Hearth Record

Bethel Preschool & Developmental Day

A child care center in Sugar Grove, North Carolina 28679

138 Bethel School Road, Sugar Grove, North Carolina 28679. (828) 297-2240.

North Carolina’s own record, on ncchildcare.ncdhhs.gov

Watch and the shortlist are kept with a free account, on every device. Your watch list. North Carolina’s own record is on ncchildcare.ncdhhs.gov.

The short answer

The last 24 months 19 violations in 5 months of the last 36. Last cited Jan 2026. Every month

Each figure’s source sits beside it, in its section below.

What these words mean5
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Quality rating
Many states rate child care in a quality rating system that goes past the licensing rules, such as Texas Rising Star or Kentucky All STARS. Taking part is often voluntary, so a program with no rating hasn’t been rated low. Source: Each state’s quality rating system.
Licence status
Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

8 DCDEE visits in the last three years, the latest on Jan 9, 2026.

19 violations cited in the last three years, 19 of them marked corrected.

Source:

North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations. Checked Oct 21, 2026. Updated daily.

When those violations happened

19 violations in 5 months of the last 36. Last cited Jan 2026. The last 3 years, to Nov 3, 2026.

19 violations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each violation, in its source’s words

Grouped by visit, newest first, with the level its source gave it.

Source:

North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations. Checked Oct 21, 2026. Updated daily.

Jan 9, 2026: unannounced4 violations
  • A valid qualification letter was not on file and available to review at the facility.

    “A substitute teacher did not have a qualifying letter on file at the facility.”

    Rule A valid qualification letter was not on file and available to review at the facility.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 23, 2026. Correction verified: by a letter from the provider.

  • Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

    “A substitute did not have the required Emergency Information Form on file on or before the first day of work.”

    Rule Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 23, 2026. Correction verified: by a letter from the provider.

  • Rule violated (DCDEE’s description below)

    “A safe indoor and outdoor environment was not provided for the children. a vent on the building in the playground was in poor repair. It had sharp edges that children could get hurt on.”

    Rule Rule violated (DCDEE’s description below). Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 5, 2026. Correction verified: by a letter from the provider.

  • 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 substitute had not signed the Shaken Baby Syndrome and Abusive Head Trauma policy prior to providing care for children.”

    Rule 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 23, 2026. Correction verified: by a letter from the provider.

Sep 22, 2025: unannounced3 violations
  • 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.

    “One side of the cabinet under the sink in the classroom was unlocked. This is where cleaning supplies are stored along with aerosol sprays.”

    Rule 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.. Corrected during the inspection.

  • Certified developmental day center staff/child ratios and group sizes were not met.

    “One teacher came inside to go get lunch and put it out leaving one teacher with eight (8) children instead of 1:6.”

    Rule Certified developmental day center staff/child ratios and group sizes were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 1, 2025. Correction verified: at a follow-up visit by DCDEE.

  • Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.

    “Six (6) out of eight (8) children were signed in today. Make sure every child is signed in and out each day.”

    Rule Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review.. Corrected during the inspection.

May 21, 2025: unannounced1 violation
  • The depth of the loose surfacing was not based on critical height of the equipment.

    “The depth of the loose surfacing (mulch) was not at least six (6) inched deep around the climbers and slides.”

    Rule The depth of the loose surfacing was not based on critical height of the equipment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 29, 2025. Correction verified: by a letter from the provider.

Jan 23, 2025: unannounced2 violations
  • Menus for all meals and snacks were not current or posted where easily seen by parents and cook.

    “The menu that was posted was from December 2024.”

    Rule Menus for all meals and snacks were not current or posted where easily seen by parents and cook.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 31, 2025. Correction verified: by a letter from the provider.

  • Rule violated (DCDEE’s description below)

    “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. • Hand sanitizer was on the stage in the gym which is lower than five (5) feet.”

    Rule Rule violated (DCDEE’s description below). Corrected during the inspection.

Feb 1, 2024: unannounced9 violations
  • A valid qualification letter was not on file and available to review at the facility.

    “Qualification letters were not on-site for VC, PW and DD.”

    Rule A valid qualification letter was not on file and available to review at the facility.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 9, 2024. Correction verified: by a letter from the provider.

  • All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.

    “All staff ‘s health questionnaire was not updated.”

    Rule All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 9, 2024. Correction verified: by a letter from the provider.

  • Application for enrollment did not include all required information.

    “Children’s applications do not have a space for parents to list fears or behavior characteristics.”

    Rule Application for enrollment did not include all required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 9, 2024. Correction verified: by a letter from the provider.

  • Certified developmental day center staff/child ratios and group sizes were not met.

    “On several occasions, one teacher was left alone with 9 to 11 children.”

    Rule Certified developmental day center staff/child ratios and group sizes were not met.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 13, 2024. Correction verified: at a follow-up visit by DCDEE.

  • Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

    “All staff ‘s health questionnaire was not updated.”

    Rule Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 9, 2024. Correction verified: by a letter from the provider.

  • Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.

    “Child(ren) that are lactose intolerant must be give a milk replacement such as Lactaid, soy or almond milk.”

    Rule Meals/snacks did not comply with the Meal Patterns for Children in Child Care Programs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 9, 2024. Correction verified: by a letter from the provider.

  • Outdoor play area was not enclosed by fence with a minimum height of 4 feet.

    “The top of the fence, less than six feet, was not free from protrusions. The fence does not measure four (4) feet in height.”

    Rule Outdoor play area was not enclosed by fence with a minimum height of 4 feet.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 9, 2024. Correction verified: by a letter from the provider.

  • 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.

    “One teacher was drinking tea in a clear cup.”

    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: Feb 9, 2024. Correction verified: by a letter from the provider.

  • The child care provider did not provide the required beverage(s).

    “Two children drink juice (sent from home) for meals, which goes over the six (6) ounces per day.”

    Rule The child care provider did not provide the required beverage(s).. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Feb 9, 2024. Correction verified: by a letter from the provider.

All 8 visits on record
Visits on record
DateVisitWhat the record says
Jan 9, 2026Unannounced visit4 violations cited
Oct 1, 2025Unannounced visitNo violations cited
Sep 22, 2025Unannounced visit3 violations cited
May 21, 2025Unannounced visit1 violation cited
Jan 23, 2025Unannounced visit2 violations cited
May 15, 2024Unannounced visitNo violations cited
Feb 13, 2024Unannounced visitNo violations cited
Feb 1, 2024Unannounced visit9 violations cited

Is it licensed?

  • Child Care Center, holding a Five Star Center License since Jul 28, 2025.
  • Licensed for 15 children, ages 3 through 5.
  • Not enrolled in North Carolina’s subsidized child care program.
  • North Carolina’s licence number: 95000157.
  • Restriction: Other - Meeting Reduced Ratios. Certified Developmental Day.
Source:

North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations. Checked Oct 21, 2026. Updated daily.

Has North Carolina acted against it?

  • DCDEE says it has taken no action against this facility, for its current licence and location, in the last three years.
Source:

North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations. Checked Oct 21, 2026. Updated daily.

Who does the caring?

  • North Carolina’s page gives a staff-to-child ratio policy as the provider reports it, unverified by DCDEE, so it isn’t shown.

Who owns it?

  • Owner, as North Carolina lists it: Watauga County Schools.
Source:

North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations. Checked Oct 21, 2026. Updated daily.

How is it rated?

  • Star Rated License: 5 stars of five.
Source:

North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations. Checked Oct 21, 2026. Updated daily.

How does it compare nearby?

  • Among 26 child care providers in Watauga County, the middle value for violations cited in the last three years was 20.5; this one had 19.
Source:

North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE), Child Care Facility Search (ncchildcare.ncdhhs.gov): licences, DCDEE visits and violations. Checked Oct 21, 2026. Updated daily.

What the record doesn’t say

  • North Carolina doesn’t show a visit summary tied to an open child maltreatment investigation while the case is active, and shows an administrative action only after its 30-day appeal period, without saying what it was.
  • DCDEE’s descriptions of violations are shown in its own words; a description that names or may name a person isn’t shown. Visit summaries, the consultants’ full reports, aren’t read.
  • North Carolina’s page lists the provider’s own features (transport, ratios) as furnished by the provider and unverified by DCDEE, so they aren’t shown.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE). North Carolina’s own record is on ncchildcare.ncdhhs.gov. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 3, 2026.

From the provider

The public record above comes first. Anything the provider adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the provider will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the provider”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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