10A NCAC 09 .0304 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/25/2025 Number Present: 52 Completed Date: 11/25/2025 Age: From 5 To 10 Total Minutes: 216 Time In: 01:24 PM Time Out: 05:00 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 compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Hope Ramsey, Program Director, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Ramsey and Riley Spoonholtz, substitute Program Coordinator, were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation; The Young Men’s Christian Association of Western North Carolina is current/active as of today. Permit type – Five-star center license issued on 8/15/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 1/22/25. The last fire drill was practiced on 10/28/25. The last lockdown drill was practiced on 6/9/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/4/24 without hazards. Lead paint and asbestos testing is waiting on on-site visit results. Nine (9) staff members were listed on the Automated Background Check Management System (ABCMS) as of today prior to this visit. Upon arrival, I announced my presence and the purpose of the visit to Ms. Spoonholtz. Ms. Ramsey arrived shortly. I notified Ms. Burke about my presence and requested to meet with me via TEAMS to review the staff files and children’s files. Ms. Burke submitted the worksheet via email during the visit. Two (2) new staff files and one (1) existing staff files were reviewed. I reviewed other two (2) staff files at another YMCA program sites recently. Six (6) children’s files were reviewed. A total of four (4) medications for three (3) children were maintained for this program - Two (2) Epi-pens, one (1) inhaler and one (1) over-the-counter Children’s Benadryl. The authorization form for Children’s Benadryl was not signed by the parent. Action plan and authorization form for Albuterol were expired. Albuterol was not returned to the pts within seventy-two (2) hours of authorization expiring. All licensed spaces were monitored. Other visit was conducted on 8/27/25 and two (2) rooms were added to the license space – room 014 and 103 to use them for children’s arrival and departure. With the change, spaces were assigned new space numbers. Cafeteria is space #1, gym is space #2, trailer is space #3, room 014 is space #4 and room 103 is space #5. Upon monitoring space 103, Ms. Ramsey stated the program access to 103 was no longer granted by the elementary school due to the space being used for additional Kindergarten class. Instead, space 301 was used for children in group #2 and #3 for arrival and departure. Space 301 was used by forty-seven (47) children for arrival during the visit. Room 301 is a space enclosed by two (2) permanent walls, one (1) semi-permanent wall with an opening and portable barriers. There are no doors. There were several shelves, three (3) cubbies, one (1) whiteboard, one (1) smartboard and several children’s desks and chairs. This space was not monitored during the visit conducted on 8/27/25 and was not licensed. Children were observed. Seventeen (17) children in group #3 created art in space #3. They painted/colored/drew turkey. Eighteen (18) children in group #2 engaged in free play in space #1. Some children used center materials, such as manipulatives, blocks, dramatic play materials. Some children played basketball. Two (2) additional adults who were not YMCA employees, were present in the gym. Per a group leader, they were one-on-one support for two (2) children, but they didn’t count in staff/child ratios. Eleven (11) children transitioned from space #4 (014) to space #1 for snack. The children lined up and followed Ms. Spoonholtz to cafeteria. The children had bean dip, corn chips, apple sauce, veggie blend and milk for snacks. Supervision and interaction were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not currently provide transportation. No buses were monitored today because they were inspected on 6/24/25. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted and recorded on 10/28/25. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. The authorization form for Children's Benadryl for a child in group #1 was not signed by the parent. 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. Albuterol for a child in group #2 was not returned to home when the authorization form expired on 6/6/25. .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. Medical statement was not on file for review for a staff member who was hired on 4/8/24. 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. TB screening documents were not on file for a staff member who was hired on 4/8/24. .0701(a) 1035 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. Emergency information form was not file for a staff member who was hired on 4/8/24. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was completed on 6/9/25. .0604(u);.0302(d)(8) 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. Action plan for Albuterol for a child in group #2 expired on 6/7/25 and was not updated. .0801(b) 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. The training certificate was not on file for a staff member who was hired on 4/8/24. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. A staff member was hired on 1/29/25 and completed BSAC training on 9/29/25. .2510(j) Technical assistance was provided as follows: The following violations were cited but corrected during the visit. You do not have to include the corrected items in the compliance letter: 1035: Emergency information form 1921: Basic School Age Care (BSAC) training Below are the outstanding violations: 805: Fire Drill Fire Drill must be conducted monthly. To comply, you must conduct a “make-up” drill as soon as possible. The make-up drill will not count for December drill. You must still conduct a drill in December. In your compliance letter, please verify that you conducted a make-up drill for November. If the drill in November was conducted but not logged, you must log all the required information on the form posted in the Trailer, to comply. In your compliance letter, verify that you logged all the required information. 1811: Lockdown/Shelter-in-place drill Your last lockdown drill was conducted on 6/9/25; therefore, you needed to conduct a lockdown or a shelter-in-place drill in September. To comply, you must conduct a “make-up” drill for September. Please note that you are required to complete one (1) in December as well. The make-up drill will not replace December drill. If you conducted a drill in September but did not log, you must fill out the log sheet with all the required information. In your compliance letter, please state how you met compliance. 847: medication authorization form A child’s authorization form for Children’s Benadryl was not signed by the parent. To comply, parents must sign the form. Until the form is signed, Children’s Benadryl cannot be administered to the child by staff members. In your compliance letter, please verify that the form was signed. 849: expired authorization form Medication must be returned to the family within 72 hours of authorization form expiring. To comply, you must return Albuterol until the new form is filled out. In your compliance letter, please verify that the medication was returned to home, or the form was updated. 1032: Medical Statement 1033: Tuberculosis screening These violations were cited due to the records listed above were not located for K. Brown. To comply, you must locate the document. If you cannot locate one, the staff member must obtain the new document within the next two (2) weeks. In your compliance letter, please state how you met the compliance. 1835: Action Plans Action plans must be updated annually. To comply, the action plan for Albuterol for a child (S.B) in group #2 must be renewed. The date of the action plan maintained with the medication was dated 6/7/24. Per rule, authorization form is valid for six (6) months, and the action plan is valid for one (1) year. 1897: Recognizing and Responding to Suspicions of Child Maltreatment Training Above training certificate was not available for review for K. Brown. To comply, you must locate the document. If you cannot locate one, the staff member must complete the training on Positive Childhood Alliance North Carolina website at https://positivechildhoodalliancenc.org/resource-hub/recognizing-responding-to-child-maltreatment/ In your compliance letter, please state how you met the compliance. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/9/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: You must identify all program spaces and notify the Division before their use. f there are any changes to the use of space, please communicate them to me. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/25/2025 Number Present: 52 Completed Date: 11/25/2025 Age: From 5 To 10 Total Minutes: 216 Time In: 01:24 PM Time Out: 05:00 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 compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Hope Ramsey, Program Director, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Ramsey and Riley Spoonholtz, substitute Program Coordinator, were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation; The Young Men’s Christian Association of Western North Carolina is current/active as of today. Permit type – Five-star center license issued on 8/15/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 1/22/25. The last fire drill was practiced on 10/28/25. The last lockdown drill was practiced on 6/9/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/4/24 without hazards. Lead paint and asbestos testing is waiting on on-site visit results. Nine (9) staff members were listed on the Automated Background Check Management System (ABCMS) as of today prior to this visit. Upon arrival, I announced my presence and the purpose of the visit to Ms. Spoonholtz. Ms. Ramsey arrived shortly. I notified Ms. Burke about my presence and requested to meet with me via TEAMS to review the staff files and children’s files. Ms. Burke submitted the worksheet via email during the visit. Two (2) new staff files and one (1) existing staff files were reviewed. I reviewed other two (2) staff files at another YMCA program sites recently. Six (6) children’s files were reviewed. A total of four (4) medications for three (3) children were maintained for this program - Two (2) Epi-pens, one (1) inhaler and one (1) over-the-counter Children’s Benadryl. The authorization form for Children’s Benadryl was not signed by the parent. Action plan and authorization form for Albuterol were expired. Albuterol was not returned to the pts within seventy-two (2) hours of authorization expiring. All licensed spaces were monitored. Other visit was conducted on 8/27/25 and two (2) rooms were added to the license space – room 014 and 103 to use them for children’s arrival and departure. With the change, spaces were assigned new space numbers. Cafeteria is space #1, gym is space #2, trailer is space #3, room 014 is space #4 and room 103 is space #5. Upon monitoring space 103, Ms. Ramsey stated the program access to 103 was no longer granted by the elementary school due to the space being used for additional Kindergarten class. Instead, space 301 was used for children in group #2 and #3 for arrival and departure. Space 301 was used by forty-seven (47) children for arrival during the visit. Room 301 is a space enclosed by two (2) permanent walls, one (1) semi-permanent wall with an opening and portable barriers. There are no doors. There were several shelves, three (3) cubbies, one (1) whiteboard, one (1) smartboard and several children’s desks and chairs. This space was not monitored during the visit conducted on 8/27/25 and was not licensed. Children were observed. Seventeen (17) children in group #3 created art in space #3. They painted/colored/drew turkey. Eighteen (18) children in group #2 engaged in free play in space #1. Some children used center materials, such as manipulatives, blocks, dramatic play materials. Some children played basketball. Two (2) additional adults who were not YMCA employees, were present in the gym. Per a group leader, they were one-on-one support for two (2) children, but they didn’t count in staff/child ratios. Eleven (11) children transitioned from space #4 (014) to space #1 for snack. The children lined up and followed Ms. Spoonholtz to cafeteria. The children had bean dip, corn chips, apple sauce, veggie blend and milk for snacks. Supervision and interaction were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not currently provide transportation. No buses were monitored today because they were inspected on 6/24/25. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted and recorded on 10/28/25. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. The authorization form for Children's Benadryl for a child in group #1 was not signed by the parent. 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. Albuterol for a child in group #2 was not returned to home when the authorization form expired on 6/6/25. .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. Medical statement was not on file for review for a staff member who was hired on 4/8/24. 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. TB screening documents were not on file for a staff member who was hired on 4/8/24. .0701(a) 1035 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. Emergency information form was not file for a staff member who was hired on 4/8/24. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was completed on 6/9/25. .0604(u);.0302(d)(8) 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. Action plan for Albuterol for a child in group #2 expired on 6/7/25 and was not updated. .0801(b) 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. The training certificate was not on file for a staff member who was hired on 4/8/24. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. A staff member was hired on 1/29/25 and completed BSAC training on 9/29/25. .2510(j) Technical assistance was provided as follows: The following violations were cited but corrected during the visit. You do not have to include the corrected items in the compliance letter: 1035: Emergency information form 1921: Basic School Age Care (BSAC) training Below are the outstanding violations: 805: Fire Drill Fire Drill must be conducted monthly. To comply, you must conduct a “make-up” drill as soon as possible. The make-up drill will not count for December drill. You must still conduct a drill in December. In your compliance letter, please verify that you conducted a make-up drill for November. If the drill in November was conducted but not logged, you must log all the required information on the form posted in the Trailer, to comply. In your compliance letter, verify that you logged all the required information. 1811: Lockdown/Shelter-in-place drill Your last lockdown drill was conducted on 6/9/25; therefore, you needed to conduct a lockdown or a shelter-in-place drill in September. To comply, you must conduct a “make-up” drill for September. Please note that you are required to complete one (1) in December as well. The make-up drill will not replace December drill. If you conducted a drill in September but did not log, you must fill out the log sheet with all the required information. In your compliance letter, please state how you met compliance. 847: medication authorization form A child’s authorization form for Children’s Benadryl was not signed by the parent. To comply, parents must sign the form. Until the form is signed, Children’s Benadryl cannot be administered to the child by staff members. In your compliance letter, please verify that the form was signed. 849: expired authorization form Medication must be returned to the family within 72 hours of authorization form expiring. To comply, you must return Albuterol until the new form is filled out. In your compliance letter, please verify that the medication was returned to home, or the form was updated. 1032: Medical Statement 1033: Tuberculosis screening These violations were cited due to the records listed above were not located for K. Brown. To comply, you must locate the document. If you cannot locate one, the staff member must obtain the new document within the next two (2) weeks. In your compliance letter, please state how you met the compliance. 1835: Action Plans Action plans must be updated annually. To comply, the action plan for Albuterol for a child (S.B) in group #2 must be renewed. The date of the action plan maintained with the medication was dated 6/7/24. Per rule, authorization form is valid for six (6) months, and the action plan is valid for one (1) year. 1897: Recognizing and Responding to Suspicions of Child Maltreatment Training Above training certificate was not available for review for K. Brown. To comply, you must locate the document. If you cannot locate one, the staff member must complete the training on Positive Childhood Alliance North Carolina website at https://positivechildhoodalliancenc.org/resource-hub/recognizing-responding-to-child-maltreatment/ In your compliance letter, please state how you met the compliance. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/9/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: You must identify all program spaces and notify the Division before their use. f there are any changes to the use of space, please communicate them to me. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/25/2025 Number Present: 52 Completed Date: 11/25/2025 Age: From 5 To 10 Total Minutes: 216 Time In: 01:24 PM Time Out: 05:00 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 compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Hope Ramsey, Program Director, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Ramsey and Riley Spoonholtz, substitute Program Coordinator, were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation; The Young Men’s Christian Association of Western North Carolina is current/active as of today. Permit type – Five-star center license issued on 8/15/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 1/22/25. The last fire drill was practiced on 10/28/25. The last lockdown drill was practiced on 6/9/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/4/24 without hazards. Lead paint and asbestos testing is waiting on on-site visit results. Nine (9) staff members were listed on the Automated Background Check Management System (ABCMS) as of today prior to this visit. Upon arrival, I announced my presence and the purpose of the visit to Ms. Spoonholtz. Ms. Ramsey arrived shortly. I notified Ms. Burke about my presence and requested to meet with me via TEAMS to review the staff files and children’s files. Ms. Burke submitted the worksheet via email during the visit. Two (2) new staff files and one (1) existing staff files were reviewed. I reviewed other two (2) staff files at another YMCA program sites recently. Six (6) children’s files were reviewed. A total of four (4) medications for three (3) children were maintained for this program - Two (2) Epi-pens, one (1) inhaler and one (1) over-the-counter Children’s Benadryl. The authorization form for Children’s Benadryl was not signed by the parent. Action plan and authorization form for Albuterol were expired. Albuterol was not returned to the pts within seventy-two (2) hours of authorization expiring. All licensed spaces were monitored. Other visit was conducted on 8/27/25 and two (2) rooms were added to the license space – room 014 and 103 to use them for children’s arrival and departure. With the change, spaces were assigned new space numbers. Cafeteria is space #1, gym is space #2, trailer is space #3, room 014 is space #4 and room 103 is space #5. Upon monitoring space 103, Ms. Ramsey stated the program access to 103 was no longer granted by the elementary school due to the space being used for additional Kindergarten class. Instead, space 301 was used for children in group #2 and #3 for arrival and departure. Space 301 was used by forty-seven (47) children for arrival during the visit. Room 301 is a space enclosed by two (2) permanent walls, one (1) semi-permanent wall with an opening and portable barriers. There are no doors. There were several shelves, three (3) cubbies, one (1) whiteboard, one (1) smartboard and several children’s desks and chairs. This space was not monitored during the visit conducted on 8/27/25 and was not licensed. Children were observed. Seventeen (17) children in group #3 created art in space #3. They painted/colored/drew turkey. Eighteen (18) children in group #2 engaged in free play in space #1. Some children used center materials, such as manipulatives, blocks, dramatic play materials. Some children played basketball. Two (2) additional adults who were not YMCA employees, were present in the gym. Per a group leader, they were one-on-one support for two (2) children, but they didn’t count in staff/child ratios. Eleven (11) children transitioned from space #4 (014) to space #1 for snack. The children lined up and followed Ms. Spoonholtz to cafeteria. The children had bean dip, corn chips, apple sauce, veggie blend and milk for snacks. Supervision and interaction were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not currently provide transportation. No buses were monitored today because they were inspected on 6/24/25. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted and recorded on 10/28/25. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. The authorization form for Children's Benadryl for a child in group #1 was not signed by the parent. 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. Albuterol for a child in group #2 was not returned to home when the authorization form expired on 6/6/25. .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. Medical statement was not on file for review for a staff member who was hired on 4/8/24. 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. TB screening documents were not on file for a staff member who was hired on 4/8/24. .0701(a) 1035 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. Emergency information form was not file for a staff member who was hired on 4/8/24. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was completed on 6/9/25. .0604(u);.0302(d)(8) 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. Action plan for Albuterol for a child in group #2 expired on 6/7/25 and was not updated. .0801(b) 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. The training certificate was not on file for a staff member who was hired on 4/8/24. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. A staff member was hired on 1/29/25 and completed BSAC training on 9/29/25. .2510(j) Technical assistance was provided as follows: The following violations were cited but corrected during the visit. You do not have to include the corrected items in the compliance letter: 1035: Emergency information form 1921: Basic School Age Care (BSAC) training Below are the outstanding violations: 805: Fire Drill Fire Drill must be conducted monthly. To comply, you must conduct a “make-up” drill as soon as possible. The make-up drill will not count for December drill. You must still conduct a drill in December. In your compliance letter, please verify that you conducted a make-up drill for November. If the drill in November was conducted but not logged, you must log all the required information on the form posted in the Trailer, to comply. In your compliance letter, verify that you logged all the required information. 1811: Lockdown/Shelter-in-place drill Your last lockdown drill was conducted on 6/9/25; therefore, you needed to conduct a lockdown or a shelter-in-place drill in September. To comply, you must conduct a “make-up” drill for September. Please note that you are required to complete one (1) in December as well. The make-up drill will not replace December drill. If you conducted a drill in September but did not log, you must fill out the log sheet with all the required information. In your compliance letter, please state how you met compliance. 847: medication authorization form A child’s authorization form for Children’s Benadryl was not signed by the parent. To comply, parents must sign the form. Until the form is signed, Children’s Benadryl cannot be administered to the child by staff members. In your compliance letter, please verify that the form was signed. 849: expired authorization form Medication must be returned to the family within 72 hours of authorization form expiring. To comply, you must return Albuterol until the new form is filled out. In your compliance letter, please verify that the medication was returned to home, or the form was updated. 1032: Medical Statement 1033: Tuberculosis screening These violations were cited due to the records listed above were not located for K. Brown. To comply, you must locate the document. If you cannot locate one, the staff member must obtain the new document within the next two (2) weeks. In your compliance letter, please state how you met the compliance. 1835: Action Plans Action plans must be updated annually. To comply, the action plan for Albuterol for a child (S.B) in group #2 must be renewed. The date of the action plan maintained with the medication was dated 6/7/24. Per rule, authorization form is valid for six (6) months, and the action plan is valid for one (1) year. 1897: Recognizing and Responding to Suspicions of Child Maltreatment Training Above training certificate was not available for review for K. Brown. To comply, you must locate the document. If you cannot locate one, the staff member must complete the training on Positive Childhood Alliance North Carolina website at https://positivechildhoodalliancenc.org/resource-hub/recognizing-responding-to-child-maltreatment/ In your compliance letter, please state how you met the compliance. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/9/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: You must identify all program spaces and notify the Division before their use. f there are any changes to the use of space, please communicate them to me. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/25/2025 Number Present: 52 Completed Date: 11/25/2025 Age: From 5 To 10 Total Minutes: 216 Time In: 01:24 PM Time Out: 05:00 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 compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Hope Ramsey, Program Director, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Ramsey and Riley Spoonholtz, substitute Program Coordinator, were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation; The Young Men’s Christian Association of Western North Carolina is current/active as of today. Permit type – Five-star center license issued on 8/15/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 1/22/25. The last fire drill was practiced on 10/28/25. The last lockdown drill was practiced on 6/9/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/4/24 without hazards. Lead paint and asbestos testing is waiting on on-site visit results. Nine (9) staff members were listed on the Automated Background Check Management System (ABCMS) as of today prior to this visit. Upon arrival, I announced my presence and the purpose of the visit to Ms. Spoonholtz. Ms. Ramsey arrived shortly. I notified Ms. Burke about my presence and requested to meet with me via TEAMS to review the staff files and children’s files. Ms. Burke submitted the worksheet via email during the visit. Two (2) new staff files and one (1) existing staff files were reviewed. I reviewed other two (2) staff files at another YMCA program sites recently. Six (6) children’s files were reviewed. A total of four (4) medications for three (3) children were maintained for this program - Two (2) Epi-pens, one (1) inhaler and one (1) over-the-counter Children’s Benadryl. The authorization form for Children’s Benadryl was not signed by the parent. Action plan and authorization form for Albuterol were expired. Albuterol was not returned to the pts within seventy-two (2) hours of authorization expiring. All licensed spaces were monitored. Other visit was conducted on 8/27/25 and two (2) rooms were added to the license space – room 014 and 103 to use them for children’s arrival and departure. With the change, spaces were assigned new space numbers. Cafeteria is space #1, gym is space #2, trailer is space #3, room 014 is space #4 and room 103 is space #5. Upon monitoring space 103, Ms. Ramsey stated the program access to 103 was no longer granted by the elementary school due to the space being used for additional Kindergarten class. Instead, space 301 was used for children in group #2 and #3 for arrival and departure. Space 301 was used by forty-seven (47) children for arrival during the visit. Room 301 is a space enclosed by two (2) permanent walls, one (1) semi-permanent wall with an opening and portable barriers. There are no doors. There were several shelves, three (3) cubbies, one (1) whiteboard, one (1) smartboard and several children’s desks and chairs. This space was not monitored during the visit conducted on 8/27/25 and was not licensed. Children were observed. Seventeen (17) children in group #3 created art in space #3. They painted/colored/drew turkey. Eighteen (18) children in group #2 engaged in free play in space #1. Some children used center materials, such as manipulatives, blocks, dramatic play materials. Some children played basketball. Two (2) additional adults who were not YMCA employees, were present in the gym. Per a group leader, they were one-on-one support for two (2) children, but they didn’t count in staff/child ratios. Eleven (11) children transitioned from space #4 (014) to space #1 for snack. The children lined up and followed Ms. Spoonholtz to cafeteria. The children had bean dip, corn chips, apple sauce, veggie blend and milk for snacks. Supervision and interaction were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not currently provide transportation. No buses were monitored today because they were inspected on 6/24/25. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted and recorded on 10/28/25. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. The authorization form for Children's Benadryl for a child in group #1 was not signed by the parent. 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. Albuterol for a child in group #2 was not returned to home when the authorization form expired on 6/6/25. .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. Medical statement was not on file for review for a staff member who was hired on 4/8/24. 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. TB screening documents were not on file for a staff member who was hired on 4/8/24. .0701(a) 1035 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. Emergency information form was not file for a staff member who was hired on 4/8/24. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was completed on 6/9/25. .0604(u);.0302(d)(8) 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. Action plan for Albuterol for a child in group #2 expired on 6/7/25 and was not updated. .0801(b) 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. The training certificate was not on file for a staff member who was hired on 4/8/24. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. A staff member was hired on 1/29/25 and completed BSAC training on 9/29/25. .2510(j) Technical assistance was provided as follows: The following violations were cited but corrected during the visit. You do not have to include the corrected items in the compliance letter: 1035: Emergency information form 1921: Basic School Age Care (BSAC) training Below are the outstanding violations: 805: Fire Drill Fire Drill must be conducted monthly. To comply, you must conduct a “make-up” drill as soon as possible. The make-up drill will not count for December drill. You must still conduct a drill in December. In your compliance letter, please verify that you conducted a make-up drill for November. If the drill in November was conducted but not logged, you must log all the required information on the form posted in the Trailer, to comply. In your compliance letter, verify that you logged all the required information. 1811: Lockdown/Shelter-in-place drill Your last lockdown drill was conducted on 6/9/25; therefore, you needed to conduct a lockdown or a shelter-in-place drill in September. To comply, you must conduct a “make-up” drill for September. Please note that you are required to complete one (1) in December as well. The make-up drill will not replace December drill. If you conducted a drill in September but did not log, you must fill out the log sheet with all the required information. In your compliance letter, please state how you met compliance. 847: medication authorization form A child’s authorization form for Children’s Benadryl was not signed by the parent. To comply, parents must sign the form. Until the form is signed, Children’s Benadryl cannot be administered to the child by staff members. In your compliance letter, please verify that the form was signed. 849: expired authorization form Medication must be returned to the family within 72 hours of authorization form expiring. To comply, you must return Albuterol until the new form is filled out. In your compliance letter, please verify that the medication was returned to home, or the form was updated. 1032: Medical Statement 1033: Tuberculosis screening These violations were cited due to the records listed above were not located for K. Brown. To comply, you must locate the document. If you cannot locate one, the staff member must obtain the new document within the next two (2) weeks. In your compliance letter, please state how you met the compliance. 1835: Action Plans Action plans must be updated annually. To comply, the action plan for Albuterol for a child (S.B) in group #2 must be renewed. The date of the action plan maintained with the medication was dated 6/7/24. Per rule, authorization form is valid for six (6) months, and the action plan is valid for one (1) year. 1897: Recognizing and Responding to Suspicions of Child Maltreatment Training Above training certificate was not available for review for K. Brown. To comply, you must locate the document. If you cannot locate one, the staff member must complete the training on Positive Childhood Alliance North Carolina website at https://positivechildhoodalliancenc.org/resource-hub/recognizing-responding-to-child-maltreatment/ In your compliance letter, please state how you met the compliance. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/9/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: You must identify all program spaces and notify the Division before their use. f there are any changes to the use of space, please communicate them to me. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/25/2025 Number Present: 52 Completed Date: 11/25/2025 Age: From 5 To 10 Total Minutes: 216 Time In: 01:24 PM Time Out: 05:00 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 compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Hope Ramsey, Program Director, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Ramsey and Riley Spoonholtz, substitute Program Coordinator, were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation; The Young Men’s Christian Association of Western North Carolina is current/active as of today. Permit type – Five-star center license issued on 8/15/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 1/22/25. The last fire drill was practiced on 10/28/25. The last lockdown drill was practiced on 6/9/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/4/24 without hazards. Lead paint and asbestos testing is waiting on on-site visit results. Nine (9) staff members were listed on the Automated Background Check Management System (ABCMS) as of today prior to this visit. Upon arrival, I announced my presence and the purpose of the visit to Ms. Spoonholtz. Ms. Ramsey arrived shortly. I notified Ms. Burke about my presence and requested to meet with me via TEAMS to review the staff files and children’s files. Ms. Burke submitted the worksheet via email during the visit. Two (2) new staff files and one (1) existing staff files were reviewed. I reviewed other two (2) staff files at another YMCA program sites recently. Six (6) children’s files were reviewed. A total of four (4) medications for three (3) children were maintained for this program - Two (2) Epi-pens, one (1) inhaler and one (1) over-the-counter Children’s Benadryl. The authorization form for Children’s Benadryl was not signed by the parent. Action plan and authorization form for Albuterol were expired. Albuterol was not returned to the pts within seventy-two (2) hours of authorization expiring. All licensed spaces were monitored. Other visit was conducted on 8/27/25 and two (2) rooms were added to the license space – room 014 and 103 to use them for children’s arrival and departure. With the change, spaces were assigned new space numbers. Cafeteria is space #1, gym is space #2, trailer is space #3, room 014 is space #4 and room 103 is space #5. Upon monitoring space 103, Ms. Ramsey stated the program access to 103 was no longer granted by the elementary school due to the space being used for additional Kindergarten class. Instead, space 301 was used for children in group #2 and #3 for arrival and departure. Space 301 was used by forty-seven (47) children for arrival during the visit. Room 301 is a space enclosed by two (2) permanent walls, one (1) semi-permanent wall with an opening and portable barriers. There are no doors. There were several shelves, three (3) cubbies, one (1) whiteboard, one (1) smartboard and several children’s desks and chairs. This space was not monitored during the visit conducted on 8/27/25 and was not licensed. Children were observed. Seventeen (17) children in group #3 created art in space #3. They painted/colored/drew turkey. Eighteen (18) children in group #2 engaged in free play in space #1. Some children used center materials, such as manipulatives, blocks, dramatic play materials. Some children played basketball. Two (2) additional adults who were not YMCA employees, were present in the gym. Per a group leader, they were one-on-one support for two (2) children, but they didn’t count in staff/child ratios. Eleven (11) children transitioned from space #4 (014) to space #1 for snack. The children lined up and followed Ms. Spoonholtz to cafeteria. The children had bean dip, corn chips, apple sauce, veggie blend and milk for snacks. Supervision and interaction were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not currently provide transportation. No buses were monitored today because they were inspected on 6/24/25. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted and recorded on 10/28/25. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. The authorization form for Children's Benadryl for a child in group #1 was not signed by the parent. 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. Albuterol for a child in group #2 was not returned to home when the authorization form expired on 6/6/25. .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. Medical statement was not on file for review for a staff member who was hired on 4/8/24. 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. TB screening documents were not on file for a staff member who was hired on 4/8/24. .0701(a) 1035 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. Emergency information form was not file for a staff member who was hired on 4/8/24. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was completed on 6/9/25. .0604(u);.0302(d)(8) 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. Action plan for Albuterol for a child in group #2 expired on 6/7/25 and was not updated. .0801(b) 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. The training certificate was not on file for a staff member who was hired on 4/8/24. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. A staff member was hired on 1/29/25 and completed BSAC training on 9/29/25. .2510(j) Technical assistance was provided as follows: The following violations were cited but corrected during the visit. You do not have to include the corrected items in the compliance letter: 1035: Emergency information form 1921: Basic School Age Care (BSAC) training Below are the outstanding violations: 805: Fire Drill Fire Drill must be conducted monthly. To comply, you must conduct a “make-up” drill as soon as possible. The make-up drill will not count for December drill. You must still conduct a drill in December. In your compliance letter, please verify that you conducted a make-up drill for November. If the drill in November was conducted but not logged, you must log all the required information on the form posted in the Trailer, to comply. In your compliance letter, verify that you logged all the required information. 1811: Lockdown/Shelter-in-place drill Your last lockdown drill was conducted on 6/9/25; therefore, you needed to conduct a lockdown or a shelter-in-place drill in September. To comply, you must conduct a “make-up” drill for September. Please note that you are required to complete one (1) in December as well. The make-up drill will not replace December drill. If you conducted a drill in September but did not log, you must fill out the log sheet with all the required information. In your compliance letter, please state how you met compliance. 847: medication authorization form A child’s authorization form for Children’s Benadryl was not signed by the parent. To comply, parents must sign the form. Until the form is signed, Children’s Benadryl cannot be administered to the child by staff members. In your compliance letter, please verify that the form was signed. 849: expired authorization form Medication must be returned to the family within 72 hours of authorization form expiring. To comply, you must return Albuterol until the new form is filled out. In your compliance letter, please verify that the medication was returned to home, or the form was updated. 1032: Medical Statement 1033: Tuberculosis screening These violations were cited due to the records listed above were not located for K. Brown. To comply, you must locate the document. If you cannot locate one, the staff member must obtain the new document within the next two (2) weeks. In your compliance letter, please state how you met the compliance. 1835: Action Plans Action plans must be updated annually. To comply, the action plan for Albuterol for a child (S.B) in group #2 must be renewed. The date of the action plan maintained with the medication was dated 6/7/24. Per rule, authorization form is valid for six (6) months, and the action plan is valid for one (1) year. 1897: Recognizing and Responding to Suspicions of Child Maltreatment Training Above training certificate was not available for review for K. Brown. To comply, you must locate the document. If you cannot locate one, the staff member must complete the training on Positive Childhood Alliance North Carolina website at https://positivechildhoodalliancenc.org/resource-hub/recognizing-responding-to-child-maltreatment/ In your compliance letter, please state how you met the compliance. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/9/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: You must identify all program spaces and notify the Division before their use. f there are any changes to the use of space, please communicate them to me. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/25/2025 Number Present: 52 Completed Date: 11/25/2025 Age: From 5 To 10 Total Minutes: 216 Time In: 01:24 PM Time Out: 05:00 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 compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Hope Ramsey, Program Director, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Ramsey and Riley Spoonholtz, substitute Program Coordinator, were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation; The Young Men’s Christian Association of Western North Carolina is current/active as of today. Permit type – Five-star center license issued on 8/15/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 1/22/25. The last fire drill was practiced on 10/28/25. The last lockdown drill was practiced on 6/9/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/4/24 without hazards. Lead paint and asbestos testing is waiting on on-site visit results. Nine (9) staff members were listed on the Automated Background Check Management System (ABCMS) as of today prior to this visit. Upon arrival, I announced my presence and the purpose of the visit to Ms. Spoonholtz. Ms. Ramsey arrived shortly. I notified Ms. Burke about my presence and requested to meet with me via TEAMS to review the staff files and children’s files. Ms. Burke submitted the worksheet via email during the visit. Two (2) new staff files and one (1) existing staff files were reviewed. I reviewed other two (2) staff files at another YMCA program sites recently. Six (6) children’s files were reviewed. A total of four (4) medications for three (3) children were maintained for this program - Two (2) Epi-pens, one (1) inhaler and one (1) over-the-counter Children’s Benadryl. The authorization form for Children’s Benadryl was not signed by the parent. Action plan and authorization form for Albuterol were expired. Albuterol was not returned to the pts within seventy-two (2) hours of authorization expiring. All licensed spaces were monitored. Other visit was conducted on 8/27/25 and two (2) rooms were added to the license space – room 014 and 103 to use them for children’s arrival and departure. With the change, spaces were assigned new space numbers. Cafeteria is space #1, gym is space #2, trailer is space #3, room 014 is space #4 and room 103 is space #5. Upon monitoring space 103, Ms. Ramsey stated the program access to 103 was no longer granted by the elementary school due to the space being used for additional Kindergarten class. Instead, space 301 was used for children in group #2 and #3 for arrival and departure. Space 301 was used by forty-seven (47) children for arrival during the visit. Room 301 is a space enclosed by two (2) permanent walls, one (1) semi-permanent wall with an opening and portable barriers. There are no doors. There were several shelves, three (3) cubbies, one (1) whiteboard, one (1) smartboard and several children’s desks and chairs. This space was not monitored during the visit conducted on 8/27/25 and was not licensed. Children were observed. Seventeen (17) children in group #3 created art in space #3. They painted/colored/drew turkey. Eighteen (18) children in group #2 engaged in free play in space #1. Some children used center materials, such as manipulatives, blocks, dramatic play materials. Some children played basketball. Two (2) additional adults who were not YMCA employees, were present in the gym. Per a group leader, they were one-on-one support for two (2) children, but they didn’t count in staff/child ratios. Eleven (11) children transitioned from space #4 (014) to space #1 for snack. The children lined up and followed Ms. Spoonholtz to cafeteria. The children had bean dip, corn chips, apple sauce, veggie blend and milk for snacks. Supervision and interaction were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not currently provide transportation. No buses were monitored today because they were inspected on 6/24/25. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted and recorded on 10/28/25. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. The authorization form for Children's Benadryl for a child in group #1 was not signed by the parent. 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. Albuterol for a child in group #2 was not returned to home when the authorization form expired on 6/6/25. .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. Medical statement was not on file for review for a staff member who was hired on 4/8/24. 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. TB screening documents were not on file for a staff member who was hired on 4/8/24. .0701(a) 1035 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. Emergency information form was not file for a staff member who was hired on 4/8/24. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was completed on 6/9/25. .0604(u);.0302(d)(8) 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. Action plan for Albuterol for a child in group #2 expired on 6/7/25 and was not updated. .0801(b) 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. The training certificate was not on file for a staff member who was hired on 4/8/24. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. A staff member was hired on 1/29/25 and completed BSAC training on 9/29/25. .2510(j) Technical assistance was provided as follows: The following violations were cited but corrected during the visit. You do not have to include the corrected items in the compliance letter: 1035: Emergency information form 1921: Basic School Age Care (BSAC) training Below are the outstanding violations: 805: Fire Drill Fire Drill must be conducted monthly. To comply, you must conduct a “make-up” drill as soon as possible. The make-up drill will not count for December drill. You must still conduct a drill in December. In your compliance letter, please verify that you conducted a make-up drill for November. If the drill in November was conducted but not logged, you must log all the required information on the form posted in the Trailer, to comply. In your compliance letter, verify that you logged all the required information. 1811: Lockdown/Shelter-in-place drill Your last lockdown drill was conducted on 6/9/25; therefore, you needed to conduct a lockdown or a shelter-in-place drill in September. To comply, you must conduct a “make-up” drill for September. Please note that you are required to complete one (1) in December as well. The make-up drill will not replace December drill. If you conducted a drill in September but did not log, you must fill out the log sheet with all the required information. In your compliance letter, please state how you met compliance. 847: medication authorization form A child’s authorization form for Children’s Benadryl was not signed by the parent. To comply, parents must sign the form. Until the form is signed, Children’s Benadryl cannot be administered to the child by staff members. In your compliance letter, please verify that the form was signed. 849: expired authorization form Medication must be returned to the family within 72 hours of authorization form expiring. To comply, you must return Albuterol until the new form is filled out. In your compliance letter, please verify that the medication was returned to home, or the form was updated. 1032: Medical Statement 1033: Tuberculosis screening These violations were cited due to the records listed above were not located for K. Brown. To comply, you must locate the document. If you cannot locate one, the staff member must obtain the new document within the next two (2) weeks. In your compliance letter, please state how you met the compliance. 1835: Action Plans Action plans must be updated annually. To comply, the action plan for Albuterol for a child (S.B) in group #2 must be renewed. The date of the action plan maintained with the medication was dated 6/7/24. Per rule, authorization form is valid for six (6) months, and the action plan is valid for one (1) year. 1897: Recognizing and Responding to Suspicions of Child Maltreatment Training Above training certificate was not available for review for K. Brown. To comply, you must locate the document. If you cannot locate one, the staff member must complete the training on Positive Childhood Alliance North Carolina website at https://positivechildhoodalliancenc.org/resource-hub/recognizing-responding-to-child-maltreatment/ In your compliance letter, please state how you met the compliance. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/9/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: You must identify all program spaces and notify the Division before their use. f there are any changes to the use of space, please communicate them to me. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/25/2025 Number Present: 52 Completed Date: 11/25/2025 Age: From 5 To 10 Total Minutes: 216 Time In: 01:24 PM Time Out: 05:00 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 compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Hope Ramsey, Program Director, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Ramsey and Riley Spoonholtz, substitute Program Coordinator, were available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation; The Young Men’s Christian Association of Western North Carolina is current/active as of today. Permit type – Five-star center license issued on 8/15/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 1/22/25. The last fire drill was practiced on 10/28/25. The last lockdown drill was practiced on 6/9/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/4/24 without hazards. Lead paint and asbestos testing is waiting on on-site visit results. Nine (9) staff members were listed on the Automated Background Check Management System (ABCMS) as of today prior to this visit. Upon arrival, I announced my presence and the purpose of the visit to Ms. Spoonholtz. Ms. Ramsey arrived shortly. I notified Ms. Burke about my presence and requested to meet with me via TEAMS to review the staff files and children’s files. Ms. Burke submitted the worksheet via email during the visit. Two (2) new staff files and one (1) existing staff files were reviewed. I reviewed other two (2) staff files at another YMCA program sites recently. Six (6) children’s files were reviewed. A total of four (4) medications for three (3) children were maintained for this program - Two (2) Epi-pens, one (1) inhaler and one (1) over-the-counter Children’s Benadryl. The authorization form for Children’s Benadryl was not signed by the parent. Action plan and authorization form for Albuterol were expired. Albuterol was not returned to the pts within seventy-two (2) hours of authorization expiring. All licensed spaces were monitored. Other visit was conducted on 8/27/25 and two (2) rooms were added to the license space – room 014 and 103 to use them for children’s arrival and departure. With the change, spaces were assigned new space numbers. Cafeteria is space #1, gym is space #2, trailer is space #3, room 014 is space #4 and room 103 is space #5. Upon monitoring space 103, Ms. Ramsey stated the program access to 103 was no longer granted by the elementary school due to the space being used for additional Kindergarten class. Instead, space 301 was used for children in group #2 and #3 for arrival and departure. Space 301 was used by forty-seven (47) children for arrival during the visit. Room 301 is a space enclosed by two (2) permanent walls, one (1) semi-permanent wall with an opening and portable barriers. There are no doors. There were several shelves, three (3) cubbies, one (1) whiteboard, one (1) smartboard and several children’s desks and chairs. This space was not monitored during the visit conducted on 8/27/25 and was not licensed. Children were observed. Seventeen (17) children in group #3 created art in space #3. They painted/colored/drew turkey. Eighteen (18) children in group #2 engaged in free play in space #1. Some children used center materials, such as manipulatives, blocks, dramatic play materials. Some children played basketball. Two (2) additional adults who were not YMCA employees, were present in the gym. Per a group leader, they were one-on-one support for two (2) children, but they didn’t count in staff/child ratios. Eleven (11) children transitioned from space #4 (014) to space #1 for snack. The children lined up and followed Ms. Spoonholtz to cafeteria. The children had bean dip, corn chips, apple sauce, veggie blend and milk for snacks. Supervision and interaction were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not currently provide transportation. No buses were monitored today because they were inspected on 6/24/25. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was conducted and recorded on 10/28/25. .0604(t); .0302(d)(5) 847 Parent's medication authorization did not include required information. The authorization form for Children's Benadryl for a child in group #1 was not signed by the parent. 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. Albuterol for a child in group #2 was not returned to home when the authorization form expired on 6/6/25. .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. Medical statement was not on file for review for a staff member who was hired on 4/8/24. 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. TB screening documents were not on file for a staff member who was hired on 4/8/24. .0701(a) 1035 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. Emergency information form was not file for a staff member who was hired on 4/8/24. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was completed on 6/9/25. .0604(u);.0302(d)(8) 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. Action plan for Albuterol for a child in group #2 expired on 6/7/25 and was not updated. .0801(b) 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. The training certificate was not on file for a staff member who was hired on 4/8/24. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. A staff member was hired on 1/29/25 and completed BSAC training on 9/29/25. .2510(j) Technical assistance was provided as follows: The following violations were cited but corrected during the visit. You do not have to include the corrected items in the compliance letter: 1035: Emergency information form 1921: Basic School Age Care (BSAC) training Below are the outstanding violations: 805: Fire Drill Fire Drill must be conducted monthly. To comply, you must conduct a “make-up” drill as soon as possible. The make-up drill will not count for December drill. You must still conduct a drill in December. In your compliance letter, please verify that you conducted a make-up drill for November. If the drill in November was conducted but not logged, you must log all the required information on the form posted in the Trailer, to comply. In your compliance letter, verify that you logged all the required information. 1811: Lockdown/Shelter-in-place drill Your last lockdown drill was conducted on 6/9/25; therefore, you needed to conduct a lockdown or a shelter-in-place drill in September. To comply, you must conduct a “make-up” drill for September. Please note that you are required to complete one (1) in December as well. The make-up drill will not replace December drill. If you conducted a drill in September but did not log, you must fill out the log sheet with all the required information. In your compliance letter, please state how you met compliance. 847: medication authorization form A child’s authorization form for Children’s Benadryl was not signed by the parent. To comply, parents must sign the form. Until the form is signed, Children’s Benadryl cannot be administered to the child by staff members. In your compliance letter, please verify that the form was signed. 849: expired authorization form Medication must be returned to the family within 72 hours of authorization form expiring. To comply, you must return Albuterol until the new form is filled out. In your compliance letter, please verify that the medication was returned to home, or the form was updated. 1032: Medical Statement 1033: Tuberculosis screening These violations were cited due to the records listed above were not located for K. Brown. To comply, you must locate the document. If you cannot locate one, the staff member must obtain the new document within the next two (2) weeks. In your compliance letter, please state how you met the compliance. 1835: Action Plans Action plans must be updated annually. To comply, the action plan for Albuterol for a child (S.B) in group #2 must be renewed. The date of the action plan maintained with the medication was dated 6/7/24. Per rule, authorization form is valid for six (6) months, and the action plan is valid for one (1) year. 1897: Recognizing and Responding to Suspicions of Child Maltreatment Training Above training certificate was not available for review for K. Brown. To comply, you must locate the document. If you cannot locate one, the staff member must complete the training on Positive Childhood Alliance North Carolina website at https://positivechildhoodalliancenc.org/resource-hub/recognizing-responding-to-child-maltreatment/ In your compliance letter, please state how you met the compliance. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/9/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: You must identify all program spaces and notify the Division before their use. f there are any changes to the use of space, please communicate them to me. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/22/2025 Number Present: 43 Completed Date: 1/22/2025 Age: From 5 To 10 Total Minutes: 175 Time In: 02:20 PM Time Out: 05:15 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Delaney Burke, Senior Director of Operation, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Burke was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was reviewed prior to today’s visit. Non-profit corporation, Young Men’s Christian Association of Western North Carolina, Inc. is current and active as of today. Permit type – five-star center license issued on 8/9/24. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. PS children served June-August only. Children are prohibited in the kitchen. SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/5/24. The last fire drill was practiced on 12/20/24. The last lockdown drill was practiced on 12/4/24. The last fire inspection was approved on 1/30/24. The last sanitation inspection was conducted on 12/10/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children arrived and gathered in the hallways. Group #1 and #2 transitioned to the gym, and group #3 transitioned to the trailer. In the gym, the children in group #1 engaged in free play with toy house, games, magnetic tiles, books and other toys. The children in group #2 engaged in gross motor activities, such as tag. The children in group #3 played with art tools, games and pretend house. In the cafeteria, the children had snacks. Kitchen areas were inaccessible to the children. Today, the children had WOW butter, sunflower kernels, Jack links, lime chili crackers, apple sauce, veggie blend juice and milk, which were listed for Thursday menu. The children washed their hands prior to having the snacks. One (1) new staff file, one (1) existing staff file and six (6) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The vehicles used for YMCA programs were inspected on 6/4/24. The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. The children in group #1 and #2 placed their backpacks on the floor in the gym, and the children in group #3 placed their backpacks on the tables in the cafeteria. G.S. 110-91(6) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Children had WOW butter, sunflower kernels, Jack links, chili lime crackers, apple sauce, veggie blend juice and milk for snack. These items were listed for Thursdays on the menu. For today, the children were supposed to have WOW butter, sunflower kernels, WG tortilla, jelly packet, apple sauce, veggie blend juice and milk. 10A NCAC 09 .0901(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. Auvi-Q for a child in group #2 expired in November 2024 and was not returned to the parents/guardian. .0803(12) 1041 Prior to employment a Criminal Background Check was not completed. The staff member who was employed on 10/28/24 did not complete and receive the criminal background qualifying letter until 11/12/24. G.S. 110-90.2(b) Technical assistance was provided as follows: 205: storage for personal belongings Storage space shall be available for each child's personal belongings. Baskets for personal belongings shall be available for each child. Refer to G.S. 110- 91 (6). 528: food substitution Food substitution must be of comparable food value or recorded on the menu prior to the meal or snack being served. When items not listed on the day’s menu are served, they must be recorded. Check the snacks each day and record necessary items on the menu. 849: expired medication Leftover medicines shall be 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. Please return Auvi-Q for a child in group #2 to the child’s parents/guardian today. Refer to 10A NCAC 09 .0803 (12). 1041: Criminal background letter Prior to employment a Criminal Background Check shall be completed per G.S. 110-90 (2). The additional technical assistance was provided as follows. Additional time is permitted to meet compliance for the following items due to the effects of tropical storm Helene. 1032 and 1033: medical statement and TB screening Medical statement and TB screening must be completed prior to employment. A staff member hired on 10/28/24 did not complete the medical exam and TB screening until 11/7/24. Moving forward, please allow potential employees to complete their medial exam and TB screening prior to employment. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/5/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: D. Burke's CPR and First Aid will expire on 1/31/25. T. Smith shall complete the following training: CPR/First aid: due on or before 1/26/25 Recognizing and Responding to Suspicions of Child Maltreatment training : due on or before 1/26/25 BSAC: due on or before 1/28/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division 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 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/22/2025 Number Present: 43 Completed Date: 1/22/2025 Age: From 5 To 10 Total Minutes: 175 Time In: 02:20 PM Time Out: 05:15 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Delaney Burke, Senior Director of Operation, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Burke was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was reviewed prior to today’s visit. Non-profit corporation, Young Men’s Christian Association of Western North Carolina, Inc. is current and active as of today. Permit type – five-star center license issued on 8/9/24. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. PS children served June-August only. Children are prohibited in the kitchen. SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/5/24. The last fire drill was practiced on 12/20/24. The last lockdown drill was practiced on 12/4/24. The last fire inspection was approved on 1/30/24. The last sanitation inspection was conducted on 12/10/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children arrived and gathered in the hallways. Group #1 and #2 transitioned to the gym, and group #3 transitioned to the trailer. In the gym, the children in group #1 engaged in free play with toy house, games, magnetic tiles, books and other toys. The children in group #2 engaged in gross motor activities, such as tag. The children in group #3 played with art tools, games and pretend house. In the cafeteria, the children had snacks. Kitchen areas were inaccessible to the children. Today, the children had WOW butter, sunflower kernels, Jack links, lime chili crackers, apple sauce, veggie blend juice and milk, which were listed for Thursday menu. The children washed their hands prior to having the snacks. One (1) new staff file, one (1) existing staff file and six (6) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The vehicles used for YMCA programs were inspected on 6/4/24. The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. The children in group #1 and #2 placed their backpacks on the floor in the gym, and the children in group #3 placed their backpacks on the tables in the cafeteria. G.S. 110-91(6) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Children had WOW butter, sunflower kernels, Jack links, chili lime crackers, apple sauce, veggie blend juice and milk for snack. These items were listed for Thursdays on the menu. For today, the children were supposed to have WOW butter, sunflower kernels, WG tortilla, jelly packet, apple sauce, veggie blend juice and milk. 10A NCAC 09 .0901(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. Auvi-Q for a child in group #2 expired in November 2024 and was not returned to the parents/guardian. .0803(12) 1041 Prior to employment a Criminal Background Check was not completed. The staff member who was employed on 10/28/24 did not complete and receive the criminal background qualifying letter until 11/12/24. G.S. 110-90.2(b) Technical assistance was provided as follows: 205: storage for personal belongings Storage space shall be available for each child's personal belongings. Baskets for personal belongings shall be available for each child. Refer to G.S. 110- 91 (6). 528: food substitution Food substitution must be of comparable food value or recorded on the menu prior to the meal or snack being served. When items not listed on the day’s menu are served, they must be recorded. Check the snacks each day and record necessary items on the menu. 849: expired medication Leftover medicines shall be 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. Please return Auvi-Q for a child in group #2 to the child’s parents/guardian today. Refer to 10A NCAC 09 .0803 (12). 1041: Criminal background letter Prior to employment a Criminal Background Check shall be completed per G.S. 110-90 (2). The additional technical assistance was provided as follows. Additional time is permitted to meet compliance for the following items due to the effects of tropical storm Helene. 1032 and 1033: medical statement and TB screening Medical statement and TB screening must be completed prior to employment. A staff member hired on 10/28/24 did not complete the medical exam and TB screening until 11/7/24. Moving forward, please allow potential employees to complete their medial exam and TB screening prior to employment. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/5/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: D. Burke's CPR and First Aid will expire on 1/31/25. T. Smith shall complete the following training: CPR/First aid: due on or before 1/26/25 Recognizing and Responding to Suspicions of Child Maltreatment training : due on or before 1/26/25 BSAC: due on or before 1/28/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division 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 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/22/2025 Number Present: 43 Completed Date: 1/22/2025 Age: From 5 To 10 Total Minutes: 175 Time In: 02:20 PM Time Out: 05:15 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Delaney Burke, Senior Director of Operation, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Burke was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was reviewed prior to today’s visit. Non-profit corporation, Young Men’s Christian Association of Western North Carolina, Inc. is current and active as of today. Permit type – five-star center license issued on 8/9/24. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. PS children served June-August only. Children are prohibited in the kitchen. SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/5/24. The last fire drill was practiced on 12/20/24. The last lockdown drill was practiced on 12/4/24. The last fire inspection was approved on 1/30/24. The last sanitation inspection was conducted on 12/10/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children arrived and gathered in the hallways. Group #1 and #2 transitioned to the gym, and group #3 transitioned to the trailer. In the gym, the children in group #1 engaged in free play with toy house, games, magnetic tiles, books and other toys. The children in group #2 engaged in gross motor activities, such as tag. The children in group #3 played with art tools, games and pretend house. In the cafeteria, the children had snacks. Kitchen areas were inaccessible to the children. Today, the children had WOW butter, sunflower kernels, Jack links, lime chili crackers, apple sauce, veggie blend juice and milk, which were listed for Thursday menu. The children washed their hands prior to having the snacks. One (1) new staff file, one (1) existing staff file and six (6) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The vehicles used for YMCA programs were inspected on 6/4/24. The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. The children in group #1 and #2 placed their backpacks on the floor in the gym, and the children in group #3 placed their backpacks on the tables in the cafeteria. G.S. 110-91(6) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Children had WOW butter, sunflower kernels, Jack links, chili lime crackers, apple sauce, veggie blend juice and milk for snack. These items were listed for Thursdays on the menu. For today, the children were supposed to have WOW butter, sunflower kernels, WG tortilla, jelly packet, apple sauce, veggie blend juice and milk. 10A NCAC 09 .0901(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. Auvi-Q for a child in group #2 expired in November 2024 and was not returned to the parents/guardian. .0803(12) 1041 Prior to employment a Criminal Background Check was not completed. The staff member who was employed on 10/28/24 did not complete and receive the criminal background qualifying letter until 11/12/24. G.S. 110-90.2(b) Technical assistance was provided as follows: 205: storage for personal belongings Storage space shall be available for each child's personal belongings. Baskets for personal belongings shall be available for each child. Refer to G.S. 110- 91 (6). 528: food substitution Food substitution must be of comparable food value or recorded on the menu prior to the meal or snack being served. When items not listed on the day’s menu are served, they must be recorded. Check the snacks each day and record necessary items on the menu. 849: expired medication Leftover medicines shall be 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. Please return Auvi-Q for a child in group #2 to the child’s parents/guardian today. Refer to 10A NCAC 09 .0803 (12). 1041: Criminal background letter Prior to employment a Criminal Background Check shall be completed per G.S. 110-90 (2). The additional technical assistance was provided as follows. Additional time is permitted to meet compliance for the following items due to the effects of tropical storm Helene. 1032 and 1033: medical statement and TB screening Medical statement and TB screening must be completed prior to employment. A staff member hired on 10/28/24 did not complete the medical exam and TB screening until 11/7/24. Moving forward, please allow potential employees to complete their medial exam and TB screening prior to employment. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/5/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: D. Burke's CPR and First Aid will expire on 1/31/25. T. Smith shall complete the following training: CPR/First aid: due on or before 1/26/25 Recognizing and Responding to Suspicions of Child Maltreatment training : due on or before 1/26/25 BSAC: due on or before 1/28/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division 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 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/22/2025 Number Present: 43 Completed Date: 1/22/2025 Age: From 5 To 10 Total Minutes: 175 Time In: 02:20 PM Time Out: 05:15 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Delaney Burke, Senior Director of Operation, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Burke was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was reviewed prior to today’s visit. Non-profit corporation, Young Men’s Christian Association of Western North Carolina, Inc. is current and active as of today. Permit type – five-star center license issued on 8/9/24. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. PS children served June-August only. Children are prohibited in the kitchen. SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/5/24. The last fire drill was practiced on 12/20/24. The last lockdown drill was practiced on 12/4/24. The last fire inspection was approved on 1/30/24. The last sanitation inspection was conducted on 12/10/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children arrived and gathered in the hallways. Group #1 and #2 transitioned to the gym, and group #3 transitioned to the trailer. In the gym, the children in group #1 engaged in free play with toy house, games, magnetic tiles, books and other toys. The children in group #2 engaged in gross motor activities, such as tag. The children in group #3 played with art tools, games and pretend house. In the cafeteria, the children had snacks. Kitchen areas were inaccessible to the children. Today, the children had WOW butter, sunflower kernels, Jack links, lime chili crackers, apple sauce, veggie blend juice and milk, which were listed for Thursday menu. The children washed their hands prior to having the snacks. One (1) new staff file, one (1) existing staff file and six (6) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The vehicles used for YMCA programs were inspected on 6/4/24. The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. The children in group #1 and #2 placed their backpacks on the floor in the gym, and the children in group #3 placed their backpacks on the tables in the cafeteria. G.S. 110-91(6) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Children had WOW butter, sunflower kernels, Jack links, chili lime crackers, apple sauce, veggie blend juice and milk for snack. These items were listed for Thursdays on the menu. For today, the children were supposed to have WOW butter, sunflower kernels, WG tortilla, jelly packet, apple sauce, veggie blend juice and milk. 10A NCAC 09 .0901(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. Auvi-Q for a child in group #2 expired in November 2024 and was not returned to the parents/guardian. .0803(12) 1041 Prior to employment a Criminal Background Check was not completed. The staff member who was employed on 10/28/24 did not complete and receive the criminal background qualifying letter until 11/12/24. G.S. 110-90.2(b) Technical assistance was provided as follows: 205: storage for personal belongings Storage space shall be available for each child's personal belongings. Baskets for personal belongings shall be available for each child. Refer to G.S. 110- 91 (6). 528: food substitution Food substitution must be of comparable food value or recorded on the menu prior to the meal or snack being served. When items not listed on the day’s menu are served, they must be recorded. Check the snacks each day and record necessary items on the menu. 849: expired medication Leftover medicines shall be 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. Please return Auvi-Q for a child in group #2 to the child’s parents/guardian today. Refer to 10A NCAC 09 .0803 (12). 1041: Criminal background letter Prior to employment a Criminal Background Check shall be completed per G.S. 110-90 (2). The additional technical assistance was provided as follows. Additional time is permitted to meet compliance for the following items due to the effects of tropical storm Helene. 1032 and 1033: medical statement and TB screening Medical statement and TB screening must be completed prior to employment. A staff member hired on 10/28/24 did not complete the medical exam and TB screening until 11/7/24. Moving forward, please allow potential employees to complete their medial exam and TB screening prior to employment. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/5/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: D. Burke's CPR and First Aid will expire on 1/31/25. T. Smith shall complete the following training: CPR/First aid: due on or before 1/26/25 Recognizing and Responding to Suspicions of Child Maltreatment training : due on or before 1/26/25 BSAC: due on or before 1/28/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division 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 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/22/2025 Number Present: 43 Completed Date: 1/22/2025 Age: From 5 To 10 Total Minutes: 175 Time In: 02:20 PM Time Out: 05:15 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Delaney Burke, Senior Director of Operation, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Burke was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was reviewed prior to today’s visit. Non-profit corporation, Young Men’s Christian Association of Western North Carolina, Inc. is current and active as of today. Permit type – five-star center license issued on 8/9/24. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. PS children served June-August only. Children are prohibited in the kitchen. SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/5/24. The last fire drill was practiced on 12/20/24. The last lockdown drill was practiced on 12/4/24. The last fire inspection was approved on 1/30/24. The last sanitation inspection was conducted on 12/10/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children arrived and gathered in the hallways. Group #1 and #2 transitioned to the gym, and group #3 transitioned to the trailer. In the gym, the children in group #1 engaged in free play with toy house, games, magnetic tiles, books and other toys. The children in group #2 engaged in gross motor activities, such as tag. The children in group #3 played with art tools, games and pretend house. In the cafeteria, the children had snacks. Kitchen areas were inaccessible to the children. Today, the children had WOW butter, sunflower kernels, Jack links, lime chili crackers, apple sauce, veggie blend juice and milk, which were listed for Thursday menu. The children washed their hands prior to having the snacks. One (1) new staff file, one (1) existing staff file and six (6) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The vehicles used for YMCA programs were inspected on 6/4/24. The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. The children in group #1 and #2 placed their backpacks on the floor in the gym, and the children in group #3 placed their backpacks on the tables in the cafeteria. G.S. 110-91(6) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Children had WOW butter, sunflower kernels, Jack links, chili lime crackers, apple sauce, veggie blend juice and milk for snack. These items were listed for Thursdays on the menu. For today, the children were supposed to have WOW butter, sunflower kernels, WG tortilla, jelly packet, apple sauce, veggie blend juice and milk. 10A NCAC 09 .0901(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. Auvi-Q for a child in group #2 expired in November 2024 and was not returned to the parents/guardian. .0803(12) 1041 Prior to employment a Criminal Background Check was not completed. The staff member who was employed on 10/28/24 did not complete and receive the criminal background qualifying letter until 11/12/24. G.S. 110-90.2(b) Technical assistance was provided as follows: 205: storage for personal belongings Storage space shall be available for each child's personal belongings. Baskets for personal belongings shall be available for each child. Refer to G.S. 110- 91 (6). 528: food substitution Food substitution must be of comparable food value or recorded on the menu prior to the meal or snack being served. When items not listed on the day’s menu are served, they must be recorded. Check the snacks each day and record necessary items on the menu. 849: expired medication Leftover medicines shall be 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. Please return Auvi-Q for a child in group #2 to the child’s parents/guardian today. Refer to 10A NCAC 09 .0803 (12). 1041: Criminal background letter Prior to employment a Criminal Background Check shall be completed per G.S. 110-90 (2). The additional technical assistance was provided as follows. Additional time is permitted to meet compliance for the following items due to the effects of tropical storm Helene. 1032 and 1033: medical statement and TB screening Medical statement and TB screening must be completed prior to employment. A staff member hired on 10/28/24 did not complete the medical exam and TB screening until 11/7/24. Moving forward, please allow potential employees to complete their medial exam and TB screening prior to employment. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/5/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: D. Burke's CPR and First Aid will expire on 1/31/25. T. Smith shall complete the following training: CPR/First aid: due on or before 1/26/25 Recognizing and Responding to Suspicions of Child Maltreatment training : due on or before 1/26/25 BSAC: due on or before 1/28/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division 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 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/22/2025 Number Present: 43 Completed Date: 1/22/2025 Age: From 5 To 10 Total Minutes: 175 Time In: 02:20 PM Time Out: 05:15 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Delaney Burke, Senior Director of Operation, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Burke was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was reviewed prior to today’s visit. Non-profit corporation, Young Men’s Christian Association of Western North Carolina, Inc. is current and active as of today. Permit type – five-star center license issued on 8/9/24. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. PS children served June-August only. Children are prohibited in the kitchen. SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/5/24. The last fire drill was practiced on 12/20/24. The last lockdown drill was practiced on 12/4/24. The last fire inspection was approved on 1/30/24. The last sanitation inspection was conducted on 12/10/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children arrived and gathered in the hallways. Group #1 and #2 transitioned to the gym, and group #3 transitioned to the trailer. In the gym, the children in group #1 engaged in free play with toy house, games, magnetic tiles, books and other toys. The children in group #2 engaged in gross motor activities, such as tag. The children in group #3 played with art tools, games and pretend house. In the cafeteria, the children had snacks. Kitchen areas were inaccessible to the children. Today, the children had WOW butter, sunflower kernels, Jack links, lime chili crackers, apple sauce, veggie blend juice and milk, which were listed for Thursday menu. The children washed their hands prior to having the snacks. One (1) new staff file, one (1) existing staff file and six (6) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The vehicles used for YMCA programs were inspected on 6/4/24. The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. The children in group #1 and #2 placed their backpacks on the floor in the gym, and the children in group #3 placed their backpacks on the tables in the cafeteria. G.S. 110-91(6) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Children had WOW butter, sunflower kernels, Jack links, chili lime crackers, apple sauce, veggie blend juice and milk for snack. These items were listed for Thursdays on the menu. For today, the children were supposed to have WOW butter, sunflower kernels, WG tortilla, jelly packet, apple sauce, veggie blend juice and milk. 10A NCAC 09 .0901(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. Auvi-Q for a child in group #2 expired in November 2024 and was not returned to the parents/guardian. .0803(12) 1041 Prior to employment a Criminal Background Check was not completed. The staff member who was employed on 10/28/24 did not complete and receive the criminal background qualifying letter until 11/12/24. G.S. 110-90.2(b) Technical assistance was provided as follows: 205: storage for personal belongings Storage space shall be available for each child's personal belongings. Baskets for personal belongings shall be available for each child. Refer to G.S. 110- 91 (6). 528: food substitution Food substitution must be of comparable food value or recorded on the menu prior to the meal or snack being served. When items not listed on the day’s menu are served, they must be recorded. Check the snacks each day and record necessary items on the menu. 849: expired medication Leftover medicines shall be 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. Please return Auvi-Q for a child in group #2 to the child’s parents/guardian today. Refer to 10A NCAC 09 .0803 (12). 1041: Criminal background letter Prior to employment a Criminal Background Check shall be completed per G.S. 110-90 (2). The additional technical assistance was provided as follows. Additional time is permitted to meet compliance for the following items due to the effects of tropical storm Helene. 1032 and 1033: medical statement and TB screening Medical statement and TB screening must be completed prior to employment. A staff member hired on 10/28/24 did not complete the medical exam and TB screening until 11/7/24. Moving forward, please allow potential employees to complete their medial exam and TB screening prior to employment. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/5/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: D. Burke's CPR and First Aid will expire on 1/31/25. T. Smith shall complete the following training: CPR/First aid: due on or before 1/26/25 Recognizing and Responding to Suspicions of Child Maltreatment training : due on or before 1/26/25 BSAC: due on or before 1/28/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division 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 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110- 91 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/22/2025 Number Present: 43 Completed Date: 1/22/2025 Age: From 5 To 10 Total Minutes: 175 Time In: 02:20 PM Time Out: 05:15 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Delaney Burke, Senior Director of Operation, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Burke was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was reviewed prior to today’s visit. Non-profit corporation, Young Men’s Christian Association of Western North Carolina, Inc. is current and active as of today. Permit type – five-star center license issued on 8/9/24. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. PS children served June-August only. Children are prohibited in the kitchen. SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/5/24. The last fire drill was practiced on 12/20/24. The last lockdown drill was practiced on 12/4/24. The last fire inspection was approved on 1/30/24. The last sanitation inspection was conducted on 12/10/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children arrived and gathered in the hallways. Group #1 and #2 transitioned to the gym, and group #3 transitioned to the trailer. In the gym, the children in group #1 engaged in free play with toy house, games, magnetic tiles, books and other toys. The children in group #2 engaged in gross motor activities, such as tag. The children in group #3 played with art tools, games and pretend house. In the cafeteria, the children had snacks. Kitchen areas were inaccessible to the children. Today, the children had WOW butter, sunflower kernels, Jack links, lime chili crackers, apple sauce, veggie blend juice and milk, which were listed for Thursday menu. The children washed their hands prior to having the snacks. One (1) new staff file, one (1) existing staff file and six (6) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The vehicles used for YMCA programs were inspected on 6/4/24. The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. The children in group #1 and #2 placed their backpacks on the floor in the gym, and the children in group #3 placed their backpacks on the tables in the cafeteria. G.S. 110-91(6) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Children had WOW butter, sunflower kernels, Jack links, chili lime crackers, apple sauce, veggie blend juice and milk for snack. These items were listed for Thursdays on the menu. For today, the children were supposed to have WOW butter, sunflower kernels, WG tortilla, jelly packet, apple sauce, veggie blend juice and milk. 10A NCAC 09 .0901(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. Auvi-Q for a child in group #2 expired in November 2024 and was not returned to the parents/guardian. .0803(12) 1041 Prior to employment a Criminal Background Check was not completed. The staff member who was employed on 10/28/24 did not complete and receive the criminal background qualifying letter until 11/12/24. G.S. 110-90.2(b) Technical assistance was provided as follows: 205: storage for personal belongings Storage space shall be available for each child's personal belongings. Baskets for personal belongings shall be available for each child. Refer to G.S. 110- 91 (6). 528: food substitution Food substitution must be of comparable food value or recorded on the menu prior to the meal or snack being served. When items not listed on the day’s menu are served, they must be recorded. Check the snacks each day and record necessary items on the menu. 849: expired medication Leftover medicines shall be 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. Please return Auvi-Q for a child in group #2 to the child’s parents/guardian today. Refer to 10A NCAC 09 .0803 (12). 1041: Criminal background letter Prior to employment a Criminal Background Check shall be completed per G.S. 110-90 (2). The additional technical assistance was provided as follows. Additional time is permitted to meet compliance for the following items due to the effects of tropical storm Helene. 1032 and 1033: medical statement and TB screening Medical statement and TB screening must be completed prior to employment. A staff member hired on 10/28/24 did not complete the medical exam and TB screening until 11/7/24. Moving forward, please allow potential employees to complete their medial exam and TB screening prior to employment. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/5/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: D. Burke's CPR and First Aid will expire on 1/31/25. T. Smith shall complete the following training: CPR/First aid: due on or before 1/26/25 Recognizing and Responding to Suspicions of Child Maltreatment training : due on or before 1/26/25 BSAC: due on or before 1/28/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division 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 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/22/2025 Number Present: 43 Completed Date: 1/22/2025 Age: From 5 To 10 Total Minutes: 175 Time In: 02:20 PM Time Out: 05:15 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Delaney Burke, Senior Director of Operation, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Burke was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was reviewed prior to today’s visit. Non-profit corporation, Young Men’s Christian Association of Western North Carolina, Inc. is current and active as of today. Permit type – five-star center license issued on 8/9/24. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. PS children served June-August only. Children are prohibited in the kitchen. SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/5/24. The last fire drill was practiced on 12/20/24. The last lockdown drill was practiced on 12/4/24. The last fire inspection was approved on 1/30/24. The last sanitation inspection was conducted on 12/10/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children arrived and gathered in the hallways. Group #1 and #2 transitioned to the gym, and group #3 transitioned to the trailer. In the gym, the children in group #1 engaged in free play with toy house, games, magnetic tiles, books and other toys. The children in group #2 engaged in gross motor activities, such as tag. The children in group #3 played with art tools, games and pretend house. In the cafeteria, the children had snacks. Kitchen areas were inaccessible to the children. Today, the children had WOW butter, sunflower kernels, Jack links, lime chili crackers, apple sauce, veggie blend juice and milk, which were listed for Thursday menu. The children washed their hands prior to having the snacks. One (1) new staff file, one (1) existing staff file and six (6) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The vehicles used for YMCA programs were inspected on 6/4/24. The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. The children in group #1 and #2 placed their backpacks on the floor in the gym, and the children in group #3 placed their backpacks on the tables in the cafeteria. G.S. 110-91(6) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Children had WOW butter, sunflower kernels, Jack links, chili lime crackers, apple sauce, veggie blend juice and milk for snack. These items were listed for Thursdays on the menu. For today, the children were supposed to have WOW butter, sunflower kernels, WG tortilla, jelly packet, apple sauce, veggie blend juice and milk. 10A NCAC 09 .0901(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. Auvi-Q for a child in group #2 expired in November 2024 and was not returned to the parents/guardian. .0803(12) 1041 Prior to employment a Criminal Background Check was not completed. The staff member who was employed on 10/28/24 did not complete and receive the criminal background qualifying letter until 11/12/24. G.S. 110-90.2(b) Technical assistance was provided as follows: 205: storage for personal belongings Storage space shall be available for each child's personal belongings. Baskets for personal belongings shall be available for each child. Refer to G.S. 110- 91 (6). 528: food substitution Food substitution must be of comparable food value or recorded on the menu prior to the meal or snack being served. When items not listed on the day’s menu are served, they must be recorded. Check the snacks each day and record necessary items on the menu. 849: expired medication Leftover medicines shall be 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. Please return Auvi-Q for a child in group #2 to the child’s parents/guardian today. Refer to 10A NCAC 09 .0803 (12). 1041: Criminal background letter Prior to employment a Criminal Background Check shall be completed per G.S. 110-90 (2). The additional technical assistance was provided as follows. Additional time is permitted to meet compliance for the following items due to the effects of tropical storm Helene. 1032 and 1033: medical statement and TB screening Medical statement and TB screening must be completed prior to employment. A staff member hired on 10/28/24 did not complete the medical exam and TB screening until 11/7/24. Moving forward, please allow potential employees to complete their medial exam and TB screening prior to employment. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/5/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: D. Burke's CPR and First Aid will expire on 1/31/25. T. Smith shall complete the following training: CPR/First aid: due on or before 1/26/25 Recognizing and Responding to Suspicions of Child Maltreatment training : due on or before 1/26/25 BSAC: due on or before 1/28/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division 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 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/22/2025 Number Present: 43 Completed Date: 1/22/2025 Age: From 5 To 10 Total Minutes: 175 Time In: 02:20 PM Time Out: 05:15 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Delaney Burke, Senior Director of Operation, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Burke was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was reviewed prior to today’s visit. Non-profit corporation, Young Men’s Christian Association of Western North Carolina, Inc. is current and active as of today. Permit type – five-star center license issued on 8/9/24. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. PS children served June-August only. Children are prohibited in the kitchen. SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/5/24. The last fire drill was practiced on 12/20/24. The last lockdown drill was practiced on 12/4/24. The last fire inspection was approved on 1/30/24. The last sanitation inspection was conducted on 12/10/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children arrived and gathered in the hallways. Group #1 and #2 transitioned to the gym, and group #3 transitioned to the trailer. In the gym, the children in group #1 engaged in free play with toy house, games, magnetic tiles, books and other toys. The children in group #2 engaged in gross motor activities, such as tag. The children in group #3 played with art tools, games and pretend house. In the cafeteria, the children had snacks. Kitchen areas were inaccessible to the children. Today, the children had WOW butter, sunflower kernels, Jack links, lime chili crackers, apple sauce, veggie blend juice and milk, which were listed for Thursday menu. The children washed their hands prior to having the snacks. One (1) new staff file, one (1) existing staff file and six (6) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The vehicles used for YMCA programs were inspected on 6/4/24. The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. The children in group #1 and #2 placed their backpacks on the floor in the gym, and the children in group #3 placed their backpacks on the tables in the cafeteria. G.S. 110-91(6) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Children had WOW butter, sunflower kernels, Jack links, chili lime crackers, apple sauce, veggie blend juice and milk for snack. These items were listed for Thursdays on the menu. For today, the children were supposed to have WOW butter, sunflower kernels, WG tortilla, jelly packet, apple sauce, veggie blend juice and milk. 10A NCAC 09 .0901(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. Auvi-Q for a child in group #2 expired in November 2024 and was not returned to the parents/guardian. .0803(12) 1041 Prior to employment a Criminal Background Check was not completed. The staff member who was employed on 10/28/24 did not complete and receive the criminal background qualifying letter until 11/12/24. G.S. 110-90.2(b) Technical assistance was provided as follows: 205: storage for personal belongings Storage space shall be available for each child's personal belongings. Baskets for personal belongings shall be available for each child. Refer to G.S. 110- 91 (6). 528: food substitution Food substitution must be of comparable food value or recorded on the menu prior to the meal or snack being served. When items not listed on the day’s menu are served, they must be recorded. Check the snacks each day and record necessary items on the menu. 849: expired medication Leftover medicines shall be 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. Please return Auvi-Q for a child in group #2 to the child’s parents/guardian today. Refer to 10A NCAC 09 .0803 (12). 1041: Criminal background letter Prior to employment a Criminal Background Check shall be completed per G.S. 110-90 (2). The additional technical assistance was provided as follows. Additional time is permitted to meet compliance for the following items due to the effects of tropical storm Helene. 1032 and 1033: medical statement and TB screening Medical statement and TB screening must be completed prior to employment. A staff member hired on 10/28/24 did not complete the medical exam and TB screening until 11/7/24. Moving forward, please allow potential employees to complete their medial exam and TB screening prior to employment. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/5/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: D. Burke's CPR and First Aid will expire on 1/31/25. T. Smith shall complete the following training: CPR/First aid: due on or before 1/26/25 Recognizing and Responding to Suspicions of Child Maltreatment training : due on or before 1/26/25 BSAC: due on or before 1/28/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division 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 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/22/2025 Number Present: 43 Completed Date: 1/22/2025 Age: From 5 To 10 Total Minutes: 175 Time In: 02:20 PM Time Out: 05:15 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Delaney Burke, Senior Director of Operation, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Ms. Burke was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was reviewed prior to today’s visit. Non-profit corporation, Young Men’s Christian Association of Western North Carolina, Inc. is current and active as of today. Permit type – five-star center license issued on 8/9/24. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. PS children served June-August only. Children are prohibited in the kitchen. SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/5/24. The last fire drill was practiced on 12/20/24. The last lockdown drill was practiced on 12/4/24. The last fire inspection was approved on 1/30/24. The last sanitation inspection was conducted on 12/10/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children arrived and gathered in the hallways. Group #1 and #2 transitioned to the gym, and group #3 transitioned to the trailer. In the gym, the children in group #1 engaged in free play with toy house, games, magnetic tiles, books and other toys. The children in group #2 engaged in gross motor activities, such as tag. The children in group #3 played with art tools, games and pretend house. In the cafeteria, the children had snacks. Kitchen areas were inaccessible to the children. Today, the children had WOW butter, sunflower kernels, Jack links, lime chili crackers, apple sauce, veggie blend juice and milk, which were listed for Thursday menu. The children washed their hands prior to having the snacks. One (1) new staff file, one (1) existing staff file and six (6) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The vehicles used for YMCA programs were inspected on 6/4/24. The following violations were documented during today’s visit. Violation Number Comment Rule 205 Storage space was not available for each child's personal belongings. The children in group #1 and #2 placed their backpacks on the floor in the gym, and the children in group #3 placed their backpacks on the tables in the cafeteria. G.S. 110-91(6) 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Children had WOW butter, sunflower kernels, Jack links, chili lime crackers, apple sauce, veggie blend juice and milk for snack. These items were listed for Thursdays on the menu. For today, the children were supposed to have WOW butter, sunflower kernels, WG tortilla, jelly packet, apple sauce, veggie blend juice and milk. 10A NCAC 09 .0901(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. Auvi-Q for a child in group #2 expired in November 2024 and was not returned to the parents/guardian. .0803(12) 1041 Prior to employment a Criminal Background Check was not completed. The staff member who was employed on 10/28/24 did not complete and receive the criminal background qualifying letter until 11/12/24. G.S. 110-90.2(b) Technical assistance was provided as follows: 205: storage for personal belongings Storage space shall be available for each child's personal belongings. Baskets for personal belongings shall be available for each child. Refer to G.S. 110- 91 (6). 528: food substitution Food substitution must be of comparable food value or recorded on the menu prior to the meal or snack being served. When items not listed on the day’s menu are served, they must be recorded. Check the snacks each day and record necessary items on the menu. 849: expired medication Leftover medicines shall be 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. Please return Auvi-Q for a child in group #2 to the child’s parents/guardian today. Refer to 10A NCAC 09 .0803 (12). 1041: Criminal background letter Prior to employment a Criminal Background Check shall be completed per G.S. 110-90 (2). The additional technical assistance was provided as follows. Additional time is permitted to meet compliance for the following items due to the effects of tropical storm Helene. 1032 and 1033: medical statement and TB screening Medical statement and TB screening must be completed prior to employment. A staff member hired on 10/28/24 did not complete the medical exam and TB screening until 11/7/24. Moving forward, please allow potential employees to complete their medial exam and TB screening prior to employment. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/5/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: D. Burke's CPR and First Aid will expire on 1/31/25. T. Smith shall complete the following training: CPR/First aid: due on or before 1/26/25 Recognizing and Responding to Suspicions of Child Maltreatment training : due on or before 1/26/25 BSAC: due on or before 1/28/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division 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 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/4/2024 Number Present: 49 Completed Date: 9/4/2024 Age: From 5 To 10 Total Minutes: 125 Time In: 02:30 PM Time Out: 04:35 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 compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. A signed copy of the visit summary was left on-site and/or electronically emailed to Delaney Burke, Senior Operations Director. Today, Kevin Crudo, Program Coordinator, was available to answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percent as of today prior to this visit. Permit type – five-star center license issued on 6/19/23. Special Services/Restrictions – daytime care, meets enhanced space, reduced ratios, PS children served June-August only, children are prohibited in the kitchen. SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/5/24. The last fire drill was practiced on 8/29/24. The last lockdown drill was practiced on 8/30/24. The last fire inspection was approved on 1/30/24. The last sanitation inspection was conducted on 1/12/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children from group #1 gathered in the gym. The children played with magnetic tiles, doll house, games and other materials. One (1) emergency medication, Albuterol, was maintained in the backpack with the group leader. No action plan or the medication authorization form was in place for this child. The children in group #2 had snack in cafeteria. The children washed their hands in the sink in the cafeteria and had WOW butter, sunflower kernels, tortilla, jelly, apple sauce, veggie blend juice and milk. One (1) emergency medication, Albuterol, as maintained. Documents were current, but one (1) of two (2) Albuterol for this child expired in January 2024. The children in group #3 played on the playground with slide, monkey bars, see-saw and climbing structure. Two (2) emergency medications, Auvi-Q and Ventolin HFA were maintained. Documents for both medications were current. Supervision and interaction were adequate. No hazardous products were accessible to the children. Ms. Burke send the Staff and Training Worksheet via email. Three (3) staff members were listed. They are new to this facility but has been employed at YMCA program. Their files were monitored by me during a routine unannounced visit at YMCA W.W. Estes Afterschool program on July 23, 2024. Therefore, no staff files were monitored during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. No medication authorization form for Albuterol for a child in Group #1 was obtained while the medication was maintained. 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. One (1) of two (2) Albuterol for a child expired in January 2024 in Group #2. .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. No action plan for Albuterol for a child in Group #1 was obtained. .0801(b) Technical assistance was provided as follows: 847: Medication authorization for prescription medication Medication authorization for prescription medication is valid for up to six (6) months. Only one (1) medication can be listed on each form. Please have the parent fill out them form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: Expired medication Expired medication must be returned to the parents or discarded within seventy-two (72) hours of its expiration date. Please return the child’s Albuterol that expired in January 2024 to the parent immediately. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1835: Action plan All emergency conditions, such as severe allergies require an action plan. The action plan can be filled out either by the physician or the parent of the child. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/18/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication review: Monthly medication review is recommended. Please check expiration dates of medication, authorization form and action plan. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0801 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/4/2024 Number Present: 49 Completed Date: 9/4/2024 Age: From 5 To 10 Total Minutes: 125 Time In: 02:30 PM Time Out: 04:35 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 compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. A signed copy of the visit summary was left on-site and/or electronically emailed to Delaney Burke, Senior Operations Director. Today, Kevin Crudo, Program Coordinator, was available to answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percent as of today prior to this visit. Permit type – five-star center license issued on 6/19/23. Special Services/Restrictions – daytime care, meets enhanced space, reduced ratios, PS children served June-August only, children are prohibited in the kitchen. SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/5/24. The last fire drill was practiced on 8/29/24. The last lockdown drill was practiced on 8/30/24. The last fire inspection was approved on 1/30/24. The last sanitation inspection was conducted on 1/12/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children from group #1 gathered in the gym. The children played with magnetic tiles, doll house, games and other materials. One (1) emergency medication, Albuterol, was maintained in the backpack with the group leader. No action plan or the medication authorization form was in place for this child. The children in group #2 had snack in cafeteria. The children washed their hands in the sink in the cafeteria and had WOW butter, sunflower kernels, tortilla, jelly, apple sauce, veggie blend juice and milk. One (1) emergency medication, Albuterol, as maintained. Documents were current, but one (1) of two (2) Albuterol for this child expired in January 2024. The children in group #3 played on the playground with slide, monkey bars, see-saw and climbing structure. Two (2) emergency medications, Auvi-Q and Ventolin HFA were maintained. Documents for both medications were current. Supervision and interaction were adequate. No hazardous products were accessible to the children. Ms. Burke send the Staff and Training Worksheet via email. Three (3) staff members were listed. They are new to this facility but has been employed at YMCA program. Their files were monitored by me during a routine unannounced visit at YMCA W.W. Estes Afterschool program on July 23, 2024. Therefore, no staff files were monitored during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. No medication authorization form for Albuterol for a child in Group #1 was obtained while the medication was maintained. 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. One (1) of two (2) Albuterol for a child expired in January 2024 in Group #2. .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. No action plan for Albuterol for a child in Group #1 was obtained. .0801(b) Technical assistance was provided as follows: 847: Medication authorization for prescription medication Medication authorization for prescription medication is valid for up to six (6) months. Only one (1) medication can be listed on each form. Please have the parent fill out them form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: Expired medication Expired medication must be returned to the parents or discarded within seventy-two (72) hours of its expiration date. Please return the child’s Albuterol that expired in January 2024 to the parent immediately. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1835: Action plan All emergency conditions, such as severe allergies require an action plan. The action plan can be filled out either by the physician or the parent of the child. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/18/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication review: Monthly medication review is recommended. Please check expiration dates of medication, authorization form and action plan. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/4/2024 Number Present: 49 Completed Date: 9/4/2024 Age: From 5 To 10 Total Minutes: 125 Time In: 02:30 PM Time Out: 04:35 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 compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. A signed copy of the visit summary was left on-site and/or electronically emailed to Delaney Burke, Senior Operations Director. Today, Kevin Crudo, Program Coordinator, was available to answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percent as of today prior to this visit. Permit type – five-star center license issued on 6/19/23. Special Services/Restrictions – daytime care, meets enhanced space, reduced ratios, PS children served June-August only, children are prohibited in the kitchen. SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/5/24. The last fire drill was practiced on 8/29/24. The last lockdown drill was practiced on 8/30/24. The last fire inspection was approved on 1/30/24. The last sanitation inspection was conducted on 1/12/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children from group #1 gathered in the gym. The children played with magnetic tiles, doll house, games and other materials. One (1) emergency medication, Albuterol, was maintained in the backpack with the group leader. No action plan or the medication authorization form was in place for this child. The children in group #2 had snack in cafeteria. The children washed their hands in the sink in the cafeteria and had WOW butter, sunflower kernels, tortilla, jelly, apple sauce, veggie blend juice and milk. One (1) emergency medication, Albuterol, as maintained. Documents were current, but one (1) of two (2) Albuterol for this child expired in January 2024. The children in group #3 played on the playground with slide, monkey bars, see-saw and climbing structure. Two (2) emergency medications, Auvi-Q and Ventolin HFA were maintained. Documents for both medications were current. Supervision and interaction were adequate. No hazardous products were accessible to the children. Ms. Burke send the Staff and Training Worksheet via email. Three (3) staff members were listed. They are new to this facility but has been employed at YMCA program. Their files were monitored by me during a routine unannounced visit at YMCA W.W. Estes Afterschool program on July 23, 2024. Therefore, no staff files were monitored during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. No medication authorization form for Albuterol for a child in Group #1 was obtained while the medication was maintained. 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. One (1) of two (2) Albuterol for a child expired in January 2024 in Group #2. .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. No action plan for Albuterol for a child in Group #1 was obtained. .0801(b) Technical assistance was provided as follows: 847: Medication authorization for prescription medication Medication authorization for prescription medication is valid for up to six (6) months. Only one (1) medication can be listed on each form. Please have the parent fill out them form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: Expired medication Expired medication must be returned to the parents or discarded within seventy-two (72) hours of its expiration date. Please return the child’s Albuterol that expired in January 2024 to the parent immediately. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1835: Action plan All emergency conditions, such as severe allergies require an action plan. The action plan can be filled out either by the physician or the parent of the child. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/18/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication review: Monthly medication review is recommended. Please check expiration dates of medication, authorization form and action plan. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/4/2024 Number Present: 49 Completed Date: 9/4/2024 Age: From 5 To 10 Total Minutes: 125 Time In: 02:30 PM Time Out: 04:35 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 compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. A signed copy of the visit summary was left on-site and/or electronically emailed to Delaney Burke, Senior Operations Director. Today, Kevin Crudo, Program Coordinator, was available to answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percent as of today prior to this visit. Permit type – five-star center license issued on 6/19/23. Special Services/Restrictions – daytime care, meets enhanced space, reduced ratios, PS children served June-August only, children are prohibited in the kitchen. SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/5/24. The last fire drill was practiced on 8/29/24. The last lockdown drill was practiced on 8/30/24. The last fire inspection was approved on 1/30/24. The last sanitation inspection was conducted on 1/12/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children from group #1 gathered in the gym. The children played with magnetic tiles, doll house, games and other materials. One (1) emergency medication, Albuterol, was maintained in the backpack with the group leader. No action plan or the medication authorization form was in place for this child. The children in group #2 had snack in cafeteria. The children washed their hands in the sink in the cafeteria and had WOW butter, sunflower kernels, tortilla, jelly, apple sauce, veggie blend juice and milk. One (1) emergency medication, Albuterol, as maintained. Documents were current, but one (1) of two (2) Albuterol for this child expired in January 2024. The children in group #3 played on the playground with slide, monkey bars, see-saw and climbing structure. Two (2) emergency medications, Auvi-Q and Ventolin HFA were maintained. Documents for both medications were current. Supervision and interaction were adequate. No hazardous products were accessible to the children. Ms. Burke send the Staff and Training Worksheet via email. Three (3) staff members were listed. They are new to this facility but has been employed at YMCA program. Their files were monitored by me during a routine unannounced visit at YMCA W.W. Estes Afterschool program on July 23, 2024. Therefore, no staff files were monitored during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. No medication authorization form for Albuterol for a child in Group #1 was obtained while the medication was maintained. 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. One (1) of two (2) Albuterol for a child expired in January 2024 in Group #2. .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. No action plan for Albuterol for a child in Group #1 was obtained. .0801(b) Technical assistance was provided as follows: 847: Medication authorization for prescription medication Medication authorization for prescription medication is valid for up to six (6) months. Only one (1) medication can be listed on each form. Please have the parent fill out them form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: Expired medication Expired medication must be returned to the parents or discarded within seventy-two (72) hours of its expiration date. Please return the child’s Albuterol that expired in January 2024 to the parent immediately. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1835: Action plan All emergency conditions, such as severe allergies require an action plan. The action plan can be filled out either by the physician or the parent of the child. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/18/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication review: Monthly medication review is recommended. Please check expiration dates of medication, authorization form and action plan. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/4/2024 Number Present: 49 Completed Date: 9/4/2024 Age: From 5 To 10 Total Minutes: 125 Time In: 02:30 PM Time Out: 04:35 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 compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. A signed copy of the visit summary was left on-site and/or electronically emailed to Delaney Burke, Senior Operations Director. Today, Kevin Crudo, Program Coordinator, was available to answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percent as of today prior to this visit. Permit type – five-star center license issued on 6/19/23. Special Services/Restrictions – daytime care, meets enhanced space, reduced ratios, PS children served June-August only, children are prohibited in the kitchen. SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/5/24. The last fire drill was practiced on 8/29/24. The last lockdown drill was practiced on 8/30/24. The last fire inspection was approved on 1/30/24. The last sanitation inspection was conducted on 1/12/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children from group #1 gathered in the gym. The children played with magnetic tiles, doll house, games and other materials. One (1) emergency medication, Albuterol, was maintained in the backpack with the group leader. No action plan or the medication authorization form was in place for this child. The children in group #2 had snack in cafeteria. The children washed their hands in the sink in the cafeteria and had WOW butter, sunflower kernels, tortilla, jelly, apple sauce, veggie blend juice and milk. One (1) emergency medication, Albuterol, as maintained. Documents were current, but one (1) of two (2) Albuterol for this child expired in January 2024. The children in group #3 played on the playground with slide, monkey bars, see-saw and climbing structure. Two (2) emergency medications, Auvi-Q and Ventolin HFA were maintained. Documents for both medications were current. Supervision and interaction were adequate. No hazardous products were accessible to the children. Ms. Burke send the Staff and Training Worksheet via email. Three (3) staff members were listed. They are new to this facility but has been employed at YMCA program. Their files were monitored by me during a routine unannounced visit at YMCA W.W. Estes Afterschool program on July 23, 2024. Therefore, no staff files were monitored during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. No medication authorization form for Albuterol for a child in Group #1 was obtained while the medication was maintained. 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. One (1) of two (2) Albuterol for a child expired in January 2024 in Group #2. .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. No action plan for Albuterol for a child in Group #1 was obtained. .0801(b) Technical assistance was provided as follows: 847: Medication authorization for prescription medication Medication authorization for prescription medication is valid for up to six (6) months. Only one (1) medication can be listed on each form. Please have the parent fill out them form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: Expired medication Expired medication must be returned to the parents or discarded within seventy-two (72) hours of its expiration date. Please return the child’s Albuterol that expired in January 2024 to the parent immediately. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1835: Action plan All emergency conditions, such as severe allergies require an action plan. The action plan can be filled out either by the physician or the parent of the child. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/18/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication review: Monthly medication review is recommended. Please check expiration dates of medication, authorization form and action plan. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/4/2024 Number Present: 49 Completed Date: 9/4/2024 Age: From 5 To 10 Total Minutes: 125 Time In: 02:30 PM Time Out: 04:35 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 compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. A signed copy of the visit summary was left on-site and/or electronically emailed to Delaney Burke, Senior Operations Director. Today, Kevin Crudo, Program Coordinator, was available to answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percent as of today prior to this visit. Permit type – five-star center license issued on 6/19/23. Special Services/Restrictions – daytime care, meets enhanced space, reduced ratios, PS children served June-August only, children are prohibited in the kitchen. SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/5/24. The last fire drill was practiced on 8/29/24. The last lockdown drill was practiced on 8/30/24. The last fire inspection was approved on 1/30/24. The last sanitation inspection was conducted on 1/12/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children from group #1 gathered in the gym. The children played with magnetic tiles, doll house, games and other materials. One (1) emergency medication, Albuterol, was maintained in the backpack with the group leader. No action plan or the medication authorization form was in place for this child. The children in group #2 had snack in cafeteria. The children washed their hands in the sink in the cafeteria and had WOW butter, sunflower kernels, tortilla, jelly, apple sauce, veggie blend juice and milk. One (1) emergency medication, Albuterol, as maintained. Documents were current, but one (1) of two (2) Albuterol for this child expired in January 2024. The children in group #3 played on the playground with slide, monkey bars, see-saw and climbing structure. Two (2) emergency medications, Auvi-Q and Ventolin HFA were maintained. Documents for both medications were current. Supervision and interaction were adequate. No hazardous products were accessible to the children. Ms. Burke send the Staff and Training Worksheet via email. Three (3) staff members were listed. They are new to this facility but has been employed at YMCA program. Their files were monitored by me during a routine unannounced visit at YMCA W.W. Estes Afterschool program on July 23, 2024. Therefore, no staff files were monitored during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. No medication authorization form for Albuterol for a child in Group #1 was obtained while the medication was maintained. 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. One (1) of two (2) Albuterol for a child expired in January 2024 in Group #2. .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. No action plan for Albuterol for a child in Group #1 was obtained. .0801(b) Technical assistance was provided as follows: 847: Medication authorization for prescription medication Medication authorization for prescription medication is valid for up to six (6) months. Only one (1) medication can be listed on each form. Please have the parent fill out them form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: Expired medication Expired medication must be returned to the parents or discarded within seventy-two (72) hours of its expiration date. Please return the child’s Albuterol that expired in January 2024 to the parent immediately. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1835: Action plan All emergency conditions, such as severe allergies require an action plan. The action plan can be filled out either by the physician or the parent of the child. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/18/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication review: Monthly medication review is recommended. Please check expiration dates of medication, authorization form and action plan. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/4/2024 Number Present: 49 Completed Date: 9/4/2024 Age: From 5 To 10 Total Minutes: 125 Time In: 02:30 PM Time Out: 04:35 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 compliance during routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. A signed copy of the visit summary was left on-site and/or electronically emailed to Delaney Burke, Senior Operations Director. Today, Kevin Crudo, Program Coordinator, was available to answer questions during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-two (82) percent as of today prior to this visit. Permit type – five-star center license issued on 6/19/23. Special Services/Restrictions – daytime care, meets enhanced space, reduced ratios, PS children served June-August only, children are prohibited in the kitchen. SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/5/24. The last fire drill was practiced on 8/29/24. The last lockdown drill was practiced on 8/30/24. The last fire inspection was approved on 1/30/24. The last sanitation inspection was conducted on 1/12/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children from group #1 gathered in the gym. The children played with magnetic tiles, doll house, games and other materials. One (1) emergency medication, Albuterol, was maintained in the backpack with the group leader. No action plan or the medication authorization form was in place for this child. The children in group #2 had snack in cafeteria. The children washed their hands in the sink in the cafeteria and had WOW butter, sunflower kernels, tortilla, jelly, apple sauce, veggie blend juice and milk. One (1) emergency medication, Albuterol, as maintained. Documents were current, but one (1) of two (2) Albuterol for this child expired in January 2024. The children in group #3 played on the playground with slide, monkey bars, see-saw and climbing structure. Two (2) emergency medications, Auvi-Q and Ventolin HFA were maintained. Documents for both medications were current. Supervision and interaction were adequate. No hazardous products were accessible to the children. Ms. Burke send the Staff and Training Worksheet via email. Three (3) staff members were listed. They are new to this facility but has been employed at YMCA program. Their files were monitored by me during a routine unannounced visit at YMCA W.W. Estes Afterschool program on July 23, 2024. Therefore, no staff files were monitored during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. No medication authorization form for Albuterol for a child in Group #1 was obtained while the medication was maintained. 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. One (1) of two (2) Albuterol for a child expired in January 2024 in Group #2. .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. No action plan for Albuterol for a child in Group #1 was obtained. .0801(b) Technical assistance was provided as follows: 847: Medication authorization for prescription medication Medication authorization for prescription medication is valid for up to six (6) months. Only one (1) medication can be listed on each form. Please have the parent fill out them form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 849: Expired medication Expired medication must be returned to the parents or discarded within seventy-two (72) hours of its expiration date. Please return the child’s Albuterol that expired in January 2024 to the parent immediately. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1835: Action plan All emergency conditions, such as severe allergies require an action plan. The action plan can be filled out either by the physician or the parent of the child. The action plan shall be renewed annually. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. Achieving Compliance: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/18/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medication review: Monthly medication review is recommended. Please check expiration dates of medication, authorization form and action plan. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/5/2024 Number Present: 44 Completed Date: 2/5/2024 Age: From 5 To 10 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Daniel David Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Delany Burke, Senior Director of Operation. Daniel David, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78) percent as of 2/2/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 2/2/24. Permit type – Five-star Center License issued on 6/19/23. Special Services/Restrictions – daytime care, meets enhanced space, reduced ratios, PS children served June-August only, children are prohibited in the kitchen, playground does not meet safety standards. The last annual compliance visit was conducted on 2/13/23. The last fire drill was practiced on 1/31/24. The last lockdown drill was practiced on 12/19/23. The last fire inspection was approved on 2/2/23. The program is expecting Fire Marshall in near future. The last sanitation inspection was conducted on 1/12/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. The children arrived around 2:45 pm. The children in group #1 transitioned to cafeteria, washed their hands and had snacks. Two (2) sinks are located in the cafeteria. Today’s menu was WOW butter, Sunflower Kernels, graham crackers, apple sauce, veggie blend juice and milk. The menu was posted on the whiteboard. The kitchen area is blocked by the serving units. After the snack, the children engaged in free play using whiteboard and markers, magnetic tiles, train tracks, Lincoln logs, games and pretend animals. The children in group #2 played games and played with balls in the gym. Group #3 engaged in gross motor activities on the playground. Some children played with balls and the others played with playground structures. Three (3) children are on emergency medication. The medications were stored appropriately, and the authorization forms and action plans were valid. One (1) inhaler expired in January 2024. Three (3) new staff member’s files and one (1) existing staff member’s file were monitored in full. Five (5) children’s files were also monitored. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The following violations were documented during today’s visit: Violation Number Comment Rule 830 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. First Aid poster was not posted in the office, cafeteria or gym. .0802(h) 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. Albuterol for a child expired in January 2024. The medication was not discarded or returned to the parents. .0803(12) Technical assistance was provided as follows: 830: First Aid Poster A first aid poster shall be posted where staff members can easily see. Please request one from Child Care Health and Safety Resource Center. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 849: Expired medication Expired medication shall be returned to the parent or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the child’s parent today. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS 12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Corrective Action Plan: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Medication authorization permission form will expire on 3/1/24 for MH in group three (3). If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0802 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/5/2024 Number Present: 44 Completed Date: 2/5/2024 Age: From 5 To 10 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Daniel David Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Delany Burke, Senior Director of Operation. Daniel David, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78) percent as of 2/2/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 2/2/24. Permit type – Five-star Center License issued on 6/19/23. Special Services/Restrictions – daytime care, meets enhanced space, reduced ratios, PS children served June-August only, children are prohibited in the kitchen, playground does not meet safety standards. The last annual compliance visit was conducted on 2/13/23. The last fire drill was practiced on 1/31/24. The last lockdown drill was practiced on 12/19/23. The last fire inspection was approved on 2/2/23. The program is expecting Fire Marshall in near future. The last sanitation inspection was conducted on 1/12/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. The children arrived around 2:45 pm. The children in group #1 transitioned to cafeteria, washed their hands and had snacks. Two (2) sinks are located in the cafeteria. Today’s menu was WOW butter, Sunflower Kernels, graham crackers, apple sauce, veggie blend juice and milk. The menu was posted on the whiteboard. The kitchen area is blocked by the serving units. After the snack, the children engaged in free play using whiteboard and markers, magnetic tiles, train tracks, Lincoln logs, games and pretend animals. The children in group #2 played games and played with balls in the gym. Group #3 engaged in gross motor activities on the playground. Some children played with balls and the others played with playground structures. Three (3) children are on emergency medication. The medications were stored appropriately, and the authorization forms and action plans were valid. One (1) inhaler expired in January 2024. Three (3) new staff member’s files and one (1) existing staff member’s file were monitored in full. Five (5) children’s files were also monitored. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The following violations were documented during today’s visit: Violation Number Comment Rule 830 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. First Aid poster was not posted in the office, cafeteria or gym. .0802(h) 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. Albuterol for a child expired in January 2024. The medication was not discarded or returned to the parents. .0803(12) Technical assistance was provided as follows: 830: First Aid Poster A first aid poster shall be posted where staff members can easily see. Please request one from Child Care Health and Safety Resource Center. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 849: Expired medication Expired medication shall be returned to the parent or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the child’s parent today. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS 12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Corrective Action Plan: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Medication authorization permission form will expire on 3/1/24 for MH in group three (3). If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/5/2024 Number Present: 44 Completed Date: 2/5/2024 Age: From 5 To 10 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Daniel David Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Delany Burke, Senior Director of Operation. Daniel David, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78) percent as of 2/2/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 2/2/24. Permit type – Five-star Center License issued on 6/19/23. Special Services/Restrictions – daytime care, meets enhanced space, reduced ratios, PS children served June-August only, children are prohibited in the kitchen, playground does not meet safety standards. The last annual compliance visit was conducted on 2/13/23. The last fire drill was practiced on 1/31/24. The last lockdown drill was practiced on 12/19/23. The last fire inspection was approved on 2/2/23. The program is expecting Fire Marshall in near future. The last sanitation inspection was conducted on 1/12/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. The children arrived around 2:45 pm. The children in group #1 transitioned to cafeteria, washed their hands and had snacks. Two (2) sinks are located in the cafeteria. Today’s menu was WOW butter, Sunflower Kernels, graham crackers, apple sauce, veggie blend juice and milk. The menu was posted on the whiteboard. The kitchen area is blocked by the serving units. After the snack, the children engaged in free play using whiteboard and markers, magnetic tiles, train tracks, Lincoln logs, games and pretend animals. The children in group #2 played games and played with balls in the gym. Group #3 engaged in gross motor activities on the playground. Some children played with balls and the others played with playground structures. Three (3) children are on emergency medication. The medications were stored appropriately, and the authorization forms and action plans were valid. One (1) inhaler expired in January 2024. Three (3) new staff member’s files and one (1) existing staff member’s file were monitored in full. Five (5) children’s files were also monitored. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The following violations were documented during today’s visit: Violation Number Comment Rule 830 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. First Aid poster was not posted in the office, cafeteria or gym. .0802(h) 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. Albuterol for a child expired in January 2024. The medication was not discarded or returned to the parents. .0803(12) Technical assistance was provided as follows: 830: First Aid Poster A first aid poster shall be posted where staff members can easily see. Please request one from Child Care Health and Safety Resource Center. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 849: Expired medication Expired medication shall be returned to the parent or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the child’s parent today. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS 12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Corrective Action Plan: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Medication authorization permission form will expire on 3/1/24 for MH in group three (3). If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/5/2024 Number Present: 44 Completed Date: 2/5/2024 Age: From 5 To 10 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Daniel David Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Delany Burke, Senior Director of Operation. Daniel David, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78) percent as of 2/2/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 2/2/24. Permit type – Five-star Center License issued on 6/19/23. Special Services/Restrictions – daytime care, meets enhanced space, reduced ratios, PS children served June-August only, children are prohibited in the kitchen, playground does not meet safety standards. The last annual compliance visit was conducted on 2/13/23. The last fire drill was practiced on 1/31/24. The last lockdown drill was practiced on 12/19/23. The last fire inspection was approved on 2/2/23. The program is expecting Fire Marshall in near future. The last sanitation inspection was conducted on 1/12/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. The children arrived around 2:45 pm. The children in group #1 transitioned to cafeteria, washed their hands and had snacks. Two (2) sinks are located in the cafeteria. Today’s menu was WOW butter, Sunflower Kernels, graham crackers, apple sauce, veggie blend juice and milk. The menu was posted on the whiteboard. The kitchen area is blocked by the serving units. After the snack, the children engaged in free play using whiteboard and markers, magnetic tiles, train tracks, Lincoln logs, games and pretend animals. The children in group #2 played games and played with balls in the gym. Group #3 engaged in gross motor activities on the playground. Some children played with balls and the others played with playground structures. Three (3) children are on emergency medication. The medications were stored appropriately, and the authorization forms and action plans were valid. One (1) inhaler expired in January 2024. Three (3) new staff member’s files and one (1) existing staff member’s file were monitored in full. Five (5) children’s files were also monitored. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The following violations were documented during today’s visit: Violation Number Comment Rule 830 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. First Aid poster was not posted in the office, cafeteria or gym. .0802(h) 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. Albuterol for a child expired in January 2024. The medication was not discarded or returned to the parents. .0803(12) Technical assistance was provided as follows: 830: First Aid Poster A first aid poster shall be posted where staff members can easily see. Please request one from Child Care Health and Safety Resource Center. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 849: Expired medication Expired medication shall be returned to the parent or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the child’s parent today. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS 12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Corrective Action Plan: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Medication authorization permission form will expire on 3/1/24 for MH in group three (3). If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/5/2024 Number Present: 44 Completed Date: 2/5/2024 Age: From 5 To 10 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Daniel David Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Delany Burke, Senior Director of Operation. Daniel David, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78) percent as of 2/2/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 2/2/24. Permit type – Five-star Center License issued on 6/19/23. Special Services/Restrictions – daytime care, meets enhanced space, reduced ratios, PS children served June-August only, children are prohibited in the kitchen, playground does not meet safety standards. The last annual compliance visit was conducted on 2/13/23. The last fire drill was practiced on 1/31/24. The last lockdown drill was practiced on 12/19/23. The last fire inspection was approved on 2/2/23. The program is expecting Fire Marshall in near future. The last sanitation inspection was conducted on 1/12/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. The children arrived around 2:45 pm. The children in group #1 transitioned to cafeteria, washed their hands and had snacks. Two (2) sinks are located in the cafeteria. Today’s menu was WOW butter, Sunflower Kernels, graham crackers, apple sauce, veggie blend juice and milk. The menu was posted on the whiteboard. The kitchen area is blocked by the serving units. After the snack, the children engaged in free play using whiteboard and markers, magnetic tiles, train tracks, Lincoln logs, games and pretend animals. The children in group #2 played games and played with balls in the gym. Group #3 engaged in gross motor activities on the playground. Some children played with balls and the others played with playground structures. Three (3) children are on emergency medication. The medications were stored appropriately, and the authorization forms and action plans were valid. One (1) inhaler expired in January 2024. Three (3) new staff member’s files and one (1) existing staff member’s file were monitored in full. Five (5) children’s files were also monitored. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The following violations were documented during today’s visit: Violation Number Comment Rule 830 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. First Aid poster was not posted in the office, cafeteria or gym. .0802(h) 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. Albuterol for a child expired in January 2024. The medication was not discarded or returned to the parents. .0803(12) Technical assistance was provided as follows: 830: First Aid Poster A first aid poster shall be posted where staff members can easily see. Please request one from Child Care Health and Safety Resource Center. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 849: Expired medication Expired medication shall be returned to the parent or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the child’s parent today. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS 12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Corrective Action Plan: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Medication authorization permission form will expire on 3/1/24 for MH in group three (3). If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/5/2024 Number Present: 44 Completed Date: 2/5/2024 Age: From 5 To 10 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Daniel David Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Delany Burke, Senior Director of Operation. Daniel David, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78) percent as of 2/2/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 2/2/24. Permit type – Five-star Center License issued on 6/19/23. Special Services/Restrictions – daytime care, meets enhanced space, reduced ratios, PS children served June-August only, children are prohibited in the kitchen, playground does not meet safety standards. The last annual compliance visit was conducted on 2/13/23. The last fire drill was practiced on 1/31/24. The last lockdown drill was practiced on 12/19/23. The last fire inspection was approved on 2/2/23. The program is expecting Fire Marshall in near future. The last sanitation inspection was conducted on 1/12/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. The children arrived around 2:45 pm. The children in group #1 transitioned to cafeteria, washed their hands and had snacks. Two (2) sinks are located in the cafeteria. Today’s menu was WOW butter, Sunflower Kernels, graham crackers, apple sauce, veggie blend juice and milk. The menu was posted on the whiteboard. The kitchen area is blocked by the serving units. After the snack, the children engaged in free play using whiteboard and markers, magnetic tiles, train tracks, Lincoln logs, games and pretend animals. The children in group #2 played games and played with balls in the gym. Group #3 engaged in gross motor activities on the playground. Some children played with balls and the others played with playground structures. Three (3) children are on emergency medication. The medications were stored appropriately, and the authorization forms and action plans were valid. One (1) inhaler expired in January 2024. Three (3) new staff member’s files and one (1) existing staff member’s file were monitored in full. Five (5) children’s files were also monitored. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The following violations were documented during today’s visit: Violation Number Comment Rule 830 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. First Aid poster was not posted in the office, cafeteria or gym. .0802(h) 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. Albuterol for a child expired in January 2024. The medication was not discarded or returned to the parents. .0803(12) Technical assistance was provided as follows: 830: First Aid Poster A first aid poster shall be posted where staff members can easily see. Please request one from Child Care Health and Safety Resource Center. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 849: Expired medication Expired medication shall be returned to the parent or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the child’s parent today. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS 12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Corrective Action Plan: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Medication authorization permission form will expire on 3/1/24 for MH in group three (3). If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/5/2024 Number Present: 44 Completed Date: 2/5/2024 Age: From 5 To 10 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 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 compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Daniel David Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Delany Burke, Senior Director of Operation. Daniel David, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was seventy-eight (78) percent as of 2/2/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 2/2/24. Permit type – Five-star Center License issued on 6/19/23. Special Services/Restrictions – daytime care, meets enhanced space, reduced ratios, PS children served June-August only, children are prohibited in the kitchen, playground does not meet safety standards. The last annual compliance visit was conducted on 2/13/23. The last fire drill was practiced on 1/31/24. The last lockdown drill was practiced on 12/19/23. The last fire inspection was approved on 2/2/23. The program is expecting Fire Marshall in near future. The last sanitation inspection was conducted on 1/12/24 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. The children arrived around 2:45 pm. The children in group #1 transitioned to cafeteria, washed their hands and had snacks. Two (2) sinks are located in the cafeteria. Today’s menu was WOW butter, Sunflower Kernels, graham crackers, apple sauce, veggie blend juice and milk. The menu was posted on the whiteboard. The kitchen area is blocked by the serving units. After the snack, the children engaged in free play using whiteboard and markers, magnetic tiles, train tracks, Lincoln logs, games and pretend animals. The children in group #2 played games and played with balls in the gym. Group #3 engaged in gross motor activities on the playground. Some children played with balls and the others played with playground structures. Three (3) children are on emergency medication. The medications were stored appropriately, and the authorization forms and action plans were valid. One (1) inhaler expired in January 2024. Three (3) new staff member’s files and one (1) existing staff member’s file were monitored in full. Five (5) children’s files were also monitored. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The following violations were documented during today’s visit: Violation Number Comment Rule 830 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. First Aid poster was not posted in the office, cafeteria or gym. .0802(h) 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. Albuterol for a child expired in January 2024. The medication was not discarded or returned to the parents. .0803(12) Technical assistance was provided as follows: 830: First Aid Poster A first aid poster shall be posted where staff members can easily see. Please request one from Child Care Health and Safety Resource Center. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229. 849: Expired medication Expired medication shall be returned to the parent or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the child’s parent today. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS 12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. Corrective Action Plan: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/19/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Medication authorization permission form will expire on 3/1/24 for MH in group three (3). If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/20/2023 Number Present: 51 Completed Date: 9/20/2023 Age: From 5 To 10 Total Minutes: 135 Time In: 02:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Qadhafi Turner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Qadhafi Turner, Program Coordinator, was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. This visit was conducted due to compliance history assessment rate of seventy-four (74) percent as of 9/8/23. You must maintain compliance rate of seventy-five (75) percent or above. Permit type – daytime care, meets enhanced space, reduced ratios, PS children served June-August only, children are prohibited in the kitchen, SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/13/23. Upon arrival, I announced my presence and the purpose of the visit. Three (3) groups of school-age children gathered on the playground. The children in group #1 played on playground #3 and #4, the children in group # 2 on playground #1 and #2, and the children in group #3 on blacktop by the playground #1 & #2. The children in group #1 played with playground structures. The children enjoyed sliding, hanging on the monkey bars and running in the fenced playground. The children in group #2 also played with playground structures with some accessories, such as jump rope(s), a bat, art materials and balls. The children in group #3 played kickball on the blacktop. Snacks today were WOW butter, tortilla, sunflower kernels, Jelly, veggie blend juice and milk. The menu was not posted. Medications were monitored. All action plans and permission forms are valid. No hazardous items were accessible to children. One (1) new staff file were monitored in full. Will Deter, Administrator met to review the staff file. The staff member started on 9/5/23, and CPR/FA and BSAC is not due yet. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. Staff member who started on 9/5/23 acquired criminal background letter on 9/7/23. G.S. 110-90.2(b) Technical assistance was provided as follows: 526: Menu The menu shall be current and posted. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 1041: Criminal Background check Criminal background letter must be completed prior to employment. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Corrective Action Plan: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/4/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest NC, 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Safety concerns: Some children were observed to climb slide structures while other children slid down. The group leader directed children not to climb the slide, but children did so over and over again. There are no rules to prohibit climbing on the slide. However, climbing and sliding should not occur at the same time for safety reasons. Please discuss safety rules with children. Shelter-in-place/lockdown drill: The last shelter-in-place/lockdown drill was completed on 6/8/23. Please conduct either shelter-in-place or lockdown drill this month (September). If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0901 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/20/2023 Number Present: 51 Completed Date: 9/20/2023 Age: From 5 To 10 Total Minutes: 135 Time In: 02:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Qadhafi Turner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Qadhafi Turner, Program Coordinator, was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. This visit was conducted due to compliance history assessment rate of seventy-four (74) percent as of 9/8/23. You must maintain compliance rate of seventy-five (75) percent or above. Permit type – daytime care, meets enhanced space, reduced ratios, PS children served June-August only, children are prohibited in the kitchen, SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/13/23. Upon arrival, I announced my presence and the purpose of the visit. Three (3) groups of school-age children gathered on the playground. The children in group #1 played on playground #3 and #4, the children in group # 2 on playground #1 and #2, and the children in group #3 on blacktop by the playground #1 & #2. The children in group #1 played with playground structures. The children enjoyed sliding, hanging on the monkey bars and running in the fenced playground. The children in group #2 also played with playground structures with some accessories, such as jump rope(s), a bat, art materials and balls. The children in group #3 played kickball on the blacktop. Snacks today were WOW butter, tortilla, sunflower kernels, Jelly, veggie blend juice and milk. The menu was not posted. Medications were monitored. All action plans and permission forms are valid. No hazardous items were accessible to children. One (1) new staff file were monitored in full. Will Deter, Administrator met to review the staff file. The staff member started on 9/5/23, and CPR/FA and BSAC is not due yet. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. Staff member who started on 9/5/23 acquired criminal background letter on 9/7/23. G.S. 110-90.2(b) Technical assistance was provided as follows: 526: Menu The menu shall be current and posted. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 1041: Criminal Background check Criminal background letter must be completed prior to employment. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Corrective Action Plan: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/4/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest NC, 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Safety concerns: Some children were observed to climb slide structures while other children slid down. The group leader directed children not to climb the slide, but children did so over and over again. There are no rules to prohibit climbing on the slide. However, climbing and sliding should not occur at the same time for safety reasons. Please discuss safety rules with children. Shelter-in-place/lockdown drill: The last shelter-in-place/lockdown drill was completed on 6/8/23. Please conduct either shelter-in-place or lockdown drill this month (September). If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/20/2023 Number Present: 51 Completed Date: 9/20/2023 Age: From 5 To 10 Total Minutes: 135 Time In: 02:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Qadhafi Turner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Qadhafi Turner, Program Coordinator, was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. This visit was conducted due to compliance history assessment rate of seventy-four (74) percent as of 9/8/23. You must maintain compliance rate of seventy-five (75) percent or above. Permit type – daytime care, meets enhanced space, reduced ratios, PS children served June-August only, children are prohibited in the kitchen, SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/13/23. Upon arrival, I announced my presence and the purpose of the visit. Three (3) groups of school-age children gathered on the playground. The children in group #1 played on playground #3 and #4, the children in group # 2 on playground #1 and #2, and the children in group #3 on blacktop by the playground #1 & #2. The children in group #1 played with playground structures. The children enjoyed sliding, hanging on the monkey bars and running in the fenced playground. The children in group #2 also played with playground structures with some accessories, such as jump rope(s), a bat, art materials and balls. The children in group #3 played kickball on the blacktop. Snacks today were WOW butter, tortilla, sunflower kernels, Jelly, veggie blend juice and milk. The menu was not posted. Medications were monitored. All action plans and permission forms are valid. No hazardous items were accessible to children. One (1) new staff file were monitored in full. Will Deter, Administrator met to review the staff file. The staff member started on 9/5/23, and CPR/FA and BSAC is not due yet. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. Staff member who started on 9/5/23 acquired criminal background letter on 9/7/23. G.S. 110-90.2(b) Technical assistance was provided as follows: 526: Menu The menu shall be current and posted. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 1041: Criminal Background check Criminal background letter must be completed prior to employment. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Corrective Action Plan: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/4/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest NC, 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Safety concerns: Some children were observed to climb slide structures while other children slid down. The group leader directed children not to climb the slide, but children did so over and over again. There are no rules to prohibit climbing on the slide. However, climbing and sliding should not occur at the same time for safety reasons. Please discuss safety rules with children. Shelter-in-place/lockdown drill: The last shelter-in-place/lockdown drill was completed on 6/8/23. Please conduct either shelter-in-place or lockdown drill this month (September). If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/20/2023 Number Present: 51 Completed Date: 9/20/2023 Age: From 5 To 10 Total Minutes: 135 Time In: 02:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Qadhafi Turner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Qadhafi Turner, Program Coordinator, was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. This visit was conducted due to compliance history assessment rate of seventy-four (74) percent as of 9/8/23. You must maintain compliance rate of seventy-five (75) percent or above. Permit type – daytime care, meets enhanced space, reduced ratios, PS children served June-August only, children are prohibited in the kitchen, SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/13/23. Upon arrival, I announced my presence and the purpose of the visit. Three (3) groups of school-age children gathered on the playground. The children in group #1 played on playground #3 and #4, the children in group # 2 on playground #1 and #2, and the children in group #3 on blacktop by the playground #1 & #2. The children in group #1 played with playground structures. The children enjoyed sliding, hanging on the monkey bars and running in the fenced playground. The children in group #2 also played with playground structures with some accessories, such as jump rope(s), a bat, art materials and balls. The children in group #3 played kickball on the blacktop. Snacks today were WOW butter, tortilla, sunflower kernels, Jelly, veggie blend juice and milk. The menu was not posted. Medications were monitored. All action plans and permission forms are valid. No hazardous items were accessible to children. One (1) new staff file were monitored in full. Will Deter, Administrator met to review the staff file. The staff member started on 9/5/23, and CPR/FA and BSAC is not due yet. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. Staff member who started on 9/5/23 acquired criminal background letter on 9/7/23. G.S. 110-90.2(b) Technical assistance was provided as follows: 526: Menu The menu shall be current and posted. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 1041: Criminal Background check Criminal background letter must be completed prior to employment. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Corrective Action Plan: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/4/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest NC, 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Safety concerns: Some children were observed to climb slide structures while other children slid down. The group leader directed children not to climb the slide, but children did so over and over again. There are no rules to prohibit climbing on the slide. However, climbing and sliding should not occur at the same time for safety reasons. Please discuss safety rules with children. Shelter-in-place/lockdown drill: The last shelter-in-place/lockdown drill was completed on 6/8/23. Please conduct either shelter-in-place or lockdown drill this month (September). If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/20/2023 Number Present: 51 Completed Date: 9/20/2023 Age: From 5 To 10 Total Minutes: 135 Time In: 02:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Qadhafi Turner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Qadhafi Turner, Program Coordinator, was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. This visit was conducted due to compliance history assessment rate of seventy-four (74) percent as of 9/8/23. You must maintain compliance rate of seventy-five (75) percent or above. Permit type – daytime care, meets enhanced space, reduced ratios, PS children served June-August only, children are prohibited in the kitchen, SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/13/23. Upon arrival, I announced my presence and the purpose of the visit. Three (3) groups of school-age children gathered on the playground. The children in group #1 played on playground #3 and #4, the children in group # 2 on playground #1 and #2, and the children in group #3 on blacktop by the playground #1 & #2. The children in group #1 played with playground structures. The children enjoyed sliding, hanging on the monkey bars and running in the fenced playground. The children in group #2 also played with playground structures with some accessories, such as jump rope(s), a bat, art materials and balls. The children in group #3 played kickball on the blacktop. Snacks today were WOW butter, tortilla, sunflower kernels, Jelly, veggie blend juice and milk. The menu was not posted. Medications were monitored. All action plans and permission forms are valid. No hazardous items were accessible to children. One (1) new staff file were monitored in full. Will Deter, Administrator met to review the staff file. The staff member started on 9/5/23, and CPR/FA and BSAC is not due yet. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. Staff member who started on 9/5/23 acquired criminal background letter on 9/7/23. G.S. 110-90.2(b) Technical assistance was provided as follows: 526: Menu The menu shall be current and posted. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 1041: Criminal Background check Criminal background letter must be completed prior to employment. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Corrective Action Plan: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/4/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest NC, 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Safety concerns: Some children were observed to climb slide structures while other children slid down. The group leader directed children not to climb the slide, but children did so over and over again. There are no rules to prohibit climbing on the slide. However, climbing and sliding should not occur at the same time for safety reasons. Please discuss safety rules with children. Shelter-in-place/lockdown drill: The last shelter-in-place/lockdown drill was completed on 6/8/23. Please conduct either shelter-in-place or lockdown drill this month (September). If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/20/2023 Number Present: 51 Completed Date: 9/20/2023 Age: From 5 To 10 Total Minutes: 135 Time In: 02:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Qadhafi Turner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Qadhafi Turner, Program Coordinator, was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. This visit was conducted due to compliance history assessment rate of seventy-four (74) percent as of 9/8/23. You must maintain compliance rate of seventy-five (75) percent or above. Permit type – daytime care, meets enhanced space, reduced ratios, PS children served June-August only, children are prohibited in the kitchen, SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/13/23. Upon arrival, I announced my presence and the purpose of the visit. Three (3) groups of school-age children gathered on the playground. The children in group #1 played on playground #3 and #4, the children in group # 2 on playground #1 and #2, and the children in group #3 on blacktop by the playground #1 & #2. The children in group #1 played with playground structures. The children enjoyed sliding, hanging on the monkey bars and running in the fenced playground. The children in group #2 also played with playground structures with some accessories, such as jump rope(s), a bat, art materials and balls. The children in group #3 played kickball on the blacktop. Snacks today were WOW butter, tortilla, sunflower kernels, Jelly, veggie blend juice and milk. The menu was not posted. Medications were monitored. All action plans and permission forms are valid. No hazardous items were accessible to children. One (1) new staff file were monitored in full. Will Deter, Administrator met to review the staff file. The staff member started on 9/5/23, and CPR/FA and BSAC is not due yet. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. Staff member who started on 9/5/23 acquired criminal background letter on 9/7/23. G.S. 110-90.2(b) Technical assistance was provided as follows: 526: Menu The menu shall be current and posted. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 1041: Criminal Background check Criminal background letter must be completed prior to employment. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Corrective Action Plan: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/4/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest NC, 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Safety concerns: Some children were observed to climb slide structures while other children slid down. The group leader directed children not to climb the slide, but children did so over and over again. There are no rules to prohibit climbing on the slide. However, climbing and sliding should not occur at the same time for safety reasons. Please discuss safety rules with children. Shelter-in-place/lockdown drill: The last shelter-in-place/lockdown drill was completed on 6/8/23. Please conduct either shelter-in-place or lockdown drill this month (September). If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/20/2023 Number Present: 51 Completed Date: 9/20/2023 Age: From 5 To 10 Total Minutes: 135 Time In: 02:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unannounced follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Qadhafi Turner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Qadhafi Turner, Program Coordinator, was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline and routine caregiving activities. This visit was conducted due to compliance history assessment rate of seventy-four (74) percent as of 9/8/23. You must maintain compliance rate of seventy-five (75) percent or above. Permit type – daytime care, meets enhanced space, reduced ratios, PS children served June-August only, children are prohibited in the kitchen, SA playground does not meet safety standards. The last annual compliance visit was conducted on 2/13/23. Upon arrival, I announced my presence and the purpose of the visit. Three (3) groups of school-age children gathered on the playground. The children in group #1 played on playground #3 and #4, the children in group # 2 on playground #1 and #2, and the children in group #3 on blacktop by the playground #1 & #2. The children in group #1 played with playground structures. The children enjoyed sliding, hanging on the monkey bars and running in the fenced playground. The children in group #2 also played with playground structures with some accessories, such as jump rope(s), a bat, art materials and balls. The children in group #3 played kickball on the blacktop. Snacks today were WOW butter, tortilla, sunflower kernels, Jelly, veggie blend juice and milk. The menu was not posted. Medications were monitored. All action plans and permission forms are valid. No hazardous items were accessible to children. One (1) new staff file were monitored in full. Will Deter, Administrator met to review the staff file. The staff member started on 9/5/23, and CPR/FA and BSAC is not due yet. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. Staff member who started on 9/5/23 acquired criminal background letter on 9/7/23. G.S. 110-90.2(b) Technical assistance was provided as follows: 526: Menu The menu shall be current and posted. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 1041: Criminal Background check Criminal background letter must be completed prior to employment. § 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Corrective Action Plan: 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. 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 will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/4/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest NC, 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Safety concerns: Some children were observed to climb slide structures while other children slid down. The group leader directed children not to climb the slide, but children did so over and over again. There are no rules to prohibit climbing on the slide. However, climbing and sliding should not occur at the same time for safety reasons. Please discuss safety rules with children. Shelter-in-place/lockdown drill: The last shelter-in-place/lockdown drill was completed on 6/8/23. Please conduct either shelter-in-place or lockdown drill this month (September). If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 67 Completed Date: 8/2/2023 Age: From 4 To 12 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Joshua Willoughby, one of the program coordinators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Joshua Willoughby, Program Coordinator was available during the visit. I also met with Delaney Burke, Administrator, to review Staff files and program records. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. YMCA Glen Arden Afterschool recently added preschool components, and this is the first visit since the change. The center’s compliance history was reviewed with the operator. The program’s compliance history is seventy-six (76) percentage as of 7/31/23. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. Permit type – Five-star center license issued on 6/19/23. Special Services/Restrictions – daytime care, enhanced space and reduced ratios. Preschool children served June-August only. Children are prohibited in the kitchen. School-age playground does not meet safety standards. This facility is approved for transportation. All YMCA buses were monitored during a visit on 4/27/23. The last annual compliance visit was conducted on 2/13/23. The last fire drill was practiced on 7/19/23. The record of the drills are maintained electronically. The last lockdown drill was practiced on 6/8/23. The last playground inspection has not been documented. Playground inspection is required for preschool playground(s). No staff member has taken playground safety training. The last fire inspection was approved on 10/3/22. The last sanitation inspection was conducted on 5/18/23 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I observed all licensed spaces. Media Center is not used or maintained by the program. Therefore, the space is removed from the license space as of today. Space #1 cafeteria and space #3 gym are routinely utilized. Space #4 is labeled as after school on the map, but it is currently called trailer #1. There are two (2) additional trailers for this program, and trailer #2 (room 601) is used for the pre-K program. Trailer #3 (room 626) is used for school-age children. An additional facility diagram will be added to the record. Per the record for preschool programs operating during the school year, trailer #2 is approved for a total of sixty-six (66) children. The space is approved as two (2) separate spaces. Space #1 is the group area and space #2 is the activity area. Space #1(group area) is approved for thirty-one (31) children and space #2 (activity area) is approved for thirty-five (35) children. Trailers #1 and #3 are approved for twenty-five (25) children per space calculation sheet dated 8/25/04. The trailer space was labeled as #4 (music mobile unit), space #5 (admin modular unit), space #6A (art trailer), and #6B (art trailer) from the record dated 8/25/04. This information does not accurately reflect the current use of the space. Therefore, the space shall be newly labeled as space #1 Cafeteria, space #2, Gym, space #3 trailer #1, space #4, trailer #2(Room 626), and space #5 trailer #2 (preschool space, room 601). I observed group #1 in space #4 (trailer#2, room 626). They had “Siesta Time”, which is a quiet time. Children had towels/blankets. Some children sat down and other children lay down. There are few materials in the space. Per Mr. Turner, group leaders conduct art activities, circle/group time, and literacy activities. During Siesta time, some materials are recommended for children who choose not to rest. Books, puzzles, and quiet manipulative toys are recommended. Group #2 was observed in space #1 cafeteria. Children used half of the cafeteria to engage in free play with board games, puzzles, and art activities. Group #3 was observed in space #3 (trailer #1). Children engaged in free play and played with making bracelets and reading books. They also had access to various materials, including blocks, K’nex manipulative toys, a play castle, a parking garage, Potato Head, and other art materials. After cleaning up, the children transitioned to the cafeteria and had lunch. Most children brought lunch from home. Supplemental foods were provided by the program if needed. Group #4 was observed during the transition to the gym from space #4. Children played Sprout Ball in the gym, which is similar to Dodge Ball. Group #5, preschool-age children were observed in space #5 (trailer #2 Room 601). The children had lunch in the classroom. Today’s menu was a turkey sandwich, watermelon slices, cucumber slices, and milk. After lunch, the children used the group area and laid down on the cot to rest. Interaction with children and supervision of children were adequate. There are three (3) playgrounds for this program. The yellow playground is labeled as #1 and #2. The right side is playground space #1 and the left side is playground space #2. The green playground is labeled as playgrounds #3 and #4. The left side of the playground is space #3 and the right side of the playground is space #4. Playgrounds #1, 2, 3, and 4 are used by school-age children. The preschool playground is located in the field and is fenced. There are no permanent structures on the playground. One (1) large Ash tree provides shaded space. There are poison ivy plants on the ground by the equipment in playground space #1. The coating on the metal baseboard on the slide equipment in space #1 and #2 are peeling and tearing. The same baseboard on the slide structure and bridge in playground spaces #3 and #4 are also peeling and tearing. Some children left for a field trip to a pool during the visit. YMCA transportation is monitored separately. Per interview. Group leaders who accompany the field trip have iPad with all children’s applications and emergency information. The program uses lifeguards at the pool, but at least one (1) group leader remains in the pool and one (1) group leader remains outside the pool to maintain effective supervision. During the aquatic activity, the program maintains 1:13 child/staff ratios. Two (2) new staff files were monitored in full and nine (9) existing staff members files were monitored for criminal background letter, BSAC training, and CPR/First aid training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ Following violations were cited during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Daily schedule was not posted in the space #5, preschool classroom. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. An activity plan posted in space #5, preschool room, was dated 7/24/23 - 7/28/23. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu was not posted in space #5. 10A NCAC 09 .0901(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On playground space #1 and #2, coating of the metal base on the slide structures and bridge are peeling and tearing. On playground space #3 and #4, coating of the metal base on the slide structures are peeling and tearing. .0601(c) 823 Toxic plants were accessible to children. On playground space #3 and #4 (green playground), poison ivy plant is growing on the play space by one of the slide structures. .0604(l) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was stored with epi-pen and inhaler in the backpack. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Parent permission form was not filled out for Benadryl. 10A NCAC 09 .0803(4)(6-9) 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, JC did not have First aid certificate in file. Staff member, LJ's first aid certificate expired on 5/15/23. .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, JC did not have CPR certificate in file. Staff member, LJ's CPR certificate expired on 5/15/23. .1102(d) 1920 Staff in summer camp programs required to complete Basic School-Age Care (BSAC) training did not complete BSAC training within four weeks of becoming employed. A staff member hired on 6/3/23 (PB) does not have BSAC training in file. It has been nine (9) weeks from hiring date. .2502(f) Technical assistance was provided as follows: 415: Daily Schedule 418: Activity plans. Dailly schedule and activity plan shall be current posted in the classroom. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 526: Menu Menu shall be posted where the parents can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 705: equipment Equipment shall be in good repair and study without rust and peeling paint/coating. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 823: Toxic plants: The licensed space used by children shall be free of toxic plants. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf 841: storage of medication Non-emergency medication, such as Benadryl shall be kept in a locked storage. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Authorization to administer medication Permission to administer medication authorization form is required for all medications, including Benadryl. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048:First Aid training 1049:CPR training Staff members shall obtain FA/CPR training within ninety (90) days of employment and maintain valid certification. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 1920:BSAC training Staff in summer camp programs shall complete BSAC training within four (4) weeks of employment instead of three (3) months. 10A NCAC 09 .2502 SPECIAL PROVISIONS FOR SUMMER DAY CAMPS (f) Staff in summer day camp programs required to complete Basic School-Age Care (BSAC) training as defined in Rule .0102 of this Chapter shall do so within four weeks of becoming employed. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/16/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Emergency drill log: 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER, (d) (5) states records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov The rule does not specify what form/format to log the record. However, the information listed above shall be included in the log. The form found on the Division’s website makes it easier to keep up with all the information. Going forward, this will be cited as a violation. Bulletin Board: Due to the fact that preschool children and staff members are isolated in their own space, you must have YMCA posters posted in preschool space and the following items shall be available for staff members and parents: • License • Emergency phone number • Emergency medical care plan • Menu • Summary of law • Staff/child ratio sheet • Daily schedule • Activity plan Going forward, this will be cited as violations. Playground inspection: Playground inspection is required for preschool playground(s). You have six (6) months from the first day of preschool program to complete playground safety training. Playground inspection shall be completed on the form provided on the Division’s website. If you are operating preschool portion next summer, at least one person shall complete playground safety training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Compliance rate: Prior to today’s visit, your compliance rate was seventy-six (76) percent. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. If you need questions or help with licensing rules and regulations, please contact me at kaoru.eddins@dhhs.nc.gov or 828.665.9013. I can conduct technical assistance visit or training. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 67 Completed Date: 8/2/2023 Age: From 4 To 12 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Joshua Willoughby, one of the program coordinators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Joshua Willoughby, Program Coordinator was available during the visit. I also met with Delaney Burke, Administrator, to review Staff files and program records. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. YMCA Glen Arden Afterschool recently added preschool components, and this is the first visit since the change. The center’s compliance history was reviewed with the operator. The program’s compliance history is seventy-six (76) percentage as of 7/31/23. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. Permit type – Five-star center license issued on 6/19/23. Special Services/Restrictions – daytime care, enhanced space and reduced ratios. Preschool children served June-August only. Children are prohibited in the kitchen. School-age playground does not meet safety standards. This facility is approved for transportation. All YMCA buses were monitored during a visit on 4/27/23. The last annual compliance visit was conducted on 2/13/23. The last fire drill was practiced on 7/19/23. The record of the drills are maintained electronically. The last lockdown drill was practiced on 6/8/23. The last playground inspection has not been documented. Playground inspection is required for preschool playground(s). No staff member has taken playground safety training. The last fire inspection was approved on 10/3/22. The last sanitation inspection was conducted on 5/18/23 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I observed all licensed spaces. Media Center is not used or maintained by the program. Therefore, the space is removed from the license space as of today. Space #1 cafeteria and space #3 gym are routinely utilized. Space #4 is labeled as after school on the map, but it is currently called trailer #1. There are two (2) additional trailers for this program, and trailer #2 (room 601) is used for the pre-K program. Trailer #3 (room 626) is used for school-age children. An additional facility diagram will be added to the record. Per the record for preschool programs operating during the school year, trailer #2 is approved for a total of sixty-six (66) children. The space is approved as two (2) separate spaces. Space #1 is the group area and space #2 is the activity area. Space #1(group area) is approved for thirty-one (31) children and space #2 (activity area) is approved for thirty-five (35) children. Trailers #1 and #3 are approved for twenty-five (25) children per space calculation sheet dated 8/25/04. The trailer space was labeled as #4 (music mobile unit), space #5 (admin modular unit), space #6A (art trailer), and #6B (art trailer) from the record dated 8/25/04. This information does not accurately reflect the current use of the space. Therefore, the space shall be newly labeled as space #1 Cafeteria, space #2, Gym, space #3 trailer #1, space #4, trailer #2(Room 626), and space #5 trailer #2 (preschool space, room 601). I observed group #1 in space #4 (trailer#2, room 626). They had “Siesta Time”, which is a quiet time. Children had towels/blankets. Some children sat down and other children lay down. There are few materials in the space. Per Mr. Turner, group leaders conduct art activities, circle/group time, and literacy activities. During Siesta time, some materials are recommended for children who choose not to rest. Books, puzzles, and quiet manipulative toys are recommended. Group #2 was observed in space #1 cafeteria. Children used half of the cafeteria to engage in free play with board games, puzzles, and art activities. Group #3 was observed in space #3 (trailer #1). Children engaged in free play and played with making bracelets and reading books. They also had access to various materials, including blocks, K’nex manipulative toys, a play castle, a parking garage, Potato Head, and other art materials. After cleaning up, the children transitioned to the cafeteria and had lunch. Most children brought lunch from home. Supplemental foods were provided by the program if needed. Group #4 was observed during the transition to the gym from space #4. Children played Sprout Ball in the gym, which is similar to Dodge Ball. Group #5, preschool-age children were observed in space #5 (trailer #2 Room 601). The children had lunch in the classroom. Today’s menu was a turkey sandwich, watermelon slices, cucumber slices, and milk. After lunch, the children used the group area and laid down on the cot to rest. Interaction with children and supervision of children were adequate. There are three (3) playgrounds for this program. The yellow playground is labeled as #1 and #2. The right side is playground space #1 and the left side is playground space #2. The green playground is labeled as playgrounds #3 and #4. The left side of the playground is space #3 and the right side of the playground is space #4. Playgrounds #1, 2, 3, and 4 are used by school-age children. The preschool playground is located in the field and is fenced. There are no permanent structures on the playground. One (1) large Ash tree provides shaded space. There are poison ivy plants on the ground by the equipment in playground space #1. The coating on the metal baseboard on the slide equipment in space #1 and #2 are peeling and tearing. The same baseboard on the slide structure and bridge in playground spaces #3 and #4 are also peeling and tearing. Some children left for a field trip to a pool during the visit. YMCA transportation is monitored separately. Per interview. Group leaders who accompany the field trip have iPad with all children’s applications and emergency information. The program uses lifeguards at the pool, but at least one (1) group leader remains in the pool and one (1) group leader remains outside the pool to maintain effective supervision. During the aquatic activity, the program maintains 1:13 child/staff ratios. Two (2) new staff files were monitored in full and nine (9) existing staff members files were monitored for criminal background letter, BSAC training, and CPR/First aid training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ Following violations were cited during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Daily schedule was not posted in the space #5, preschool classroom. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. An activity plan posted in space #5, preschool room, was dated 7/24/23 - 7/28/23. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu was not posted in space #5. 10A NCAC 09 .0901(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On playground space #1 and #2, coating of the metal base on the slide structures and bridge are peeling and tearing. On playground space #3 and #4, coating of the metal base on the slide structures are peeling and tearing. .0601(c) 823 Toxic plants were accessible to children. On playground space #3 and #4 (green playground), poison ivy plant is growing on the play space by one of the slide structures. .0604(l) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was stored with epi-pen and inhaler in the backpack. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Parent permission form was not filled out for Benadryl. 10A NCAC 09 .0803(4)(6-9) 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, JC did not have First aid certificate in file. Staff member, LJ's first aid certificate expired on 5/15/23. .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, JC did not have CPR certificate in file. Staff member, LJ's CPR certificate expired on 5/15/23. .1102(d) 1920 Staff in summer camp programs required to complete Basic School-Age Care (BSAC) training did not complete BSAC training within four weeks of becoming employed. A staff member hired on 6/3/23 (PB) does not have BSAC training in file. It has been nine (9) weeks from hiring date. .2502(f) Technical assistance was provided as follows: 415: Daily Schedule 418: Activity plans. Dailly schedule and activity plan shall be current posted in the classroom. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 526: Menu Menu shall be posted where the parents can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 705: equipment Equipment shall be in good repair and study without rust and peeling paint/coating. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 823: Toxic plants: The licensed space used by children shall be free of toxic plants. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf 841: storage of medication Non-emergency medication, such as Benadryl shall be kept in a locked storage. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Authorization to administer medication Permission to administer medication authorization form is required for all medications, including Benadryl. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048:First Aid training 1049:CPR training Staff members shall obtain FA/CPR training within ninety (90) days of employment and maintain valid certification. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 1920:BSAC training Staff in summer camp programs shall complete BSAC training within four (4) weeks of employment instead of three (3) months. 10A NCAC 09 .2502 SPECIAL PROVISIONS FOR SUMMER DAY CAMPS (f) Staff in summer day camp programs required to complete Basic School-Age Care (BSAC) training as defined in Rule .0102 of this Chapter shall do so within four weeks of becoming employed. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/16/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Emergency drill log: 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER, (d) (5) states records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov The rule does not specify what form/format to log the record. However, the information listed above shall be included in the log. The form found on the Division’s website makes it easier to keep up with all the information. Going forward, this will be cited as a violation. Bulletin Board: Due to the fact that preschool children and staff members are isolated in their own space, you must have YMCA posters posted in preschool space and the following items shall be available for staff members and parents: • License • Emergency phone number • Emergency medical care plan • Menu • Summary of law • Staff/child ratio sheet • Daily schedule • Activity plan Going forward, this will be cited as violations. Playground inspection: Playground inspection is required for preschool playground(s). You have six (6) months from the first day of preschool program to complete playground safety training. Playground inspection shall be completed on the form provided on the Division’s website. If you are operating preschool portion next summer, at least one person shall complete playground safety training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Compliance rate: Prior to today’s visit, your compliance rate was seventy-six (76) percent. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. If you need questions or help with licensing rules and regulations, please contact me at kaoru.eddins@dhhs.nc.gov or 828.665.9013. I can conduct technical assistance visit or training. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0508 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 67 Completed Date: 8/2/2023 Age: From 4 To 12 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Joshua Willoughby, one of the program coordinators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Joshua Willoughby, Program Coordinator was available during the visit. I also met with Delaney Burke, Administrator, to review Staff files and program records. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. YMCA Glen Arden Afterschool recently added preschool components, and this is the first visit since the change. The center’s compliance history was reviewed with the operator. The program’s compliance history is seventy-six (76) percentage as of 7/31/23. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. Permit type – Five-star center license issued on 6/19/23. Special Services/Restrictions – daytime care, enhanced space and reduced ratios. Preschool children served June-August only. Children are prohibited in the kitchen. School-age playground does not meet safety standards. This facility is approved for transportation. All YMCA buses were monitored during a visit on 4/27/23. The last annual compliance visit was conducted on 2/13/23. The last fire drill was practiced on 7/19/23. The record of the drills are maintained electronically. The last lockdown drill was practiced on 6/8/23. The last playground inspection has not been documented. Playground inspection is required for preschool playground(s). No staff member has taken playground safety training. The last fire inspection was approved on 10/3/22. The last sanitation inspection was conducted on 5/18/23 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I observed all licensed spaces. Media Center is not used or maintained by the program. Therefore, the space is removed from the license space as of today. Space #1 cafeteria and space #3 gym are routinely utilized. Space #4 is labeled as after school on the map, but it is currently called trailer #1. There are two (2) additional trailers for this program, and trailer #2 (room 601) is used for the pre-K program. Trailer #3 (room 626) is used for school-age children. An additional facility diagram will be added to the record. Per the record for preschool programs operating during the school year, trailer #2 is approved for a total of sixty-six (66) children. The space is approved as two (2) separate spaces. Space #1 is the group area and space #2 is the activity area. Space #1(group area) is approved for thirty-one (31) children and space #2 (activity area) is approved for thirty-five (35) children. Trailers #1 and #3 are approved for twenty-five (25) children per space calculation sheet dated 8/25/04. The trailer space was labeled as #4 (music mobile unit), space #5 (admin modular unit), space #6A (art trailer), and #6B (art trailer) from the record dated 8/25/04. This information does not accurately reflect the current use of the space. Therefore, the space shall be newly labeled as space #1 Cafeteria, space #2, Gym, space #3 trailer #1, space #4, trailer #2(Room 626), and space #5 trailer #2 (preschool space, room 601). I observed group #1 in space #4 (trailer#2, room 626). They had “Siesta Time”, which is a quiet time. Children had towels/blankets. Some children sat down and other children lay down. There are few materials in the space. Per Mr. Turner, group leaders conduct art activities, circle/group time, and literacy activities. During Siesta time, some materials are recommended for children who choose not to rest. Books, puzzles, and quiet manipulative toys are recommended. Group #2 was observed in space #1 cafeteria. Children used half of the cafeteria to engage in free play with board games, puzzles, and art activities. Group #3 was observed in space #3 (trailer #1). Children engaged in free play and played with making bracelets and reading books. They also had access to various materials, including blocks, K’nex manipulative toys, a play castle, a parking garage, Potato Head, and other art materials. After cleaning up, the children transitioned to the cafeteria and had lunch. Most children brought lunch from home. Supplemental foods were provided by the program if needed. Group #4 was observed during the transition to the gym from space #4. Children played Sprout Ball in the gym, which is similar to Dodge Ball. Group #5, preschool-age children were observed in space #5 (trailer #2 Room 601). The children had lunch in the classroom. Today’s menu was a turkey sandwich, watermelon slices, cucumber slices, and milk. After lunch, the children used the group area and laid down on the cot to rest. Interaction with children and supervision of children were adequate. There are three (3) playgrounds for this program. The yellow playground is labeled as #1 and #2. The right side is playground space #1 and the left side is playground space #2. The green playground is labeled as playgrounds #3 and #4. The left side of the playground is space #3 and the right side of the playground is space #4. Playgrounds #1, 2, 3, and 4 are used by school-age children. The preschool playground is located in the field and is fenced. There are no permanent structures on the playground. One (1) large Ash tree provides shaded space. There are poison ivy plants on the ground by the equipment in playground space #1. The coating on the metal baseboard on the slide equipment in space #1 and #2 are peeling and tearing. The same baseboard on the slide structure and bridge in playground spaces #3 and #4 are also peeling and tearing. Some children left for a field trip to a pool during the visit. YMCA transportation is monitored separately. Per interview. Group leaders who accompany the field trip have iPad with all children’s applications and emergency information. The program uses lifeguards at the pool, but at least one (1) group leader remains in the pool and one (1) group leader remains outside the pool to maintain effective supervision. During the aquatic activity, the program maintains 1:13 child/staff ratios. Two (2) new staff files were monitored in full and nine (9) existing staff members files were monitored for criminal background letter, BSAC training, and CPR/First aid training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ Following violations were cited during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Daily schedule was not posted in the space #5, preschool classroom. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. An activity plan posted in space #5, preschool room, was dated 7/24/23 - 7/28/23. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu was not posted in space #5. 10A NCAC 09 .0901(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On playground space #1 and #2, coating of the metal base on the slide structures and bridge are peeling and tearing. On playground space #3 and #4, coating of the metal base on the slide structures are peeling and tearing. .0601(c) 823 Toxic plants were accessible to children. On playground space #3 and #4 (green playground), poison ivy plant is growing on the play space by one of the slide structures. .0604(l) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was stored with epi-pen and inhaler in the backpack. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Parent permission form was not filled out for Benadryl. 10A NCAC 09 .0803(4)(6-9) 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, JC did not have First aid certificate in file. Staff member, LJ's first aid certificate expired on 5/15/23. .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, JC did not have CPR certificate in file. Staff member, LJ's CPR certificate expired on 5/15/23. .1102(d) 1920 Staff in summer camp programs required to complete Basic School-Age Care (BSAC) training did not complete BSAC training within four weeks of becoming employed. A staff member hired on 6/3/23 (PB) does not have BSAC training in file. It has been nine (9) weeks from hiring date. .2502(f) Technical assistance was provided as follows: 415: Daily Schedule 418: Activity plans. Dailly schedule and activity plan shall be current posted in the classroom. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 526: Menu Menu shall be posted where the parents can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 705: equipment Equipment shall be in good repair and study without rust and peeling paint/coating. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 823: Toxic plants: The licensed space used by children shall be free of toxic plants. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf 841: storage of medication Non-emergency medication, such as Benadryl shall be kept in a locked storage. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Authorization to administer medication Permission to administer medication authorization form is required for all medications, including Benadryl. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048:First Aid training 1049:CPR training Staff members shall obtain FA/CPR training within ninety (90) days of employment and maintain valid certification. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 1920:BSAC training Staff in summer camp programs shall complete BSAC training within four (4) weeks of employment instead of three (3) months. 10A NCAC 09 .2502 SPECIAL PROVISIONS FOR SUMMER DAY CAMPS (f) Staff in summer day camp programs required to complete Basic School-Age Care (BSAC) training as defined in Rule .0102 of this Chapter shall do so within four weeks of becoming employed. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/16/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Emergency drill log: 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER, (d) (5) states records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov The rule does not specify what form/format to log the record. However, the information listed above shall be included in the log. The form found on the Division’s website makes it easier to keep up with all the information. Going forward, this will be cited as a violation. Bulletin Board: Due to the fact that preschool children and staff members are isolated in their own space, you must have YMCA posters posted in preschool space and the following items shall be available for staff members and parents: • License • Emergency phone number • Emergency medical care plan • Menu • Summary of law • Staff/child ratio sheet • Daily schedule • Activity plan Going forward, this will be cited as violations. Playground inspection: Playground inspection is required for preschool playground(s). You have six (6) months from the first day of preschool program to complete playground safety training. Playground inspection shall be completed on the form provided on the Division’s website. If you are operating preschool portion next summer, at least one person shall complete playground safety training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Compliance rate: Prior to today’s visit, your compliance rate was seventy-six (76) percent. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. If you need questions or help with licensing rules and regulations, please contact me at kaoru.eddins@dhhs.nc.gov or 828.665.9013. I can conduct technical assistance visit or training. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 67 Completed Date: 8/2/2023 Age: From 4 To 12 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Joshua Willoughby, one of the program coordinators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Joshua Willoughby, Program Coordinator was available during the visit. I also met with Delaney Burke, Administrator, to review Staff files and program records. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. YMCA Glen Arden Afterschool recently added preschool components, and this is the first visit since the change. The center’s compliance history was reviewed with the operator. The program’s compliance history is seventy-six (76) percentage as of 7/31/23. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. Permit type – Five-star center license issued on 6/19/23. Special Services/Restrictions – daytime care, enhanced space and reduced ratios. Preschool children served June-August only. Children are prohibited in the kitchen. School-age playground does not meet safety standards. This facility is approved for transportation. All YMCA buses were monitored during a visit on 4/27/23. The last annual compliance visit was conducted on 2/13/23. The last fire drill was practiced on 7/19/23. The record of the drills are maintained electronically. The last lockdown drill was practiced on 6/8/23. The last playground inspection has not been documented. Playground inspection is required for preschool playground(s). No staff member has taken playground safety training. The last fire inspection was approved on 10/3/22. The last sanitation inspection was conducted on 5/18/23 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I observed all licensed spaces. Media Center is not used or maintained by the program. Therefore, the space is removed from the license space as of today. Space #1 cafeteria and space #3 gym are routinely utilized. Space #4 is labeled as after school on the map, but it is currently called trailer #1. There are two (2) additional trailers for this program, and trailer #2 (room 601) is used for the pre-K program. Trailer #3 (room 626) is used for school-age children. An additional facility diagram will be added to the record. Per the record for preschool programs operating during the school year, trailer #2 is approved for a total of sixty-six (66) children. The space is approved as two (2) separate spaces. Space #1 is the group area and space #2 is the activity area. Space #1(group area) is approved for thirty-one (31) children and space #2 (activity area) is approved for thirty-five (35) children. Trailers #1 and #3 are approved for twenty-five (25) children per space calculation sheet dated 8/25/04. The trailer space was labeled as #4 (music mobile unit), space #5 (admin modular unit), space #6A (art trailer), and #6B (art trailer) from the record dated 8/25/04. This information does not accurately reflect the current use of the space. Therefore, the space shall be newly labeled as space #1 Cafeteria, space #2, Gym, space #3 trailer #1, space #4, trailer #2(Room 626), and space #5 trailer #2 (preschool space, room 601). I observed group #1 in space #4 (trailer#2, room 626). They had “Siesta Time”, which is a quiet time. Children had towels/blankets. Some children sat down and other children lay down. There are few materials in the space. Per Mr. Turner, group leaders conduct art activities, circle/group time, and literacy activities. During Siesta time, some materials are recommended for children who choose not to rest. Books, puzzles, and quiet manipulative toys are recommended. Group #2 was observed in space #1 cafeteria. Children used half of the cafeteria to engage in free play with board games, puzzles, and art activities. Group #3 was observed in space #3 (trailer #1). Children engaged in free play and played with making bracelets and reading books. They also had access to various materials, including blocks, K’nex manipulative toys, a play castle, a parking garage, Potato Head, and other art materials. After cleaning up, the children transitioned to the cafeteria and had lunch. Most children brought lunch from home. Supplemental foods were provided by the program if needed. Group #4 was observed during the transition to the gym from space #4. Children played Sprout Ball in the gym, which is similar to Dodge Ball. Group #5, preschool-age children were observed in space #5 (trailer #2 Room 601). The children had lunch in the classroom. Today’s menu was a turkey sandwich, watermelon slices, cucumber slices, and milk. After lunch, the children used the group area and laid down on the cot to rest. Interaction with children and supervision of children were adequate. There are three (3) playgrounds for this program. The yellow playground is labeled as #1 and #2. The right side is playground space #1 and the left side is playground space #2. The green playground is labeled as playgrounds #3 and #4. The left side of the playground is space #3 and the right side of the playground is space #4. Playgrounds #1, 2, 3, and 4 are used by school-age children. The preschool playground is located in the field and is fenced. There are no permanent structures on the playground. One (1) large Ash tree provides shaded space. There are poison ivy plants on the ground by the equipment in playground space #1. The coating on the metal baseboard on the slide equipment in space #1 and #2 are peeling and tearing. The same baseboard on the slide structure and bridge in playground spaces #3 and #4 are also peeling and tearing. Some children left for a field trip to a pool during the visit. YMCA transportation is monitored separately. Per interview. Group leaders who accompany the field trip have iPad with all children’s applications and emergency information. The program uses lifeguards at the pool, but at least one (1) group leader remains in the pool and one (1) group leader remains outside the pool to maintain effective supervision. During the aquatic activity, the program maintains 1:13 child/staff ratios. Two (2) new staff files were monitored in full and nine (9) existing staff members files were monitored for criminal background letter, BSAC training, and CPR/First aid training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ Following violations were cited during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Daily schedule was not posted in the space #5, preschool classroom. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. An activity plan posted in space #5, preschool room, was dated 7/24/23 - 7/28/23. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu was not posted in space #5. 10A NCAC 09 .0901(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On playground space #1 and #2, coating of the metal base on the slide structures and bridge are peeling and tearing. On playground space #3 and #4, coating of the metal base on the slide structures are peeling and tearing. .0601(c) 823 Toxic plants were accessible to children. On playground space #3 and #4 (green playground), poison ivy plant is growing on the play space by one of the slide structures. .0604(l) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was stored with epi-pen and inhaler in the backpack. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Parent permission form was not filled out for Benadryl. 10A NCAC 09 .0803(4)(6-9) 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, JC did not have First aid certificate in file. Staff member, LJ's first aid certificate expired on 5/15/23. .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, JC did not have CPR certificate in file. Staff member, LJ's CPR certificate expired on 5/15/23. .1102(d) 1920 Staff in summer camp programs required to complete Basic School-Age Care (BSAC) training did not complete BSAC training within four weeks of becoming employed. A staff member hired on 6/3/23 (PB) does not have BSAC training in file. It has been nine (9) weeks from hiring date. .2502(f) Technical assistance was provided as follows: 415: Daily Schedule 418: Activity plans. Dailly schedule and activity plan shall be current posted in the classroom. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 526: Menu Menu shall be posted where the parents can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 705: equipment Equipment shall be in good repair and study without rust and peeling paint/coating. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 823: Toxic plants: The licensed space used by children shall be free of toxic plants. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf 841: storage of medication Non-emergency medication, such as Benadryl shall be kept in a locked storage. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Authorization to administer medication Permission to administer medication authorization form is required for all medications, including Benadryl. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048:First Aid training 1049:CPR training Staff members shall obtain FA/CPR training within ninety (90) days of employment and maintain valid certification. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 1920:BSAC training Staff in summer camp programs shall complete BSAC training within four (4) weeks of employment instead of three (3) months. 10A NCAC 09 .2502 SPECIAL PROVISIONS FOR SUMMER DAY CAMPS (f) Staff in summer day camp programs required to complete Basic School-Age Care (BSAC) training as defined in Rule .0102 of this Chapter shall do so within four weeks of becoming employed. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/16/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Emergency drill log: 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER, (d) (5) states records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov The rule does not specify what form/format to log the record. However, the information listed above shall be included in the log. The form found on the Division’s website makes it easier to keep up with all the information. Going forward, this will be cited as a violation. Bulletin Board: Due to the fact that preschool children and staff members are isolated in their own space, you must have YMCA posters posted in preschool space and the following items shall be available for staff members and parents: • License • Emergency phone number • Emergency medical care plan • Menu • Summary of law • Staff/child ratio sheet • Daily schedule • Activity plan Going forward, this will be cited as violations. Playground inspection: Playground inspection is required for preschool playground(s). You have six (6) months from the first day of preschool program to complete playground safety training. Playground inspection shall be completed on the form provided on the Division’s website. If you are operating preschool portion next summer, at least one person shall complete playground safety training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Compliance rate: Prior to today’s visit, your compliance rate was seventy-six (76) percent. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. If you need questions or help with licensing rules and regulations, please contact me at kaoru.eddins@dhhs.nc.gov or 828.665.9013. I can conduct technical assistance visit or training. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 67 Completed Date: 8/2/2023 Age: From 4 To 12 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Joshua Willoughby, one of the program coordinators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Joshua Willoughby, Program Coordinator was available during the visit. I also met with Delaney Burke, Administrator, to review Staff files and program records. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. YMCA Glen Arden Afterschool recently added preschool components, and this is the first visit since the change. The center’s compliance history was reviewed with the operator. The program’s compliance history is seventy-six (76) percentage as of 7/31/23. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. Permit type – Five-star center license issued on 6/19/23. Special Services/Restrictions – daytime care, enhanced space and reduced ratios. Preschool children served June-August only. Children are prohibited in the kitchen. School-age playground does not meet safety standards. This facility is approved for transportation. All YMCA buses were monitored during a visit on 4/27/23. The last annual compliance visit was conducted on 2/13/23. The last fire drill was practiced on 7/19/23. The record of the drills are maintained electronically. The last lockdown drill was practiced on 6/8/23. The last playground inspection has not been documented. Playground inspection is required for preschool playground(s). No staff member has taken playground safety training. The last fire inspection was approved on 10/3/22. The last sanitation inspection was conducted on 5/18/23 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I observed all licensed spaces. Media Center is not used or maintained by the program. Therefore, the space is removed from the license space as of today. Space #1 cafeteria and space #3 gym are routinely utilized. Space #4 is labeled as after school on the map, but it is currently called trailer #1. There are two (2) additional trailers for this program, and trailer #2 (room 601) is used for the pre-K program. Trailer #3 (room 626) is used for school-age children. An additional facility diagram will be added to the record. Per the record for preschool programs operating during the school year, trailer #2 is approved for a total of sixty-six (66) children. The space is approved as two (2) separate spaces. Space #1 is the group area and space #2 is the activity area. Space #1(group area) is approved for thirty-one (31) children and space #2 (activity area) is approved for thirty-five (35) children. Trailers #1 and #3 are approved for twenty-five (25) children per space calculation sheet dated 8/25/04. The trailer space was labeled as #4 (music mobile unit), space #5 (admin modular unit), space #6A (art trailer), and #6B (art trailer) from the record dated 8/25/04. This information does not accurately reflect the current use of the space. Therefore, the space shall be newly labeled as space #1 Cafeteria, space #2, Gym, space #3 trailer #1, space #4, trailer #2(Room 626), and space #5 trailer #2 (preschool space, room 601). I observed group #1 in space #4 (trailer#2, room 626). They had “Siesta Time”, which is a quiet time. Children had towels/blankets. Some children sat down and other children lay down. There are few materials in the space. Per Mr. Turner, group leaders conduct art activities, circle/group time, and literacy activities. During Siesta time, some materials are recommended for children who choose not to rest. Books, puzzles, and quiet manipulative toys are recommended. Group #2 was observed in space #1 cafeteria. Children used half of the cafeteria to engage in free play with board games, puzzles, and art activities. Group #3 was observed in space #3 (trailer #1). Children engaged in free play and played with making bracelets and reading books. They also had access to various materials, including blocks, K’nex manipulative toys, a play castle, a parking garage, Potato Head, and other art materials. After cleaning up, the children transitioned to the cafeteria and had lunch. Most children brought lunch from home. Supplemental foods were provided by the program if needed. Group #4 was observed during the transition to the gym from space #4. Children played Sprout Ball in the gym, which is similar to Dodge Ball. Group #5, preschool-age children were observed in space #5 (trailer #2 Room 601). The children had lunch in the classroom. Today’s menu was a turkey sandwich, watermelon slices, cucumber slices, and milk. After lunch, the children used the group area and laid down on the cot to rest. Interaction with children and supervision of children were adequate. There are three (3) playgrounds for this program. The yellow playground is labeled as #1 and #2. The right side is playground space #1 and the left side is playground space #2. The green playground is labeled as playgrounds #3 and #4. The left side of the playground is space #3 and the right side of the playground is space #4. Playgrounds #1, 2, 3, and 4 are used by school-age children. The preschool playground is located in the field and is fenced. There are no permanent structures on the playground. One (1) large Ash tree provides shaded space. There are poison ivy plants on the ground by the equipment in playground space #1. The coating on the metal baseboard on the slide equipment in space #1 and #2 are peeling and tearing. The same baseboard on the slide structure and bridge in playground spaces #3 and #4 are also peeling and tearing. Some children left for a field trip to a pool during the visit. YMCA transportation is monitored separately. Per interview. Group leaders who accompany the field trip have iPad with all children’s applications and emergency information. The program uses lifeguards at the pool, but at least one (1) group leader remains in the pool and one (1) group leader remains outside the pool to maintain effective supervision. During the aquatic activity, the program maintains 1:13 child/staff ratios. Two (2) new staff files were monitored in full and nine (9) existing staff members files were monitored for criminal background letter, BSAC training, and CPR/First aid training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ Following violations were cited during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Daily schedule was not posted in the space #5, preschool classroom. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. An activity plan posted in space #5, preschool room, was dated 7/24/23 - 7/28/23. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu was not posted in space #5. 10A NCAC 09 .0901(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On playground space #1 and #2, coating of the metal base on the slide structures and bridge are peeling and tearing. On playground space #3 and #4, coating of the metal base on the slide structures are peeling and tearing. .0601(c) 823 Toxic plants were accessible to children. On playground space #3 and #4 (green playground), poison ivy plant is growing on the play space by one of the slide structures. .0604(l) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was stored with epi-pen and inhaler in the backpack. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Parent permission form was not filled out for Benadryl. 10A NCAC 09 .0803(4)(6-9) 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, JC did not have First aid certificate in file. Staff member, LJ's first aid certificate expired on 5/15/23. .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, JC did not have CPR certificate in file. Staff member, LJ's CPR certificate expired on 5/15/23. .1102(d) 1920 Staff in summer camp programs required to complete Basic School-Age Care (BSAC) training did not complete BSAC training within four weeks of becoming employed. A staff member hired on 6/3/23 (PB) does not have BSAC training in file. It has been nine (9) weeks from hiring date. .2502(f) Technical assistance was provided as follows: 415: Daily Schedule 418: Activity plans. Dailly schedule and activity plan shall be current posted in the classroom. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 526: Menu Menu shall be posted where the parents can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 705: equipment Equipment shall be in good repair and study without rust and peeling paint/coating. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 823: Toxic plants: The licensed space used by children shall be free of toxic plants. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf 841: storage of medication Non-emergency medication, such as Benadryl shall be kept in a locked storage. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Authorization to administer medication Permission to administer medication authorization form is required for all medications, including Benadryl. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048:First Aid training 1049:CPR training Staff members shall obtain FA/CPR training within ninety (90) days of employment and maintain valid certification. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 1920:BSAC training Staff in summer camp programs shall complete BSAC training within four (4) weeks of employment instead of three (3) months. 10A NCAC 09 .2502 SPECIAL PROVISIONS FOR SUMMER DAY CAMPS (f) Staff in summer day camp programs required to complete Basic School-Age Care (BSAC) training as defined in Rule .0102 of this Chapter shall do so within four weeks of becoming employed. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/16/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Emergency drill log: 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER, (d) (5) states records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov The rule does not specify what form/format to log the record. However, the information listed above shall be included in the log. The form found on the Division’s website makes it easier to keep up with all the information. Going forward, this will be cited as a violation. Bulletin Board: Due to the fact that preschool children and staff members are isolated in their own space, you must have YMCA posters posted in preschool space and the following items shall be available for staff members and parents: • License • Emergency phone number • Emergency medical care plan • Menu • Summary of law • Staff/child ratio sheet • Daily schedule • Activity plan Going forward, this will be cited as violations. Playground inspection: Playground inspection is required for preschool playground(s). You have six (6) months from the first day of preschool program to complete playground safety training. Playground inspection shall be completed on the form provided on the Division’s website. If you are operating preschool portion next summer, at least one person shall complete playground safety training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Compliance rate: Prior to today’s visit, your compliance rate was seventy-six (76) percent. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. If you need questions or help with licensing rules and regulations, please contact me at kaoru.eddins@dhhs.nc.gov or 828.665.9013. I can conduct technical assistance visit or training. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 67 Completed Date: 8/2/2023 Age: From 4 To 12 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Joshua Willoughby, one of the program coordinators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Joshua Willoughby, Program Coordinator was available during the visit. I also met with Delaney Burke, Administrator, to review Staff files and program records. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. YMCA Glen Arden Afterschool recently added preschool components, and this is the first visit since the change. The center’s compliance history was reviewed with the operator. The program’s compliance history is seventy-six (76) percentage as of 7/31/23. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. Permit type – Five-star center license issued on 6/19/23. Special Services/Restrictions – daytime care, enhanced space and reduced ratios. Preschool children served June-August only. Children are prohibited in the kitchen. School-age playground does not meet safety standards. This facility is approved for transportation. All YMCA buses were monitored during a visit on 4/27/23. The last annual compliance visit was conducted on 2/13/23. The last fire drill was practiced on 7/19/23. The record of the drills are maintained electronically. The last lockdown drill was practiced on 6/8/23. The last playground inspection has not been documented. Playground inspection is required for preschool playground(s). No staff member has taken playground safety training. The last fire inspection was approved on 10/3/22. The last sanitation inspection was conducted on 5/18/23 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I observed all licensed spaces. Media Center is not used or maintained by the program. Therefore, the space is removed from the license space as of today. Space #1 cafeteria and space #3 gym are routinely utilized. Space #4 is labeled as after school on the map, but it is currently called trailer #1. There are two (2) additional trailers for this program, and trailer #2 (room 601) is used for the pre-K program. Trailer #3 (room 626) is used for school-age children. An additional facility diagram will be added to the record. Per the record for preschool programs operating during the school year, trailer #2 is approved for a total of sixty-six (66) children. The space is approved as two (2) separate spaces. Space #1 is the group area and space #2 is the activity area. Space #1(group area) is approved for thirty-one (31) children and space #2 (activity area) is approved for thirty-five (35) children. Trailers #1 and #3 are approved for twenty-five (25) children per space calculation sheet dated 8/25/04. The trailer space was labeled as #4 (music mobile unit), space #5 (admin modular unit), space #6A (art trailer), and #6B (art trailer) from the record dated 8/25/04. This information does not accurately reflect the current use of the space. Therefore, the space shall be newly labeled as space #1 Cafeteria, space #2, Gym, space #3 trailer #1, space #4, trailer #2(Room 626), and space #5 trailer #2 (preschool space, room 601). I observed group #1 in space #4 (trailer#2, room 626). They had “Siesta Time”, which is a quiet time. Children had towels/blankets. Some children sat down and other children lay down. There are few materials in the space. Per Mr. Turner, group leaders conduct art activities, circle/group time, and literacy activities. During Siesta time, some materials are recommended for children who choose not to rest. Books, puzzles, and quiet manipulative toys are recommended. Group #2 was observed in space #1 cafeteria. Children used half of the cafeteria to engage in free play with board games, puzzles, and art activities. Group #3 was observed in space #3 (trailer #1). Children engaged in free play and played with making bracelets and reading books. They also had access to various materials, including blocks, K’nex manipulative toys, a play castle, a parking garage, Potato Head, and other art materials. After cleaning up, the children transitioned to the cafeteria and had lunch. Most children brought lunch from home. Supplemental foods were provided by the program if needed. Group #4 was observed during the transition to the gym from space #4. Children played Sprout Ball in the gym, which is similar to Dodge Ball. Group #5, preschool-age children were observed in space #5 (trailer #2 Room 601). The children had lunch in the classroom. Today’s menu was a turkey sandwich, watermelon slices, cucumber slices, and milk. After lunch, the children used the group area and laid down on the cot to rest. Interaction with children and supervision of children were adequate. There are three (3) playgrounds for this program. The yellow playground is labeled as #1 and #2. The right side is playground space #1 and the left side is playground space #2. The green playground is labeled as playgrounds #3 and #4. The left side of the playground is space #3 and the right side of the playground is space #4. Playgrounds #1, 2, 3, and 4 are used by school-age children. The preschool playground is located in the field and is fenced. There are no permanent structures on the playground. One (1) large Ash tree provides shaded space. There are poison ivy plants on the ground by the equipment in playground space #1. The coating on the metal baseboard on the slide equipment in space #1 and #2 are peeling and tearing. The same baseboard on the slide structure and bridge in playground spaces #3 and #4 are also peeling and tearing. Some children left for a field trip to a pool during the visit. YMCA transportation is monitored separately. Per interview. Group leaders who accompany the field trip have iPad with all children’s applications and emergency information. The program uses lifeguards at the pool, but at least one (1) group leader remains in the pool and one (1) group leader remains outside the pool to maintain effective supervision. During the aquatic activity, the program maintains 1:13 child/staff ratios. Two (2) new staff files were monitored in full and nine (9) existing staff members files were monitored for criminal background letter, BSAC training, and CPR/First aid training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ Following violations were cited during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Daily schedule was not posted in the space #5, preschool classroom. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. An activity plan posted in space #5, preschool room, was dated 7/24/23 - 7/28/23. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu was not posted in space #5. 10A NCAC 09 .0901(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On playground space #1 and #2, coating of the metal base on the slide structures and bridge are peeling and tearing. On playground space #3 and #4, coating of the metal base on the slide structures are peeling and tearing. .0601(c) 823 Toxic plants were accessible to children. On playground space #3 and #4 (green playground), poison ivy plant is growing on the play space by one of the slide structures. .0604(l) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was stored with epi-pen and inhaler in the backpack. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Parent permission form was not filled out for Benadryl. 10A NCAC 09 .0803(4)(6-9) 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, JC did not have First aid certificate in file. Staff member, LJ's first aid certificate expired on 5/15/23. .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, JC did not have CPR certificate in file. Staff member, LJ's CPR certificate expired on 5/15/23. .1102(d) 1920 Staff in summer camp programs required to complete Basic School-Age Care (BSAC) training did not complete BSAC training within four weeks of becoming employed. A staff member hired on 6/3/23 (PB) does not have BSAC training in file. It has been nine (9) weeks from hiring date. .2502(f) Technical assistance was provided as follows: 415: Daily Schedule 418: Activity plans. Dailly schedule and activity plan shall be current posted in the classroom. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 526: Menu Menu shall be posted where the parents can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 705: equipment Equipment shall be in good repair and study without rust and peeling paint/coating. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 823: Toxic plants: The licensed space used by children shall be free of toxic plants. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf 841: storage of medication Non-emergency medication, such as Benadryl shall be kept in a locked storage. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Authorization to administer medication Permission to administer medication authorization form is required for all medications, including Benadryl. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048:First Aid training 1049:CPR training Staff members shall obtain FA/CPR training within ninety (90) days of employment and maintain valid certification. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 1920:BSAC training Staff in summer camp programs shall complete BSAC training within four (4) weeks of employment instead of three (3) months. 10A NCAC 09 .2502 SPECIAL PROVISIONS FOR SUMMER DAY CAMPS (f) Staff in summer day camp programs required to complete Basic School-Age Care (BSAC) training as defined in Rule .0102 of this Chapter shall do so within four weeks of becoming employed. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/16/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Emergency drill log: 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER, (d) (5) states records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov The rule does not specify what form/format to log the record. However, the information listed above shall be included in the log. The form found on the Division’s website makes it easier to keep up with all the information. Going forward, this will be cited as a violation. Bulletin Board: Due to the fact that preschool children and staff members are isolated in their own space, you must have YMCA posters posted in preschool space and the following items shall be available for staff members and parents: • License • Emergency phone number • Emergency medical care plan • Menu • Summary of law • Staff/child ratio sheet • Daily schedule • Activity plan Going forward, this will be cited as violations. Playground inspection: Playground inspection is required for preschool playground(s). You have six (6) months from the first day of preschool program to complete playground safety training. Playground inspection shall be completed on the form provided on the Division’s website. If you are operating preschool portion next summer, at least one person shall complete playground safety training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Compliance rate: Prior to today’s visit, your compliance rate was seventy-six (76) percent. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. If you need questions or help with licensing rules and regulations, please contact me at kaoru.eddins@dhhs.nc.gov or 828.665.9013. I can conduct technical assistance visit or training. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 67 Completed Date: 8/2/2023 Age: From 4 To 12 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Joshua Willoughby, one of the program coordinators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Joshua Willoughby, Program Coordinator was available during the visit. I also met with Delaney Burke, Administrator, to review Staff files and program records. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. YMCA Glen Arden Afterschool recently added preschool components, and this is the first visit since the change. The center’s compliance history was reviewed with the operator. The program’s compliance history is seventy-six (76) percentage as of 7/31/23. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. Permit type – Five-star center license issued on 6/19/23. Special Services/Restrictions – daytime care, enhanced space and reduced ratios. Preschool children served June-August only. Children are prohibited in the kitchen. School-age playground does not meet safety standards. This facility is approved for transportation. All YMCA buses were monitored during a visit on 4/27/23. The last annual compliance visit was conducted on 2/13/23. The last fire drill was practiced on 7/19/23. The record of the drills are maintained electronically. The last lockdown drill was practiced on 6/8/23. The last playground inspection has not been documented. Playground inspection is required for preschool playground(s). No staff member has taken playground safety training. The last fire inspection was approved on 10/3/22. The last sanitation inspection was conducted on 5/18/23 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I observed all licensed spaces. Media Center is not used or maintained by the program. Therefore, the space is removed from the license space as of today. Space #1 cafeteria and space #3 gym are routinely utilized. Space #4 is labeled as after school on the map, but it is currently called trailer #1. There are two (2) additional trailers for this program, and trailer #2 (room 601) is used for the pre-K program. Trailer #3 (room 626) is used for school-age children. An additional facility diagram will be added to the record. Per the record for preschool programs operating during the school year, trailer #2 is approved for a total of sixty-six (66) children. The space is approved as two (2) separate spaces. Space #1 is the group area and space #2 is the activity area. Space #1(group area) is approved for thirty-one (31) children and space #2 (activity area) is approved for thirty-five (35) children. Trailers #1 and #3 are approved for twenty-five (25) children per space calculation sheet dated 8/25/04. The trailer space was labeled as #4 (music mobile unit), space #5 (admin modular unit), space #6A (art trailer), and #6B (art trailer) from the record dated 8/25/04. This information does not accurately reflect the current use of the space. Therefore, the space shall be newly labeled as space #1 Cafeteria, space #2, Gym, space #3 trailer #1, space #4, trailer #2(Room 626), and space #5 trailer #2 (preschool space, room 601). I observed group #1 in space #4 (trailer#2, room 626). They had “Siesta Time”, which is a quiet time. Children had towels/blankets. Some children sat down and other children lay down. There are few materials in the space. Per Mr. Turner, group leaders conduct art activities, circle/group time, and literacy activities. During Siesta time, some materials are recommended for children who choose not to rest. Books, puzzles, and quiet manipulative toys are recommended. Group #2 was observed in space #1 cafeteria. Children used half of the cafeteria to engage in free play with board games, puzzles, and art activities. Group #3 was observed in space #3 (trailer #1). Children engaged in free play and played with making bracelets and reading books. They also had access to various materials, including blocks, K’nex manipulative toys, a play castle, a parking garage, Potato Head, and other art materials. After cleaning up, the children transitioned to the cafeteria and had lunch. Most children brought lunch from home. Supplemental foods were provided by the program if needed. Group #4 was observed during the transition to the gym from space #4. Children played Sprout Ball in the gym, which is similar to Dodge Ball. Group #5, preschool-age children were observed in space #5 (trailer #2 Room 601). The children had lunch in the classroom. Today’s menu was a turkey sandwich, watermelon slices, cucumber slices, and milk. After lunch, the children used the group area and laid down on the cot to rest. Interaction with children and supervision of children were adequate. There are three (3) playgrounds for this program. The yellow playground is labeled as #1 and #2. The right side is playground space #1 and the left side is playground space #2. The green playground is labeled as playgrounds #3 and #4. The left side of the playground is space #3 and the right side of the playground is space #4. Playgrounds #1, 2, 3, and 4 are used by school-age children. The preschool playground is located in the field and is fenced. There are no permanent structures on the playground. One (1) large Ash tree provides shaded space. There are poison ivy plants on the ground by the equipment in playground space #1. The coating on the metal baseboard on the slide equipment in space #1 and #2 are peeling and tearing. The same baseboard on the slide structure and bridge in playground spaces #3 and #4 are also peeling and tearing. Some children left for a field trip to a pool during the visit. YMCA transportation is monitored separately. Per interview. Group leaders who accompany the field trip have iPad with all children’s applications and emergency information. The program uses lifeguards at the pool, but at least one (1) group leader remains in the pool and one (1) group leader remains outside the pool to maintain effective supervision. During the aquatic activity, the program maintains 1:13 child/staff ratios. Two (2) new staff files were monitored in full and nine (9) existing staff members files were monitored for criminal background letter, BSAC training, and CPR/First aid training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ Following violations were cited during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Daily schedule was not posted in the space #5, preschool classroom. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. An activity plan posted in space #5, preschool room, was dated 7/24/23 - 7/28/23. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu was not posted in space #5. 10A NCAC 09 .0901(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On playground space #1 and #2, coating of the metal base on the slide structures and bridge are peeling and tearing. On playground space #3 and #4, coating of the metal base on the slide structures are peeling and tearing. .0601(c) 823 Toxic plants were accessible to children. On playground space #3 and #4 (green playground), poison ivy plant is growing on the play space by one of the slide structures. .0604(l) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was stored with epi-pen and inhaler in the backpack. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Parent permission form was not filled out for Benadryl. 10A NCAC 09 .0803(4)(6-9) 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, JC did not have First aid certificate in file. Staff member, LJ's first aid certificate expired on 5/15/23. .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, JC did not have CPR certificate in file. Staff member, LJ's CPR certificate expired on 5/15/23. .1102(d) 1920 Staff in summer camp programs required to complete Basic School-Age Care (BSAC) training did not complete BSAC training within four weeks of becoming employed. A staff member hired on 6/3/23 (PB) does not have BSAC training in file. It has been nine (9) weeks from hiring date. .2502(f) Technical assistance was provided as follows: 415: Daily Schedule 418: Activity plans. Dailly schedule and activity plan shall be current posted in the classroom. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 526: Menu Menu shall be posted where the parents can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 705: equipment Equipment shall be in good repair and study without rust and peeling paint/coating. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 823: Toxic plants: The licensed space used by children shall be free of toxic plants. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf 841: storage of medication Non-emergency medication, such as Benadryl shall be kept in a locked storage. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Authorization to administer medication Permission to administer medication authorization form is required for all medications, including Benadryl. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048:First Aid training 1049:CPR training Staff members shall obtain FA/CPR training within ninety (90) days of employment and maintain valid certification. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 1920:BSAC training Staff in summer camp programs shall complete BSAC training within four (4) weeks of employment instead of three (3) months. 10A NCAC 09 .2502 SPECIAL PROVISIONS FOR SUMMER DAY CAMPS (f) Staff in summer day camp programs required to complete Basic School-Age Care (BSAC) training as defined in Rule .0102 of this Chapter shall do so within four weeks of becoming employed. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/16/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Emergency drill log: 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER, (d) (5) states records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov The rule does not specify what form/format to log the record. However, the information listed above shall be included in the log. The form found on the Division’s website makes it easier to keep up with all the information. Going forward, this will be cited as a violation. Bulletin Board: Due to the fact that preschool children and staff members are isolated in their own space, you must have YMCA posters posted in preschool space and the following items shall be available for staff members and parents: • License • Emergency phone number • Emergency medical care plan • Menu • Summary of law • Staff/child ratio sheet • Daily schedule • Activity plan Going forward, this will be cited as violations. Playground inspection: Playground inspection is required for preschool playground(s). You have six (6) months from the first day of preschool program to complete playground safety training. Playground inspection shall be completed on the form provided on the Division’s website. If you are operating preschool portion next summer, at least one person shall complete playground safety training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Compliance rate: Prior to today’s visit, your compliance rate was seventy-six (76) percent. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. If you need questions or help with licensing rules and regulations, please contact me at kaoru.eddins@dhhs.nc.gov or 828.665.9013. I can conduct technical assistance visit or training. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 67 Completed Date: 8/2/2023 Age: From 4 To 12 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Joshua Willoughby, one of the program coordinators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Joshua Willoughby, Program Coordinator was available during the visit. I also met with Delaney Burke, Administrator, to review Staff files and program records. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. YMCA Glen Arden Afterschool recently added preschool components, and this is the first visit since the change. The center’s compliance history was reviewed with the operator. The program’s compliance history is seventy-six (76) percentage as of 7/31/23. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. Permit type – Five-star center license issued on 6/19/23. Special Services/Restrictions – daytime care, enhanced space and reduced ratios. Preschool children served June-August only. Children are prohibited in the kitchen. School-age playground does not meet safety standards. This facility is approved for transportation. All YMCA buses were monitored during a visit on 4/27/23. The last annual compliance visit was conducted on 2/13/23. The last fire drill was practiced on 7/19/23. The record of the drills are maintained electronically. The last lockdown drill was practiced on 6/8/23. The last playground inspection has not been documented. Playground inspection is required for preschool playground(s). No staff member has taken playground safety training. The last fire inspection was approved on 10/3/22. The last sanitation inspection was conducted on 5/18/23 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I observed all licensed spaces. Media Center is not used or maintained by the program. Therefore, the space is removed from the license space as of today. Space #1 cafeteria and space #3 gym are routinely utilized. Space #4 is labeled as after school on the map, but it is currently called trailer #1. There are two (2) additional trailers for this program, and trailer #2 (room 601) is used for the pre-K program. Trailer #3 (room 626) is used for school-age children. An additional facility diagram will be added to the record. Per the record for preschool programs operating during the school year, trailer #2 is approved for a total of sixty-six (66) children. The space is approved as two (2) separate spaces. Space #1 is the group area and space #2 is the activity area. Space #1(group area) is approved for thirty-one (31) children and space #2 (activity area) is approved for thirty-five (35) children. Trailers #1 and #3 are approved for twenty-five (25) children per space calculation sheet dated 8/25/04. The trailer space was labeled as #4 (music mobile unit), space #5 (admin modular unit), space #6A (art trailer), and #6B (art trailer) from the record dated 8/25/04. This information does not accurately reflect the current use of the space. Therefore, the space shall be newly labeled as space #1 Cafeteria, space #2, Gym, space #3 trailer #1, space #4, trailer #2(Room 626), and space #5 trailer #2 (preschool space, room 601). I observed group #1 in space #4 (trailer#2, room 626). They had “Siesta Time”, which is a quiet time. Children had towels/blankets. Some children sat down and other children lay down. There are few materials in the space. Per Mr. Turner, group leaders conduct art activities, circle/group time, and literacy activities. During Siesta time, some materials are recommended for children who choose not to rest. Books, puzzles, and quiet manipulative toys are recommended. Group #2 was observed in space #1 cafeteria. Children used half of the cafeteria to engage in free play with board games, puzzles, and art activities. Group #3 was observed in space #3 (trailer #1). Children engaged in free play and played with making bracelets and reading books. They also had access to various materials, including blocks, K’nex manipulative toys, a play castle, a parking garage, Potato Head, and other art materials. After cleaning up, the children transitioned to the cafeteria and had lunch. Most children brought lunch from home. Supplemental foods were provided by the program if needed. Group #4 was observed during the transition to the gym from space #4. Children played Sprout Ball in the gym, which is similar to Dodge Ball. Group #5, preschool-age children were observed in space #5 (trailer #2 Room 601). The children had lunch in the classroom. Today’s menu was a turkey sandwich, watermelon slices, cucumber slices, and milk. After lunch, the children used the group area and laid down on the cot to rest. Interaction with children and supervision of children were adequate. There are three (3) playgrounds for this program. The yellow playground is labeled as #1 and #2. The right side is playground space #1 and the left side is playground space #2. The green playground is labeled as playgrounds #3 and #4. The left side of the playground is space #3 and the right side of the playground is space #4. Playgrounds #1, 2, 3, and 4 are used by school-age children. The preschool playground is located in the field and is fenced. There are no permanent structures on the playground. One (1) large Ash tree provides shaded space. There are poison ivy plants on the ground by the equipment in playground space #1. The coating on the metal baseboard on the slide equipment in space #1 and #2 are peeling and tearing. The same baseboard on the slide structure and bridge in playground spaces #3 and #4 are also peeling and tearing. Some children left for a field trip to a pool during the visit. YMCA transportation is monitored separately. Per interview. Group leaders who accompany the field trip have iPad with all children’s applications and emergency information. The program uses lifeguards at the pool, but at least one (1) group leader remains in the pool and one (1) group leader remains outside the pool to maintain effective supervision. During the aquatic activity, the program maintains 1:13 child/staff ratios. Two (2) new staff files were monitored in full and nine (9) existing staff members files were monitored for criminal background letter, BSAC training, and CPR/First aid training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ Following violations were cited during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Daily schedule was not posted in the space #5, preschool classroom. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. An activity plan posted in space #5, preschool room, was dated 7/24/23 - 7/28/23. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu was not posted in space #5. 10A NCAC 09 .0901(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On playground space #1 and #2, coating of the metal base on the slide structures and bridge are peeling and tearing. On playground space #3 and #4, coating of the metal base on the slide structures are peeling and tearing. .0601(c) 823 Toxic plants were accessible to children. On playground space #3 and #4 (green playground), poison ivy plant is growing on the play space by one of the slide structures. .0604(l) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was stored with epi-pen and inhaler in the backpack. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Parent permission form was not filled out for Benadryl. 10A NCAC 09 .0803(4)(6-9) 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, JC did not have First aid certificate in file. Staff member, LJ's first aid certificate expired on 5/15/23. .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, JC did not have CPR certificate in file. Staff member, LJ's CPR certificate expired on 5/15/23. .1102(d) 1920 Staff in summer camp programs required to complete Basic School-Age Care (BSAC) training did not complete BSAC training within four weeks of becoming employed. A staff member hired on 6/3/23 (PB) does not have BSAC training in file. It has been nine (9) weeks from hiring date. .2502(f) Technical assistance was provided as follows: 415: Daily Schedule 418: Activity plans. Dailly schedule and activity plan shall be current posted in the classroom. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 526: Menu Menu shall be posted where the parents can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 705: equipment Equipment shall be in good repair and study without rust and peeling paint/coating. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 823: Toxic plants: The licensed space used by children shall be free of toxic plants. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf 841: storage of medication Non-emergency medication, such as Benadryl shall be kept in a locked storage. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Authorization to administer medication Permission to administer medication authorization form is required for all medications, including Benadryl. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048:First Aid training 1049:CPR training Staff members shall obtain FA/CPR training within ninety (90) days of employment and maintain valid certification. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 1920:BSAC training Staff in summer camp programs shall complete BSAC training within four (4) weeks of employment instead of three (3) months. 10A NCAC 09 .2502 SPECIAL PROVISIONS FOR SUMMER DAY CAMPS (f) Staff in summer day camp programs required to complete Basic School-Age Care (BSAC) training as defined in Rule .0102 of this Chapter shall do so within four weeks of becoming employed. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/16/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Emergency drill log: 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER, (d) (5) states records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov The rule does not specify what form/format to log the record. However, the information listed above shall be included in the log. The form found on the Division’s website makes it easier to keep up with all the information. Going forward, this will be cited as a violation. Bulletin Board: Due to the fact that preschool children and staff members are isolated in their own space, you must have YMCA posters posted in preschool space and the following items shall be available for staff members and parents: • License • Emergency phone number • Emergency medical care plan • Menu • Summary of law • Staff/child ratio sheet • Daily schedule • Activity plan Going forward, this will be cited as violations. Playground inspection: Playground inspection is required for preschool playground(s). You have six (6) months from the first day of preschool program to complete playground safety training. Playground inspection shall be completed on the form provided on the Division’s website. If you are operating preschool portion next summer, at least one person shall complete playground safety training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Compliance rate: Prior to today’s visit, your compliance rate was seventy-six (76) percent. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. If you need questions or help with licensing rules and regulations, please contact me at kaoru.eddins@dhhs.nc.gov or 828.665.9013. I can conduct technical assistance visit or training. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 67 Completed Date: 8/2/2023 Age: From 4 To 12 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Joshua Willoughby, one of the program coordinators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Joshua Willoughby, Program Coordinator was available during the visit. I also met with Delaney Burke, Administrator, to review Staff files and program records. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. YMCA Glen Arden Afterschool recently added preschool components, and this is the first visit since the change. The center’s compliance history was reviewed with the operator. The program’s compliance history is seventy-six (76) percentage as of 7/31/23. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. Permit type – Five-star center license issued on 6/19/23. Special Services/Restrictions – daytime care, enhanced space and reduced ratios. Preschool children served June-August only. Children are prohibited in the kitchen. School-age playground does not meet safety standards. This facility is approved for transportation. All YMCA buses were monitored during a visit on 4/27/23. The last annual compliance visit was conducted on 2/13/23. The last fire drill was practiced on 7/19/23. The record of the drills are maintained electronically. The last lockdown drill was practiced on 6/8/23. The last playground inspection has not been documented. Playground inspection is required for preschool playground(s). No staff member has taken playground safety training. The last fire inspection was approved on 10/3/22. The last sanitation inspection was conducted on 5/18/23 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I observed all licensed spaces. Media Center is not used or maintained by the program. Therefore, the space is removed from the license space as of today. Space #1 cafeteria and space #3 gym are routinely utilized. Space #4 is labeled as after school on the map, but it is currently called trailer #1. There are two (2) additional trailers for this program, and trailer #2 (room 601) is used for the pre-K program. Trailer #3 (room 626) is used for school-age children. An additional facility diagram will be added to the record. Per the record for preschool programs operating during the school year, trailer #2 is approved for a total of sixty-six (66) children. The space is approved as two (2) separate spaces. Space #1 is the group area and space #2 is the activity area. Space #1(group area) is approved for thirty-one (31) children and space #2 (activity area) is approved for thirty-five (35) children. Trailers #1 and #3 are approved for twenty-five (25) children per space calculation sheet dated 8/25/04. The trailer space was labeled as #4 (music mobile unit), space #5 (admin modular unit), space #6A (art trailer), and #6B (art trailer) from the record dated 8/25/04. This information does not accurately reflect the current use of the space. Therefore, the space shall be newly labeled as space #1 Cafeteria, space #2, Gym, space #3 trailer #1, space #4, trailer #2(Room 626), and space #5 trailer #2 (preschool space, room 601). I observed group #1 in space #4 (trailer#2, room 626). They had “Siesta Time”, which is a quiet time. Children had towels/blankets. Some children sat down and other children lay down. There are few materials in the space. Per Mr. Turner, group leaders conduct art activities, circle/group time, and literacy activities. During Siesta time, some materials are recommended for children who choose not to rest. Books, puzzles, and quiet manipulative toys are recommended. Group #2 was observed in space #1 cafeteria. Children used half of the cafeteria to engage in free play with board games, puzzles, and art activities. Group #3 was observed in space #3 (trailer #1). Children engaged in free play and played with making bracelets and reading books. They also had access to various materials, including blocks, K’nex manipulative toys, a play castle, a parking garage, Potato Head, and other art materials. After cleaning up, the children transitioned to the cafeteria and had lunch. Most children brought lunch from home. Supplemental foods were provided by the program if needed. Group #4 was observed during the transition to the gym from space #4. Children played Sprout Ball in the gym, which is similar to Dodge Ball. Group #5, preschool-age children were observed in space #5 (trailer #2 Room 601). The children had lunch in the classroom. Today’s menu was a turkey sandwich, watermelon slices, cucumber slices, and milk. After lunch, the children used the group area and laid down on the cot to rest. Interaction with children and supervision of children were adequate. There are three (3) playgrounds for this program. The yellow playground is labeled as #1 and #2. The right side is playground space #1 and the left side is playground space #2. The green playground is labeled as playgrounds #3 and #4. The left side of the playground is space #3 and the right side of the playground is space #4. Playgrounds #1, 2, 3, and 4 are used by school-age children. The preschool playground is located in the field and is fenced. There are no permanent structures on the playground. One (1) large Ash tree provides shaded space. There are poison ivy plants on the ground by the equipment in playground space #1. The coating on the metal baseboard on the slide equipment in space #1 and #2 are peeling and tearing. The same baseboard on the slide structure and bridge in playground spaces #3 and #4 are also peeling and tearing. Some children left for a field trip to a pool during the visit. YMCA transportation is monitored separately. Per interview. Group leaders who accompany the field trip have iPad with all children’s applications and emergency information. The program uses lifeguards at the pool, but at least one (1) group leader remains in the pool and one (1) group leader remains outside the pool to maintain effective supervision. During the aquatic activity, the program maintains 1:13 child/staff ratios. Two (2) new staff files were monitored in full and nine (9) existing staff members files were monitored for criminal background letter, BSAC training, and CPR/First aid training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ Following violations were cited during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Daily schedule was not posted in the space #5, preschool classroom. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. An activity plan posted in space #5, preschool room, was dated 7/24/23 - 7/28/23. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu was not posted in space #5. 10A NCAC 09 .0901(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On playground space #1 and #2, coating of the metal base on the slide structures and bridge are peeling and tearing. On playground space #3 and #4, coating of the metal base on the slide structures are peeling and tearing. .0601(c) 823 Toxic plants were accessible to children. On playground space #3 and #4 (green playground), poison ivy plant is growing on the play space by one of the slide structures. .0604(l) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was stored with epi-pen and inhaler in the backpack. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Parent permission form was not filled out for Benadryl. 10A NCAC 09 .0803(4)(6-9) 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, JC did not have First aid certificate in file. Staff member, LJ's first aid certificate expired on 5/15/23. .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, JC did not have CPR certificate in file. Staff member, LJ's CPR certificate expired on 5/15/23. .1102(d) 1920 Staff in summer camp programs required to complete Basic School-Age Care (BSAC) training did not complete BSAC training within four weeks of becoming employed. A staff member hired on 6/3/23 (PB) does not have BSAC training in file. It has been nine (9) weeks from hiring date. .2502(f) Technical assistance was provided as follows: 415: Daily Schedule 418: Activity plans. Dailly schedule and activity plan shall be current posted in the classroom. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 526: Menu Menu shall be posted where the parents can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 705: equipment Equipment shall be in good repair and study without rust and peeling paint/coating. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 823: Toxic plants: The licensed space used by children shall be free of toxic plants. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf 841: storage of medication Non-emergency medication, such as Benadryl shall be kept in a locked storage. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Authorization to administer medication Permission to administer medication authorization form is required for all medications, including Benadryl. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048:First Aid training 1049:CPR training Staff members shall obtain FA/CPR training within ninety (90) days of employment and maintain valid certification. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 1920:BSAC training Staff in summer camp programs shall complete BSAC training within four (4) weeks of employment instead of three (3) months. 10A NCAC 09 .2502 SPECIAL PROVISIONS FOR SUMMER DAY CAMPS (f) Staff in summer day camp programs required to complete Basic School-Age Care (BSAC) training as defined in Rule .0102 of this Chapter shall do so within four weeks of becoming employed. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/16/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Emergency drill log: 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER, (d) (5) states records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov The rule does not specify what form/format to log the record. However, the information listed above shall be included in the log. The form found on the Division’s website makes it easier to keep up with all the information. Going forward, this will be cited as a violation. Bulletin Board: Due to the fact that preschool children and staff members are isolated in their own space, you must have YMCA posters posted in preschool space and the following items shall be available for staff members and parents: • License • Emergency phone number • Emergency medical care plan • Menu • Summary of law • Staff/child ratio sheet • Daily schedule • Activity plan Going forward, this will be cited as violations. Playground inspection: Playground inspection is required for preschool playground(s). You have six (6) months from the first day of preschool program to complete playground safety training. Playground inspection shall be completed on the form provided on the Division’s website. If you are operating preschool portion next summer, at least one person shall complete playground safety training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Compliance rate: Prior to today’s visit, your compliance rate was seventy-six (76) percent. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. If you need questions or help with licensing rules and regulations, please contact me at kaoru.eddins@dhhs.nc.gov or 828.665.9013. I can conduct technical assistance visit or training. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 67 Completed Date: 8/2/2023 Age: From 4 To 12 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Joshua Willoughby, one of the program coordinators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Joshua Willoughby, Program Coordinator was available during the visit. I also met with Delaney Burke, Administrator, to review Staff files and program records. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. YMCA Glen Arden Afterschool recently added preschool components, and this is the first visit since the change. The center’s compliance history was reviewed with the operator. The program’s compliance history is seventy-six (76) percentage as of 7/31/23. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. Permit type – Five-star center license issued on 6/19/23. Special Services/Restrictions – daytime care, enhanced space and reduced ratios. Preschool children served June-August only. Children are prohibited in the kitchen. School-age playground does not meet safety standards. This facility is approved for transportation. All YMCA buses were monitored during a visit on 4/27/23. The last annual compliance visit was conducted on 2/13/23. The last fire drill was practiced on 7/19/23. The record of the drills are maintained electronically. The last lockdown drill was practiced on 6/8/23. The last playground inspection has not been documented. Playground inspection is required for preschool playground(s). No staff member has taken playground safety training. The last fire inspection was approved on 10/3/22. The last sanitation inspection was conducted on 5/18/23 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I observed all licensed spaces. Media Center is not used or maintained by the program. Therefore, the space is removed from the license space as of today. Space #1 cafeteria and space #3 gym are routinely utilized. Space #4 is labeled as after school on the map, but it is currently called trailer #1. There are two (2) additional trailers for this program, and trailer #2 (room 601) is used for the pre-K program. Trailer #3 (room 626) is used for school-age children. An additional facility diagram will be added to the record. Per the record for preschool programs operating during the school year, trailer #2 is approved for a total of sixty-six (66) children. The space is approved as two (2) separate spaces. Space #1 is the group area and space #2 is the activity area. Space #1(group area) is approved for thirty-one (31) children and space #2 (activity area) is approved for thirty-five (35) children. Trailers #1 and #3 are approved for twenty-five (25) children per space calculation sheet dated 8/25/04. The trailer space was labeled as #4 (music mobile unit), space #5 (admin modular unit), space #6A (art trailer), and #6B (art trailer) from the record dated 8/25/04. This information does not accurately reflect the current use of the space. Therefore, the space shall be newly labeled as space #1 Cafeteria, space #2, Gym, space #3 trailer #1, space #4, trailer #2(Room 626), and space #5 trailer #2 (preschool space, room 601). I observed group #1 in space #4 (trailer#2, room 626). They had “Siesta Time”, which is a quiet time. Children had towels/blankets. Some children sat down and other children lay down. There are few materials in the space. Per Mr. Turner, group leaders conduct art activities, circle/group time, and literacy activities. During Siesta time, some materials are recommended for children who choose not to rest. Books, puzzles, and quiet manipulative toys are recommended. Group #2 was observed in space #1 cafeteria. Children used half of the cafeteria to engage in free play with board games, puzzles, and art activities. Group #3 was observed in space #3 (trailer #1). Children engaged in free play and played with making bracelets and reading books. They also had access to various materials, including blocks, K’nex manipulative toys, a play castle, a parking garage, Potato Head, and other art materials. After cleaning up, the children transitioned to the cafeteria and had lunch. Most children brought lunch from home. Supplemental foods were provided by the program if needed. Group #4 was observed during the transition to the gym from space #4. Children played Sprout Ball in the gym, which is similar to Dodge Ball. Group #5, preschool-age children were observed in space #5 (trailer #2 Room 601). The children had lunch in the classroom. Today’s menu was a turkey sandwich, watermelon slices, cucumber slices, and milk. After lunch, the children used the group area and laid down on the cot to rest. Interaction with children and supervision of children were adequate. There are three (3) playgrounds for this program. The yellow playground is labeled as #1 and #2. The right side is playground space #1 and the left side is playground space #2. The green playground is labeled as playgrounds #3 and #4. The left side of the playground is space #3 and the right side of the playground is space #4. Playgrounds #1, 2, 3, and 4 are used by school-age children. The preschool playground is located in the field and is fenced. There are no permanent structures on the playground. One (1) large Ash tree provides shaded space. There are poison ivy plants on the ground by the equipment in playground space #1. The coating on the metal baseboard on the slide equipment in space #1 and #2 are peeling and tearing. The same baseboard on the slide structure and bridge in playground spaces #3 and #4 are also peeling and tearing. Some children left for a field trip to a pool during the visit. YMCA transportation is monitored separately. Per interview. Group leaders who accompany the field trip have iPad with all children’s applications and emergency information. The program uses lifeguards at the pool, but at least one (1) group leader remains in the pool and one (1) group leader remains outside the pool to maintain effective supervision. During the aquatic activity, the program maintains 1:13 child/staff ratios. Two (2) new staff files were monitored in full and nine (9) existing staff members files were monitored for criminal background letter, BSAC training, and CPR/First aid training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ Following violations were cited during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Daily schedule was not posted in the space #5, preschool classroom. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. An activity plan posted in space #5, preschool room, was dated 7/24/23 - 7/28/23. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu was not posted in space #5. 10A NCAC 09 .0901(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On playground space #1 and #2, coating of the metal base on the slide structures and bridge are peeling and tearing. On playground space #3 and #4, coating of the metal base on the slide structures are peeling and tearing. .0601(c) 823 Toxic plants were accessible to children. On playground space #3 and #4 (green playground), poison ivy plant is growing on the play space by one of the slide structures. .0604(l) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was stored with epi-pen and inhaler in the backpack. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Parent permission form was not filled out for Benadryl. 10A NCAC 09 .0803(4)(6-9) 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, JC did not have First aid certificate in file. Staff member, LJ's first aid certificate expired on 5/15/23. .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, JC did not have CPR certificate in file. Staff member, LJ's CPR certificate expired on 5/15/23. .1102(d) 1920 Staff in summer camp programs required to complete Basic School-Age Care (BSAC) training did not complete BSAC training within four weeks of becoming employed. A staff member hired on 6/3/23 (PB) does not have BSAC training in file. It has been nine (9) weeks from hiring date. .2502(f) Technical assistance was provided as follows: 415: Daily Schedule 418: Activity plans. Dailly schedule and activity plan shall be current posted in the classroom. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 526: Menu Menu shall be posted where the parents can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 705: equipment Equipment shall be in good repair and study without rust and peeling paint/coating. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 823: Toxic plants: The licensed space used by children shall be free of toxic plants. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf 841: storage of medication Non-emergency medication, such as Benadryl shall be kept in a locked storage. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Authorization to administer medication Permission to administer medication authorization form is required for all medications, including Benadryl. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048:First Aid training 1049:CPR training Staff members shall obtain FA/CPR training within ninety (90) days of employment and maintain valid certification. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 1920:BSAC training Staff in summer camp programs shall complete BSAC training within four (4) weeks of employment instead of three (3) months. 10A NCAC 09 .2502 SPECIAL PROVISIONS FOR SUMMER DAY CAMPS (f) Staff in summer day camp programs required to complete Basic School-Age Care (BSAC) training as defined in Rule .0102 of this Chapter shall do so within four weeks of becoming employed. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/16/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Emergency drill log: 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER, (d) (5) states records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov The rule does not specify what form/format to log the record. However, the information listed above shall be included in the log. The form found on the Division’s website makes it easier to keep up with all the information. Going forward, this will be cited as a violation. Bulletin Board: Due to the fact that preschool children and staff members are isolated in their own space, you must have YMCA posters posted in preschool space and the following items shall be available for staff members and parents: • License • Emergency phone number • Emergency medical care plan • Menu • Summary of law • Staff/child ratio sheet • Daily schedule • Activity plan Going forward, this will be cited as violations. Playground inspection: Playground inspection is required for preschool playground(s). You have six (6) months from the first day of preschool program to complete playground safety training. Playground inspection shall be completed on the form provided on the Division’s website. If you are operating preschool portion next summer, at least one person shall complete playground safety training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Compliance rate: Prior to today’s visit, your compliance rate was seventy-six (76) percent. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. If you need questions or help with licensing rules and regulations, please contact me at kaoru.eddins@dhhs.nc.gov or 828.665.9013. I can conduct technical assistance visit or training. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2502 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 67 Completed Date: 8/2/2023 Age: From 4 To 12 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Joshua Willoughby, one of the program coordinators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Joshua Willoughby, Program Coordinator was available during the visit. I also met with Delaney Burke, Administrator, to review Staff files and program records. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. YMCA Glen Arden Afterschool recently added preschool components, and this is the first visit since the change. The center’s compliance history was reviewed with the operator. The program’s compliance history is seventy-six (76) percentage as of 7/31/23. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. Permit type – Five-star center license issued on 6/19/23. Special Services/Restrictions – daytime care, enhanced space and reduced ratios. Preschool children served June-August only. Children are prohibited in the kitchen. School-age playground does not meet safety standards. This facility is approved for transportation. All YMCA buses were monitored during a visit on 4/27/23. The last annual compliance visit was conducted on 2/13/23. The last fire drill was practiced on 7/19/23. The record of the drills are maintained electronically. The last lockdown drill was practiced on 6/8/23. The last playground inspection has not been documented. Playground inspection is required for preschool playground(s). No staff member has taken playground safety training. The last fire inspection was approved on 10/3/22. The last sanitation inspection was conducted on 5/18/23 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I observed all licensed spaces. Media Center is not used or maintained by the program. Therefore, the space is removed from the license space as of today. Space #1 cafeteria and space #3 gym are routinely utilized. Space #4 is labeled as after school on the map, but it is currently called trailer #1. There are two (2) additional trailers for this program, and trailer #2 (room 601) is used for the pre-K program. Trailer #3 (room 626) is used for school-age children. An additional facility diagram will be added to the record. Per the record for preschool programs operating during the school year, trailer #2 is approved for a total of sixty-six (66) children. The space is approved as two (2) separate spaces. Space #1 is the group area and space #2 is the activity area. Space #1(group area) is approved for thirty-one (31) children and space #2 (activity area) is approved for thirty-five (35) children. Trailers #1 and #3 are approved for twenty-five (25) children per space calculation sheet dated 8/25/04. The trailer space was labeled as #4 (music mobile unit), space #5 (admin modular unit), space #6A (art trailer), and #6B (art trailer) from the record dated 8/25/04. This information does not accurately reflect the current use of the space. Therefore, the space shall be newly labeled as space #1 Cafeteria, space #2, Gym, space #3 trailer #1, space #4, trailer #2(Room 626), and space #5 trailer #2 (preschool space, room 601). I observed group #1 in space #4 (trailer#2, room 626). They had “Siesta Time”, which is a quiet time. Children had towels/blankets. Some children sat down and other children lay down. There are few materials in the space. Per Mr. Turner, group leaders conduct art activities, circle/group time, and literacy activities. During Siesta time, some materials are recommended for children who choose not to rest. Books, puzzles, and quiet manipulative toys are recommended. Group #2 was observed in space #1 cafeteria. Children used half of the cafeteria to engage in free play with board games, puzzles, and art activities. Group #3 was observed in space #3 (trailer #1). Children engaged in free play and played with making bracelets and reading books. They also had access to various materials, including blocks, K’nex manipulative toys, a play castle, a parking garage, Potato Head, and other art materials. After cleaning up, the children transitioned to the cafeteria and had lunch. Most children brought lunch from home. Supplemental foods were provided by the program if needed. Group #4 was observed during the transition to the gym from space #4. Children played Sprout Ball in the gym, which is similar to Dodge Ball. Group #5, preschool-age children were observed in space #5 (trailer #2 Room 601). The children had lunch in the classroom. Today’s menu was a turkey sandwich, watermelon slices, cucumber slices, and milk. After lunch, the children used the group area and laid down on the cot to rest. Interaction with children and supervision of children were adequate. There are three (3) playgrounds for this program. The yellow playground is labeled as #1 and #2. The right side is playground space #1 and the left side is playground space #2. The green playground is labeled as playgrounds #3 and #4. The left side of the playground is space #3 and the right side of the playground is space #4. Playgrounds #1, 2, 3, and 4 are used by school-age children. The preschool playground is located in the field and is fenced. There are no permanent structures on the playground. One (1) large Ash tree provides shaded space. There are poison ivy plants on the ground by the equipment in playground space #1. The coating on the metal baseboard on the slide equipment in space #1 and #2 are peeling and tearing. The same baseboard on the slide structure and bridge in playground spaces #3 and #4 are also peeling and tearing. Some children left for a field trip to a pool during the visit. YMCA transportation is monitored separately. Per interview. Group leaders who accompany the field trip have iPad with all children’s applications and emergency information. The program uses lifeguards at the pool, but at least one (1) group leader remains in the pool and one (1) group leader remains outside the pool to maintain effective supervision. During the aquatic activity, the program maintains 1:13 child/staff ratios. Two (2) new staff files were monitored in full and nine (9) existing staff members files were monitored for criminal background letter, BSAC training, and CPR/First aid training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ Following violations were cited during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Daily schedule was not posted in the space #5, preschool classroom. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. An activity plan posted in space #5, preschool room, was dated 7/24/23 - 7/28/23. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu was not posted in space #5. 10A NCAC 09 .0901(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On playground space #1 and #2, coating of the metal base on the slide structures and bridge are peeling and tearing. On playground space #3 and #4, coating of the metal base on the slide structures are peeling and tearing. .0601(c) 823 Toxic plants were accessible to children. On playground space #3 and #4 (green playground), poison ivy plant is growing on the play space by one of the slide structures. .0604(l) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was stored with epi-pen and inhaler in the backpack. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Parent permission form was not filled out for Benadryl. 10A NCAC 09 .0803(4)(6-9) 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, JC did not have First aid certificate in file. Staff member, LJ's first aid certificate expired on 5/15/23. .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, JC did not have CPR certificate in file. Staff member, LJ's CPR certificate expired on 5/15/23. .1102(d) 1920 Staff in summer camp programs required to complete Basic School-Age Care (BSAC) training did not complete BSAC training within four weeks of becoming employed. A staff member hired on 6/3/23 (PB) does not have BSAC training in file. It has been nine (9) weeks from hiring date. .2502(f) Technical assistance was provided as follows: 415: Daily Schedule 418: Activity plans. Dailly schedule and activity plan shall be current posted in the classroom. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 526: Menu Menu shall be posted where the parents can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 705: equipment Equipment shall be in good repair and study without rust and peeling paint/coating. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 823: Toxic plants: The licensed space used by children shall be free of toxic plants. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf 841: storage of medication Non-emergency medication, such as Benadryl shall be kept in a locked storage. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Authorization to administer medication Permission to administer medication authorization form is required for all medications, including Benadryl. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048:First Aid training 1049:CPR training Staff members shall obtain FA/CPR training within ninety (90) days of employment and maintain valid certification. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 1920:BSAC training Staff in summer camp programs shall complete BSAC training within four (4) weeks of employment instead of three (3) months. 10A NCAC 09 .2502 SPECIAL PROVISIONS FOR SUMMER DAY CAMPS (f) Staff in summer day camp programs required to complete Basic School-Age Care (BSAC) training as defined in Rule .0102 of this Chapter shall do so within four weeks of becoming employed. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/16/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Emergency drill log: 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER, (d) (5) states records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov The rule does not specify what form/format to log the record. However, the information listed above shall be included in the log. The form found on the Division’s website makes it easier to keep up with all the information. Going forward, this will be cited as a violation. Bulletin Board: Due to the fact that preschool children and staff members are isolated in their own space, you must have YMCA posters posted in preschool space and the following items shall be available for staff members and parents: • License • Emergency phone number • Emergency medical care plan • Menu • Summary of law • Staff/child ratio sheet • Daily schedule • Activity plan Going forward, this will be cited as violations. Playground inspection: Playground inspection is required for preschool playground(s). You have six (6) months from the first day of preschool program to complete playground safety training. Playground inspection shall be completed on the form provided on the Division’s website. If you are operating preschool portion next summer, at least one person shall complete playground safety training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Compliance rate: Prior to today’s visit, your compliance rate was seventy-six (76) percent. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. If you need questions or help with licensing rules and regulations, please contact me at kaoru.eddins@dhhs.nc.gov or 828.665.9013. I can conduct technical assistance visit or training. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 67 Completed Date: 8/2/2023 Age: From 4 To 12 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Joshua Willoughby, one of the program coordinators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Joshua Willoughby, Program Coordinator was available during the visit. I also met with Delaney Burke, Administrator, to review Staff files and program records. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. YMCA Glen Arden Afterschool recently added preschool components, and this is the first visit since the change. The center’s compliance history was reviewed with the operator. The program’s compliance history is seventy-six (76) percentage as of 7/31/23. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. Permit type – Five-star center license issued on 6/19/23. Special Services/Restrictions – daytime care, enhanced space and reduced ratios. Preschool children served June-August only. Children are prohibited in the kitchen. School-age playground does not meet safety standards. This facility is approved for transportation. All YMCA buses were monitored during a visit on 4/27/23. The last annual compliance visit was conducted on 2/13/23. The last fire drill was practiced on 7/19/23. The record of the drills are maintained electronically. The last lockdown drill was practiced on 6/8/23. The last playground inspection has not been documented. Playground inspection is required for preschool playground(s). No staff member has taken playground safety training. The last fire inspection was approved on 10/3/22. The last sanitation inspection was conducted on 5/18/23 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I observed all licensed spaces. Media Center is not used or maintained by the program. Therefore, the space is removed from the license space as of today. Space #1 cafeteria and space #3 gym are routinely utilized. Space #4 is labeled as after school on the map, but it is currently called trailer #1. There are two (2) additional trailers for this program, and trailer #2 (room 601) is used for the pre-K program. Trailer #3 (room 626) is used for school-age children. An additional facility diagram will be added to the record. Per the record for preschool programs operating during the school year, trailer #2 is approved for a total of sixty-six (66) children. The space is approved as two (2) separate spaces. Space #1 is the group area and space #2 is the activity area. Space #1(group area) is approved for thirty-one (31) children and space #2 (activity area) is approved for thirty-five (35) children. Trailers #1 and #3 are approved for twenty-five (25) children per space calculation sheet dated 8/25/04. The trailer space was labeled as #4 (music mobile unit), space #5 (admin modular unit), space #6A (art trailer), and #6B (art trailer) from the record dated 8/25/04. This information does not accurately reflect the current use of the space. Therefore, the space shall be newly labeled as space #1 Cafeteria, space #2, Gym, space #3 trailer #1, space #4, trailer #2(Room 626), and space #5 trailer #2 (preschool space, room 601). I observed group #1 in space #4 (trailer#2, room 626). They had “Siesta Time”, which is a quiet time. Children had towels/blankets. Some children sat down and other children lay down. There are few materials in the space. Per Mr. Turner, group leaders conduct art activities, circle/group time, and literacy activities. During Siesta time, some materials are recommended for children who choose not to rest. Books, puzzles, and quiet manipulative toys are recommended. Group #2 was observed in space #1 cafeteria. Children used half of the cafeteria to engage in free play with board games, puzzles, and art activities. Group #3 was observed in space #3 (trailer #1). Children engaged in free play and played with making bracelets and reading books. They also had access to various materials, including blocks, K’nex manipulative toys, a play castle, a parking garage, Potato Head, and other art materials. After cleaning up, the children transitioned to the cafeteria and had lunch. Most children brought lunch from home. Supplemental foods were provided by the program if needed. Group #4 was observed during the transition to the gym from space #4. Children played Sprout Ball in the gym, which is similar to Dodge Ball. Group #5, preschool-age children were observed in space #5 (trailer #2 Room 601). The children had lunch in the classroom. Today’s menu was a turkey sandwich, watermelon slices, cucumber slices, and milk. After lunch, the children used the group area and laid down on the cot to rest. Interaction with children and supervision of children were adequate. There are three (3) playgrounds for this program. The yellow playground is labeled as #1 and #2. The right side is playground space #1 and the left side is playground space #2. The green playground is labeled as playgrounds #3 and #4. The left side of the playground is space #3 and the right side of the playground is space #4. Playgrounds #1, 2, 3, and 4 are used by school-age children. The preschool playground is located in the field and is fenced. There are no permanent structures on the playground. One (1) large Ash tree provides shaded space. There are poison ivy plants on the ground by the equipment in playground space #1. The coating on the metal baseboard on the slide equipment in space #1 and #2 are peeling and tearing. The same baseboard on the slide structure and bridge in playground spaces #3 and #4 are also peeling and tearing. Some children left for a field trip to a pool during the visit. YMCA transportation is monitored separately. Per interview. Group leaders who accompany the field trip have iPad with all children’s applications and emergency information. The program uses lifeguards at the pool, but at least one (1) group leader remains in the pool and one (1) group leader remains outside the pool to maintain effective supervision. During the aquatic activity, the program maintains 1:13 child/staff ratios. Two (2) new staff files were monitored in full and nine (9) existing staff members files were monitored for criminal background letter, BSAC training, and CPR/First aid training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ Following violations were cited during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Daily schedule was not posted in the space #5, preschool classroom. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. An activity plan posted in space #5, preschool room, was dated 7/24/23 - 7/28/23. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu was not posted in space #5. 10A NCAC 09 .0901(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On playground space #1 and #2, coating of the metal base on the slide structures and bridge are peeling and tearing. On playground space #3 and #4, coating of the metal base on the slide structures are peeling and tearing. .0601(c) 823 Toxic plants were accessible to children. On playground space #3 and #4 (green playground), poison ivy plant is growing on the play space by one of the slide structures. .0604(l) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was stored with epi-pen and inhaler in the backpack. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Parent permission form was not filled out for Benadryl. 10A NCAC 09 .0803(4)(6-9) 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, JC did not have First aid certificate in file. Staff member, LJ's first aid certificate expired on 5/15/23. .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, JC did not have CPR certificate in file. Staff member, LJ's CPR certificate expired on 5/15/23. .1102(d) 1920 Staff in summer camp programs required to complete Basic School-Age Care (BSAC) training did not complete BSAC training within four weeks of becoming employed. A staff member hired on 6/3/23 (PB) does not have BSAC training in file. It has been nine (9) weeks from hiring date. .2502(f) Technical assistance was provided as follows: 415: Daily Schedule 418: Activity plans. Dailly schedule and activity plan shall be current posted in the classroom. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 526: Menu Menu shall be posted where the parents can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 705: equipment Equipment shall be in good repair and study without rust and peeling paint/coating. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 823: Toxic plants: The licensed space used by children shall be free of toxic plants. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf 841: storage of medication Non-emergency medication, such as Benadryl shall be kept in a locked storage. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Authorization to administer medication Permission to administer medication authorization form is required for all medications, including Benadryl. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048:First Aid training 1049:CPR training Staff members shall obtain FA/CPR training within ninety (90) days of employment and maintain valid certification. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 1920:BSAC training Staff in summer camp programs shall complete BSAC training within four (4) weeks of employment instead of three (3) months. 10A NCAC 09 .2502 SPECIAL PROVISIONS FOR SUMMER DAY CAMPS (f) Staff in summer day camp programs required to complete Basic School-Age Care (BSAC) training as defined in Rule .0102 of this Chapter shall do so within four weeks of becoming employed. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/16/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Emergency drill log: 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER, (d) (5) states records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov The rule does not specify what form/format to log the record. However, the information listed above shall be included in the log. The form found on the Division’s website makes it easier to keep up with all the information. Going forward, this will be cited as a violation. Bulletin Board: Due to the fact that preschool children and staff members are isolated in their own space, you must have YMCA posters posted in preschool space and the following items shall be available for staff members and parents: • License • Emergency phone number • Emergency medical care plan • Menu • Summary of law • Staff/child ratio sheet • Daily schedule • Activity plan Going forward, this will be cited as violations. Playground inspection: Playground inspection is required for preschool playground(s). You have six (6) months from the first day of preschool program to complete playground safety training. Playground inspection shall be completed on the form provided on the Division’s website. If you are operating preschool portion next summer, at least one person shall complete playground safety training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Compliance rate: Prior to today’s visit, your compliance rate was seventy-six (76) percent. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. If you need questions or help with licensing rules and regulations, please contact me at kaoru.eddins@dhhs.nc.gov or 828.665.9013. I can conduct technical assistance visit or training. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 67 Completed Date: 8/2/2023 Age: From 4 To 12 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Joshua Willoughby, one of the program coordinators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Joshua Willoughby, Program Coordinator was available during the visit. I also met with Delaney Burke, Administrator, to review Staff files and program records. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. YMCA Glen Arden Afterschool recently added preschool components, and this is the first visit since the change. The center’s compliance history was reviewed with the operator. The program’s compliance history is seventy-six (76) percentage as of 7/31/23. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. Permit type – Five-star center license issued on 6/19/23. Special Services/Restrictions – daytime care, enhanced space and reduced ratios. Preschool children served June-August only. Children are prohibited in the kitchen. School-age playground does not meet safety standards. This facility is approved for transportation. All YMCA buses were monitored during a visit on 4/27/23. The last annual compliance visit was conducted on 2/13/23. The last fire drill was practiced on 7/19/23. The record of the drills are maintained electronically. The last lockdown drill was practiced on 6/8/23. The last playground inspection has not been documented. Playground inspection is required for preschool playground(s). No staff member has taken playground safety training. The last fire inspection was approved on 10/3/22. The last sanitation inspection was conducted on 5/18/23 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I observed all licensed spaces. Media Center is not used or maintained by the program. Therefore, the space is removed from the license space as of today. Space #1 cafeteria and space #3 gym are routinely utilized. Space #4 is labeled as after school on the map, but it is currently called trailer #1. There are two (2) additional trailers for this program, and trailer #2 (room 601) is used for the pre-K program. Trailer #3 (room 626) is used for school-age children. An additional facility diagram will be added to the record. Per the record for preschool programs operating during the school year, trailer #2 is approved for a total of sixty-six (66) children. The space is approved as two (2) separate spaces. Space #1 is the group area and space #2 is the activity area. Space #1(group area) is approved for thirty-one (31) children and space #2 (activity area) is approved for thirty-five (35) children. Trailers #1 and #3 are approved for twenty-five (25) children per space calculation sheet dated 8/25/04. The trailer space was labeled as #4 (music mobile unit), space #5 (admin modular unit), space #6A (art trailer), and #6B (art trailer) from the record dated 8/25/04. This information does not accurately reflect the current use of the space. Therefore, the space shall be newly labeled as space #1 Cafeteria, space #2, Gym, space #3 trailer #1, space #4, trailer #2(Room 626), and space #5 trailer #2 (preschool space, room 601). I observed group #1 in space #4 (trailer#2, room 626). They had “Siesta Time”, which is a quiet time. Children had towels/blankets. Some children sat down and other children lay down. There are few materials in the space. Per Mr. Turner, group leaders conduct art activities, circle/group time, and literacy activities. During Siesta time, some materials are recommended for children who choose not to rest. Books, puzzles, and quiet manipulative toys are recommended. Group #2 was observed in space #1 cafeteria. Children used half of the cafeteria to engage in free play with board games, puzzles, and art activities. Group #3 was observed in space #3 (trailer #1). Children engaged in free play and played with making bracelets and reading books. They also had access to various materials, including blocks, K’nex manipulative toys, a play castle, a parking garage, Potato Head, and other art materials. After cleaning up, the children transitioned to the cafeteria and had lunch. Most children brought lunch from home. Supplemental foods were provided by the program if needed. Group #4 was observed during the transition to the gym from space #4. Children played Sprout Ball in the gym, which is similar to Dodge Ball. Group #5, preschool-age children were observed in space #5 (trailer #2 Room 601). The children had lunch in the classroom. Today’s menu was a turkey sandwich, watermelon slices, cucumber slices, and milk. After lunch, the children used the group area and laid down on the cot to rest. Interaction with children and supervision of children were adequate. There are three (3) playgrounds for this program. The yellow playground is labeled as #1 and #2. The right side is playground space #1 and the left side is playground space #2. The green playground is labeled as playgrounds #3 and #4. The left side of the playground is space #3 and the right side of the playground is space #4. Playgrounds #1, 2, 3, and 4 are used by school-age children. The preschool playground is located in the field and is fenced. There are no permanent structures on the playground. One (1) large Ash tree provides shaded space. There are poison ivy plants on the ground by the equipment in playground space #1. The coating on the metal baseboard on the slide equipment in space #1 and #2 are peeling and tearing. The same baseboard on the slide structure and bridge in playground spaces #3 and #4 are also peeling and tearing. Some children left for a field trip to a pool during the visit. YMCA transportation is monitored separately. Per interview. Group leaders who accompany the field trip have iPad with all children’s applications and emergency information. The program uses lifeguards at the pool, but at least one (1) group leader remains in the pool and one (1) group leader remains outside the pool to maintain effective supervision. During the aquatic activity, the program maintains 1:13 child/staff ratios. Two (2) new staff files were monitored in full and nine (9) existing staff members files were monitored for criminal background letter, BSAC training, and CPR/First aid training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ Following violations were cited during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Daily schedule was not posted in the space #5, preschool classroom. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. An activity plan posted in space #5, preschool room, was dated 7/24/23 - 7/28/23. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu was not posted in space #5. 10A NCAC 09 .0901(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On playground space #1 and #2, coating of the metal base on the slide structures and bridge are peeling and tearing. On playground space #3 and #4, coating of the metal base on the slide structures are peeling and tearing. .0601(c) 823 Toxic plants were accessible to children. On playground space #3 and #4 (green playground), poison ivy plant is growing on the play space by one of the slide structures. .0604(l) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was stored with epi-pen and inhaler in the backpack. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Parent permission form was not filled out for Benadryl. 10A NCAC 09 .0803(4)(6-9) 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, JC did not have First aid certificate in file. Staff member, LJ's first aid certificate expired on 5/15/23. .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, JC did not have CPR certificate in file. Staff member, LJ's CPR certificate expired on 5/15/23. .1102(d) 1920 Staff in summer camp programs required to complete Basic School-Age Care (BSAC) training did not complete BSAC training within four weeks of becoming employed. A staff member hired on 6/3/23 (PB) does not have BSAC training in file. It has been nine (9) weeks from hiring date. .2502(f) Technical assistance was provided as follows: 415: Daily Schedule 418: Activity plans. Dailly schedule and activity plan shall be current posted in the classroom. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 526: Menu Menu shall be posted where the parents can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 705: equipment Equipment shall be in good repair and study without rust and peeling paint/coating. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 823: Toxic plants: The licensed space used by children shall be free of toxic plants. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf 841: storage of medication Non-emergency medication, such as Benadryl shall be kept in a locked storage. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Authorization to administer medication Permission to administer medication authorization form is required for all medications, including Benadryl. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048:First Aid training 1049:CPR training Staff members shall obtain FA/CPR training within ninety (90) days of employment and maintain valid certification. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 1920:BSAC training Staff in summer camp programs shall complete BSAC training within four (4) weeks of employment instead of three (3) months. 10A NCAC 09 .2502 SPECIAL PROVISIONS FOR SUMMER DAY CAMPS (f) Staff in summer day camp programs required to complete Basic School-Age Care (BSAC) training as defined in Rule .0102 of this Chapter shall do so within four weeks of becoming employed. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/16/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Emergency drill log: 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER, (d) (5) states records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov The rule does not specify what form/format to log the record. However, the information listed above shall be included in the log. The form found on the Division’s website makes it easier to keep up with all the information. Going forward, this will be cited as a violation. Bulletin Board: Due to the fact that preschool children and staff members are isolated in their own space, you must have YMCA posters posted in preschool space and the following items shall be available for staff members and parents: • License • Emergency phone number • Emergency medical care plan • Menu • Summary of law • Staff/child ratio sheet • Daily schedule • Activity plan Going forward, this will be cited as violations. Playground inspection: Playground inspection is required for preschool playground(s). You have six (6) months from the first day of preschool program to complete playground safety training. Playground inspection shall be completed on the form provided on the Division’s website. If you are operating preschool portion next summer, at least one person shall complete playground safety training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Compliance rate: Prior to today’s visit, your compliance rate was seventy-six (76) percent. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. If you need questions or help with licensing rules and regulations, please contact me at kaoru.eddins@dhhs.nc.gov or 828.665.9013. I can conduct technical assistance visit or training. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: YMCA GLEN ARDEN AFTERSCHOOL Facility ID: 11000672 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 8/2/2023 Number Present: 67 Completed Date: 8/2/2023 Age: From 4 To 12 Total Minutes: 300 Time In: 11:00 AM Time Out: 04:00 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 compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Joshua Willoughby, one of the program coordinators, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Joshua Willoughby, Program Coordinator was available during the visit. I also met with Delaney Burke, Administrator, to review Staff files and program records. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. YMCA Glen Arden Afterschool recently added preschool components, and this is the first visit since the change. The center’s compliance history was reviewed with the operator. The program’s compliance history is seventy-six (76) percentage as of 7/31/23. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. Permit type – Five-star center license issued on 6/19/23. Special Services/Restrictions – daytime care, enhanced space and reduced ratios. Preschool children served June-August only. Children are prohibited in the kitchen. School-age playground does not meet safety standards. This facility is approved for transportation. All YMCA buses were monitored during a visit on 4/27/23. The last annual compliance visit was conducted on 2/13/23. The last fire drill was practiced on 7/19/23. The record of the drills are maintained electronically. The last lockdown drill was practiced on 6/8/23. The last playground inspection has not been documented. Playground inspection is required for preschool playground(s). No staff member has taken playground safety training. The last fire inspection was approved on 10/3/22. The last sanitation inspection was conducted on 5/18/23 with zero (0) demerit for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. I observed all licensed spaces. Media Center is not used or maintained by the program. Therefore, the space is removed from the license space as of today. Space #1 cafeteria and space #3 gym are routinely utilized. Space #4 is labeled as after school on the map, but it is currently called trailer #1. There are two (2) additional trailers for this program, and trailer #2 (room 601) is used for the pre-K program. Trailer #3 (room 626) is used for school-age children. An additional facility diagram will be added to the record. Per the record for preschool programs operating during the school year, trailer #2 is approved for a total of sixty-six (66) children. The space is approved as two (2) separate spaces. Space #1 is the group area and space #2 is the activity area. Space #1(group area) is approved for thirty-one (31) children and space #2 (activity area) is approved for thirty-five (35) children. Trailers #1 and #3 are approved for twenty-five (25) children per space calculation sheet dated 8/25/04. The trailer space was labeled as #4 (music mobile unit), space #5 (admin modular unit), space #6A (art trailer), and #6B (art trailer) from the record dated 8/25/04. This information does not accurately reflect the current use of the space. Therefore, the space shall be newly labeled as space #1 Cafeteria, space #2, Gym, space #3 trailer #1, space #4, trailer #2(Room 626), and space #5 trailer #2 (preschool space, room 601). I observed group #1 in space #4 (trailer#2, room 626). They had “Siesta Time”, which is a quiet time. Children had towels/blankets. Some children sat down and other children lay down. There are few materials in the space. Per Mr. Turner, group leaders conduct art activities, circle/group time, and literacy activities. During Siesta time, some materials are recommended for children who choose not to rest. Books, puzzles, and quiet manipulative toys are recommended. Group #2 was observed in space #1 cafeteria. Children used half of the cafeteria to engage in free play with board games, puzzles, and art activities. Group #3 was observed in space #3 (trailer #1). Children engaged in free play and played with making bracelets and reading books. They also had access to various materials, including blocks, K’nex manipulative toys, a play castle, a parking garage, Potato Head, and other art materials. After cleaning up, the children transitioned to the cafeteria and had lunch. Most children brought lunch from home. Supplemental foods were provided by the program if needed. Group #4 was observed during the transition to the gym from space #4. Children played Sprout Ball in the gym, which is similar to Dodge Ball. Group #5, preschool-age children were observed in space #5 (trailer #2 Room 601). The children had lunch in the classroom. Today’s menu was a turkey sandwich, watermelon slices, cucumber slices, and milk. After lunch, the children used the group area and laid down on the cot to rest. Interaction with children and supervision of children were adequate. There are three (3) playgrounds for this program. The yellow playground is labeled as #1 and #2. The right side is playground space #1 and the left side is playground space #2. The green playground is labeled as playgrounds #3 and #4. The left side of the playground is space #3 and the right side of the playground is space #4. Playgrounds #1, 2, 3, and 4 are used by school-age children. The preschool playground is located in the field and is fenced. There are no permanent structures on the playground. One (1) large Ash tree provides shaded space. There are poison ivy plants on the ground by the equipment in playground space #1. The coating on the metal baseboard on the slide equipment in space #1 and #2 are peeling and tearing. The same baseboard on the slide structure and bridge in playground spaces #3 and #4 are also peeling and tearing. Some children left for a field trip to a pool during the visit. YMCA transportation is monitored separately. Per interview. Group leaders who accompany the field trip have iPad with all children’s applications and emergency information. The program uses lifeguards at the pool, but at least one (1) group leader remains in the pool and one (1) group leader remains outside the pool to maintain effective supervision. During the aquatic activity, the program maintains 1:13 child/staff ratios. Two (2) new staff files were monitored in full and nine (9) existing staff members files were monitored for criminal background letter, BSAC training, and CPR/First aid training. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ Following violations were cited during today’s visit: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. Daily schedule was not posted in the space #5, preschool classroom. GS 110-91(12);.0508(a) 428 A current activity plan was not posted for each group of children for reference. An activity plan posted in space #5, preschool room, was dated 7/24/23 - 7/28/23. GS 110-91(12); .0508(a) 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menu was not posted in space #5. 10A NCAC 09 .0901(b) 705 Equipment and furnishings were not sturdy, stable and free of hazards. On playground space #1 and #2, coating of the metal base on the slide structures and bridge are peeling and tearing. On playground space #3 and #4, coating of the metal base on the slide structures are peeling and tearing. .0601(c) 823 Toxic plants were accessible to children. On playground space #3 and #4 (green playground), poison ivy plant is growing on the play space by one of the slide structures. .0604(l) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was stored with epi-pen and inhaler in the backpack. 15A NCAC 18A .2820(d) 847 Parent's medication authorization did not include required information. Parent permission form was not filled out for Benadryl. 10A NCAC 09 .0803(4)(6-9) 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, JC did not have First aid certificate in file. Staff member, LJ's first aid certificate expired on 5/15/23. .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, JC did not have CPR certificate in file. Staff member, LJ's CPR certificate expired on 5/15/23. .1102(d) 1920 Staff in summer camp programs required to complete Basic School-Age Care (BSAC) training did not complete BSAC training within four weeks of becoming employed. A staff member hired on 6/3/23 (PB) does not have BSAC training in file. It has been nine (9) weeks from hiring date. .2502(f) Technical assistance was provided as follows: 415: Daily Schedule 418: Activity plans. Dailly schedule and activity plan shall be current posted in the classroom. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. 526: Menu Menu shall be posted where the parents can see. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 705: equipment Equipment shall be in good repair and study without rust and peeling paint/coating. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 823: Toxic plants: The licensed space used by children shall be free of toxic plants. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website at http://ncchildcare.nc.gov/pdf_forms/form16b_bb.pdf 841: storage of medication Non-emergency medication, such as Benadryl shall be kept in a locked storage. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be stored out of reach of children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept out of reach of children when not in use, but are not required to be in locked storage. 847: Authorization to administer medication Permission to administer medication authorization form is required for all medications, including Benadryl. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (4) Over-the-counter medications, such as cough syrup, decongestant, acetaminophen, ibuprofen, topical antibiotic cream for abrasions, or medication for intestinal disorders shall be stored in the manufacturer's original packaging on which the child's name is written or labeled and shall be accompanied by written instructions specifying: (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized over-the-counter medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. 1048:First Aid training 1049:CPR training Staff members shall obtain FA/CPR training within ninety (90) days of employment and maintain valid certification. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov/providers/pv_sn2_ov_pd.asp. 1920:BSAC training Staff in summer camp programs shall complete BSAC training within four (4) weeks of employment instead of three (3) months. 10A NCAC 09 .2502 SPECIAL PROVISIONS FOR SUMMER DAY CAMPS (f) Staff in summer day camp programs required to complete Basic School-Age Care (BSAC) training as defined in Rule .0102 of this Chapter shall do so within four weeks of becoming employed. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 8/16/23. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556.9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Emergency drill log: 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER, (d) (5) states records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov The rule does not specify what form/format to log the record. However, the information listed above shall be included in the log. The form found on the Division’s website makes it easier to keep up with all the information. Going forward, this will be cited as a violation. Bulletin Board: Due to the fact that preschool children and staff members are isolated in their own space, you must have YMCA posters posted in preschool space and the following items shall be available for staff members and parents: • License • Emergency phone number • Emergency medical care plan • Menu • Summary of law • Staff/child ratio sheet • Daily schedule • Activity plan Going forward, this will be cited as violations. Playground inspection: Playground inspection is required for preschool playground(s). You have six (6) months from the first day of preschool program to complete playground safety training. Playground inspection shall be completed on the form provided on the Division’s website. If you are operating preschool portion next summer, at least one person shall complete playground safety training. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (e) One staff member shall complete training in playground safety. This training shall address playground safety hazards, playground supervision, maintenance and general upkeep of the outdoor learning environment, and age and developmentally appropriate playground materials and equipment. Distance learning shall not be permitted for playground safety training. Completion of playground safety training shall be included in the number of hours needed to meet annual on-going training requirements in this Section. Staff counted to comply with this Rule shall have six months from the date of employment, or from the date a vacancy occurs, to complete the required safety training. A certificate of each designated staff member's completion of this course shall be maintained in the staff member's file in the center. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Compliance rate: Prior to today’s visit, your compliance rate was seventy-six (76) percent. Compliance rate below seventy-five (75) percent may be considered for Administrative Action. If you need questions or help with licensing rules and regulations, please contact me at kaoru.eddins@dhhs.nc.gov or 828.665.9013. I can conduct technical assistance visit or training. Challenging Behaviors Helpline: The Division has established a challenging behaviors helpline. If you would like resources for behavioral management, please contact the helpline at 1-888-600-1685 Option 1. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times