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, Laura Feeney, Director, assisted me with today's visit. Staff/child ratio, group size, supervision, use of licensed space, space capacity, license restrictions were monitored during today’s visit. There are allegations of violations of childcare requirements regarding discipline. I observed staff interacting with children in a positive manner, infants receiving care according to their developmental needs, outdoor play, gross motor activities in the gym, and children engaged in free choice activities. I spoke with you and asked if you had any concerns regarding discipline. You stated in general you would like to have someone look at the facility’s discipline policy and make modifications to include a section for staff actions. You stated that there was an incident that occurred on March 18, 2025, with a staff member. You stated that children were in the gym playing and a child was taking their shoes on and off. You stated that the staff member communicated from one side of the gym to the other instead of going to the child. You stated that the staff member then got up and went to the other side of the gym and grabbed the child by the wrist and led them across the gym. You stated that the staff member put the child in time out and threw the child’s shoes. You stated that you have contacted the Alexander County Partnership to inquire about training for staff. You stated that staff will be completing a training on supervision on April 14, 2025. You also stated that there is a training titled “Toxic Stress and its Impact on Children” that you are considering giving an incentive to staff that complete the training on May 20, 2025. You also stated that a staff meeting was held with the board committee. I interviewed a selection of staff members during today’s visit. Staff stated that they did not have any concerns in general with discipline. Staff members mentioned that an incident occurred where a staff member grabbed a child for not keeping their shoes on. One staff member stated that they were engaging with a child and did not see what happened. Another staff member stated that the child had been playing with other children and had her shoes off as other children had their shoes off as well. The children were asked to put their shoes back on. The child went to the other end of the gym and took her shoes off again. The teacher then made a comment “I’m done with her; she has her shoes off again” and stated which child she was referring to. The staff member stated that the staff member then walked to the other side of the gym to have the child put her shoes back on. The staff member stated that she seen the other staff member holding the child by the wrist or the arm. The staff then brought the child to the area where the teachers were sitting, told the child to sit down, and then threw the child’s shoes down a little bit in front of the child. The staff member stated that they did not see any visible marks and the child did complain about their arm hurting once waking up from rest time. Staff stated that a incident report was not completed. Video footage was reviewed on the date of the incident. At around 10:05am, children were observed to be playing in the gym. I observed staff members sitting together on the floor. I observed several children playing with their shoes off, then the children went to the area where the staff were and put their shoes on. The child did have their shoes on but traveled to the other end of the gym and eventually took the shoes back off. At 10:11am, I observed a staff member walking to the child and taking the child’s shoe. The staff member then grabbed the child up from the floor by the wrist. The staff member led the child from one side of the gym to the other side of the gym. When viewing the video footage from a different angle, I observed the staff member forcefully sit the child down and then throw the child’s shoes out in front of the child. Also, during the time observed of the video footage, no staff members were observed moving about the gym, engaging with children. I was able to confirm the allegation based on information received from interviewed staff, statements written by staff, review of incident reports, and video footage reviewed during today’s visit. Therefore, the allegation regarding discipline was substantiated. Based on the information received, there were seventy-one children present ages birth through five 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. Children were engaging in play in the gym, staff were observed on video, sitting together on the floor. During the duration of the review of video footage, staff did not get up and move about the gym to engage with children. .1801(a)(1-5) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. An incident report was not completed for an injury. .0802 (e) 904 Child was handled roughly. A child that was sitting on the floor was grabbed by the wrist and led to the opposite side of the gym. The child was forcefully sat down in timeout. .1803(a)(1) Technical Assistance was provided on the following: 1) We discussed reaching out to the Healthy Social Behavior Coach, NaTasha Peterson at npeterson@icpyc.org or Carden Millsaps at cmillsaps@icpyc.org, for training to assist staff. 2) We discussed reviewing the programs discipline policy to ensure that all staff are aware of the expectations. 3) We discussed that there is a Challenging Behaviors Hotline that is available to assist staff. This can be reached by calling 1-888-600-1685, option 1. 4) We discussed that staff should be moving about and engaging children. Staff should refrain from congregating together to ensure active supervision is occurring. 5) We discussed that although there may not be any visible indications that a child is hurt, incident reports should be completed. If a child seeks outside medical attention, this must be documented on the incident report and sent to the consultant within seven days. 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 April 24, 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 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 2/19/2025 Number Present: 45 Completed Date: 2/19/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Laura Feeny, Director, assisted me with today’s visit. The last annual compliance visit was conducted on March 7, 2024. The last sanitation inspection was completed on December 31, 2024, with a “Superior” classification. The last fire inspection was completed on June 10, 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 eighty-one percent prior to today’s visit. The center's Notice of Compliance issued on March 1, 2024, 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 free choice activities, teacher directed activities, toileting and handwashing routines, indoor gross motor, and lunch. Infants were observed receiving care according to their individual needs. Fire drills are being completed. The last documented fire drill was completed on December 20, 2024. Emergency drills are being completed. The last documented emergency drill was completed on January 8, 2025. Your playground meets child care safety standards. The last playground inspection was completed on January 21, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments, emergency medications and Medical Action Plans were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The facility does not provide transportation. The following violations were documented today: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 2 and space 5, there were several places on the walls that had exposed sheet rock. 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed in January 2025. .0604(t); .0302(d)(5) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 2, a prescribed medication was not in the original labeled container. .0803(2)(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 11/8/22 has not renewed First Aid prior to the expiration date. .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 11/8/22 has not renewed CPR prior to the expiration date. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Emergency drills were not completed every three months. An emergency drill was completed on 9/26/24 and again on 1/8/25. .0604(u);.0302(d)(8) Technical Assistance was provided on the following: 1. We discussed that fire drills are required to be conducted monthly and Emergency drills are required to be conducted every three months. It is recommended that these be scheduled on a calendar or your phone as a reminder to complete these drills in the appropriate timeframe. 2. We discussed that prescription medications should be in the original pharmacy packaging. It is recommended that a designated staff member check in medications prior to the medication being stored in classrooms to ensure that all requirements are being met. 3. We discussed that walls should be easy to clean and in good repair. It is recommended that staff observe their classroom monthly to ensure that the walls are clean, in good repair, and there is no exposed sheet rock. Items that need to be repaired should be communicated with the director. 4. We discussed staff members inquiring about First Aid and CPR training about 4-6 months prior to the expiration date of their current training certification. Staff may inquire about training opportunities outside of the county they reside in to maintain compliance. Consultation was provided on the following: 10A NCAC 10 .0602 PARTICIPATION IN THE SUBSIDIZED CHILD CARE ASSISTANCE PROGRAM .0602(f)To be eligible to participate in the Subsidized Child Care Assistance Program, facilities that are exempt from licensure pursuant to G.S. 110-106 shall comply with all staff orientation and training requirements set forth in 10A NCAC 09 .1101, .1102, and .0304, in accordance with the Child Care and Development Block Grant Act, 42 U.S.C. 9858, et seq. 10A NCAC 09 .1101-new staff orientation 10A NCAC 09 .1102-Health/Safety training, FA, CPR, playground safety training, ITS-SIDS, Child Maltreatment training 10A NCAC 09 .0304-on-going inspections (fire/sanitation/building/consultant visits/compliance history) NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. DCDEE WEBSITE RESOURCES: -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-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New 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 in 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 at (919) 814-8401 and someone will assist you. 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 5, 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1101 · Violation

Name of Operation: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 2/19/2025 Number Present: 45 Completed Date: 2/19/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Laura Feeny, Director, assisted me with today’s visit. The last annual compliance visit was conducted on March 7, 2024. The last sanitation inspection was completed on December 31, 2024, with a “Superior” classification. The last fire inspection was completed on June 10, 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 eighty-one percent prior to today’s visit. The center's Notice of Compliance issued on March 1, 2024, 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 free choice activities, teacher directed activities, toileting and handwashing routines, indoor gross motor, and lunch. Infants were observed receiving care according to their individual needs. Fire drills are being completed. The last documented fire drill was completed on December 20, 2024. Emergency drills are being completed. The last documented emergency drill was completed on January 8, 2025. Your playground meets child care safety standards. The last playground inspection was completed on January 21, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments, emergency medications and Medical Action Plans were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The facility does not provide transportation. The following violations were documented today: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 2 and space 5, there were several places on the walls that had exposed sheet rock. 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed in January 2025. .0604(t); .0302(d)(5) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 2, a prescribed medication was not in the original labeled container. .0803(2)(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 11/8/22 has not renewed First Aid prior to the expiration date. .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 11/8/22 has not renewed CPR prior to the expiration date. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Emergency drills were not completed every three months. An emergency drill was completed on 9/26/24 and again on 1/8/25. .0604(u);.0302(d)(8) Technical Assistance was provided on the following: 1. We discussed that fire drills are required to be conducted monthly and Emergency drills are required to be conducted every three months. It is recommended that these be scheduled on a calendar or your phone as a reminder to complete these drills in the appropriate timeframe. 2. We discussed that prescription medications should be in the original pharmacy packaging. It is recommended that a designated staff member check in medications prior to the medication being stored in classrooms to ensure that all requirements are being met. 3. We discussed that walls should be easy to clean and in good repair. It is recommended that staff observe their classroom monthly to ensure that the walls are clean, in good repair, and there is no exposed sheet rock. Items that need to be repaired should be communicated with the director. 4. We discussed staff members inquiring about First Aid and CPR training about 4-6 months prior to the expiration date of their current training certification. Staff may inquire about training opportunities outside of the county they reside in to maintain compliance. Consultation was provided on the following: 10A NCAC 10 .0602 PARTICIPATION IN THE SUBSIDIZED CHILD CARE ASSISTANCE PROGRAM .0602(f)To be eligible to participate in the Subsidized Child Care Assistance Program, facilities that are exempt from licensure pursuant to G.S. 110-106 shall comply with all staff orientation and training requirements set forth in 10A NCAC 09 .1101, .1102, and .0304, in accordance with the Child Care and Development Block Grant Act, 42 U.S.C. 9858, et seq. 10A NCAC 09 .1101-new staff orientation 10A NCAC 09 .1102-Health/Safety training, FA, CPR, playground safety training, ITS-SIDS, Child Maltreatment training 10A NCAC 09 .0304-on-going inspections (fire/sanitation/building/consultant visits/compliance history) NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. DCDEE WEBSITE RESOURCES: -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-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New 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 in 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 at (919) 814-8401 and someone will assist you. 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 5, 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 .1102 · Violation

Name of Operation: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 2/19/2025 Number Present: 45 Completed Date: 2/19/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Laura Feeny, Director, assisted me with today’s visit. The last annual compliance visit was conducted on March 7, 2024. The last sanitation inspection was completed on December 31, 2024, with a “Superior” classification. The last fire inspection was completed on June 10, 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 eighty-one percent prior to today’s visit. The center's Notice of Compliance issued on March 1, 2024, 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 free choice activities, teacher directed activities, toileting and handwashing routines, indoor gross motor, and lunch. Infants were observed receiving care according to their individual needs. Fire drills are being completed. The last documented fire drill was completed on December 20, 2024. Emergency drills are being completed. The last documented emergency drill was completed on January 8, 2025. Your playground meets child care safety standards. The last playground inspection was completed on January 21, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments, emergency medications and Medical Action Plans were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The facility does not provide transportation. The following violations were documented today: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 2 and space 5, there were several places on the walls that had exposed sheet rock. 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed in January 2025. .0604(t); .0302(d)(5) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 2, a prescribed medication was not in the original labeled container. .0803(2)(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 11/8/22 has not renewed First Aid prior to the expiration date. .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 11/8/22 has not renewed CPR prior to the expiration date. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Emergency drills were not completed every three months. An emergency drill was completed on 9/26/24 and again on 1/8/25. .0604(u);.0302(d)(8) Technical Assistance was provided on the following: 1. We discussed that fire drills are required to be conducted monthly and Emergency drills are required to be conducted every three months. It is recommended that these be scheduled on a calendar or your phone as a reminder to complete these drills in the appropriate timeframe. 2. We discussed that prescription medications should be in the original pharmacy packaging. It is recommended that a designated staff member check in medications prior to the medication being stored in classrooms to ensure that all requirements are being met. 3. We discussed that walls should be easy to clean and in good repair. It is recommended that staff observe their classroom monthly to ensure that the walls are clean, in good repair, and there is no exposed sheet rock. Items that need to be repaired should be communicated with the director. 4. We discussed staff members inquiring about First Aid and CPR training about 4-6 months prior to the expiration date of their current training certification. Staff may inquire about training opportunities outside of the county they reside in to maintain compliance. Consultation was provided on the following: 10A NCAC 10 .0602 PARTICIPATION IN THE SUBSIDIZED CHILD CARE ASSISTANCE PROGRAM .0602(f)To be eligible to participate in the Subsidized Child Care Assistance Program, facilities that are exempt from licensure pursuant to G.S. 110-106 shall comply with all staff orientation and training requirements set forth in 10A NCAC 09 .1101, .1102, and .0304, in accordance with the Child Care and Development Block Grant Act, 42 U.S.C. 9858, et seq. 10A NCAC 09 .1101-new staff orientation 10A NCAC 09 .1102-Health/Safety training, FA, CPR, playground safety training, ITS-SIDS, Child Maltreatment training 10A NCAC 09 .0304-on-going inspections (fire/sanitation/building/consultant visits/compliance history) NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. DCDEE WEBSITE RESOURCES: -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-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New 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 in 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 at (919) 814-8401 and someone will assist you. 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 5, 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. 110-106 · Violation

Name of Operation: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 2/19/2025 Number Present: 45 Completed Date: 2/19/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Laura Feeny, Director, assisted me with today’s visit. The last annual compliance visit was conducted on March 7, 2024. The last sanitation inspection was completed on December 31, 2024, with a “Superior” classification. The last fire inspection was completed on June 10, 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 eighty-one percent prior to today’s visit. The center's Notice of Compliance issued on March 1, 2024, 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 free choice activities, teacher directed activities, toileting and handwashing routines, indoor gross motor, and lunch. Infants were observed receiving care according to their individual needs. Fire drills are being completed. The last documented fire drill was completed on December 20, 2024. Emergency drills are being completed. The last documented emergency drill was completed on January 8, 2025. Your playground meets child care safety standards. The last playground inspection was completed on January 21, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments, emergency medications and Medical Action Plans were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The facility does not provide transportation. The following violations were documented today: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 2 and space 5, there were several places on the walls that had exposed sheet rock. 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed in January 2025. .0604(t); .0302(d)(5) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 2, a prescribed medication was not in the original labeled container. .0803(2)(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 11/8/22 has not renewed First Aid prior to the expiration date. .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 11/8/22 has not renewed CPR prior to the expiration date. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Emergency drills were not completed every three months. An emergency drill was completed on 9/26/24 and again on 1/8/25. .0604(u);.0302(d)(8) Technical Assistance was provided on the following: 1. We discussed that fire drills are required to be conducted monthly and Emergency drills are required to be conducted every three months. It is recommended that these be scheduled on a calendar or your phone as a reminder to complete these drills in the appropriate timeframe. 2. We discussed that prescription medications should be in the original pharmacy packaging. It is recommended that a designated staff member check in medications prior to the medication being stored in classrooms to ensure that all requirements are being met. 3. We discussed that walls should be easy to clean and in good repair. It is recommended that staff observe their classroom monthly to ensure that the walls are clean, in good repair, and there is no exposed sheet rock. Items that need to be repaired should be communicated with the director. 4. We discussed staff members inquiring about First Aid and CPR training about 4-6 months prior to the expiration date of their current training certification. Staff may inquire about training opportunities outside of the county they reside in to maintain compliance. Consultation was provided on the following: 10A NCAC 10 .0602 PARTICIPATION IN THE SUBSIDIZED CHILD CARE ASSISTANCE PROGRAM .0602(f)To be eligible to participate in the Subsidized Child Care Assistance Program, facilities that are exempt from licensure pursuant to G.S. 110-106 shall comply with all staff orientation and training requirements set forth in 10A NCAC 09 .1101, .1102, and .0304, in accordance with the Child Care and Development Block Grant Act, 42 U.S.C. 9858, et seq. 10A NCAC 09 .1101-new staff orientation 10A NCAC 09 .1102-Health/Safety training, FA, CPR, playground safety training, ITS-SIDS, Child Maltreatment training 10A NCAC 09 .0304-on-going inspections (fire/sanitation/building/consultant visits/compliance history) NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. DCDEE WEBSITE RESOURCES: -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-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New 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 in 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 at (919) 814-8401 and someone will assist you. 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 5, 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: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 2/19/2025 Number Present: 45 Completed Date: 2/19/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Laura Feeny, Director, assisted me with today’s visit. The last annual compliance visit was conducted on March 7, 2024. The last sanitation inspection was completed on December 31, 2024, with a “Superior” classification. The last fire inspection was completed on June 10, 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 eighty-one percent prior to today’s visit. The center's Notice of Compliance issued on March 1, 2024, 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 free choice activities, teacher directed activities, toileting and handwashing routines, indoor gross motor, and lunch. Infants were observed receiving care according to their individual needs. Fire drills are being completed. The last documented fire drill was completed on December 20, 2024. Emergency drills are being completed. The last documented emergency drill was completed on January 8, 2025. Your playground meets child care safety standards. The last playground inspection was completed on January 21, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments, emergency medications and Medical Action Plans were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The facility does not provide transportation. The following violations were documented today: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 2 and space 5, there were several places on the walls that had exposed sheet rock. 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed in January 2025. .0604(t); .0302(d)(5) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 2, a prescribed medication was not in the original labeled container. .0803(2)(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 11/8/22 has not renewed First Aid prior to the expiration date. .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 11/8/22 has not renewed CPR prior to the expiration date. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Emergency drills were not completed every three months. An emergency drill was completed on 9/26/24 and again on 1/8/25. .0604(u);.0302(d)(8) Technical Assistance was provided on the following: 1. We discussed that fire drills are required to be conducted monthly and Emergency drills are required to be conducted every three months. It is recommended that these be scheduled on a calendar or your phone as a reminder to complete these drills in the appropriate timeframe. 2. We discussed that prescription medications should be in the original pharmacy packaging. It is recommended that a designated staff member check in medications prior to the medication being stored in classrooms to ensure that all requirements are being met. 3. We discussed that walls should be easy to clean and in good repair. It is recommended that staff observe their classroom monthly to ensure that the walls are clean, in good repair, and there is no exposed sheet rock. Items that need to be repaired should be communicated with the director. 4. We discussed staff members inquiring about First Aid and CPR training about 4-6 months prior to the expiration date of their current training certification. Staff may inquire about training opportunities outside of the county they reside in to maintain compliance. Consultation was provided on the following: 10A NCAC 10 .0602 PARTICIPATION IN THE SUBSIDIZED CHILD CARE ASSISTANCE PROGRAM .0602(f)To be eligible to participate in the Subsidized Child Care Assistance Program, facilities that are exempt from licensure pursuant to G.S. 110-106 shall comply with all staff orientation and training requirements set forth in 10A NCAC 09 .1101, .1102, and .0304, in accordance with the Child Care and Development Block Grant Act, 42 U.S.C. 9858, et seq. 10A NCAC 09 .1101-new staff orientation 10A NCAC 09 .1102-Health/Safety training, FA, CPR, playground safety training, ITS-SIDS, Child Maltreatment training 10A NCAC 09 .0304-on-going inspections (fire/sanitation/building/consultant visits/compliance history) NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. DCDEE WEBSITE RESOURCES: -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-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New 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 in 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 at (919) 814-8401 and someone will assist you. 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 5, 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: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 2/19/2025 Number Present: 45 Completed Date: 2/19/2025 Age: From 0 To 5 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements during an Annual Compliance Visit. You, Laura Feeny, Director, assisted me with today’s visit. The last annual compliance visit was conducted on March 7, 2024. The last sanitation inspection was completed on December 31, 2024, with a “Superior” classification. The last fire inspection was completed on June 10, 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 eighty-one percent prior to today’s visit. The center's Notice of Compliance issued on March 1, 2024, 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 free choice activities, teacher directed activities, toileting and handwashing routines, indoor gross motor, and lunch. Infants were observed receiving care according to their individual needs. Fire drills are being completed. The last documented fire drill was completed on December 20, 2024. Emergency drills are being completed. The last documented emergency drill was completed on January 8, 2025. Your playground meets child care safety standards. The last playground inspection was completed on January 21, 2025. No concerns were observed. Materials, toys, and equipment throughout the facility was of sufficient quantity, developmentally appropriate, and in good repair. All topical ointments, emergency medications and Medical Action Plans were monitored during today’s visit. A selection of staff files and children’s files were monitored during today’s visit. The facility does not provide transportation. The following violations were documented today: Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. In space 2 and space 5, there were several places on the walls that had exposed sheet rock. 15A NCAC 18A .2825(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not completed in January 2025. .0604(t); .0302(d)(5) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 2, a prescribed medication was not in the original labeled container. .0803(2)(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 11/8/22 has not renewed First Aid prior to the expiration date. .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 11/8/22 has not renewed CPR prior to the expiration date. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Emergency drills were not completed every three months. An emergency drill was completed on 9/26/24 and again on 1/8/25. .0604(u);.0302(d)(8) Technical Assistance was provided on the following: 1. We discussed that fire drills are required to be conducted monthly and Emergency drills are required to be conducted every three months. It is recommended that these be scheduled on a calendar or your phone as a reminder to complete these drills in the appropriate timeframe. 2. We discussed that prescription medications should be in the original pharmacy packaging. It is recommended that a designated staff member check in medications prior to the medication being stored in classrooms to ensure that all requirements are being met. 3. We discussed that walls should be easy to clean and in good repair. It is recommended that staff observe their classroom monthly to ensure that the walls are clean, in good repair, and there is no exposed sheet rock. Items that need to be repaired should be communicated with the director. 4. We discussed staff members inquiring about First Aid and CPR training about 4-6 months prior to the expiration date of their current training certification. Staff may inquire about training opportunities outside of the county they reside in to maintain compliance. Consultation was provided on the following: 10A NCAC 10 .0602 PARTICIPATION IN THE SUBSIDIZED CHILD CARE ASSISTANCE PROGRAM .0602(f)To be eligible to participate in the Subsidized Child Care Assistance Program, facilities that are exempt from licensure pursuant to G.S. 110-106 shall comply with all staff orientation and training requirements set forth in 10A NCAC 09 .1101, .1102, and .0304, in accordance with the Child Care and Development Block Grant Act, 42 U.S.C. 9858, et seq. 10A NCAC 09 .1101-new staff orientation 10A NCAC 09 .1102-Health/Safety training, FA, CPR, playground safety training, ITS-SIDS, Child Maltreatment training 10A NCAC 09 .0304-on-going inspections (fire/sanitation/building/consultant visits/compliance history) NEW QRIS MODERNIZATION PLAN: The new QRIS Modernization Plan known as “Pathways to Success” is being added to law which included moving to the use of the updated Environmental Rating Scale (ERS-3 versions) for FCCERS, effective February 1, 2025. DCDEE and the NC Child Care Commission will continue the rulemaking process to add the rule language to child care requirements. This process with take several months. Hold Harmless provisions have been extended. Star rated license reassessments are postponed until the QRIS rulemaking process has been completed. Star rated license assessments are still required for new child care programs. A pathway for child care programs currently accredited through the approved accrediting bodies may now move to a 3- or 5-star license if they are not already at this star level. Providers need to submit a request to their licensing consultant and provide a copy of their accreditation award/certificate for processing: Accreditation Licensure Request Form. Please be reminded any ERS assessment completed on February 1, 2025, and after will be assessed using the ERS-3 versions. DCDEE WEBSITE RESOURCES: -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-Professional-Development/Health-and-Safety-Trainings -Care for Children Receiving Subsidy: https://ncchildcare.ncdhhs.gov/Provider/Providing-Child-Care/Subsidized-Child-Care/Care-for-Children-Receiving-Subsidy -DCDEE Updates, Current Projects, and information applicable to Child Care in NC: https://ncchildcare.ncdhhs.gov/Whats-New 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 in 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 at (919) 814-8401 and someone will assist you. 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 5, 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 .0304 · Violation

Name of Operation: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 9/4/2024 Number Present: 65 Completed Date: 9/4/2024 Age: From 0 To 5 Total Minutes: 190 Time In: 10:20 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, Laura Feeney, Director, assisted me with today’s visit. The last annual compliance visit was conducted on March 7, 2024. The last sanitation inspection was completed on May 21, 2024, with a “Superior” classification. The last fire inspection was conducted on June 10, 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 84 percent prior to today’s visit. The center's Notice of Compliance letter, 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 environment was completed. Children were observed during outdoor activities, lunch, and rest time. Infants under twelve months were observed receiving care according to their individual needs. Diapering and handwashing procedures were observed. Fire drills were completed monthly as required. The last fire drill was completed on August 8, 2024. Emergency drills are being conducted every three months as required. The last emergency drill was completed on July 17, 2024. Outdoor playground inspections were completed monthly. The last outdoor playground inspection was completed on August 7, 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 medical action plans were monitored during today's visit. All staff files were monitored for a current Criminal Background Check Qualification letter, current First Aid/CPR, current ITS-SIDS training, and Recognizing and Responding to Suspicions of Child Maltreatment Training during today’s visit. The following violations were documented today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was completed after 5/2024 and was not submitted within 7 days to DCDEE. 10A NCAC 09 .0304(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 1 a prescribed medication was not in the original packaging and did not have written instructions from the physician. .0803(2)(a) 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, an emergency medication expired 4/2024. In space 5, a sunscreen expired 6/2024. .0803(12) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space 3, a child's medical action plan expired on 7/26/2024. .0801(b) Technical Assistance was provided on the following: 1. We discussed ensuring that the fire inspection is completed annually by the end of the month in which it was completed the previous year. It is recommended to put a reminder on a calendar to remind administrative staff to contact the fire marshal ahead of time to ensure the inspection is complete in a timely manner. Also please ensure that the fire inspection is completed on the childcare fire inspection from. 2. We discussed reviewing medication permission with parents prior to it being placed in the classroom. This will ensure that the permission slip is completed in its entirety and accurate. Prescription medications must come to the facility in its original packaging with the pharmacy label intact. 3. We discussed staff adding the expiration date of Medical Action Plans to their reference sheet of expiration dates for medications. This will ensure that staff are aware of when Medical Action Plans will expire. Medical Action plans should be updated annually. 4. We discussed reminding staff to monitor their reference sheet for medications periodically to ensure that medications and their permission to administer forms do not expire. Once it has expired, the facility has 72 hours to return the medication(s) or discard. Consultation was provided on the following: 1. Centers should have registered for lead paint/asbestos testing by May 1, 2024. Facilities that have not yet enrolled should complete the online registration process for lead paint/asbestos testing by November 1, 2024 at https://data.cleanwaterforuskids.org/data/north-carolina. 10A NCAC 09 .0601(f) Each child care center shall be free of lead poisoning hazards as defined in G.S. 130A-131.7(7) and asbestos hazards. 2. We discussed ensuring that health and safety trainings are documented on the Health and Safety training documentation sheet every 5 years. 3. Please visit https://ncchildcare.ncdhhs.gov/ to sign up to receive updated information from NC DHHS Division of Child Development and Early Education (DCDEE). Also as forms on the DCDEE website are being updated, please ensure that you are using the most current forms in your facility. 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 September 18, 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 9/4/2024 Number Present: 65 Completed Date: 9/4/2024 Age: From 0 To 5 Total Minutes: 190 Time In: 10:20 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, Laura Feeney, Director, assisted me with today’s visit. The last annual compliance visit was conducted on March 7, 2024. The last sanitation inspection was completed on May 21, 2024, with a “Superior” classification. The last fire inspection was conducted on June 10, 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 84 percent prior to today’s visit. The center's Notice of Compliance letter, 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 environment was completed. Children were observed during outdoor activities, lunch, and rest time. Infants under twelve months were observed receiving care according to their individual needs. Diapering and handwashing procedures were observed. Fire drills were completed monthly as required. The last fire drill was completed on August 8, 2024. Emergency drills are being conducted every three months as required. The last emergency drill was completed on July 17, 2024. Outdoor playground inspections were completed monthly. The last outdoor playground inspection was completed on August 7, 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 medical action plans were monitored during today's visit. All staff files were monitored for a current Criminal Background Check Qualification letter, current First Aid/CPR, current ITS-SIDS training, and Recognizing and Responding to Suspicions of Child Maltreatment Training during today’s visit. The following violations were documented today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was completed after 5/2024 and was not submitted within 7 days to DCDEE. 10A NCAC 09 .0304(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 1 a prescribed medication was not in the original packaging and did not have written instructions from the physician. .0803(2)(a) 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, an emergency medication expired 4/2024. In space 5, a sunscreen expired 6/2024. .0803(12) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space 3, a child's medical action plan expired on 7/26/2024. .0801(b) Technical Assistance was provided on the following: 1. We discussed ensuring that the fire inspection is completed annually by the end of the month in which it was completed the previous year. It is recommended to put a reminder on a calendar to remind administrative staff to contact the fire marshal ahead of time to ensure the inspection is complete in a timely manner. Also please ensure that the fire inspection is completed on the childcare fire inspection from. 2. We discussed reviewing medication permission with parents prior to it being placed in the classroom. This will ensure that the permission slip is completed in its entirety and accurate. Prescription medications must come to the facility in its original packaging with the pharmacy label intact. 3. We discussed staff adding the expiration date of Medical Action Plans to their reference sheet of expiration dates for medications. This will ensure that staff are aware of when Medical Action Plans will expire. Medical Action plans should be updated annually. 4. We discussed reminding staff to monitor their reference sheet for medications periodically to ensure that medications and their permission to administer forms do not expire. Once it has expired, the facility has 72 hours to return the medication(s) or discard. Consultation was provided on the following: 1. Centers should have registered for lead paint/asbestos testing by May 1, 2024. Facilities that have not yet enrolled should complete the online registration process for lead paint/asbestos testing by November 1, 2024 at https://data.cleanwaterforuskids.org/data/north-carolina. 10A NCAC 09 .0601(f) Each child care center shall be free of lead poisoning hazards as defined in G.S. 130A-131.7(7) and asbestos hazards. 2. We discussed ensuring that health and safety trainings are documented on the Health and Safety training documentation sheet every 5 years. 3. Please visit https://ncchildcare.ncdhhs.gov/ to sign up to receive updated information from NC DHHS Division of Child Development and Early Education (DCDEE). Also as forms on the DCDEE website are being updated, please ensure that you are using the most current forms in your facility. 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 September 18, 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: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 9/4/2024 Number Present: 65 Completed Date: 9/4/2024 Age: From 0 To 5 Total Minutes: 190 Time In: 10:20 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, Laura Feeney, Director, assisted me with today’s visit. The last annual compliance visit was conducted on March 7, 2024. The last sanitation inspection was completed on May 21, 2024, with a “Superior” classification. The last fire inspection was conducted on June 10, 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 84 percent prior to today’s visit. The center's Notice of Compliance letter, 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 environment was completed. Children were observed during outdoor activities, lunch, and rest time. Infants under twelve months were observed receiving care according to their individual needs. Diapering and handwashing procedures were observed. Fire drills were completed monthly as required. The last fire drill was completed on August 8, 2024. Emergency drills are being conducted every three months as required. The last emergency drill was completed on July 17, 2024. Outdoor playground inspections were completed monthly. The last outdoor playground inspection was completed on August 7, 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 medical action plans were monitored during today's visit. All staff files were monitored for a current Criminal Background Check Qualification letter, current First Aid/CPR, current ITS-SIDS training, and Recognizing and Responding to Suspicions of Child Maltreatment Training during today’s visit. The following violations were documented today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The fire inspection was completed after 5/2024 and was not submitted within 7 days to DCDEE. 10A NCAC 09 .0304(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. In space 1 a prescribed medication was not in the original packaging and did not have written instructions from the physician. .0803(2)(a) 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, an emergency medication expired 4/2024. In space 5, a sunscreen expired 6/2024. .0803(12) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In space 3, a child's medical action plan expired on 7/26/2024. .0801(b) Technical Assistance was provided on the following: 1. We discussed ensuring that the fire inspection is completed annually by the end of the month in which it was completed the previous year. It is recommended to put a reminder on a calendar to remind administrative staff to contact the fire marshal ahead of time to ensure the inspection is complete in a timely manner. Also please ensure that the fire inspection is completed on the childcare fire inspection from. 2. We discussed reviewing medication permission with parents prior to it being placed in the classroom. This will ensure that the permission slip is completed in its entirety and accurate. Prescription medications must come to the facility in its original packaging with the pharmacy label intact. 3. We discussed staff adding the expiration date of Medical Action Plans to their reference sheet of expiration dates for medications. This will ensure that staff are aware of when Medical Action Plans will expire. Medical Action plans should be updated annually. 4. We discussed reminding staff to monitor their reference sheet for medications periodically to ensure that medications and their permission to administer forms do not expire. Once it has expired, the facility has 72 hours to return the medication(s) or discard. Consultation was provided on the following: 1. Centers should have registered for lead paint/asbestos testing by May 1, 2024. Facilities that have not yet enrolled should complete the online registration process for lead paint/asbestos testing by November 1, 2024 at https://data.cleanwaterforuskids.org/data/north-carolina. 10A NCAC 09 .0601(f) Each child care center shall be free of lead poisoning hazards as defined in G.S. 130A-131.7(7) and asbestos hazards. 2. We discussed ensuring that health and safety trainings are documented on the Health and Safety training documentation sheet every 5 years. 3. Please visit https://ncchildcare.ncdhhs.gov/ to sign up to receive updated information from NC DHHS Division of Child Development and Early Education (DCDEE). Also as forms on the DCDEE website are being updated, please ensure that you are using the most current forms in your facility. 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 September 18, 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 .0701 · Violation

Name of Operation: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 77 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of unannounced today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Brittany Adams, Child Care Consultant, accompanied me on today’s visit. You, Darienne Fritz, Director, assisted me with today’s visit. Your program currently operates under a Notice of Compliance, issued November 15, 2012. We observed your Notice of Compliance was posted beside your office door. The last annual compliance visit was conducted on April 24, 2024. The last sanitation inspection was completed on December 4, 2023, with a “Superior” classification. The last fire inspection was completed May 25, 2023, 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 82 percent prior to today’s visit. We observed the NC Child Care Summary of the Law, Emergency Care Plan, emergency phone numbers, tobacco free signage, menu, and Safe Arrival Procedures were posted in the hallway on a bulletin board. We observed adequate supervision, staff-child ratios maintained, approved space used, and permit restrictions in compliance during today’s visit. We observed sign-in and out sheets in each classroom. We observed attendance records to be current as required. All children present today were signed in as required. In the classroom for infants, we observed the Safe Sleep Poster/Policy posted, Safe Sleep Logs, cribs labeled with each infant’s name, sleep waivers posted, and bottles labeled with each child’s name and date. Infant Feeding Plans were available for all children under fifteen months. Infants were observed sleeping in cribs, playing on the floor, diaper changing procedures, and bottle feedings. We observed toys, equipment, and materials throughout the facility to be of sufficient quantity, developmentally appropriate, and in good repair. We observed children engaged in free choice activities, gross motor play, teacher directed activities, small groups, lunch, gross motor activities, and rest time. We observed the menu to meet all nutritional guidelines. We monitored your outdoor play spaces for general safety today. We monitored all over-the- counter topical ointments and sunscreens to be stored in locked storage in each classroom. We monitored one medical action plan in the facility. We observed this one medical action plan to be complete and updated as required. We observed incident logs located in each classroom to be current and up to date as required. We observed incident reports filed in children’s individual files. We observed your monthly Fire Drill Log documenting drills for the past twelve months. We observed the last fire drill documented on this log was dated February 15, 2024, at 10:06am. We observed your Shelter-in-Place/Lockdown Drill Log documenting drills for the past twelve months and conducted every three months as required. We observed the last emergency drill documented on this log was a lockdown drill dated February 19, 2024, at 2:00pm. The facility does not provide transportation. We monitored a selection of children and staff files during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 538 Baby bottles were not stored to protect from contamination. Throughout the facility, infant bottles and sippy cups did not have a lid to prevent contamination. 15A NCAC 18A .2804(d) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. On playground 2, the mulch surfacing was not at least 6 inches deep. .0605(j) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 2, an aerosol can of room spray was in an unlocked cabinet. In space 3, an aerosol can of Lysol was in an unlocked cabinet. These items were placed in locked storage. .2820(b) 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 permission to administer topical ointment expired 2/2024. In space 4, a topical ointment expired on 1/2024. These items were discarded during today's visit. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on 1/2/24 did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member hired on 1/2/24 did not have a TB test on or before the first day of work. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 1/2/24 did not have signed acknowledgement of Shaken Baby Syndrome and Abusive Head Trauma policy. The staff member signed the policy during today's visit. .0608(d)(1-4) Technical assistance (TA) was provided on the following: 1. We discussed ensuring that all medications and topical ointments have a medication permission to administer form on file for review. 2. We discussed coming up with a system for classroom staff to review their medications and topical to ensure that all medications and permission forms remain in compliance with current expiration dates. 3. We discussed staff doing a walkthrough of the facility to ensure that all products that are hazardous are properly stored prior to caring for children. 4. We discussed ensuring that all paperwork is in the staff files according to the staff file checklist and by the due date. Medical Statements and TB test should be obtained from the employer prior to the first day of employment. The Shaken Baby Head Trauma Policy should be reviewed with staff and signed prior to working with children ages 0-5. 5. We discussed that stationary structures on the outdoor playground should have sufficient surfacing. Mulch should be at least 6 inches deep. 6. We discussed that bottles and cups should be stored with lids on them to prevent cross contamination. We suggested finding sippy cups that have a lid or cap that will cover the area that the child drinks from. Consultation was provided on the following: 1. When parents are completing the permission forms for medications and topical ointments, please explain that the amount should be addressed by writing dime size, quarter size, pea size, etc. This will give staff members a visual of how much to apply to the child. 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 21, 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 3/7/2024 Number Present: 77 Completed Date: 3/7/2024 Age: From 0 To 5 Total Minutes: 255 Time In: 09:30 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Announced The purpose of unannounced today’s visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit. Brittany Adams, Child Care Consultant, accompanied me on today’s visit. You, Darienne Fritz, Director, assisted me with today’s visit. Your program currently operates under a Notice of Compliance, issued November 15, 2012. We observed your Notice of Compliance was posted beside your office door. The last annual compliance visit was conducted on April 24, 2024. The last sanitation inspection was completed on December 4, 2023, with a “Superior” classification. The last fire inspection was completed May 25, 2023, 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 82 percent prior to today’s visit. We observed the NC Child Care Summary of the Law, Emergency Care Plan, emergency phone numbers, tobacco free signage, menu, and Safe Arrival Procedures were posted in the hallway on a bulletin board. We observed adequate supervision, staff-child ratios maintained, approved space used, and permit restrictions in compliance during today’s visit. We observed sign-in and out sheets in each classroom. We observed attendance records to be current as required. All children present today were signed in as required. In the classroom for infants, we observed the Safe Sleep Poster/Policy posted, Safe Sleep Logs, cribs labeled with each infant’s name, sleep waivers posted, and bottles labeled with each child’s name and date. Infant Feeding Plans were available for all children under fifteen months. Infants were observed sleeping in cribs, playing on the floor, diaper changing procedures, and bottle feedings. We observed toys, equipment, and materials throughout the facility to be of sufficient quantity, developmentally appropriate, and in good repair. We observed children engaged in free choice activities, gross motor play, teacher directed activities, small groups, lunch, gross motor activities, and rest time. We observed the menu to meet all nutritional guidelines. We monitored your outdoor play spaces for general safety today. We monitored all over-the- counter topical ointments and sunscreens to be stored in locked storage in each classroom. We monitored one medical action plan in the facility. We observed this one medical action plan to be complete and updated as required. We observed incident logs located in each classroom to be current and up to date as required. We observed incident reports filed in children’s individual files. We observed your monthly Fire Drill Log documenting drills for the past twelve months. We observed the last fire drill documented on this log was dated February 15, 2024, at 10:06am. We observed your Shelter-in-Place/Lockdown Drill Log documenting drills for the past twelve months and conducted every three months as required. We observed the last emergency drill documented on this log was a lockdown drill dated February 19, 2024, at 2:00pm. The facility does not provide transportation. We monitored a selection of children and staff files during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 538 Baby bottles were not stored to protect from contamination. Throughout the facility, infant bottles and sippy cups did not have a lid to prevent contamination. 15A NCAC 18A .2804(d) 716 All stationary equipment, more than 18 inches high, was not installed over protective surfacing. On playground 2, the mulch surfacing was not at least 6 inches deep. .0605(j) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 2, an aerosol can of room spray was in an unlocked cabinet. In space 3, an aerosol can of Lysol was in an unlocked cabinet. These items were placed in locked storage. .2820(b) 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 permission to administer topical ointment expired 2/2024. In space 4, a topical ointment expired on 1/2024. These items were discarded during today's visit. .0803(12) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on 1/2/24 did not have a medical report on file prior to employment. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member hired on 1/2/24 did not have a TB test on or before the first day of work. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 1/2/24 did not have signed acknowledgement of Shaken Baby Syndrome and Abusive Head Trauma policy. The staff member signed the policy during today's visit. .0608(d)(1-4) Technical assistance (TA) was provided on the following: 1. We discussed ensuring that all medications and topical ointments have a medication permission to administer form on file for review. 2. We discussed coming up with a system for classroom staff to review their medications and topical to ensure that all medications and permission forms remain in compliance with current expiration dates. 3. We discussed staff doing a walkthrough of the facility to ensure that all products that are hazardous are properly stored prior to caring for children. 4. We discussed ensuring that all paperwork is in the staff files according to the staff file checklist and by the due date. Medical Statements and TB test should be obtained from the employer prior to the first day of employment. The Shaken Baby Head Trauma Policy should be reviewed with staff and signed prior to working with children ages 0-5. 5. We discussed that stationary structures on the outdoor playground should have sufficient surfacing. Mulch should be at least 6 inches deep. 6. We discussed that bottles and cups should be stored with lids on them to prevent cross contamination. We suggested finding sippy cups that have a lid or cap that will cover the area that the child drinks from. Consultation was provided on the following: 1. When parents are completing the permission forms for medications and topical ointments, please explain that the amount should be addressed by writing dime size, quarter size, pea size, etc. This will give staff members a visual of how much to apply to the child. 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 21, 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 .0304 · Violation

Name of Operation: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 11/7/2023 Number Present: 72 Completed Date: 11/7/2023 Age: From 0 To 5 Total Minutes: 290 Time In: 09:30 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s Routine Unannounced visit was to monitor for compliance with applicable child care requirements. You, Darienne Fritz, Director, assisted me with today’s visit. The last Annual Compliance Visit was completed on April 25, 2023. The facility operates with a Religious Sponsored Notice of Compliance issued on June 28, 2019. The 18-month compliance history is at 86% as of November 3, 2023. The last sanitation inspection was completed on April 26, 2023, with a “Superior” classification. The last fire inspection was completed on May 25, 2023. You gave me a copy of the fire inspection during today’s visit. I observed your Notice of Compliance posted on the wall at the office, 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, evacuation plans, daily schedules, current activity plans, staff-child ratio sheets, and allergies posted. I observed adequate supervision, approved space used, and permit restrictions maintained during today’s visit. I observed attendance records to be current. I observed children signed in and out on the Brightwheel app. You provided hard copies of daily sign in/out from the electronic app. I observed children engaged in small group activities, free choice activities, toileting and handwashing routines, rest time, and lunch. Lunch consisted of a hotdog, mashed potatoes, oranges, and milk. I observed and monitored 51 topical ointments and their permission to administer topical ointment forms. I observed and monitored 1 emergency medication. I observed monthly outdoor inspections documented for the past twelve months. I observed monthly fire drills documented for the past twelve months. I observed the most recent fire drill was conducted on October 5, 2023, at 10:27am. I observed the most recent emergency drill in the form of a shelter-in-place was conducted on August 7, 2023, at 4:30pm with thirty seconds to shelter-in-place. I observed six new staff members had been hired since the last ACV completed on April 25, 2023. I monitored these six staff members’ files during today’s visit. I monitored eleven existing staff files for valid Criminal Background Check (CBC) qualification letters, valid CPR and First Aid training, BSAC training, current ITS- SIDS training, and completion of Recognizing and Responding to Suspicions of Child Maltreatment. I observed no violations related to staff records. The following violations were observed during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was completed on 5/25/23. I received a copy of the fire inspection during today's visit. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 5, an aerosol can of Lysol spray was stored on top of a storage cabinet. You placed the aerosol can of Lysol spray in locked storage during today's visit. .2820(b) 847 Parent's medication authorization did not include required information. In space 2, 2 children's permission to administer topical ointment forms were not signed by the parent. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on 7/1/23 did not have a medical report prior to employment. The medical report was dated 7/6/23. A staff member hired on 8/14/23 had a medical report older than 12 months that was dated 8/28/14. A staff member hired on 8/14/23 had a medical report older than 12 months that was dated 10/21/15. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member hired on 8/14/23 had a TB test older than 12 months that was dated 6/20/14. A staff member hired on 8/14/23 had a TB test older than 12 months that was dated 5/29/15. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A staff member hired on 8/14/23 and 10/16/23 did not have a health questionnaire complete. The staff members completed the health questionnaire during today's visit. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 7/19/23 did not have a signed Shaken Baby Syndrome and Abusive Head Trauma Policy on file for review. The staff member reviewed and signed the policy during today's visit. .0608(d)(1-4) 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. A staff member hired on 4/4/23 had not completed Recognizing and Responding to Suspicions of Child Maltreatment. A staff member hired on 5/5/23 and 7/1/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of employment. .1102(g) During today’s visit, I provided technical assistance (TA) regarding the following topics: 1. We discussed when receiving medications and ointments, that a staff member reviews the medication and permission form with parents to verify that all information is complete and accurate. Parents should document the amount of medication and/or ointments on the permission form. An example of the amount is: dime size, pea size, quarter size. Please ensure that parents are signing the permission to administer form. 2. We discussed teachers conducting a thorough walk through of their classroom prior to caring for children to ensure items that should be stored 5 feet or higher and aerosol cans are properly stored. 3. We discussed that Recognizing Suspicions of Child Maltreatment should be taken within 90 days of employment. A training on Child Maltreatment should be taken every five years thereafter. You may reach out to the local Partnership for Young Children or Department of Social Services to inquire on training opportunities related to this topic. If a training cannot be found, you may retake the Recognizing and Responding to Suspicions of Child Maltreatment training that can be located at www.preventchildabusenc.org. Please retain these certificates in your staff personnel file for review. 4. We discussed that fire inspections need to be sent to me within 7 days of receiving a visit from the fire inspector. 5. We discussed that staff should review and sign the Shaken Baby Head Trauma policy prior to caring for children ages 0 to 5. 6. We discussed that medical reports and TB skin tests for new staff should not be older than 12 months and should be completed prior to employment. 7. We discussed 10A NCAC 10 .0602 PARTICIPATION IN THE SUBSIDIZED CHILD CARE ASSISTANCE PROGRAM .0602(f)To be eligible to participate in the Subsidized Child Care Assistance Program, facilities that are exempt from licensure pursuant to G.S. 110-106 shall comply with all staff orientation and training requirements set forth in 10A NCAC 09 .1101, .1102, and .0304, in accordance with the Child Care and Development Block Grant Act, 42 U.S.C. 9858, et seq. 10A NCAC 09 .1101-new staff orientation 10A NCAC 09 .1102-Health/Safety training, playground safety training, Child Maltreatment training 10A NCAC 09 .0304-on-going training requirements 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before November 21, 2023, 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. At the completion of the visit, this visit summary reviewed, signed, and a copy was emailed to you. 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

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 11/7/2023 Number Present: 72 Completed Date: 11/7/2023 Age: From 0 To 5 Total Minutes: 290 Time In: 09:30 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s Routine Unannounced visit was to monitor for compliance with applicable child care requirements. You, Darienne Fritz, Director, assisted me with today’s visit. The last Annual Compliance Visit was completed on April 25, 2023. The facility operates with a Religious Sponsored Notice of Compliance issued on June 28, 2019. The 18-month compliance history is at 86% as of November 3, 2023. The last sanitation inspection was completed on April 26, 2023, with a “Superior” classification. The last fire inspection was completed on May 25, 2023. You gave me a copy of the fire inspection during today’s visit. I observed your Notice of Compliance posted on the wall at the office, 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, evacuation plans, daily schedules, current activity plans, staff-child ratio sheets, and allergies posted. I observed adequate supervision, approved space used, and permit restrictions maintained during today’s visit. I observed attendance records to be current. I observed children signed in and out on the Brightwheel app. You provided hard copies of daily sign in/out from the electronic app. I observed children engaged in small group activities, free choice activities, toileting and handwashing routines, rest time, and lunch. Lunch consisted of a hotdog, mashed potatoes, oranges, and milk. I observed and monitored 51 topical ointments and their permission to administer topical ointment forms. I observed and monitored 1 emergency medication. I observed monthly outdoor inspections documented for the past twelve months. I observed monthly fire drills documented for the past twelve months. I observed the most recent fire drill was conducted on October 5, 2023, at 10:27am. I observed the most recent emergency drill in the form of a shelter-in-place was conducted on August 7, 2023, at 4:30pm with thirty seconds to shelter-in-place. I observed six new staff members had been hired since the last ACV completed on April 25, 2023. I monitored these six staff members’ files during today’s visit. I monitored eleven existing staff files for valid Criminal Background Check (CBC) qualification letters, valid CPR and First Aid training, BSAC training, current ITS- SIDS training, and completion of Recognizing and Responding to Suspicions of Child Maltreatment. I observed no violations related to staff records. The following violations were observed during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was completed on 5/25/23. I received a copy of the fire inspection during today's visit. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 5, an aerosol can of Lysol spray was stored on top of a storage cabinet. You placed the aerosol can of Lysol spray in locked storage during today's visit. .2820(b) 847 Parent's medication authorization did not include required information. In space 2, 2 children's permission to administer topical ointment forms were not signed by the parent. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on 7/1/23 did not have a medical report prior to employment. The medical report was dated 7/6/23. A staff member hired on 8/14/23 had a medical report older than 12 months that was dated 8/28/14. A staff member hired on 8/14/23 had a medical report older than 12 months that was dated 10/21/15. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member hired on 8/14/23 had a TB test older than 12 months that was dated 6/20/14. A staff member hired on 8/14/23 had a TB test older than 12 months that was dated 5/29/15. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A staff member hired on 8/14/23 and 10/16/23 did not have a health questionnaire complete. The staff members completed the health questionnaire during today's visit. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 7/19/23 did not have a signed Shaken Baby Syndrome and Abusive Head Trauma Policy on file for review. The staff member reviewed and signed the policy during today's visit. .0608(d)(1-4) 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. A staff member hired on 4/4/23 had not completed Recognizing and Responding to Suspicions of Child Maltreatment. A staff member hired on 5/5/23 and 7/1/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of employment. .1102(g) During today’s visit, I provided technical assistance (TA) regarding the following topics: 1. We discussed when receiving medications and ointments, that a staff member reviews the medication and permission form with parents to verify that all information is complete and accurate. Parents should document the amount of medication and/or ointments on the permission form. An example of the amount is: dime size, pea size, quarter size. Please ensure that parents are signing the permission to administer form. 2. We discussed teachers conducting a thorough walk through of their classroom prior to caring for children to ensure items that should be stored 5 feet or higher and aerosol cans are properly stored. 3. We discussed that Recognizing Suspicions of Child Maltreatment should be taken within 90 days of employment. A training on Child Maltreatment should be taken every five years thereafter. You may reach out to the local Partnership for Young Children or Department of Social Services to inquire on training opportunities related to this topic. If a training cannot be found, you may retake the Recognizing and Responding to Suspicions of Child Maltreatment training that can be located at www.preventchildabusenc.org. Please retain these certificates in your staff personnel file for review. 4. We discussed that fire inspections need to be sent to me within 7 days of receiving a visit from the fire inspector. 5. We discussed that staff should review and sign the Shaken Baby Head Trauma policy prior to caring for children ages 0 to 5. 6. We discussed that medical reports and TB skin tests for new staff should not be older than 12 months and should be completed prior to employment. 7. We discussed 10A NCAC 10 .0602 PARTICIPATION IN THE SUBSIDIZED CHILD CARE ASSISTANCE PROGRAM .0602(f)To be eligible to participate in the Subsidized Child Care Assistance Program, facilities that are exempt from licensure pursuant to G.S. 110-106 shall comply with all staff orientation and training requirements set forth in 10A NCAC 09 .1101, .1102, and .0304, in accordance with the Child Care and Development Block Grant Act, 42 U.S.C. 9858, et seq. 10A NCAC 09 .1101-new staff orientation 10A NCAC 09 .1102-Health/Safety training, playground safety training, Child Maltreatment training 10A NCAC 09 .0304-on-going training requirements 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before November 21, 2023, 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. At the completion of the visit, this visit summary reviewed, signed, and a copy was emailed to you. 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: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 11/7/2023 Number Present: 72 Completed Date: 11/7/2023 Age: From 0 To 5 Total Minutes: 290 Time In: 09:30 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s Routine Unannounced visit was to monitor for compliance with applicable child care requirements. You, Darienne Fritz, Director, assisted me with today’s visit. The last Annual Compliance Visit was completed on April 25, 2023. The facility operates with a Religious Sponsored Notice of Compliance issued on June 28, 2019. The 18-month compliance history is at 86% as of November 3, 2023. The last sanitation inspection was completed on April 26, 2023, with a “Superior” classification. The last fire inspection was completed on May 25, 2023. You gave me a copy of the fire inspection during today’s visit. I observed your Notice of Compliance posted on the wall at the office, 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, evacuation plans, daily schedules, current activity plans, staff-child ratio sheets, and allergies posted. I observed adequate supervision, approved space used, and permit restrictions maintained during today’s visit. I observed attendance records to be current. I observed children signed in and out on the Brightwheel app. You provided hard copies of daily sign in/out from the electronic app. I observed children engaged in small group activities, free choice activities, toileting and handwashing routines, rest time, and lunch. Lunch consisted of a hotdog, mashed potatoes, oranges, and milk. I observed and monitored 51 topical ointments and their permission to administer topical ointment forms. I observed and monitored 1 emergency medication. I observed monthly outdoor inspections documented for the past twelve months. I observed monthly fire drills documented for the past twelve months. I observed the most recent fire drill was conducted on October 5, 2023, at 10:27am. I observed the most recent emergency drill in the form of a shelter-in-place was conducted on August 7, 2023, at 4:30pm with thirty seconds to shelter-in-place. I observed six new staff members had been hired since the last ACV completed on April 25, 2023. I monitored these six staff members’ files during today’s visit. I monitored eleven existing staff files for valid Criminal Background Check (CBC) qualification letters, valid CPR and First Aid training, BSAC training, current ITS- SIDS training, and completion of Recognizing and Responding to Suspicions of Child Maltreatment. I observed no violations related to staff records. The following violations were observed during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was completed on 5/25/23. I received a copy of the fire inspection during today's visit. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 5, an aerosol can of Lysol spray was stored on top of a storage cabinet. You placed the aerosol can of Lysol spray in locked storage during today's visit. .2820(b) 847 Parent's medication authorization did not include required information. In space 2, 2 children's permission to administer topical ointment forms were not signed by the parent. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on 7/1/23 did not have a medical report prior to employment. The medical report was dated 7/6/23. A staff member hired on 8/14/23 had a medical report older than 12 months that was dated 8/28/14. A staff member hired on 8/14/23 had a medical report older than 12 months that was dated 10/21/15. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member hired on 8/14/23 had a TB test older than 12 months that was dated 6/20/14. A staff member hired on 8/14/23 had a TB test older than 12 months that was dated 5/29/15. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A staff member hired on 8/14/23 and 10/16/23 did not have a health questionnaire complete. The staff members completed the health questionnaire during today's visit. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 7/19/23 did not have a signed Shaken Baby Syndrome and Abusive Head Trauma Policy on file for review. The staff member reviewed and signed the policy during today's visit. .0608(d)(1-4) 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. A staff member hired on 4/4/23 had not completed Recognizing and Responding to Suspicions of Child Maltreatment. A staff member hired on 5/5/23 and 7/1/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of employment. .1102(g) During today’s visit, I provided technical assistance (TA) regarding the following topics: 1. We discussed when receiving medications and ointments, that a staff member reviews the medication and permission form with parents to verify that all information is complete and accurate. Parents should document the amount of medication and/or ointments on the permission form. An example of the amount is: dime size, pea size, quarter size. Please ensure that parents are signing the permission to administer form. 2. We discussed teachers conducting a thorough walk through of their classroom prior to caring for children to ensure items that should be stored 5 feet or higher and aerosol cans are properly stored. 3. We discussed that Recognizing Suspicions of Child Maltreatment should be taken within 90 days of employment. A training on Child Maltreatment should be taken every five years thereafter. You may reach out to the local Partnership for Young Children or Department of Social Services to inquire on training opportunities related to this topic. If a training cannot be found, you may retake the Recognizing and Responding to Suspicions of Child Maltreatment training that can be located at www.preventchildabusenc.org. Please retain these certificates in your staff personnel file for review. 4. We discussed that fire inspections need to be sent to me within 7 days of receiving a visit from the fire inspector. 5. We discussed that staff should review and sign the Shaken Baby Head Trauma policy prior to caring for children ages 0 to 5. 6. We discussed that medical reports and TB skin tests for new staff should not be older than 12 months and should be completed prior to employment. 7. We discussed 10A NCAC 10 .0602 PARTICIPATION IN THE SUBSIDIZED CHILD CARE ASSISTANCE PROGRAM .0602(f)To be eligible to participate in the Subsidized Child Care Assistance Program, facilities that are exempt from licensure pursuant to G.S. 110-106 shall comply with all staff orientation and training requirements set forth in 10A NCAC 09 .1101, .1102, and .0304, in accordance with the Child Care and Development Block Grant Act, 42 U.S.C. 9858, et seq. 10A NCAC 09 .1101-new staff orientation 10A NCAC 09 .1102-Health/Safety training, playground safety training, Child Maltreatment training 10A NCAC 09 .0304-on-going training requirements 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before November 21, 2023, 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. At the completion of the visit, this visit summary reviewed, signed, and a copy was emailed to you. 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 .1101 · Violation

Name of Operation: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 11/7/2023 Number Present: 72 Completed Date: 11/7/2023 Age: From 0 To 5 Total Minutes: 290 Time In: 09:30 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s Routine Unannounced visit was to monitor for compliance with applicable child care requirements. You, Darienne Fritz, Director, assisted me with today’s visit. The last Annual Compliance Visit was completed on April 25, 2023. The facility operates with a Religious Sponsored Notice of Compliance issued on June 28, 2019. The 18-month compliance history is at 86% as of November 3, 2023. The last sanitation inspection was completed on April 26, 2023, with a “Superior” classification. The last fire inspection was completed on May 25, 2023. You gave me a copy of the fire inspection during today’s visit. I observed your Notice of Compliance posted on the wall at the office, 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, evacuation plans, daily schedules, current activity plans, staff-child ratio sheets, and allergies posted. I observed adequate supervision, approved space used, and permit restrictions maintained during today’s visit. I observed attendance records to be current. I observed children signed in and out on the Brightwheel app. You provided hard copies of daily sign in/out from the electronic app. I observed children engaged in small group activities, free choice activities, toileting and handwashing routines, rest time, and lunch. Lunch consisted of a hotdog, mashed potatoes, oranges, and milk. I observed and monitored 51 topical ointments and their permission to administer topical ointment forms. I observed and monitored 1 emergency medication. I observed monthly outdoor inspections documented for the past twelve months. I observed monthly fire drills documented for the past twelve months. I observed the most recent fire drill was conducted on October 5, 2023, at 10:27am. I observed the most recent emergency drill in the form of a shelter-in-place was conducted on August 7, 2023, at 4:30pm with thirty seconds to shelter-in-place. I observed six new staff members had been hired since the last ACV completed on April 25, 2023. I monitored these six staff members’ files during today’s visit. I monitored eleven existing staff files for valid Criminal Background Check (CBC) qualification letters, valid CPR and First Aid training, BSAC training, current ITS- SIDS training, and completion of Recognizing and Responding to Suspicions of Child Maltreatment. I observed no violations related to staff records. The following violations were observed during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was completed on 5/25/23. I received a copy of the fire inspection during today's visit. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 5, an aerosol can of Lysol spray was stored on top of a storage cabinet. You placed the aerosol can of Lysol spray in locked storage during today's visit. .2820(b) 847 Parent's medication authorization did not include required information. In space 2, 2 children's permission to administer topical ointment forms were not signed by the parent. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on 7/1/23 did not have a medical report prior to employment. The medical report was dated 7/6/23. A staff member hired on 8/14/23 had a medical report older than 12 months that was dated 8/28/14. A staff member hired on 8/14/23 had a medical report older than 12 months that was dated 10/21/15. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member hired on 8/14/23 had a TB test older than 12 months that was dated 6/20/14. A staff member hired on 8/14/23 had a TB test older than 12 months that was dated 5/29/15. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A staff member hired on 8/14/23 and 10/16/23 did not have a health questionnaire complete. The staff members completed the health questionnaire during today's visit. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 7/19/23 did not have a signed Shaken Baby Syndrome and Abusive Head Trauma Policy on file for review. The staff member reviewed and signed the policy during today's visit. .0608(d)(1-4) 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. A staff member hired on 4/4/23 had not completed Recognizing and Responding to Suspicions of Child Maltreatment. A staff member hired on 5/5/23 and 7/1/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of employment. .1102(g) During today’s visit, I provided technical assistance (TA) regarding the following topics: 1. We discussed when receiving medications and ointments, that a staff member reviews the medication and permission form with parents to verify that all information is complete and accurate. Parents should document the amount of medication and/or ointments on the permission form. An example of the amount is: dime size, pea size, quarter size. Please ensure that parents are signing the permission to administer form. 2. We discussed teachers conducting a thorough walk through of their classroom prior to caring for children to ensure items that should be stored 5 feet or higher and aerosol cans are properly stored. 3. We discussed that Recognizing Suspicions of Child Maltreatment should be taken within 90 days of employment. A training on Child Maltreatment should be taken every five years thereafter. You may reach out to the local Partnership for Young Children or Department of Social Services to inquire on training opportunities related to this topic. If a training cannot be found, you may retake the Recognizing and Responding to Suspicions of Child Maltreatment training that can be located at www.preventchildabusenc.org. Please retain these certificates in your staff personnel file for review. 4. We discussed that fire inspections need to be sent to me within 7 days of receiving a visit from the fire inspector. 5. We discussed that staff should review and sign the Shaken Baby Head Trauma policy prior to caring for children ages 0 to 5. 6. We discussed that medical reports and TB skin tests for new staff should not be older than 12 months and should be completed prior to employment. 7. We discussed 10A NCAC 10 .0602 PARTICIPATION IN THE SUBSIDIZED CHILD CARE ASSISTANCE PROGRAM .0602(f)To be eligible to participate in the Subsidized Child Care Assistance Program, facilities that are exempt from licensure pursuant to G.S. 110-106 shall comply with all staff orientation and training requirements set forth in 10A NCAC 09 .1101, .1102, and .0304, in accordance with the Child Care and Development Block Grant Act, 42 U.S.C. 9858, et seq. 10A NCAC 09 .1101-new staff orientation 10A NCAC 09 .1102-Health/Safety training, playground safety training, Child Maltreatment training 10A NCAC 09 .0304-on-going training requirements 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before November 21, 2023, 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. At the completion of the visit, this visit summary reviewed, signed, and a copy was emailed to you. 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 .1102 · Violation

Name of Operation: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 11/7/2023 Number Present: 72 Completed Date: 11/7/2023 Age: From 0 To 5 Total Minutes: 290 Time In: 09:30 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s Routine Unannounced visit was to monitor for compliance with applicable child care requirements. You, Darienne Fritz, Director, assisted me with today’s visit. The last Annual Compliance Visit was completed on April 25, 2023. The facility operates with a Religious Sponsored Notice of Compliance issued on June 28, 2019. The 18-month compliance history is at 86% as of November 3, 2023. The last sanitation inspection was completed on April 26, 2023, with a “Superior” classification. The last fire inspection was completed on May 25, 2023. You gave me a copy of the fire inspection during today’s visit. I observed your Notice of Compliance posted on the wall at the office, 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, evacuation plans, daily schedules, current activity plans, staff-child ratio sheets, and allergies posted. I observed adequate supervision, approved space used, and permit restrictions maintained during today’s visit. I observed attendance records to be current. I observed children signed in and out on the Brightwheel app. You provided hard copies of daily sign in/out from the electronic app. I observed children engaged in small group activities, free choice activities, toileting and handwashing routines, rest time, and lunch. Lunch consisted of a hotdog, mashed potatoes, oranges, and milk. I observed and monitored 51 topical ointments and their permission to administer topical ointment forms. I observed and monitored 1 emergency medication. I observed monthly outdoor inspections documented for the past twelve months. I observed monthly fire drills documented for the past twelve months. I observed the most recent fire drill was conducted on October 5, 2023, at 10:27am. I observed the most recent emergency drill in the form of a shelter-in-place was conducted on August 7, 2023, at 4:30pm with thirty seconds to shelter-in-place. I observed six new staff members had been hired since the last ACV completed on April 25, 2023. I monitored these six staff members’ files during today’s visit. I monitored eleven existing staff files for valid Criminal Background Check (CBC) qualification letters, valid CPR and First Aid training, BSAC training, current ITS- SIDS training, and completion of Recognizing and Responding to Suspicions of Child Maltreatment. I observed no violations related to staff records. The following violations were observed during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was completed on 5/25/23. I received a copy of the fire inspection during today's visit. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 5, an aerosol can of Lysol spray was stored on top of a storage cabinet. You placed the aerosol can of Lysol spray in locked storage during today's visit. .2820(b) 847 Parent's medication authorization did not include required information. In space 2, 2 children's permission to administer topical ointment forms were not signed by the parent. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on 7/1/23 did not have a medical report prior to employment. The medical report was dated 7/6/23. A staff member hired on 8/14/23 had a medical report older than 12 months that was dated 8/28/14. A staff member hired on 8/14/23 had a medical report older than 12 months that was dated 10/21/15. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member hired on 8/14/23 had a TB test older than 12 months that was dated 6/20/14. A staff member hired on 8/14/23 had a TB test older than 12 months that was dated 5/29/15. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A staff member hired on 8/14/23 and 10/16/23 did not have a health questionnaire complete. The staff members completed the health questionnaire during today's visit. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 7/19/23 did not have a signed Shaken Baby Syndrome and Abusive Head Trauma Policy on file for review. The staff member reviewed and signed the policy during today's visit. .0608(d)(1-4) 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. A staff member hired on 4/4/23 had not completed Recognizing and Responding to Suspicions of Child Maltreatment. A staff member hired on 5/5/23 and 7/1/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of employment. .1102(g) During today’s visit, I provided technical assistance (TA) regarding the following topics: 1. We discussed when receiving medications and ointments, that a staff member reviews the medication and permission form with parents to verify that all information is complete and accurate. Parents should document the amount of medication and/or ointments on the permission form. An example of the amount is: dime size, pea size, quarter size. Please ensure that parents are signing the permission to administer form. 2. We discussed teachers conducting a thorough walk through of their classroom prior to caring for children to ensure items that should be stored 5 feet or higher and aerosol cans are properly stored. 3. We discussed that Recognizing Suspicions of Child Maltreatment should be taken within 90 days of employment. A training on Child Maltreatment should be taken every five years thereafter. You may reach out to the local Partnership for Young Children or Department of Social Services to inquire on training opportunities related to this topic. If a training cannot be found, you may retake the Recognizing and Responding to Suspicions of Child Maltreatment training that can be located at www.preventchildabusenc.org. Please retain these certificates in your staff personnel file for review. 4. We discussed that fire inspections need to be sent to me within 7 days of receiving a visit from the fire inspector. 5. We discussed that staff should review and sign the Shaken Baby Head Trauma policy prior to caring for children ages 0 to 5. 6. We discussed that medical reports and TB skin tests for new staff should not be older than 12 months and should be completed prior to employment. 7. We discussed 10A NCAC 10 .0602 PARTICIPATION IN THE SUBSIDIZED CHILD CARE ASSISTANCE PROGRAM .0602(f)To be eligible to participate in the Subsidized Child Care Assistance Program, facilities that are exempt from licensure pursuant to G.S. 110-106 shall comply with all staff orientation and training requirements set forth in 10A NCAC 09 .1101, .1102, and .0304, in accordance with the Child Care and Development Block Grant Act, 42 U.S.C. 9858, et seq. 10A NCAC 09 .1101-new staff orientation 10A NCAC 09 .1102-Health/Safety training, playground safety training, Child Maltreatment training 10A NCAC 09 .0304-on-going training requirements 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before November 21, 2023, 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. At the completion of the visit, this visit summary reviewed, signed, and a copy was emailed to you. 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. 110-106 · Violation

Name of Operation: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 11/7/2023 Number Present: 72 Completed Date: 11/7/2023 Age: From 0 To 5 Total Minutes: 290 Time In: 09:30 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s Routine Unannounced visit was to monitor for compliance with applicable child care requirements. You, Darienne Fritz, Director, assisted me with today’s visit. The last Annual Compliance Visit was completed on April 25, 2023. The facility operates with a Religious Sponsored Notice of Compliance issued on June 28, 2019. The 18-month compliance history is at 86% as of November 3, 2023. The last sanitation inspection was completed on April 26, 2023, with a “Superior” classification. The last fire inspection was completed on May 25, 2023. You gave me a copy of the fire inspection during today’s visit. I observed your Notice of Compliance posted on the wall at the office, 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, evacuation plans, daily schedules, current activity plans, staff-child ratio sheets, and allergies posted. I observed adequate supervision, approved space used, and permit restrictions maintained during today’s visit. I observed attendance records to be current. I observed children signed in and out on the Brightwheel app. You provided hard copies of daily sign in/out from the electronic app. I observed children engaged in small group activities, free choice activities, toileting and handwashing routines, rest time, and lunch. Lunch consisted of a hotdog, mashed potatoes, oranges, and milk. I observed and monitored 51 topical ointments and their permission to administer topical ointment forms. I observed and monitored 1 emergency medication. I observed monthly outdoor inspections documented for the past twelve months. I observed monthly fire drills documented for the past twelve months. I observed the most recent fire drill was conducted on October 5, 2023, at 10:27am. I observed the most recent emergency drill in the form of a shelter-in-place was conducted on August 7, 2023, at 4:30pm with thirty seconds to shelter-in-place. I observed six new staff members had been hired since the last ACV completed on April 25, 2023. I monitored these six staff members’ files during today’s visit. I monitored eleven existing staff files for valid Criminal Background Check (CBC) qualification letters, valid CPR and First Aid training, BSAC training, current ITS- SIDS training, and completion of Recognizing and Responding to Suspicions of Child Maltreatment. I observed no violations related to staff records. The following violations were observed during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was completed on 5/25/23. I received a copy of the fire inspection during today's visit. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 5, an aerosol can of Lysol spray was stored on top of a storage cabinet. You placed the aerosol can of Lysol spray in locked storage during today's visit. .2820(b) 847 Parent's medication authorization did not include required information. In space 2, 2 children's permission to administer topical ointment forms were not signed by the parent. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on 7/1/23 did not have a medical report prior to employment. The medical report was dated 7/6/23. A staff member hired on 8/14/23 had a medical report older than 12 months that was dated 8/28/14. A staff member hired on 8/14/23 had a medical report older than 12 months that was dated 10/21/15. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member hired on 8/14/23 had a TB test older than 12 months that was dated 6/20/14. A staff member hired on 8/14/23 had a TB test older than 12 months that was dated 5/29/15. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A staff member hired on 8/14/23 and 10/16/23 did not have a health questionnaire complete. The staff members completed the health questionnaire during today's visit. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 7/19/23 did not have a signed Shaken Baby Syndrome and Abusive Head Trauma Policy on file for review. The staff member reviewed and signed the policy during today's visit. .0608(d)(1-4) 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. A staff member hired on 4/4/23 had not completed Recognizing and Responding to Suspicions of Child Maltreatment. A staff member hired on 5/5/23 and 7/1/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of employment. .1102(g) During today’s visit, I provided technical assistance (TA) regarding the following topics: 1. We discussed when receiving medications and ointments, that a staff member reviews the medication and permission form with parents to verify that all information is complete and accurate. Parents should document the amount of medication and/or ointments on the permission form. An example of the amount is: dime size, pea size, quarter size. Please ensure that parents are signing the permission to administer form. 2. We discussed teachers conducting a thorough walk through of their classroom prior to caring for children to ensure items that should be stored 5 feet or higher and aerosol cans are properly stored. 3. We discussed that Recognizing Suspicions of Child Maltreatment should be taken within 90 days of employment. A training on Child Maltreatment should be taken every five years thereafter. You may reach out to the local Partnership for Young Children or Department of Social Services to inquire on training opportunities related to this topic. If a training cannot be found, you may retake the Recognizing and Responding to Suspicions of Child Maltreatment training that can be located at www.preventchildabusenc.org. Please retain these certificates in your staff personnel file for review. 4. We discussed that fire inspections need to be sent to me within 7 days of receiving a visit from the fire inspector. 5. We discussed that staff should review and sign the Shaken Baby Head Trauma policy prior to caring for children ages 0 to 5. 6. We discussed that medical reports and TB skin tests for new staff should not be older than 12 months and should be completed prior to employment. 7. We discussed 10A NCAC 10 .0602 PARTICIPATION IN THE SUBSIDIZED CHILD CARE ASSISTANCE PROGRAM .0602(f)To be eligible to participate in the Subsidized Child Care Assistance Program, facilities that are exempt from licensure pursuant to G.S. 110-106 shall comply with all staff orientation and training requirements set forth in 10A NCAC 09 .1101, .1102, and .0304, in accordance with the Child Care and Development Block Grant Act, 42 U.S.C. 9858, et seq. 10A NCAC 09 .1101-new staff orientation 10A NCAC 09 .1102-Health/Safety training, playground safety training, Child Maltreatment training 10A NCAC 09 .0304-on-going training requirements 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before November 21, 2023, 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. At the completion of the visit, this visit summary reviewed, signed, and a copy was emailed to you. 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: BETHLEHEM BAPTIST CHILD CARE Facility ID: 02000123 Consultant: REBBECCA HAYES Operation Type: Center Case Number: Visit Date: 11/7/2023 Number Present: 72 Completed Date: 11/7/2023 Age: From 0 To 5 Total Minutes: 290 Time In: 09:30 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s Routine Unannounced visit was to monitor for compliance with applicable child care requirements. You, Darienne Fritz, Director, assisted me with today’s visit. The last Annual Compliance Visit was completed on April 25, 2023. The facility operates with a Religious Sponsored Notice of Compliance issued on June 28, 2019. The 18-month compliance history is at 86% as of November 3, 2023. The last sanitation inspection was completed on April 26, 2023, with a “Superior” classification. The last fire inspection was completed on May 25, 2023. You gave me a copy of the fire inspection during today’s visit. I observed your Notice of Compliance posted on the wall at the office, 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, evacuation plans, daily schedules, current activity plans, staff-child ratio sheets, and allergies posted. I observed adequate supervision, approved space used, and permit restrictions maintained during today’s visit. I observed attendance records to be current. I observed children signed in and out on the Brightwheel app. You provided hard copies of daily sign in/out from the electronic app. I observed children engaged in small group activities, free choice activities, toileting and handwashing routines, rest time, and lunch. Lunch consisted of a hotdog, mashed potatoes, oranges, and milk. I observed and monitored 51 topical ointments and their permission to administer topical ointment forms. I observed and monitored 1 emergency medication. I observed monthly outdoor inspections documented for the past twelve months. I observed monthly fire drills documented for the past twelve months. I observed the most recent fire drill was conducted on October 5, 2023, at 10:27am. I observed the most recent emergency drill in the form of a shelter-in-place was conducted on August 7, 2023, at 4:30pm with thirty seconds to shelter-in-place. I observed six new staff members had been hired since the last ACV completed on April 25, 2023. I monitored these six staff members’ files during today’s visit. I monitored eleven existing staff files for valid Criminal Background Check (CBC) qualification letters, valid CPR and First Aid training, BSAC training, current ITS- SIDS training, and completion of Recognizing and Responding to Suspicions of Child Maltreatment. I observed no violations related to staff records. The following violations were observed during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was completed on 5/25/23. I received a copy of the fire inspection during today's visit. 10A NCAC 09 .0304(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space 5, an aerosol can of Lysol spray was stored on top of a storage cabinet. You placed the aerosol can of Lysol spray in locked storage during today's visit. .2820(b) 847 Parent's medication authorization did not include required information. In space 2, 2 children's permission to administer topical ointment forms were not signed by the parent. 10A NCAC 09 .0803(4)(6-9) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. A staff member hired on 7/1/23 did not have a medical report prior to employment. The medical report was dated 7/6/23. A staff member hired on 8/14/23 had a medical report older than 12 months that was dated 8/28/14. A staff member hired on 8/14/23 had a medical report older than 12 months that was dated 10/21/15. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. A staff member hired on 8/14/23 had a TB test older than 12 months that was dated 6/20/14. A staff member hired on 8/14/23 had a TB test older than 12 months that was dated 5/29/15. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. A staff member hired on 8/14/23 and 10/16/23 did not have a health questionnaire complete. The staff members completed the health questionnaire during today's visit. .0701(a) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. A staff member hired on 7/19/23 did not have a signed Shaken Baby Syndrome and Abusive Head Trauma Policy on file for review. The staff member reviewed and signed the policy during today's visit. .0608(d)(1-4) 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. A staff member hired on 4/4/23 had not completed Recognizing and Responding to Suspicions of Child Maltreatment. A staff member hired on 5/5/23 and 7/1/23 did not complete Recognizing and Responding to Suspicions of Child Maltreatment within 90 days of employment. .1102(g) During today’s visit, I provided technical assistance (TA) regarding the following topics: 1. We discussed when receiving medications and ointments, that a staff member reviews the medication and permission form with parents to verify that all information is complete and accurate. Parents should document the amount of medication and/or ointments on the permission form. An example of the amount is: dime size, pea size, quarter size. Please ensure that parents are signing the permission to administer form. 2. We discussed teachers conducting a thorough walk through of their classroom prior to caring for children to ensure items that should be stored 5 feet or higher and aerosol cans are properly stored. 3. We discussed that Recognizing Suspicions of Child Maltreatment should be taken within 90 days of employment. A training on Child Maltreatment should be taken every five years thereafter. You may reach out to the local Partnership for Young Children or Department of Social Services to inquire on training opportunities related to this topic. If a training cannot be found, you may retake the Recognizing and Responding to Suspicions of Child Maltreatment training that can be located at www.preventchildabusenc.org. Please retain these certificates in your staff personnel file for review. 4. We discussed that fire inspections need to be sent to me within 7 days of receiving a visit from the fire inspector. 5. We discussed that staff should review and sign the Shaken Baby Head Trauma policy prior to caring for children ages 0 to 5. 6. We discussed that medical reports and TB skin tests for new staff should not be older than 12 months and should be completed prior to employment. 7. We discussed 10A NCAC 10 .0602 PARTICIPATION IN THE SUBSIDIZED CHILD CARE ASSISTANCE PROGRAM .0602(f)To be eligible to participate in the Subsidized Child Care Assistance Program, facilities that are exempt from licensure pursuant to G.S. 110-106 shall comply with all staff orientation and training requirements set forth in 10A NCAC 09 .1101, .1102, and .0304, in accordance with the Child Care and Development Block Grant Act, 42 U.S.C. 9858, et seq. 10A NCAC 09 .1101-new staff orientation 10A NCAC 09 .1102-Health/Safety training, playground safety training, Child Maltreatment training 10A NCAC 09 .0304-on-going training requirements 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before November 21, 2023, 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. At the completion of the visit, this visit summary reviewed, signed, and a copy was emailed to you. 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