Bethlehem Elementary School - Ncpk

G.S. 110-90 · Violation

Name of Operation: BETHLEHEM ELEMENTARY SCHOOL - NCPK Facility ID: 02000112 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 5/27/2025 Number Present: 14 Completed Date: 5/27/2025 Age: From 4 To 5 Total Minutes: 105 Time In: 10:30 AM Time Out: 12:15 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 for a routine unannounced visit. You, Brenda Boles, Lead Teacher, and Michelle Fox, Site Manager, assisted me with today’s visit. I observed all of the required posted in the hallway including the following: five-star rated license, NC Summary of Child Care Law dated February 2025, sanitation placard, Emergency Medical Care Plan, Emergency Phone Numbers, First Aid poster, tobacco free signage, daily schedule, current activity plan, and safe arrival and departure procedures. Your program currently operates with a five-star license, issued on February 29, 2024, earning seven (7) points in staff education, seven (7) points in program standards and one (1) quality point for all lead teachers having an AAS or higher in ECE/CD. Your facility operates with the following permit restrictions: daytime care only, meets enhanced ratios minus one (1) child per group, meets enhanced space and meets enhanced ratios. Your center's compliance history score prior to today’s visit was 97% and was reviewed with you today. Your last annual compliance visit was conducted on January 30, 2025. I monitored the indoor space and did not monitor the outdoor area due to rainy conditions. I observed children to be participating in whole group student directed activities, free play in activity areas, transitions and personal care routines. I monitored for general safety, storage of hazardous products, appropriate discipline, storage of medication and medication administration. Program records including emergency medical care plan, safe arrival and departure procedures, incident log, outdoor safety inspections, fire drills, emergency drills, and your Emergency Preparedness Response (EPR) Plan were monitored. Today monitored staff record files for four (4) returning staff members to verify current and valid Criminal Background Check qualification letters, valid CPR and First Aid training, valid BSAC training, special trainings and completion of the Recognizing and Responding to Suspicions of Child Maltreatment training. There were no new staff members to monitor today. Your program Administrator sent me your current handbook by email and it included: written operational, administrative, personnel policies and your parent participation plan in. You stated your written policies and procedures had not changed. Children were adequately supervised, minimum staff-child ratios were maintained, adequate approved space was used, enhanced space capacities were maintained, and permit restrictions including daytime care only, meets enhanced space, meets enhanced ratios and meets enhanced ratios minus one (1) child per group were maintained during today’s visit. Today’s lunch listed on the menu was supreme nachos, baked strawberries, cajun beans, salsa and 1% unflavored white milk. You stated that there were no medications, no medication permission to administer forms and no Medical Action Plans to monitor. I monitored the incident report log and the 2024-2025 Bethlehem Elementary School - School Risk Management plan. You stated that your program does not provide transportation or screen time. Your most recent fire drill was conducted on April 30, 2025, and has been completed monthly for the past twelve (12) months and your most recent lockdown emergency drill was conducted on May 5, 2025, and has been completed quarterly. Your most recent fire inspection was completed on March 27, 2025. Your most recent sanitation inspection was completed on May 13, 2025, with a superior classification. During today’s visit I monitored your program for all health and safety requirements. The following violations were cited during today’s visit. Violation Number Comment Rule 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. There were two (2) staff members that had health information stored in their individual personnel files. The staff members hire dates were 8/15/2024 and 7/1/2022. .0701(d) TECHNICAL ASSISTANCE: • There were two (2) staff members that had health information stored in their individual personnel files. The staff members hire dates were 8/15/2024 and 7/1/2022. As discussed, all staff medical records including staff medical reports, TB test results or screening, and health questionnaires past and present must be kept on file separate from each employee’s other staff records. I suggest that all staff files be monitored to ensure that each staff member’s health information is stored in a separate file designated for health information. This violation was corrected during the visit by the Site Manager removing the documents and placing them in the individual staff members health file. CONSULTATION: • DCDEE 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 • Child Care facility’s now have until May 31, 2025, to enroll in the lead in water testing, lead based paint testing and Asbestos testing through Clean Water for US Kids. The following link will take you to the website to enroll https://www.cleanwaterforuskids.org/en/carolina/. • 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. • Fire inspections are to be sent to the consultant within 7 business days of the inspection being completed. If the fire inspection report is not sent to the consultant within 7 business days a violation will be cited at the next monitoring visit. To maintain compliance with this child care requirement, I suggest you or the school principal forward the email containing the fire inspection report to me when you receive it from the fire inspector. • When reviewing Staff Files, Children’s Files, and Program Records, utilize the Staff Files Checklist, Children’s File Checklist, Volunteer Files Checklist and the Program Records File Checklist to ensure that you are maintaining compliance with all of the files that are monitored by DCDEE and that all of the documents within those files are current, accurate and relevant. These forms should be updated annually with staff files, children’s records and program record documents to ensure that all information stored in your facilities files are current and accurate prior to DCDEE monitoring visits. These file checklists can be found on the DCDEE website under provider documents. • Located on the DCDEE website there is an editable form of the staff and training worksheet that you may utilize when completing the staff and training worksheet to assist you with being prepared for your upcoming monitoring visits. This document can be downloaded to your computer and completed electronically. • Please continue to visit DCDEE’s website at https://ncchildcare.ncdhhs.gov/ to get the latest information for child care settings and child care updates including the most up to date documents and forms. • Visit NC Child Care Health and Safety Resource Center at http://healthychildcare.unc.edu to find the following resources: technical assistance, coaching support, resources, handwashing and diapering posters, monthly newsletters, and a list of approved in-service trainings including, but not limited to, ITS-SIDS training and Emergency Preparedness and Response in Child Care training. COMPLIANCE PLAN: • No compliance documentation is needed. All violations that were cited during today’s visit were corrected during the visit. Child care programs are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past eighteen (18) months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you today. We appreciate all you and your staff do to serve the children and families in your community. If you have any questions, feel free to contact me by phone at (980)434-3877 or by email at meria.wilder@dhhs.nc.gov or my supervisor, Erin Pickard, by email at erin.pickard@dhhs.nc.gov. 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 ELEMENTARY SCHOOL - NCPK Facility ID: 02000112 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 2/6/2024 Number Present: 14 Completed Date: 2/6/2024 Age: From 4 To 5 Total Minutes: 170 Time In: 10:10 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with all applicable child care requirements during an annual compliance visit. You, Brenda Boles, Lead Teacher, and Stephanie Marshall, Site Manager, assisted me, Meria Wilder, Child Care Consultant, with today’s visit. The last annual compliance visit was conducted on March 17, 2023. Your compliance history score was 92% prior to today’s visit. Your facility operates with a Five-Star license that was issued on January 17, 2018. Your program earned 6 points in program standards, 7 points in staff education and 1 quality point for a total of 14 points earned. Your program operates with the following restrictions: 1st shift (daytime care), meets enhanced space and meets enhanced ratios. The following required postings was posted in outside of the classroom: Five-Star License, NC Summary of Child Care Law, Sanitation placard, Emergency Medical Care Plan, Emergency Phone Numbers, safe arrival and departure procedures, First Aid poster, menu, daily schedule, and activity plan. I observed the following inspections, sanitation inspection conducted on 10/3/23, fire inspection conducted on 10/4/23, playground inspection conducted on 1/12/24, and the last quarterly lockdown emergency drill conducted on 1/12/24. I observed the menu to be current and chicken fajita, applesauce cups, lettuce, and tomato and 1% unflavored white milk was listed and served for lunch. All NC PreK requirements were monitored. I monitored your incident log and found incident reports to be logged with the child’s file. I monitored your screentime log. I monitored your daily sign in/out records and daily attendance. Activity plans were posted, current and linked to NC FELD. I monitored your indoor and outdoor environment for safety hazards. I have monitored health and safety requirements. I monitored 1 emergency medication, permissions to administer and Medical Action Plan during today’s visit. I observed approved space, adequate supervision, group size and staff child ratios. I observed children being adequately supervised and cared for in a nurturing way. I observed children working independently during free choice play time with teachers supervising and assisting children with teacher directed activities in small groups. I observed all toys and materials to be child size and developmentally appropriate. I observed furnishings to be clean and in good repair. I monitored 1 existing staff file and there were no new staff files to monitor. I monitored a random sampling of 2 NC PreK children’s records. The following violations were cited during today’s visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The permission to administer form for the medication M-Dryl 12.5/5ML Liq Met was not labeled with the correct medication name and the correct dosage to administer. 10A NCAC 09 .0803(4)(6-9) 1329 Application for enrollment did not include all required information. One child with a birth date of 2/14/19 had an application for enrollment that did not identify the child’s fears, healthcare concerns and unique behaviors. .0801(a)(1-7) 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. One teacher with a hire date of 1/23/23 did not store medical information in a separate location from the information stored with the personnel file. .0701(d) 1898 Staff did not complete the health and safety training within one year of employment. One teacher with a hire date of 1/23/23 did not complete all health and safety trainings within the first year of being hired. .1102(a) Technical Assistance: • The permission to administer form for the medication M-Dryl 12.5/5ML Liq Met was not labeled with the correct medication name and the correct dosage to administer. As discussed, I recommend before accepting the permission to administer forms and Medical Action Plans from parents, that the form be reviewed for accuracy prior to receiving the form from the parent. • One teacher with a hire date of 1/23/23 did not store medical information in a separate location from the information stored with the personnel file. As discussed, I recommend that staff files be monitored quarterly to ensure that all information stored in personnel and medical files are stored separately. • One teacher with a hire date of 1/23/23 did not complete all health and safety trainings within the first year of being hired. As discussed, I recommend utilizing the Staff File Checklist located on the DCDEE website to ensure that staff files are being maintained according to Child Care Rules. • One child with a birth date of 2/14/19 had an application for enrollment that did not identify the child’s fears, healthcare concerns and unique behaviors. As discussed, prior to filing paperwork into children’s records be sure all items listed are addressed, if an item does not apply mark NA in that space. • The fire inspection report that was completed on 10/4/2023 was not sent to me until 11/8/2023. As discussed, fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. All violations that were cited were corrected during the visit, there fore no compliance letter will be due to be sent to me. Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). You must maintain at least 75% Compliance History for each 18-month period as required by GS110-90(4)(c). Please note any violations cited during future visits may negatively impact your compliance history. Repeated violations or violations left unresolved may lead to administrative action. Also, please remember in order to maintain an enhanced rated license your compliance history must remain above 75% at all times. Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. Consultation: • As of September 2023, the Summary of NC Child Care Law was updated and available on the DCDEE website. Please print this form to post in your foyer with your required postings and give the updated information to parents and have them sign and date that they have received the updated document and place each signed acknowledgement in each child’s file. • Your program is in cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will be 2024 to 2025. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. • When reviewing staff files, you may utilize the schools Off Site Verification Forms for Childrens Records and Staff Files which identifies information that is stored off site. The bulleted items identified on the form is not required to be maintained in the file of that staff member as long as that staff members name and date of employment is listed on the employee roster that should be attached to the form. The information that is stored “off-site” should be available upon the consultant’s request in the event that the consultant would need to verify that information. That Off Site Verification Form should be updated annually and/or as staff members are hired. You may contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or Erin Pickard by email at erin.pickard@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-90 · Violation

Name of Operation: BETHLEHEM ELEMENTARY SCHOOL - NCPK Facility ID: 02000112 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 2/6/2024 Number Present: 14 Completed Date: 2/6/2024 Age: From 4 To 5 Total Minutes: 170 Time In: 10:10 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with all applicable child care requirements during an annual compliance visit. You, Brenda Boles, Lead Teacher, and Stephanie Marshall, Site Manager, assisted me, Meria Wilder, Child Care Consultant, with today’s visit. The last annual compliance visit was conducted on March 17, 2023. Your compliance history score was 92% prior to today’s visit. Your facility operates with a Five-Star license that was issued on January 17, 2018. Your program earned 6 points in program standards, 7 points in staff education and 1 quality point for a total of 14 points earned. Your program operates with the following restrictions: 1st shift (daytime care), meets enhanced space and meets enhanced ratios. The following required postings was posted in outside of the classroom: Five-Star License, NC Summary of Child Care Law, Sanitation placard, Emergency Medical Care Plan, Emergency Phone Numbers, safe arrival and departure procedures, First Aid poster, menu, daily schedule, and activity plan. I observed the following inspections, sanitation inspection conducted on 10/3/23, fire inspection conducted on 10/4/23, playground inspection conducted on 1/12/24, and the last quarterly lockdown emergency drill conducted on 1/12/24. I observed the menu to be current and chicken fajita, applesauce cups, lettuce, and tomato and 1% unflavored white milk was listed and served for lunch. All NC PreK requirements were monitored. I monitored your incident log and found incident reports to be logged with the child’s file. I monitored your screentime log. I monitored your daily sign in/out records and daily attendance. Activity plans were posted, current and linked to NC FELD. I monitored your indoor and outdoor environment for safety hazards. I have monitored health and safety requirements. I monitored 1 emergency medication, permissions to administer and Medical Action Plan during today’s visit. I observed approved space, adequate supervision, group size and staff child ratios. I observed children being adequately supervised and cared for in a nurturing way. I observed children working independently during free choice play time with teachers supervising and assisting children with teacher directed activities in small groups. I observed all toys and materials to be child size and developmentally appropriate. I observed furnishings to be clean and in good repair. I monitored 1 existing staff file and there were no new staff files to monitor. I monitored a random sampling of 2 NC PreK children’s records. The following violations were cited during today’s visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The permission to administer form for the medication M-Dryl 12.5/5ML Liq Met was not labeled with the correct medication name and the correct dosage to administer. 10A NCAC 09 .0803(4)(6-9) 1329 Application for enrollment did not include all required information. One child with a birth date of 2/14/19 had an application for enrollment that did not identify the child’s fears, healthcare concerns and unique behaviors. .0801(a)(1-7) 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. One teacher with a hire date of 1/23/23 did not store medical information in a separate location from the information stored with the personnel file. .0701(d) 1898 Staff did not complete the health and safety training within one year of employment. One teacher with a hire date of 1/23/23 did not complete all health and safety trainings within the first year of being hired. .1102(a) Technical Assistance: • The permission to administer form for the medication M-Dryl 12.5/5ML Liq Met was not labeled with the correct medication name and the correct dosage to administer. As discussed, I recommend before accepting the permission to administer forms and Medical Action Plans from parents, that the form be reviewed for accuracy prior to receiving the form from the parent. • One teacher with a hire date of 1/23/23 did not store medical information in a separate location from the information stored with the personnel file. As discussed, I recommend that staff files be monitored quarterly to ensure that all information stored in personnel and medical files are stored separately. • One teacher with a hire date of 1/23/23 did not complete all health and safety trainings within the first year of being hired. As discussed, I recommend utilizing the Staff File Checklist located on the DCDEE website to ensure that staff files are being maintained according to Child Care Rules. • One child with a birth date of 2/14/19 had an application for enrollment that did not identify the child’s fears, healthcare concerns and unique behaviors. As discussed, prior to filing paperwork into children’s records be sure all items listed are addressed, if an item does not apply mark NA in that space. • The fire inspection report that was completed on 10/4/2023 was not sent to me until 11/8/2023. As discussed, fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. All violations that were cited were corrected during the visit, there fore no compliance letter will be due to be sent to me. Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). You must maintain at least 75% Compliance History for each 18-month period as required by GS110-90(4)(c). Please note any violations cited during future visits may negatively impact your compliance history. Repeated violations or violations left unresolved may lead to administrative action. Also, please remember in order to maintain an enhanced rated license your compliance history must remain above 75% at all times. Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. Consultation: • As of September 2023, the Summary of NC Child Care Law was updated and available on the DCDEE website. Please print this form to post in your foyer with your required postings and give the updated information to parents and have them sign and date that they have received the updated document and place each signed acknowledgement in each child’s file. • Your program is in cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will be 2024 to 2025. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. • When reviewing staff files, you may utilize the schools Off Site Verification Forms for Childrens Records and Staff Files which identifies information that is stored off site. The bulleted items identified on the form is not required to be maintained in the file of that staff member as long as that staff members name and date of employment is listed on the employee roster that should be attached to the form. The information that is stored “off-site” should be available upon the consultant’s request in the event that the consultant would need to verify that information. That Off Site Verification Form should be updated annually and/or as staff members are hired. You may contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or Erin Pickard by email at erin.pickard@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: BETHLEHEM ELEMENTARY SCHOOL - NCPK Facility ID: 02000112 Consultant: MERIA WILDER Operation Type: Center Case Number: Visit Date: 2/6/2024 Number Present: 14 Completed Date: 2/6/2024 Age: From 4 To 5 Total Minutes: 170 Time In: 10:10 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with all applicable child care requirements during an annual compliance visit. You, Brenda Boles, Lead Teacher, and Stephanie Marshall, Site Manager, assisted me, Meria Wilder, Child Care Consultant, with today’s visit. The last annual compliance visit was conducted on March 17, 2023. Your compliance history score was 92% prior to today’s visit. Your facility operates with a Five-Star license that was issued on January 17, 2018. Your program earned 6 points in program standards, 7 points in staff education and 1 quality point for a total of 14 points earned. Your program operates with the following restrictions: 1st shift (daytime care), meets enhanced space and meets enhanced ratios. The following required postings was posted in outside of the classroom: Five-Star License, NC Summary of Child Care Law, Sanitation placard, Emergency Medical Care Plan, Emergency Phone Numbers, safe arrival and departure procedures, First Aid poster, menu, daily schedule, and activity plan. I observed the following inspections, sanitation inspection conducted on 10/3/23, fire inspection conducted on 10/4/23, playground inspection conducted on 1/12/24, and the last quarterly lockdown emergency drill conducted on 1/12/24. I observed the menu to be current and chicken fajita, applesauce cups, lettuce, and tomato and 1% unflavored white milk was listed and served for lunch. All NC PreK requirements were monitored. I monitored your incident log and found incident reports to be logged with the child’s file. I monitored your screentime log. I monitored your daily sign in/out records and daily attendance. Activity plans were posted, current and linked to NC FELD. I monitored your indoor and outdoor environment for safety hazards. I have monitored health and safety requirements. I monitored 1 emergency medication, permissions to administer and Medical Action Plan during today’s visit. I observed approved space, adequate supervision, group size and staff child ratios. I observed children being adequately supervised and cared for in a nurturing way. I observed children working independently during free choice play time with teachers supervising and assisting children with teacher directed activities in small groups. I observed all toys and materials to be child size and developmentally appropriate. I observed furnishings to be clean and in good repair. I monitored 1 existing staff file and there were no new staff files to monitor. I monitored a random sampling of 2 NC PreK children’s records. The following violations were cited during today’s visit. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. The permission to administer form for the medication M-Dryl 12.5/5ML Liq Met was not labeled with the correct medication name and the correct dosage to administer. 10A NCAC 09 .0803(4)(6-9) 1329 Application for enrollment did not include all required information. One child with a birth date of 2/14/19 had an application for enrollment that did not identify the child’s fears, healthcare concerns and unique behaviors. .0801(a)(1-7) 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. One teacher with a hire date of 1/23/23 did not store medical information in a separate location from the information stored with the personnel file. .0701(d) 1898 Staff did not complete the health and safety training within one year of employment. One teacher with a hire date of 1/23/23 did not complete all health and safety trainings within the first year of being hired. .1102(a) Technical Assistance: • The permission to administer form for the medication M-Dryl 12.5/5ML Liq Met was not labeled with the correct medication name and the correct dosage to administer. As discussed, I recommend before accepting the permission to administer forms and Medical Action Plans from parents, that the form be reviewed for accuracy prior to receiving the form from the parent. • One teacher with a hire date of 1/23/23 did not store medical information in a separate location from the information stored with the personnel file. As discussed, I recommend that staff files be monitored quarterly to ensure that all information stored in personnel and medical files are stored separately. • One teacher with a hire date of 1/23/23 did not complete all health and safety trainings within the first year of being hired. As discussed, I recommend utilizing the Staff File Checklist located on the DCDEE website to ensure that staff files are being maintained according to Child Care Rules. • One child with a birth date of 2/14/19 had an application for enrollment that did not identify the child’s fears, healthcare concerns and unique behaviors. As discussed, prior to filing paperwork into children’s records be sure all items listed are addressed, if an item does not apply mark NA in that space. • The fire inspection report that was completed on 10/4/2023 was not sent to me until 11/8/2023. As discussed, fire inspection reports are required to be sent to the consultant within 7 business days of the inspection being completed. All violations that were cited were corrected during the visit, there fore no compliance letter will be due to be sent to me. Child care facilities must comply with all state laws, federal laws and local ordinances that pertain to child health, safety, and welfare of children (GS110-91 – Mandatory standards for a license). Failure to comply may lead to an administrative action (General statue 110-102-2- Administrative penalties). You must maintain at least 75% Compliance History for each 18-month period as required by GS110-90(4)(c). Please note any violations cited during future visits may negatively impact your compliance history. Repeated violations or violations left unresolved may lead to administrative action. Also, please remember in order to maintain an enhanced rated license your compliance history must remain above 75% at all times. Stay updated with changes and new rule updates by visiting DCDEE new website at http://ncchildcare.nc.gov/general/home.asp. Consultation: • As of September 2023, the Summary of NC Child Care Law was updated and available on the DCDEE website. Please print this form to post in your foyer with your required postings and give the updated information to parents and have them sign and date that they have received the updated document and place each signed acknowledgement in each child’s file. • Your program is in cohort 1 for the rated license reassessment. Your program’s planning year will be from July 1, 2023, to June 30, 2024. Your program’s reassessment year will be 2024 to 2025. As you plan for the reassessment of the rated license, please be sure that all staff has their most recent education updated and verified in WORKS and that you are in touch with your local Partnership and Resource and Referral agencies to provide technical assistance and help you prepare for reassessment. • When reviewing staff files, you may utilize the schools Off Site Verification Forms for Childrens Records and Staff Files which identifies information that is stored off site. The bulleted items identified on the form is not required to be maintained in the file of that staff member as long as that staff members name and date of employment is listed on the employee roster that should be attached to the form. The information that is stored “off-site” should be available upon the consultant’s request in the event that the consultant would need to verify that information. That Off Site Verification Form should be updated annually and/or as staff members are hired. You may contact me by phone at (980) 434-3877 or by email at meria.wilder@dhhs.nc.gov or Erin Pickard by email at erin.pickard@dhhs.nc.gov, if you have questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times