Bethlehem Community Child Development Center

A current activity plan was not posted for each group of children for reference.

“One classroom had the activity schedule for last week posted.”

Rule A current activity plan was not posted for each group of children for reference.. Corrected during the inspection.

Each child’s bed, cot, or 2” mat was not individually assigned and identified.

“One child’s crib was not labeled.”

Rule Each child's bed, cot, or 2" mat was not individually assigned and identified.. Corrected during the inspection.

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“One Epi-Pen was leftover in space 9, the child no longer attends this center.”

Rule Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.. Corrected during the inspection.

Child was handled roughly.

“On March 7, 2025 a staff person grabbed a two-year-old child by the ear and pulled him away from the play area by his ear. This was recorded on the video camera.”

Rule Child was handled roughly.. Corrected during the inspection.

A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center.

“The safe sleep policy that was given to each parent of a child in the infant room was blank and not filled out with the center policies, although each parent had signed the form.”

Rule A copy of the safe sleep policy was not given to and/or explained to the parent of each child on or before the first day the infant attended the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 14, 2025. Correction verified: at a follow-up visit by DCDEE.

A current activity plan was not posted for each group of children for reference.

“The lesson plan for January was posted in the infant room.”

Rule A current activity plan was not posted for each group of children for reference.. Corrected during the inspection.

The center’s safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily.

“There was no safe sleep poster on the wall in the infant room.”

Rule The center's safe sleep policy was not posted in a prominent place in the infant room where parents and caregivers were able to view daily.. Corrected during the inspection.

Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children.

“There were gallon size bags used for storage in several classrooms. These were removed when we pointed out that when empty, they can be put over a child’s head, posing a suffocation hazard. There were four bottles of shaving cream in unlocked storage in space 1. These were removed from the classroom and taken to the office.”

Rule Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children.. Corrected during the inspection.

Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.

“There was a bag of fast food on the desk in the space 1 that belonged to the teacher.”

Rule Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 26, 2024. Correction verified: by a letter from the provider.

Incident logs were not completed and maintained as required.

“On 7/17/24, a child was injured and the incident was not included on the center’s incident log as required.”

Rule Incident logs were not completed and maintained as required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 3, 2024. Correction verified: by a letter from the provider.

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.

“On 7/17/24, an incident report completed, and did not include all the required information.”

Rule 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 3, 2024. Correction verified: by a letter from the provider.

Child was handled roughly.

“On July 17, 2024, a staff member pulled a 3 year old child by one leg, while the child was laying on the ground, and the child sustained a minor injury on their back.”

Rule Child was handled roughly.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 31, 2024. Correction verified: by a letter from the provider.

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.

“On 6/17/24, a staff member failed to attend to an 11-month-old child in a nurturing and appropriate manner, when the staff member lifted the child off the ground by one arm.”

Rule Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 31, 2024. Correction verified: by a letter from the provider.

A current activity plan was not posted for each group of children for reference.

“The lesson plan was dated for last week in space 12.”

Rule A current activity plan was not posted for each group of children for reference.. Corrected during the inspection.

Center did not maintain a record of daily attendance.

“Today’s attendance had been crossed through in space 13.”

Rule Center did not maintain a record of daily attendance.. Corrected during the inspection.

Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.

“One outlet was uncovered and within reach of children in space 14. Five outlets were uncovered and within reach of children in space 8.”

Rule Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.. Corrected during the inspection.

Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver.

“One child had been placed on his stomach to sleep in space 7.”

Rule Infants under the age of 12 months were not placed on their backs for sleeping unless the center had obtained the appropriate written waiver.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 13, 2024. Correction verified: by a letter from the provider.

A current activity plan was not posted for each group of children for reference.

“The current lesson plan was not posted in space 6.”

Rule A current activity plan was not posted for each group of children for reference.. Corrected during the inspection.

A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information.

“There was not a first aid sheet posted for all staff to view.”

Rule A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information.. Corrected during the inspection.

A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.

“There was no proof that the Summary of the Law was given to the parent of one child.”

Rule A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 17, 2023. Correction verified: by a letter from the provider.

A summary of the NC Child Care Law was not posted in a prominent place in the center.

Rule A summary of the NC Child Care Law was not posted in a prominent place in the center.. Corrected during the inspection.

Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.

“Electrical outlets were not covered in space 12.”

Rule Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child.. Corrected during the inspection.

Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.

“The refrigerator thermometer in space 4 showed the temperature of 50 degrees. Ms. Forrest threw the thermometer away and replaces it with a new one during the visit, which showed 40 degrees.”

Rule Refrigerator(s) did not maintain a temperature of 45 degrees F. or below.. Corrected during the inspection.

The center did not have developmentally appropriate equipment and materials accessible daily.

Rule The center did not have developmentally appropriate equipment and materials accessible daily.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 17, 2023. Correction verified: by a letter from the provider.