Ymca HAW Creek Afterschool

10A NCAC 09 .0514 · Violation

Name of Operation: YMCA HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/26/2026 Number Present: 34 Completed Date: 3/26/2026 Age: From 5 To 12 Total Minutes: 240 Time In: 01:00 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, Kaitlyn Marshall, Child Care Consultant and also signed by William Meyer, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. W. Meyer was present and available to ask and answer questions throughout the visit today. 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 ninety-seven percent (97%) as of 3/23/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of WNC Inc., is current/active as of 3/23/26. Permit type – Four (4) star license issued 10/22/25. Special Services/Restrictions – 1st shift (daytime care), meet enhanced space, meets enhanced ratios, school age only. The last annual compliance visit was conducted on 4/3/25. The last fire drill was practiced on 2/27/26. The last shelter-in-place drill was practiced on 3/13/26. The Emergency Medical Care plan was posted and current. The program is approved to provide transportation. You currently do not provide daily transportation to children. The vehicles are maintained off site and were unable to be monitored today. I met with Delaney Burke, Administrator, via TEAMS to review staff and children’s files at approximately 1:45pm. Upon arrival to the facility, I was greeted by Dan’Aysia Young, Group Leader. Children in group 2 were transitioning to the restroom and then walked to the playground. Once outside, children played ga-ga ball. Children from group 3 participated in a teacher-led game of charades in the gym. Children from group 1 transitioned to the restroom to wash hands and then walked to the cafeteria to eat snack consisting of applesauce, jerky, crackers, milk and, fruit and vegetable juice. Interactions were positive and nurturing. Supervision was 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 following violations were documented during today’s visit: Violation Number Comment Rule 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. One (1) staff, hire date 2/14/25, had a medical report on file dated 2/18/25. One (1) staff, hire date 5/13/25, had a medical report on file dated 10/28/25. 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. One (1) staff, hire date 2/14/25, had a TB screening on file dated 2/18/25. One (1) staff, hire date 5/13/25, had a TB screening on file dated 10/28/25. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, hire date 2/14/25, did not have an Annual Staff Evaluation on file. 10A NCAC 09 .0514(f) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two (2) staff and one (1) administrator were not connected to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 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. One (1) staff, hire date 2/14/25, completed BSAC training on 2/16/26. .2510(j) Technical assistance was provided as follows: Item #1032 and #1033: Per rule .0701(a), staff medical reports must be on file prior to employment, and TB tests/ screenings must be on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure this requirement is met, moving forward. Item #1232: To reach compliance with this item, staff CG must receive an annual staff evaluation. Documentation of the evaluation must be maintained in the staff member’s file. In your letter of compliance, include a statemen that indicates the evaluation is complete and has been placed in the staff member’s file. Item #1921: Basic School Age Care (BSAC) training is due within three (3) months of employment per rule .2510 (j). In your letter of compliance, include a statement that indicates how you will ensure staff complete BSAC training within three (3) months of hire, moving forward. Item #1805: To reach compliance with this item, all staff listed on the Staff and Training Worksheet must be connected to the facility on the ABCMS Provider Portal. A Technical Assistance document has been provided to you in the email containing this visit summary. The document contains step by step instructions to complete the requirement. In your letter of compliance, please indicate all staff have been connected to the facility in the ABCMS Provider Portal. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/9/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: Child Maltreatment Training: 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. WORKS: 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192 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 .0701 · Violation

Name of Operation: YMCA HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/26/2026 Number Present: 34 Completed Date: 3/26/2026 Age: From 5 To 12 Total Minutes: 240 Time In: 01:00 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, Kaitlyn Marshall, Child Care Consultant and also signed by William Meyer, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. W. Meyer was present and available to ask and answer questions throughout the visit today. 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 ninety-seven percent (97%) as of 3/23/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of WNC Inc., is current/active as of 3/23/26. Permit type – Four (4) star license issued 10/22/25. Special Services/Restrictions – 1st shift (daytime care), meet enhanced space, meets enhanced ratios, school age only. The last annual compliance visit was conducted on 4/3/25. The last fire drill was practiced on 2/27/26. The last shelter-in-place drill was practiced on 3/13/26. The Emergency Medical Care plan was posted and current. The program is approved to provide transportation. You currently do not provide daily transportation to children. The vehicles are maintained off site and were unable to be monitored today. I met with Delaney Burke, Administrator, via TEAMS to review staff and children’s files at approximately 1:45pm. Upon arrival to the facility, I was greeted by Dan’Aysia Young, Group Leader. Children in group 2 were transitioning to the restroom and then walked to the playground. Once outside, children played ga-ga ball. Children from group 3 participated in a teacher-led game of charades in the gym. Children from group 1 transitioned to the restroom to wash hands and then walked to the cafeteria to eat snack consisting of applesauce, jerky, crackers, milk and, fruit and vegetable juice. Interactions were positive and nurturing. Supervision was 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 following violations were documented during today’s visit: Violation Number Comment Rule 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. One (1) staff, hire date 2/14/25, had a medical report on file dated 2/18/25. One (1) staff, hire date 5/13/25, had a medical report on file dated 10/28/25. 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. One (1) staff, hire date 2/14/25, had a TB screening on file dated 2/18/25. One (1) staff, hire date 5/13/25, had a TB screening on file dated 10/28/25. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, hire date 2/14/25, did not have an Annual Staff Evaluation on file. 10A NCAC 09 .0514(f) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two (2) staff and one (1) administrator were not connected to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 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. One (1) staff, hire date 2/14/25, completed BSAC training on 2/16/26. .2510(j) Technical assistance was provided as follows: Item #1032 and #1033: Per rule .0701(a), staff medical reports must be on file prior to employment, and TB tests/ screenings must be on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure this requirement is met, moving forward. Item #1232: To reach compliance with this item, staff CG must receive an annual staff evaluation. Documentation of the evaluation must be maintained in the staff member’s file. In your letter of compliance, include a statemen that indicates the evaluation is complete and has been placed in the staff member’s file. Item #1921: Basic School Age Care (BSAC) training is due within three (3) months of employment per rule .2510 (j). In your letter of compliance, include a statement that indicates how you will ensure staff complete BSAC training within three (3) months of hire, moving forward. Item #1805: To reach compliance with this item, all staff listed on the Staff and Training Worksheet must be connected to the facility on the ABCMS Provider Portal. A Technical Assistance document has been provided to you in the email containing this visit summary. The document contains step by step instructions to complete the requirement. In your letter of compliance, please indicate all staff have been connected to the facility in the ABCMS Provider Portal. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/9/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: Child Maltreatment Training: 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. WORKS: 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192 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 HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/26/2026 Number Present: 34 Completed Date: 3/26/2026 Age: From 5 To 12 Total Minutes: 240 Time In: 01:00 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, Kaitlyn Marshall, Child Care Consultant and also signed by William Meyer, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. W. Meyer was present and available to ask and answer questions throughout the visit today. 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 ninety-seven percent (97%) as of 3/23/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of WNC Inc., is current/active as of 3/23/26. Permit type – Four (4) star license issued 10/22/25. Special Services/Restrictions – 1st shift (daytime care), meet enhanced space, meets enhanced ratios, school age only. The last annual compliance visit was conducted on 4/3/25. The last fire drill was practiced on 2/27/26. The last shelter-in-place drill was practiced on 3/13/26. The Emergency Medical Care plan was posted and current. The program is approved to provide transportation. You currently do not provide daily transportation to children. The vehicles are maintained off site and were unable to be monitored today. I met with Delaney Burke, Administrator, via TEAMS to review staff and children’s files at approximately 1:45pm. Upon arrival to the facility, I was greeted by Dan’Aysia Young, Group Leader. Children in group 2 were transitioning to the restroom and then walked to the playground. Once outside, children played ga-ga ball. Children from group 3 participated in a teacher-led game of charades in the gym. Children from group 1 transitioned to the restroom to wash hands and then walked to the cafeteria to eat snack consisting of applesauce, jerky, crackers, milk and, fruit and vegetable juice. Interactions were positive and nurturing. Supervision was 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 following violations were documented during today’s visit: Violation Number Comment Rule 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. One (1) staff, hire date 2/14/25, had a medical report on file dated 2/18/25. One (1) staff, hire date 5/13/25, had a medical report on file dated 10/28/25. 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. One (1) staff, hire date 2/14/25, had a TB screening on file dated 2/18/25. One (1) staff, hire date 5/13/25, had a TB screening on file dated 10/28/25. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, hire date 2/14/25, did not have an Annual Staff Evaluation on file. 10A NCAC 09 .0514(f) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two (2) staff and one (1) administrator were not connected to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 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. One (1) staff, hire date 2/14/25, completed BSAC training on 2/16/26. .2510(j) Technical assistance was provided as follows: Item #1032 and #1033: Per rule .0701(a), staff medical reports must be on file prior to employment, and TB tests/ screenings must be on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure this requirement is met, moving forward. Item #1232: To reach compliance with this item, staff CG must receive an annual staff evaluation. Documentation of the evaluation must be maintained in the staff member’s file. In your letter of compliance, include a statemen that indicates the evaluation is complete and has been placed in the staff member’s file. Item #1921: Basic School Age Care (BSAC) training is due within three (3) months of employment per rule .2510 (j). In your letter of compliance, include a statement that indicates how you will ensure staff complete BSAC training within three (3) months of hire, moving forward. Item #1805: To reach compliance with this item, all staff listed on the Staff and Training Worksheet must be connected to the facility on the ABCMS Provider Portal. A Technical Assistance document has been provided to you in the email containing this visit summary. The document contains step by step instructions to complete the requirement. In your letter of compliance, please indicate all staff have been connected to the facility in the ABCMS Provider Portal. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/9/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: Child Maltreatment Training: 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. WORKS: 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192 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 HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/26/2026 Number Present: 34 Completed Date: 3/26/2026 Age: From 5 To 12 Total Minutes: 240 Time In: 01:00 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, Kaitlyn Marshall, Child Care Consultant and also signed by William Meyer, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. W. Meyer was present and available to ask and answer questions throughout the visit today. 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 ninety-seven percent (97%) as of 3/23/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of WNC Inc., is current/active as of 3/23/26. Permit type – Four (4) star license issued 10/22/25. Special Services/Restrictions – 1st shift (daytime care), meet enhanced space, meets enhanced ratios, school age only. The last annual compliance visit was conducted on 4/3/25. The last fire drill was practiced on 2/27/26. The last shelter-in-place drill was practiced on 3/13/26. The Emergency Medical Care plan was posted and current. The program is approved to provide transportation. You currently do not provide daily transportation to children. The vehicles are maintained off site and were unable to be monitored today. I met with Delaney Burke, Administrator, via TEAMS to review staff and children’s files at approximately 1:45pm. Upon arrival to the facility, I was greeted by Dan’Aysia Young, Group Leader. Children in group 2 were transitioning to the restroom and then walked to the playground. Once outside, children played ga-ga ball. Children from group 3 participated in a teacher-led game of charades in the gym. Children from group 1 transitioned to the restroom to wash hands and then walked to the cafeteria to eat snack consisting of applesauce, jerky, crackers, milk and, fruit and vegetable juice. Interactions were positive and nurturing. Supervision was 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 following violations were documented during today’s visit: Violation Number Comment Rule 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. One (1) staff, hire date 2/14/25, had a medical report on file dated 2/18/25. One (1) staff, hire date 5/13/25, had a medical report on file dated 10/28/25. 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. One (1) staff, hire date 2/14/25, had a TB screening on file dated 2/18/25. One (1) staff, hire date 5/13/25, had a TB screening on file dated 10/28/25. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, hire date 2/14/25, did not have an Annual Staff Evaluation on file. 10A NCAC 09 .0514(f) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two (2) staff and one (1) administrator were not connected to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 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. One (1) staff, hire date 2/14/25, completed BSAC training on 2/16/26. .2510(j) Technical assistance was provided as follows: Item #1032 and #1033: Per rule .0701(a), staff medical reports must be on file prior to employment, and TB tests/ screenings must be on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure this requirement is met, moving forward. Item #1232: To reach compliance with this item, staff CG must receive an annual staff evaluation. Documentation of the evaluation must be maintained in the staff member’s file. In your letter of compliance, include a statemen that indicates the evaluation is complete and has been placed in the staff member’s file. Item #1921: Basic School Age Care (BSAC) training is due within three (3) months of employment per rule .2510 (j). In your letter of compliance, include a statement that indicates how you will ensure staff complete BSAC training within three (3) months of hire, moving forward. Item #1805: To reach compliance with this item, all staff listed on the Staff and Training Worksheet must be connected to the facility on the ABCMS Provider Portal. A Technical Assistance document has been provided to you in the email containing this visit summary. The document contains step by step instructions to complete the requirement. In your letter of compliance, please indicate all staff have been connected to the facility in the ABCMS Provider Portal. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/9/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: Child Maltreatment Training: 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. WORKS: 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192 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 .3222 · Violation

Name of Operation: YMCA HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/26/2026 Number Present: 34 Completed Date: 3/26/2026 Age: From 5 To 12 Total Minutes: 240 Time In: 01:00 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, Kaitlyn Marshall, Child Care Consultant and also signed by William Meyer, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. W. Meyer was present and available to ask and answer questions throughout the visit today. 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 ninety-seven percent (97%) as of 3/23/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of WNC Inc., is current/active as of 3/23/26. Permit type – Four (4) star license issued 10/22/25. Special Services/Restrictions – 1st shift (daytime care), meet enhanced space, meets enhanced ratios, school age only. The last annual compliance visit was conducted on 4/3/25. The last fire drill was practiced on 2/27/26. The last shelter-in-place drill was practiced on 3/13/26. The Emergency Medical Care plan was posted and current. The program is approved to provide transportation. You currently do not provide daily transportation to children. The vehicles are maintained off site and were unable to be monitored today. I met with Delaney Burke, Administrator, via TEAMS to review staff and children’s files at approximately 1:45pm. Upon arrival to the facility, I was greeted by Dan’Aysia Young, Group Leader. Children in group 2 were transitioning to the restroom and then walked to the playground. Once outside, children played ga-ga ball. Children from group 3 participated in a teacher-led game of charades in the gym. Children from group 1 transitioned to the restroom to wash hands and then walked to the cafeteria to eat snack consisting of applesauce, jerky, crackers, milk and, fruit and vegetable juice. Interactions were positive and nurturing. Supervision was 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 following violations were documented during today’s visit: Violation Number Comment Rule 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. One (1) staff, hire date 2/14/25, had a medical report on file dated 2/18/25. One (1) staff, hire date 5/13/25, had a medical report on file dated 10/28/25. 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. One (1) staff, hire date 2/14/25, had a TB screening on file dated 2/18/25. One (1) staff, hire date 5/13/25, had a TB screening on file dated 10/28/25. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, hire date 2/14/25, did not have an Annual Staff Evaluation on file. 10A NCAC 09 .0514(f) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two (2) staff and one (1) administrator were not connected to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 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. One (1) staff, hire date 2/14/25, completed BSAC training on 2/16/26. .2510(j) Technical assistance was provided as follows: Item #1032 and #1033: Per rule .0701(a), staff medical reports must be on file prior to employment, and TB tests/ screenings must be on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure this requirement is met, moving forward. Item #1232: To reach compliance with this item, staff CG must receive an annual staff evaluation. Documentation of the evaluation must be maintained in the staff member’s file. In your letter of compliance, include a statemen that indicates the evaluation is complete and has been placed in the staff member’s file. Item #1921: Basic School Age Care (BSAC) training is due within three (3) months of employment per rule .2510 (j). In your letter of compliance, include a statement that indicates how you will ensure staff complete BSAC training within three (3) months of hire, moving forward. Item #1805: To reach compliance with this item, all staff listed on the Staff and Training Worksheet must be connected to the facility on the ABCMS Provider Portal. A Technical Assistance document has been provided to you in the email containing this visit summary. The document contains step by step instructions to complete the requirement. In your letter of compliance, please indicate all staff have been connected to the facility in the ABCMS Provider Portal. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/9/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: Child Maltreatment Training: 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. WORKS: 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192 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 HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/26/2026 Number Present: 34 Completed Date: 3/26/2026 Age: From 5 To 12 Total Minutes: 240 Time In: 01:00 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, Kaitlyn Marshall, Child Care Consultant and also signed by William Meyer, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. W. Meyer was present and available to ask and answer questions throughout the visit today. 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 ninety-seven percent (97%) as of 3/23/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of WNC Inc., is current/active as of 3/23/26. Permit type – Four (4) star license issued 10/22/25. Special Services/Restrictions – 1st shift (daytime care), meet enhanced space, meets enhanced ratios, school age only. The last annual compliance visit was conducted on 4/3/25. The last fire drill was practiced on 2/27/26. The last shelter-in-place drill was practiced on 3/13/26. The Emergency Medical Care plan was posted and current. The program is approved to provide transportation. You currently do not provide daily transportation to children. The vehicles are maintained off site and were unable to be monitored today. I met with Delaney Burke, Administrator, via TEAMS to review staff and children’s files at approximately 1:45pm. Upon arrival to the facility, I was greeted by Dan’Aysia Young, Group Leader. Children in group 2 were transitioning to the restroom and then walked to the playground. Once outside, children played ga-ga ball. Children from group 3 participated in a teacher-led game of charades in the gym. Children from group 1 transitioned to the restroom to wash hands and then walked to the cafeteria to eat snack consisting of applesauce, jerky, crackers, milk and, fruit and vegetable juice. Interactions were positive and nurturing. Supervision was 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 following violations were documented during today’s visit: Violation Number Comment Rule 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. One (1) staff, hire date 2/14/25, had a medical report on file dated 2/18/25. One (1) staff, hire date 5/13/25, had a medical report on file dated 10/28/25. 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. One (1) staff, hire date 2/14/25, had a TB screening on file dated 2/18/25. One (1) staff, hire date 5/13/25, had a TB screening on file dated 10/28/25. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, hire date 2/14/25, did not have an Annual Staff Evaluation on file. 10A NCAC 09 .0514(f) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two (2) staff and one (1) administrator were not connected to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 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. One (1) staff, hire date 2/14/25, completed BSAC training on 2/16/26. .2510(j) Technical assistance was provided as follows: Item #1032 and #1033: Per rule .0701(a), staff medical reports must be on file prior to employment, and TB tests/ screenings must be on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure this requirement is met, moving forward. Item #1232: To reach compliance with this item, staff CG must receive an annual staff evaluation. Documentation of the evaluation must be maintained in the staff member’s file. In your letter of compliance, include a statemen that indicates the evaluation is complete and has been placed in the staff member’s file. Item #1921: Basic School Age Care (BSAC) training is due within three (3) months of employment per rule .2510 (j). In your letter of compliance, include a statement that indicates how you will ensure staff complete BSAC training within three (3) months of hire, moving forward. Item #1805: To reach compliance with this item, all staff listed on the Staff and Training Worksheet must be connected to the facility on the ABCMS Provider Portal. A Technical Assistance document has been provided to you in the email containing this visit summary. The document contains step by step instructions to complete the requirement. In your letter of compliance, please indicate all staff have been connected to the facility in the ABCMS Provider Portal. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/9/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: Child Maltreatment Training: 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. WORKS: 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192 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 HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/26/2026 Number Present: 34 Completed Date: 3/26/2026 Age: From 5 To 12 Total Minutes: 240 Time In: 01:00 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, Kaitlyn Marshall, Child Care Consultant and also signed by William Meyer, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. W. Meyer was present and available to ask and answer questions throughout the visit today. 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 ninety-seven percent (97%) as of 3/23/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of WNC Inc., is current/active as of 3/23/26. Permit type – Four (4) star license issued 10/22/25. Special Services/Restrictions – 1st shift (daytime care), meet enhanced space, meets enhanced ratios, school age only. The last annual compliance visit was conducted on 4/3/25. The last fire drill was practiced on 2/27/26. The last shelter-in-place drill was practiced on 3/13/26. The Emergency Medical Care plan was posted and current. The program is approved to provide transportation. You currently do not provide daily transportation to children. The vehicles are maintained off site and were unable to be monitored today. I met with Delaney Burke, Administrator, via TEAMS to review staff and children’s files at approximately 1:45pm. Upon arrival to the facility, I was greeted by Dan’Aysia Young, Group Leader. Children in group 2 were transitioning to the restroom and then walked to the playground. Once outside, children played ga-ga ball. Children from group 3 participated in a teacher-led game of charades in the gym. Children from group 1 transitioned to the restroom to wash hands and then walked to the cafeteria to eat snack consisting of applesauce, jerky, crackers, milk and, fruit and vegetable juice. Interactions were positive and nurturing. Supervision was 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 following violations were documented during today’s visit: Violation Number Comment Rule 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. One (1) staff, hire date 2/14/25, had a medical report on file dated 2/18/25. One (1) staff, hire date 5/13/25, had a medical report on file dated 10/28/25. 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. One (1) staff, hire date 2/14/25, had a TB screening on file dated 2/18/25. One (1) staff, hire date 5/13/25, had a TB screening on file dated 10/28/25. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, hire date 2/14/25, did not have an Annual Staff Evaluation on file. 10A NCAC 09 .0514(f) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Two (2) staff and one (1) administrator were not connected to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 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. One (1) staff, hire date 2/14/25, completed BSAC training on 2/16/26. .2510(j) Technical assistance was provided as follows: Item #1032 and #1033: Per rule .0701(a), staff medical reports must be on file prior to employment, and TB tests/ screenings must be on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure this requirement is met, moving forward. Item #1232: To reach compliance with this item, staff CG must receive an annual staff evaluation. Documentation of the evaluation must be maintained in the staff member’s file. In your letter of compliance, include a statemen that indicates the evaluation is complete and has been placed in the staff member’s file. Item #1921: Basic School Age Care (BSAC) training is due within three (3) months of employment per rule .2510 (j). In your letter of compliance, include a statement that indicates how you will ensure staff complete BSAC training within three (3) months of hire, moving forward. Item #1805: To reach compliance with this item, all staff listed on the Staff and Training Worksheet must be connected to the facility on the ABCMS Provider Portal. A Technical Assistance document has been provided to you in the email containing this visit summary. The document contains step by step instructions to complete the requirement. In your letter of compliance, please indicate all staff have been connected to the facility in the ABCMS Provider Portal. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/9/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: Child Maltreatment Training: 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. WORKS: 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 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192 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 .2703 · Violation

Name of Operation: YMCA HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 150 Completed Date: 10/22/2025 Age: From 5 To 12 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 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 me, Kaitlyn Marshall, Child Care Consultant and also signed by Sam Applegate, Program Director, during the visit. A signed copy of the visit summary was emailed to you. S. Applegate was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four percent (94%) as of 10/6/25. Permit type – Four (4) star license issued 5/12/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced ratios, meets enhanced space, playground area does not meet Child Care Playground Safety Standards, Children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 4/3/25. The last fire drill was practiced on 8/27/25. The last shelter-in-place drill was practiced on 8/28/25. The Emergency Medical Care plan was posted. Upon arrival I was greeted by Ryleigh Spoonholtz, Substitute Program Coordinator. Children gathered in the auditorium upon arrival. The children divided into the assigned groups. Group 1 explored various manipulatives before transitioning to the cafeteria to eat snack. Snack consisted of milk, sunflower seeds, sun butter, jelly, tortilla, applesauce and vegetable juice. Group 2 transitioned to the ga-ga pit playground. Children were observed playing ga-ga ball, engaging in pretend play as animals, and threw and kicked various balls. Group 3 transitioned to the gym and participated in a large group meeting. The group leader guided a discussion to decide which games to play. Children played large group gross motor games before transitioning to the large playground. Interactions were positive and nurturing. Supervision was 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 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 on 8/27/25. A fire drill was not conducted for the month of September 2025. .0604(t); .0302(d)(5) 1041 Prior to employment a Criminal Background Check was not completed. O. Griffin, Group Leader, did not have a Criminal Background Check completed prior to employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. O. Griffin, Group Leader, did not have a Criminal Background Check qualifying letter on file prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item #805: Plan to conduct a fire drill immediately. Moving forward, plan to work with the public school to access the alarm system for a fire drill. If you are unable to access the fire alarm system for a monthly drill, you may use a verbal or other type of alarm. This should only be used occasionally as the alarm system should be utilized for most drills. In your letter of compliance, please indicate the date the fire drill is conducted. Item #1041 and #1757: O. Griffin, Group Leader, did not have a Criminal Background Check completed prior to employment. O. Griffin, Group Leader, did not have a Criminal Background Check qualifying letter on file prior to employment. We discussed a Criminal Background Check must be completed and a valid qualifying letter must be on file prior to employment per G.S 110-90.2(b) and 10A NCAC 09 .2703(e). O. Griffin was on site, providing care to children during the visit. O. Griffin left the facility immediately when a Criminal Background Check qualifying letter was not found and when it was confirmed in the ABCMS system that a determination about their status was not yet made. We discussed the staff member applied for a Criminal Background Check on 10/15/25. If the staff member has not received the qualifying letter by the end of the day tomorrow, they can contact the Criminal Background Check (CBC) unit to check on the status of their letter. As a reminder, if the staff member has lived out of state, additional background checks may be needed, which may take additional time. Here is the for the CBC Unit: 919.814.6401 DHHS.CBC.Unit@dhhs.nc.gov. O. Griffin cannot return to work in licensed care until the CBC is complete and the qualifying letter is on file. Please send me a copy of the qualifying letter with your letter of compliance. If the qualifying letter is not ready by 11/5/25, a follow-up visit may be conducted. ABCMS Provider Portal: 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. This is a requirement for all child care facilities. If at least one (1) staff member is not linked to your facility at your next visit, a violation may be cited. 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 and documented on the log. 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 11/5/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19431 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@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: Emergency Medical Care (EMC) Plan: Plan to remove staff who are no longer working at the facility from the EMC plan. I recommend placing multiple names for the alternate person responsible for each action in the event of staff absences, as at least one (1) staff member responsible for each action must be present at all times. Due to recent changes in requirements, the following restrictions will be removed from the license: Playground does not meet Child Care Safety Standards, Children prohibited in the kitchen for any purpose. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 150 Completed Date: 10/22/2025 Age: From 5 To 12 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 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 me, Kaitlyn Marshall, Child Care Consultant and also signed by Sam Applegate, Program Director, during the visit. A signed copy of the visit summary was emailed to you. S. Applegate was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four percent (94%) as of 10/6/25. Permit type – Four (4) star license issued 5/12/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced ratios, meets enhanced space, playground area does not meet Child Care Playground Safety Standards, Children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 4/3/25. The last fire drill was practiced on 8/27/25. The last shelter-in-place drill was practiced on 8/28/25. The Emergency Medical Care plan was posted. Upon arrival I was greeted by Ryleigh Spoonholtz, Substitute Program Coordinator. Children gathered in the auditorium upon arrival. The children divided into the assigned groups. Group 1 explored various manipulatives before transitioning to the cafeteria to eat snack. Snack consisted of milk, sunflower seeds, sun butter, jelly, tortilla, applesauce and vegetable juice. Group 2 transitioned to the ga-ga pit playground. Children were observed playing ga-ga ball, engaging in pretend play as animals, and threw and kicked various balls. Group 3 transitioned to the gym and participated in a large group meeting. The group leader guided a discussion to decide which games to play. Children played large group gross motor games before transitioning to the large playground. Interactions were positive and nurturing. Supervision was 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 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 on 8/27/25. A fire drill was not conducted for the month of September 2025. .0604(t); .0302(d)(5) 1041 Prior to employment a Criminal Background Check was not completed. O. Griffin, Group Leader, did not have a Criminal Background Check completed prior to employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. O. Griffin, Group Leader, did not have a Criminal Background Check qualifying letter on file prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item #805: Plan to conduct a fire drill immediately. Moving forward, plan to work with the public school to access the alarm system for a fire drill. If you are unable to access the fire alarm system for a monthly drill, you may use a verbal or other type of alarm. This should only be used occasionally as the alarm system should be utilized for most drills. In your letter of compliance, please indicate the date the fire drill is conducted. Item #1041 and #1757: O. Griffin, Group Leader, did not have a Criminal Background Check completed prior to employment. O. Griffin, Group Leader, did not have a Criminal Background Check qualifying letter on file prior to employment. We discussed a Criminal Background Check must be completed and a valid qualifying letter must be on file prior to employment per G.S 110-90.2(b) and 10A NCAC 09 .2703(e). O. Griffin was on site, providing care to children during the visit. O. Griffin left the facility immediately when a Criminal Background Check qualifying letter was not found and when it was confirmed in the ABCMS system that a determination about their status was not yet made. We discussed the staff member applied for a Criminal Background Check on 10/15/25. If the staff member has not received the qualifying letter by the end of the day tomorrow, they can contact the Criminal Background Check (CBC) unit to check on the status of their letter. As a reminder, if the staff member has lived out of state, additional background checks may be needed, which may take additional time. Here is the for the CBC Unit: 919.814.6401 DHHS.CBC.Unit@dhhs.nc.gov. O. Griffin cannot return to work in licensed care until the CBC is complete and the qualifying letter is on file. Please send me a copy of the qualifying letter with your letter of compliance. If the qualifying letter is not ready by 11/5/25, a follow-up visit may be conducted. ABCMS Provider Portal: 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. This is a requirement for all child care facilities. If at least one (1) staff member is not linked to your facility at your next visit, a violation may be cited. 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 and documented on the log. 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 11/5/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19431 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@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: Emergency Medical Care (EMC) Plan: Plan to remove staff who are no longer working at the facility from the EMC plan. I recommend placing multiple names for the alternate person responsible for each action in the event of staff absences, as at least one (1) staff member responsible for each action must be present at all times. Due to recent changes in requirements, the following restrictions will be removed from the license: Playground does not meet Child Care Safety Standards, Children prohibited in the kitchen for any purpose. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 150 Completed Date: 10/22/2025 Age: From 5 To 12 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 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 me, Kaitlyn Marshall, Child Care Consultant and also signed by Sam Applegate, Program Director, during the visit. A signed copy of the visit summary was emailed to you. S. Applegate was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four percent (94%) as of 10/6/25. Permit type – Four (4) star license issued 5/12/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced ratios, meets enhanced space, playground area does not meet Child Care Playground Safety Standards, Children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 4/3/25. The last fire drill was practiced on 8/27/25. The last shelter-in-place drill was practiced on 8/28/25. The Emergency Medical Care plan was posted. Upon arrival I was greeted by Ryleigh Spoonholtz, Substitute Program Coordinator. Children gathered in the auditorium upon arrival. The children divided into the assigned groups. Group 1 explored various manipulatives before transitioning to the cafeteria to eat snack. Snack consisted of milk, sunflower seeds, sun butter, jelly, tortilla, applesauce and vegetable juice. Group 2 transitioned to the ga-ga pit playground. Children were observed playing ga-ga ball, engaging in pretend play as animals, and threw and kicked various balls. Group 3 transitioned to the gym and participated in a large group meeting. The group leader guided a discussion to decide which games to play. Children played large group gross motor games before transitioning to the large playground. Interactions were positive and nurturing. Supervision was 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 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 on 8/27/25. A fire drill was not conducted for the month of September 2025. .0604(t); .0302(d)(5) 1041 Prior to employment a Criminal Background Check was not completed. O. Griffin, Group Leader, did not have a Criminal Background Check completed prior to employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. O. Griffin, Group Leader, did not have a Criminal Background Check qualifying letter on file prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item #805: Plan to conduct a fire drill immediately. Moving forward, plan to work with the public school to access the alarm system for a fire drill. If you are unable to access the fire alarm system for a monthly drill, you may use a verbal or other type of alarm. This should only be used occasionally as the alarm system should be utilized for most drills. In your letter of compliance, please indicate the date the fire drill is conducted. Item #1041 and #1757: O. Griffin, Group Leader, did not have a Criminal Background Check completed prior to employment. O. Griffin, Group Leader, did not have a Criminal Background Check qualifying letter on file prior to employment. We discussed a Criminal Background Check must be completed and a valid qualifying letter must be on file prior to employment per G.S 110-90.2(b) and 10A NCAC 09 .2703(e). O. Griffin was on site, providing care to children during the visit. O. Griffin left the facility immediately when a Criminal Background Check qualifying letter was not found and when it was confirmed in the ABCMS system that a determination about their status was not yet made. We discussed the staff member applied for a Criminal Background Check on 10/15/25. If the staff member has not received the qualifying letter by the end of the day tomorrow, they can contact the Criminal Background Check (CBC) unit to check on the status of their letter. As a reminder, if the staff member has lived out of state, additional background checks may be needed, which may take additional time. Here is the for the CBC Unit: 919.814.6401 DHHS.CBC.Unit@dhhs.nc.gov. O. Griffin cannot return to work in licensed care until the CBC is complete and the qualifying letter is on file. Please send me a copy of the qualifying letter with your letter of compliance. If the qualifying letter is not ready by 11/5/25, a follow-up visit may be conducted. ABCMS Provider Portal: 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. This is a requirement for all child care facilities. If at least one (1) staff member is not linked to your facility at your next visit, a violation may be cited. 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 and documented on the log. 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 11/5/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19431 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@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: Emergency Medical Care (EMC) Plan: Plan to remove staff who are no longer working at the facility from the EMC plan. I recommend placing multiple names for the alternate person responsible for each action in the event of staff absences, as at least one (1) staff member responsible for each action must be present at all times. Due to recent changes in requirements, the following restrictions will be removed from the license: Playground does not meet Child Care Safety Standards, Children prohibited in the kitchen for any purpose. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 10/22/2025 Number Present: 150 Completed Date: 10/22/2025 Age: From 5 To 12 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 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 me, Kaitlyn Marshall, Child Care Consultant and also signed by Sam Applegate, Program Director, during the visit. A signed copy of the visit summary was emailed to you. S. Applegate was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four percent (94%) as of 10/6/25. Permit type – Four (4) star license issued 5/12/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced ratios, meets enhanced space, playground area does not meet Child Care Playground Safety Standards, Children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 4/3/25. The last fire drill was practiced on 8/27/25. The last shelter-in-place drill was practiced on 8/28/25. The Emergency Medical Care plan was posted. Upon arrival I was greeted by Ryleigh Spoonholtz, Substitute Program Coordinator. Children gathered in the auditorium upon arrival. The children divided into the assigned groups. Group 1 explored various manipulatives before transitioning to the cafeteria to eat snack. Snack consisted of milk, sunflower seeds, sun butter, jelly, tortilla, applesauce and vegetable juice. Group 2 transitioned to the ga-ga pit playground. Children were observed playing ga-ga ball, engaging in pretend play as animals, and threw and kicked various balls. Group 3 transitioned to the gym and participated in a large group meeting. The group leader guided a discussion to decide which games to play. Children played large group gross motor games before transitioning to the large playground. Interactions were positive and nurturing. Supervision was 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 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 on 8/27/25. A fire drill was not conducted for the month of September 2025. .0604(t); .0302(d)(5) 1041 Prior to employment a Criminal Background Check was not completed. O. Griffin, Group Leader, did not have a Criminal Background Check completed prior to employment. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. O. Griffin, Group Leader, did not have a Criminal Background Check qualifying letter on file prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item #805: Plan to conduct a fire drill immediately. Moving forward, plan to work with the public school to access the alarm system for a fire drill. If you are unable to access the fire alarm system for a monthly drill, you may use a verbal or other type of alarm. This should only be used occasionally as the alarm system should be utilized for most drills. In your letter of compliance, please indicate the date the fire drill is conducted. Item #1041 and #1757: O. Griffin, Group Leader, did not have a Criminal Background Check completed prior to employment. O. Griffin, Group Leader, did not have a Criminal Background Check qualifying letter on file prior to employment. We discussed a Criminal Background Check must be completed and a valid qualifying letter must be on file prior to employment per G.S 110-90.2(b) and 10A NCAC 09 .2703(e). O. Griffin was on site, providing care to children during the visit. O. Griffin left the facility immediately when a Criminal Background Check qualifying letter was not found and when it was confirmed in the ABCMS system that a determination about their status was not yet made. We discussed the staff member applied for a Criminal Background Check on 10/15/25. If the staff member has not received the qualifying letter by the end of the day tomorrow, they can contact the Criminal Background Check (CBC) unit to check on the status of their letter. As a reminder, if the staff member has lived out of state, additional background checks may be needed, which may take additional time. Here is the for the CBC Unit: 919.814.6401 DHHS.CBC.Unit@dhhs.nc.gov. O. Griffin cannot return to work in licensed care until the CBC is complete and the qualifying letter is on file. Please send me a copy of the qualifying letter with your letter of compliance. If the qualifying letter is not ready by 11/5/25, a follow-up visit may be conducted. ABCMS Provider Portal: 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. This is a requirement for all child care facilities. If at least one (1) staff member is not linked to your facility at your next visit, a violation may be cited. 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 and documented on the log. 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 11/5/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19431 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@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: Emergency Medical Care (EMC) Plan: Plan to remove staff who are no longer working at the facility from the EMC plan. I recommend placing multiple names for the alternate person responsible for each action in the event of staff absences, as at least one (1) staff member responsible for each action must be present at all times. Due to recent changes in requirements, the following restrictions will be removed from the license: Playground does not meet Child Care Safety Standards, Children prohibited in the kitchen for any purpose. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/10/2024 Number Present: 39 Completed Date: 9/10/2024 Age: From 5 To 11 Total Minutes: 175 Time In: 02:20 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Lake Browne, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. L. Browne was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, CPR / First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate / approved space, program records, license posted, and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent (87%) as of 9/6/24. The last fire drill was practiced on 8/27/24. The last emergency drill, lockdown drill, was practiced on 8/27/24. The last fire inspection was approved on 3/25/24. The program’s most recent sanitation inspection was completed on 6/5/23, with four (4) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There are no new staff. Upon arrival I was greeted by L. Browne. All children began the day in the auditorium. Children in group 1 were observed rolling toy cars on the steps, reading book and building homes for animal figurines with magnetic blocks. Children transitioned to use the restroom and wash hands in preparation for snack. While waiting, children were engaged in a guessing game with the caregiver. Children in group 2 were observed transitioning to outdoor play. Children used the restroom before moving to playground space 1. Children played GaGa ball, jump rope and arts and crafts with glitter paper and markers. Children in group 3 transitioned to the gym for a large group activity. Children were given sentence strips, markers, crayons and scissors to create their own labels for their baskets that carry their belongings. Interactions were positive and nurturing. Supervision was 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 following violations were cited during the visit today: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The last sanitation inspection was conducted on 6/5/23 with four (4) demerits for a superior rating 10A NCAC 09 .0304(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. One (1) fire drill conducted on 8/27/24 conducted on 8/27/24 was not recorded on the log. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One (1) bottle of diphenhydramine was stored in an unlocked fanny pack. 15A NCAC 18A .2820(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. One (1) shelter-in-place drill conducted on 8/27/24 was not recorded on the log. .0604(u);.0302(d)(8) Technical Assistance provided as follows: Item #104 Plan to contact Environmental Health to ensure they are aware that you have not had a Sanitation inspection since June 2024. Moving forward, plan to reach out to Environmental Health when you are getting close to the date on your previous inspection. Although they typically come out on a regular schedule, it is the operator's responsibility to ensure inspections are obtained on time. Refer to Child Care Rule .0304(b) for additional information on this requirement. Item #841 Non-emergency medication must be kept in locked storage. Even though a drug is listed on an allergy action plan, if it is not the emergency medication, it must be locked up. Emergency medication, such as a recue inhaler or epinephrine pen, is designated as such because it is expected to work within seconds. Non-emergency medication, such as prescription or over the counter medication, is designated as such because it takes several minutes to have an effect on the child. We discussed the medication can be placed in a separate zipper of the fanny pack or backpack and locked, or could be placed in locked storage in the office. Refer to Sanitation Rule 15A NCAC 18A.2820(d) for details about this requirement. Item #805 and #1811 Plan to document drills conducted at the start of the school year on the safety drill log. A copy of the drill log was provided to you in the email containing this visit summary. Refer to Child Care Rules .0604(t); .0302(d)(5) for details about this requirement. 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 9/24/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: We discussed fire drills. Fire drills must be conducted via alarm whenever possible. We discussed technical and staffing issues may make this difficult. We discussed today that you will plan to work with school custodial staff to ensure fire drills are conducted with the alarm, moving forward. We discussed children with allergies that do not have rescue medication. As a reminder, all non-emergency medication, such as over the counter allergy medication, must be maintained in locked storage. We discussed emergency medication should be easily accessible to adults and should not be locked. Plan to maintain the non-emergency and emergency medication in separate pouches on backpacks and fanny packs, to ensure proper storage. Proper supervision is the first line of defense to ensuring no incidents occur with food allergies. Ensure staff are aware of all children with allergies and give extra attention to those children during meal time. We discussed that there are staff who would like to bring coffee drinks to the facility. Staff who bring coffee to the facility will need to transfer the coffee into an opaque container in order to properly model appropriate eating practices. Since caffeinated drinks are not included in the recommended meal patterns for children, staff should not consume them in front of children. Plan to visit https://www.fns.usda.gov/cacfp/nutrition-standards for more information on this requirement as well as section .900 of the NC Child Care Rules. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/10/2024 Number Present: 39 Completed Date: 9/10/2024 Age: From 5 To 11 Total Minutes: 175 Time In: 02:20 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Lake Browne, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. L. Browne was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, CPR / First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate / approved space, program records, license posted, and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent (87%) as of 9/6/24. The last fire drill was practiced on 8/27/24. The last emergency drill, lockdown drill, was practiced on 8/27/24. The last fire inspection was approved on 3/25/24. The program’s most recent sanitation inspection was completed on 6/5/23, with four (4) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There are no new staff. Upon arrival I was greeted by L. Browne. All children began the day in the auditorium. Children in group 1 were observed rolling toy cars on the steps, reading book and building homes for animal figurines with magnetic blocks. Children transitioned to use the restroom and wash hands in preparation for snack. While waiting, children were engaged in a guessing game with the caregiver. Children in group 2 were observed transitioning to outdoor play. Children used the restroom before moving to playground space 1. Children played GaGa ball, jump rope and arts and crafts with glitter paper and markers. Children in group 3 transitioned to the gym for a large group activity. Children were given sentence strips, markers, crayons and scissors to create their own labels for their baskets that carry their belongings. Interactions were positive and nurturing. Supervision was 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 following violations were cited during the visit today: Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The last sanitation inspection was conducted on 6/5/23 with four (4) demerits for a superior rating 10A NCAC 09 .0304(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. One (1) fire drill conducted on 8/27/24 conducted on 8/27/24 was not recorded on the log. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One (1) bottle of diphenhydramine was stored in an unlocked fanny pack. 15A NCAC 18A .2820(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. One (1) shelter-in-place drill conducted on 8/27/24 was not recorded on the log. .0604(u);.0302(d)(8) Technical Assistance provided as follows: Item #104 Plan to contact Environmental Health to ensure they are aware that you have not had a Sanitation inspection since June 2024. Moving forward, plan to reach out to Environmental Health when you are getting close to the date on your previous inspection. Although they typically come out on a regular schedule, it is the operator's responsibility to ensure inspections are obtained on time. Refer to Child Care Rule .0304(b) for additional information on this requirement. Item #841 Non-emergency medication must be kept in locked storage. Even though a drug is listed on an allergy action plan, if it is not the emergency medication, it must be locked up. Emergency medication, such as a recue inhaler or epinephrine pen, is designated as such because it is expected to work within seconds. Non-emergency medication, such as prescription or over the counter medication, is designated as such because it takes several minutes to have an effect on the child. We discussed the medication can be placed in a separate zipper of the fanny pack or backpack and locked, or could be placed in locked storage in the office. Refer to Sanitation Rule 15A NCAC 18A.2820(d) for details about this requirement. Item #805 and #1811 Plan to document drills conducted at the start of the school year on the safety drill log. A copy of the drill log was provided to you in the email containing this visit summary. Refer to Child Care Rules .0604(t); .0302(d)(5) for details about this requirement. 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 9/24/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: We discussed fire drills. Fire drills must be conducted via alarm whenever possible. We discussed technical and staffing issues may make this difficult. We discussed today that you will plan to work with school custodial staff to ensure fire drills are conducted with the alarm, moving forward. We discussed children with allergies that do not have rescue medication. As a reminder, all non-emergency medication, such as over the counter allergy medication, must be maintained in locked storage. We discussed emergency medication should be easily accessible to adults and should not be locked. Plan to maintain the non-emergency and emergency medication in separate pouches on backpacks and fanny packs, to ensure proper storage. Proper supervision is the first line of defense to ensuring no incidents occur with food allergies. Ensure staff are aware of all children with allergies and give extra attention to those children during meal time. We discussed that there are staff who would like to bring coffee drinks to the facility. Staff who bring coffee to the facility will need to transfer the coffee into an opaque container in order to properly model appropriate eating practices. Since caffeinated drinks are not included in the recommended meal patterns for children, staff should not consume them in front of children. Plan to visit https://www.fns.usda.gov/cacfp/nutrition-standards for more information on this requirement as well as section .900 of the NC Child Care Rules. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 34 Completed Date: 4/23/2024 Age: From 5 To 11 Total Minutes: 180 Time In: 01:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Lake Browne, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. L. Browne was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Upon arrival I was greeted by L. Browne and Anna Urquhart, Group Leader. Children were observed in outdoor play, playing Ga Ga ball, jump rope and exploring bubbles. Children engaged in bracelet making and a clay project for a mother's day gift. Children in group 1 were engaged in free-choice center play in the cafeteria. Children played a board game, enjoyed coloring books and built small structures with legos. Snack today consisted of tortilla, applesauce, sunbutter, vegetable juice and milk. 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-four percent (84%) as of 4/12/24. 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 4/12/24. Permit type – Four (4) star license issued 5/12/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced ratios, meets enhanced space. The last annual compliance visit was conducted on 5/4/23. The last fire drill was practiced on 3/25/24. The last lockdown drill was practiced on 2/16/24. The last fire inspection was approved on 1/31/24 The last sanitation inspection was conducted on 6/5/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/29/23. Vehicles used for transportation were not on site and were unable to be monitored during the visit today. Monitoring for all YMCA vehicles was conducted on 4/27/23 by Kaoru Eddins, Child Care Consultant. The program is not currently providing transportation to children on a regular basis. 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 102 The license was not posted in a prominent place at all times. The four (4) star licensed issued 5/12/21 was not posted in a prominent place at all times. G.S. 110-99(a1) 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. A First Aid information sheet was not posted in a caregiving space for referral. .0802(h) Technical assistance was provided as follows: Item #102 Plan to locate the four (4) star license and post in a prominent place. If the license is unable to be located, please let me know so another license can be reprinted and sent to you. G.S. 110-99. Possession and display of license. (a1) Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. Item #830 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. 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 5/7/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: The Medical Action Plan for the inhaler for one (1) child in group 2 will need to be updated by 5/1/24. The parent can update the Medical Action Plan. If no changes are needed, the parent of the child can indicate “no changes” and sign and date the form. Please see the rule below for additional information: 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. 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. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 .0801 · Violation

Name of Operation: YMCA HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 34 Completed Date: 4/23/2024 Age: From 5 To 11 Total Minutes: 180 Time In: 01:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Lake Browne, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. L. Browne was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Upon arrival I was greeted by L. Browne and Anna Urquhart, Group Leader. Children were observed in outdoor play, playing Ga Ga ball, jump rope and exploring bubbles. Children engaged in bracelet making and a clay project for a mother's day gift. Children in group 1 were engaged in free-choice center play in the cafeteria. Children played a board game, enjoyed coloring books and built small structures with legos. Snack today consisted of tortilla, applesauce, sunbutter, vegetable juice and milk. 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-four percent (84%) as of 4/12/24. 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 4/12/24. Permit type – Four (4) star license issued 5/12/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced ratios, meets enhanced space. The last annual compliance visit was conducted on 5/4/23. The last fire drill was practiced on 3/25/24. The last lockdown drill was practiced on 2/16/24. The last fire inspection was approved on 1/31/24 The last sanitation inspection was conducted on 6/5/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/29/23. Vehicles used for transportation were not on site and were unable to be monitored during the visit today. Monitoring for all YMCA vehicles was conducted on 4/27/23 by Kaoru Eddins, Child Care Consultant. The program is not currently providing transportation to children on a regular basis. 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 102 The license was not posted in a prominent place at all times. The four (4) star licensed issued 5/12/21 was not posted in a prominent place at all times. G.S. 110-99(a1) 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. A First Aid information sheet was not posted in a caregiving space for referral. .0802(h) Technical assistance was provided as follows: Item #102 Plan to locate the four (4) star license and post in a prominent place. If the license is unable to be located, please let me know so another license can be reprinted and sent to you. G.S. 110-99. Possession and display of license. (a1) Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. Item #830 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. 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 5/7/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: The Medical Action Plan for the inhaler for one (1) child in group 2 will need to be updated by 5/1/24. The parent can update the Medical Action Plan. If no changes are needed, the parent of the child can indicate “no changes” and sign and date the form. Please see the rule below for additional information: 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. 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. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 .0802 · Violation

Name of Operation: YMCA HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 34 Completed Date: 4/23/2024 Age: From 5 To 11 Total Minutes: 180 Time In: 01:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Lake Browne, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. L. Browne was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Upon arrival I was greeted by L. Browne and Anna Urquhart, Group Leader. Children were observed in outdoor play, playing Ga Ga ball, jump rope and exploring bubbles. Children engaged in bracelet making and a clay project for a mother's day gift. Children in group 1 were engaged in free-choice center play in the cafeteria. Children played a board game, enjoyed coloring books and built small structures with legos. Snack today consisted of tortilla, applesauce, sunbutter, vegetable juice and milk. 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-four percent (84%) as of 4/12/24. 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 4/12/24. Permit type – Four (4) star license issued 5/12/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced ratios, meets enhanced space. The last annual compliance visit was conducted on 5/4/23. The last fire drill was practiced on 3/25/24. The last lockdown drill was practiced on 2/16/24. The last fire inspection was approved on 1/31/24 The last sanitation inspection was conducted on 6/5/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/29/23. Vehicles used for transportation were not on site and were unable to be monitored during the visit today. Monitoring for all YMCA vehicles was conducted on 4/27/23 by Kaoru Eddins, Child Care Consultant. The program is not currently providing transportation to children on a regular basis. 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 102 The license was not posted in a prominent place at all times. The four (4) star licensed issued 5/12/21 was not posted in a prominent place at all times. G.S. 110-99(a1) 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. A First Aid information sheet was not posted in a caregiving space for referral. .0802(h) Technical assistance was provided as follows: Item #102 Plan to locate the four (4) star license and post in a prominent place. If the license is unable to be located, please let me know so another license can be reprinted and sent to you. G.S. 110-99. Possession and display of license. (a1) Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. Item #830 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. 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 5/7/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: The Medical Action Plan for the inhaler for one (1) child in group 2 will need to be updated by 5/1/24. The parent can update the Medical Action Plan. If no changes are needed, the parent of the child can indicate “no changes” and sign and date the form. Please see the rule below for additional information: 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. 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. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 34 Completed Date: 4/23/2024 Age: From 5 To 11 Total Minutes: 180 Time In: 01:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Lake Browne, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. L. Browne was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Upon arrival I was greeted by L. Browne and Anna Urquhart, Group Leader. Children were observed in outdoor play, playing Ga Ga ball, jump rope and exploring bubbles. Children engaged in bracelet making and a clay project for a mother's day gift. Children in group 1 were engaged in free-choice center play in the cafeteria. Children played a board game, enjoyed coloring books and built small structures with legos. Snack today consisted of tortilla, applesauce, sunbutter, vegetable juice and milk. 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-four percent (84%) as of 4/12/24. 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 4/12/24. Permit type – Four (4) star license issued 5/12/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced ratios, meets enhanced space. The last annual compliance visit was conducted on 5/4/23. The last fire drill was practiced on 3/25/24. The last lockdown drill was practiced on 2/16/24. The last fire inspection was approved on 1/31/24 The last sanitation inspection was conducted on 6/5/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/29/23. Vehicles used for transportation were not on site and were unable to be monitored during the visit today. Monitoring for all YMCA vehicles was conducted on 4/27/23 by Kaoru Eddins, Child Care Consultant. The program is not currently providing transportation to children on a regular basis. 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 102 The license was not posted in a prominent place at all times. The four (4) star licensed issued 5/12/21 was not posted in a prominent place at all times. G.S. 110-99(a1) 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. A First Aid information sheet was not posted in a caregiving space for referral. .0802(h) Technical assistance was provided as follows: Item #102 Plan to locate the four (4) star license and post in a prominent place. If the license is unable to be located, please let me know so another license can be reprinted and sent to you. G.S. 110-99. Possession and display of license. (a1) Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. Item #830 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. 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 5/7/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: The Medical Action Plan for the inhaler for one (1) child in group 2 will need to be updated by 5/1/24. The parent can update the Medical Action Plan. If no changes are needed, the parent of the child can indicate “no changes” and sign and date the form. Please see the rule below for additional information: 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. 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. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 34 Completed Date: 4/23/2024 Age: From 5 To 11 Total Minutes: 180 Time In: 01:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Lake Browne, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. L. Browne was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Upon arrival I was greeted by L. Browne and Anna Urquhart, Group Leader. Children were observed in outdoor play, playing Ga Ga ball, jump rope and exploring bubbles. Children engaged in bracelet making and a clay project for a mother's day gift. Children in group 1 were engaged in free-choice center play in the cafeteria. Children played a board game, enjoyed coloring books and built small structures with legos. Snack today consisted of tortilla, applesauce, sunbutter, vegetable juice and milk. 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-four percent (84%) as of 4/12/24. 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 4/12/24. Permit type – Four (4) star license issued 5/12/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced ratios, meets enhanced space. The last annual compliance visit was conducted on 5/4/23. The last fire drill was practiced on 3/25/24. The last lockdown drill was practiced on 2/16/24. The last fire inspection was approved on 1/31/24 The last sanitation inspection was conducted on 6/5/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/29/23. Vehicles used for transportation were not on site and were unable to be monitored during the visit today. Monitoring for all YMCA vehicles was conducted on 4/27/23 by Kaoru Eddins, Child Care Consultant. The program is not currently providing transportation to children on a regular basis. 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 102 The license was not posted in a prominent place at all times. The four (4) star licensed issued 5/12/21 was not posted in a prominent place at all times. G.S. 110-99(a1) 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. A First Aid information sheet was not posted in a caregiving space for referral. .0802(h) Technical assistance was provided as follows: Item #102 Plan to locate the four (4) star license and post in a prominent place. If the license is unable to be located, please let me know so another license can be reprinted and sent to you. G.S. 110-99. Possession and display of license. (a1) Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. Item #830 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. 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 5/7/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: The Medical Action Plan for the inhaler for one (1) child in group 2 will need to be updated by 5/1/24. The parent can update the Medical Action Plan. If no changes are needed, the parent of the child can indicate “no changes” and sign and date the form. Please see the rule below for additional information: 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. 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. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 34 Completed Date: 4/23/2024 Age: From 5 To 11 Total Minutes: 180 Time In: 01:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Lake Browne, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. L. Browne was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Upon arrival I was greeted by L. Browne and Anna Urquhart, Group Leader. Children were observed in outdoor play, playing Ga Ga ball, jump rope and exploring bubbles. Children engaged in bracelet making and a clay project for a mother's day gift. Children in group 1 were engaged in free-choice center play in the cafeteria. Children played a board game, enjoyed coloring books and built small structures with legos. Snack today consisted of tortilla, applesauce, sunbutter, vegetable juice and milk. 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-four percent (84%) as of 4/12/24. 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 4/12/24. Permit type – Four (4) star license issued 5/12/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced ratios, meets enhanced space. The last annual compliance visit was conducted on 5/4/23. The last fire drill was practiced on 3/25/24. The last lockdown drill was practiced on 2/16/24. The last fire inspection was approved on 1/31/24 The last sanitation inspection was conducted on 6/5/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/29/23. Vehicles used for transportation were not on site and were unable to be monitored during the visit today. Monitoring for all YMCA vehicles was conducted on 4/27/23 by Kaoru Eddins, Child Care Consultant. The program is not currently providing transportation to children on a regular basis. 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 102 The license was not posted in a prominent place at all times. The four (4) star licensed issued 5/12/21 was not posted in a prominent place at all times. G.S. 110-99(a1) 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. A First Aid information sheet was not posted in a caregiving space for referral. .0802(h) Technical assistance was provided as follows: Item #102 Plan to locate the four (4) star license and post in a prominent place. If the license is unable to be located, please let me know so another license can be reprinted and sent to you. G.S. 110-99. Possession and display of license. (a1) Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. Item #830 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. 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 5/7/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: The Medical Action Plan for the inhaler for one (1) child in group 2 will need to be updated by 5/1/24. The parent can update the Medical Action Plan. If no changes are needed, the parent of the child can indicate “no changes” and sign and date the form. Please see the rule below for additional information: 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. 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. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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. 110-99 · Violation

Name of Operation: YMCA HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 34 Completed Date: 4/23/2024 Age: From 5 To 11 Total Minutes: 180 Time In: 01:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Lake Browne, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. L. Browne was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Upon arrival I was greeted by L. Browne and Anna Urquhart, Group Leader. Children were observed in outdoor play, playing Ga Ga ball, jump rope and exploring bubbles. Children engaged in bracelet making and a clay project for a mother's day gift. Children in group 1 were engaged in free-choice center play in the cafeteria. Children played a board game, enjoyed coloring books and built small structures with legos. Snack today consisted of tortilla, applesauce, sunbutter, vegetable juice and milk. 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-four percent (84%) as of 4/12/24. 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 4/12/24. Permit type – Four (4) star license issued 5/12/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced ratios, meets enhanced space. The last annual compliance visit was conducted on 5/4/23. The last fire drill was practiced on 3/25/24. The last lockdown drill was practiced on 2/16/24. The last fire inspection was approved on 1/31/24 The last sanitation inspection was conducted on 6/5/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/29/23. Vehicles used for transportation were not on site and were unable to be monitored during the visit today. Monitoring for all YMCA vehicles was conducted on 4/27/23 by Kaoru Eddins, Child Care Consultant. The program is not currently providing transportation to children on a regular basis. 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 102 The license was not posted in a prominent place at all times. The four (4) star licensed issued 5/12/21 was not posted in a prominent place at all times. G.S. 110-99(a1) 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. A First Aid information sheet was not posted in a caregiving space for referral. .0802(h) Technical assistance was provided as follows: Item #102 Plan to locate the four (4) star license and post in a prominent place. If the license is unable to be located, please let me know so another license can be reprinted and sent to you. G.S. 110-99. Possession and display of license. (a1) Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. Item #830 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. 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 5/7/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: The Medical Action Plan for the inhaler for one (1) child in group 2 will need to be updated by 5/1/24. The parent can update the Medical Action Plan. If no changes are needed, the parent of the child can indicate “no changes” and sign and date the form. Please see the rule below for additional information: 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. 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. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/23/2024 Number Present: 34 Completed Date: 4/23/2024 Age: From 5 To 11 Total Minutes: 180 Time In: 01:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Lake Browne, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. L. Browne was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Upon arrival I was greeted by L. Browne and Anna Urquhart, Group Leader. Children were observed in outdoor play, playing Ga Ga ball, jump rope and exploring bubbles. Children engaged in bracelet making and a clay project for a mother's day gift. Children in group 1 were engaged in free-choice center play in the cafeteria. Children played a board game, enjoyed coloring books and built small structures with legos. Snack today consisted of tortilla, applesauce, sunbutter, vegetable juice and milk. 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-four percent (84%) as of 4/12/24. 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 4/12/24. Permit type – Four (4) star license issued 5/12/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced ratios, meets enhanced space. The last annual compliance visit was conducted on 5/4/23. The last fire drill was practiced on 3/25/24. The last lockdown drill was practiced on 2/16/24. The last fire inspection was approved on 1/31/24 The last sanitation inspection was conducted on 6/5/23 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/29/23. Vehicles used for transportation were not on site and were unable to be monitored during the visit today. Monitoring for all YMCA vehicles was conducted on 4/27/23 by Kaoru Eddins, Child Care Consultant. The program is not currently providing transportation to children on a regular basis. 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 102 The license was not posted in a prominent place at all times. The four (4) star licensed issued 5/12/21 was not posted in a prominent place at all times. G.S. 110-99(a1) 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. A First Aid information sheet was not posted in a caregiving space for referral. .0802(h) Technical assistance was provided as follows: Item #102 Plan to locate the four (4) star license and post in a prominent place. If the license is unable to be located, please let me know so another license can be reprinted and sent to you. G.S. 110-99. Possession and display of license. (a1) Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. Item #830 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. 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 5/7/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: The Medical Action Plan for the inhaler for one (1) child in group 2 will need to be updated by 5/1/24. The parent can update the Medical Action Plan. If no changes are needed, the parent of the child can indicate “no changes” and sign and date the form. Please see the rule below for additional information: 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. 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. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 .0102 · Violation

Name of Operation: YMCA HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 44 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Lake Browne, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Browne was present and available to ask and answer questions throughout the visit today. 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-nine percent (89%) as of 11/1/23. The last fire drill was practiced on 10/30/23. The last emergency drill, shelter-in-place drill, was practiced on 6/8/23. The last fire inspection was approved on 1/29/23. The program’s most recent sanitation inspection was completed on 9/6/23, with nine (9) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. Upon arrival I was greeted by L. Browne. Children met in the auditorium and were then divided into groups. Children in group 1 read books and played with animal figurines. Children in group 1 then transitioned to the hallway bathrooms to wash hands in preparation for lunch. Children in group 1 ate snack in the cafeteria. Snack today consisted of jerky, sunflower kernels, bean and vegetable crackers, applesauce, vegetable juice blend and milk. Children in group 2 transitioned to the gym. Children played dodgeball led by the teacher, built small structures with magna tiles and made plates of pretend food. Teachers were responsive to the needs of children. Children in group 3 transitioned to play outdoors. Children kicked, threw and caught balls and climbed on the jungle gym. Children were actively supervised at all times. Interactions were positive and children were redirected as needed. 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 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated for the week of 10/9/23-10/13/23. 10A NCAC 09 .0901(b) 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. One (1) staff member, hire date 4/24/23, did not have a First Aid training certificate on file. .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. One (1) staff, hire date 4/24/23, did not have a CPR training certificate on file. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was practice 6/8/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #526 Menus must be dated for the current week. We discussed placing the menu in a plastic sleeve and writing the current week’s date in dry erase marker to avoid having to reprint menus each week. 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. Item #1048 Staff must have an updated CPR/First Aid certificate on file. You stated the one (1) staff is receiving their CPR/First Aid Training tonight, 11/2/23. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall 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. Item #1049 Staff must have an updated CPR/First Aid certificate on file. You stated the one (!) staff is receiving their CPR/First Aid training tonight, 11/2/23. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (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. Item #1811 Shelter in place and lockdown drills must be practiced every three (3) months. The drill must be documented on a log. (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website. 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 11/16/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: We discussed the transition to bathroom and snack for group 1. The wait time between washing hands and moving to the cafeteria is long enough that children begin touching the walls/floor after washing hands. We discussed that the car riders for the elementary school use the cafeteria so, the afterschool program cannot start there. Work with your staff to devise a plan to reduce the wait time for children during this transition. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. We discussed that you will elect to have the ERS assessment conducted this year to increase your stars. The Rated License Reassessment Packet and Rated License Assessment Request Review form was provided to you today via email. Please let me know if you have any questions. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 44 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Lake Browne, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Browne was present and available to ask and answer questions throughout the visit today. 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-nine percent (89%) as of 11/1/23. The last fire drill was practiced on 10/30/23. The last emergency drill, shelter-in-place drill, was practiced on 6/8/23. The last fire inspection was approved on 1/29/23. The program’s most recent sanitation inspection was completed on 9/6/23, with nine (9) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. Upon arrival I was greeted by L. Browne. Children met in the auditorium and were then divided into groups. Children in group 1 read books and played with animal figurines. Children in group 1 then transitioned to the hallway bathrooms to wash hands in preparation for lunch. Children in group 1 ate snack in the cafeteria. Snack today consisted of jerky, sunflower kernels, bean and vegetable crackers, applesauce, vegetable juice blend and milk. Children in group 2 transitioned to the gym. Children played dodgeball led by the teacher, built small structures with magna tiles and made plates of pretend food. Teachers were responsive to the needs of children. Children in group 3 transitioned to play outdoors. Children kicked, threw and caught balls and climbed on the jungle gym. Children were actively supervised at all times. Interactions were positive and children were redirected as needed. 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 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated for the week of 10/9/23-10/13/23. 10A NCAC 09 .0901(b) 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. One (1) staff member, hire date 4/24/23, did not have a First Aid training certificate on file. .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. One (1) staff, hire date 4/24/23, did not have a CPR training certificate on file. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was practice 6/8/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #526 Menus must be dated for the current week. We discussed placing the menu in a plastic sleeve and writing the current week’s date in dry erase marker to avoid having to reprint menus each week. 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. Item #1048 Staff must have an updated CPR/First Aid certificate on file. You stated the one (1) staff is receiving their CPR/First Aid Training tonight, 11/2/23. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall 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. Item #1049 Staff must have an updated CPR/First Aid certificate on file. You stated the one (!) staff is receiving their CPR/First Aid training tonight, 11/2/23. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (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. Item #1811 Shelter in place and lockdown drills must be practiced every three (3) months. The drill must be documented on a log. (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website. 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 11/16/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: We discussed the transition to bathroom and snack for group 1. The wait time between washing hands and moving to the cafeteria is long enough that children begin touching the walls/floor after washing hands. We discussed that the car riders for the elementary school use the cafeteria so, the afterschool program cannot start there. Work with your staff to devise a plan to reduce the wait time for children during this transition. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. We discussed that you will elect to have the ERS assessment conducted this year to increase your stars. The Rated License Reassessment Packet and Rated License Assessment Request Review form was provided to you today via email. Please let me know if you have any questions. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 44 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Lake Browne, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Browne was present and available to ask and answer questions throughout the visit today. 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-nine percent (89%) as of 11/1/23. The last fire drill was practiced on 10/30/23. The last emergency drill, shelter-in-place drill, was practiced on 6/8/23. The last fire inspection was approved on 1/29/23. The program’s most recent sanitation inspection was completed on 9/6/23, with nine (9) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. Upon arrival I was greeted by L. Browne. Children met in the auditorium and were then divided into groups. Children in group 1 read books and played with animal figurines. Children in group 1 then transitioned to the hallway bathrooms to wash hands in preparation for lunch. Children in group 1 ate snack in the cafeteria. Snack today consisted of jerky, sunflower kernels, bean and vegetable crackers, applesauce, vegetable juice blend and milk. Children in group 2 transitioned to the gym. Children played dodgeball led by the teacher, built small structures with magna tiles and made plates of pretend food. Teachers were responsive to the needs of children. Children in group 3 transitioned to play outdoors. Children kicked, threw and caught balls and climbed on the jungle gym. Children were actively supervised at all times. Interactions were positive and children were redirected as needed. 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 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated for the week of 10/9/23-10/13/23. 10A NCAC 09 .0901(b) 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. One (1) staff member, hire date 4/24/23, did not have a First Aid training certificate on file. .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. One (1) staff, hire date 4/24/23, did not have a CPR training certificate on file. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was practice 6/8/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #526 Menus must be dated for the current week. We discussed placing the menu in a plastic sleeve and writing the current week’s date in dry erase marker to avoid having to reprint menus each week. 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. Item #1048 Staff must have an updated CPR/First Aid certificate on file. You stated the one (1) staff is receiving their CPR/First Aid Training tonight, 11/2/23. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall 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. Item #1049 Staff must have an updated CPR/First Aid certificate on file. You stated the one (!) staff is receiving their CPR/First Aid training tonight, 11/2/23. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (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. Item #1811 Shelter in place and lockdown drills must be practiced every three (3) months. The drill must be documented on a log. (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website. 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 11/16/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: We discussed the transition to bathroom and snack for group 1. The wait time between washing hands and moving to the cafeteria is long enough that children begin touching the walls/floor after washing hands. We discussed that the car riders for the elementary school use the cafeteria so, the afterschool program cannot start there. Work with your staff to devise a plan to reduce the wait time for children during this transition. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. We discussed that you will elect to have the ERS assessment conducted this year to increase your stars. The Rated License Reassessment Packet and Rated License Assessment Request Review form was provided to you today via email. Please let me know if you have any questions. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 44 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Lake Browne, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Browne was present and available to ask and answer questions throughout the visit today. 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-nine percent (89%) as of 11/1/23. The last fire drill was practiced on 10/30/23. The last emergency drill, shelter-in-place drill, was practiced on 6/8/23. The last fire inspection was approved on 1/29/23. The program’s most recent sanitation inspection was completed on 9/6/23, with nine (9) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. Upon arrival I was greeted by L. Browne. Children met in the auditorium and were then divided into groups. Children in group 1 read books and played with animal figurines. Children in group 1 then transitioned to the hallway bathrooms to wash hands in preparation for lunch. Children in group 1 ate snack in the cafeteria. Snack today consisted of jerky, sunflower kernels, bean and vegetable crackers, applesauce, vegetable juice blend and milk. Children in group 2 transitioned to the gym. Children played dodgeball led by the teacher, built small structures with magna tiles and made plates of pretend food. Teachers were responsive to the needs of children. Children in group 3 transitioned to play outdoors. Children kicked, threw and caught balls and climbed on the jungle gym. Children were actively supervised at all times. Interactions were positive and children were redirected as needed. 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 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated for the week of 10/9/23-10/13/23. 10A NCAC 09 .0901(b) 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. One (1) staff member, hire date 4/24/23, did not have a First Aid training certificate on file. .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. One (1) staff, hire date 4/24/23, did not have a CPR training certificate on file. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was practice 6/8/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #526 Menus must be dated for the current week. We discussed placing the menu in a plastic sleeve and writing the current week’s date in dry erase marker to avoid having to reprint menus each week. 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. Item #1048 Staff must have an updated CPR/First Aid certificate on file. You stated the one (1) staff is receiving their CPR/First Aid Training tonight, 11/2/23. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall 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. Item #1049 Staff must have an updated CPR/First Aid certificate on file. You stated the one (!) staff is receiving their CPR/First Aid training tonight, 11/2/23. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (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. Item #1811 Shelter in place and lockdown drills must be practiced every three (3) months. The drill must be documented on a log. (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website. 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 11/16/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: We discussed the transition to bathroom and snack for group 1. The wait time between washing hands and moving to the cafeteria is long enough that children begin touching the walls/floor after washing hands. We discussed that the car riders for the elementary school use the cafeteria so, the afterschool program cannot start there. Work with your staff to devise a plan to reduce the wait time for children during this transition. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. We discussed that you will elect to have the ERS assessment conducted this year to increase your stars. The Rated License Reassessment Packet and Rated License Assessment Request Review form was provided to you today via email. Please let me know if you have any questions. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 44 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Lake Browne, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Browne was present and available to ask and answer questions throughout the visit today. 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-nine percent (89%) as of 11/1/23. The last fire drill was practiced on 10/30/23. The last emergency drill, shelter-in-place drill, was practiced on 6/8/23. The last fire inspection was approved on 1/29/23. The program’s most recent sanitation inspection was completed on 9/6/23, with nine (9) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. Upon arrival I was greeted by L. Browne. Children met in the auditorium and were then divided into groups. Children in group 1 read books and played with animal figurines. Children in group 1 then transitioned to the hallway bathrooms to wash hands in preparation for lunch. Children in group 1 ate snack in the cafeteria. Snack today consisted of jerky, sunflower kernels, bean and vegetable crackers, applesauce, vegetable juice blend and milk. Children in group 2 transitioned to the gym. Children played dodgeball led by the teacher, built small structures with magna tiles and made plates of pretend food. Teachers were responsive to the needs of children. Children in group 3 transitioned to play outdoors. Children kicked, threw and caught balls and climbed on the jungle gym. Children were actively supervised at all times. Interactions were positive and children were redirected as needed. 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 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated for the week of 10/9/23-10/13/23. 10A NCAC 09 .0901(b) 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. One (1) staff member, hire date 4/24/23, did not have a First Aid training certificate on file. .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. One (1) staff, hire date 4/24/23, did not have a CPR training certificate on file. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was practice 6/8/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #526 Menus must be dated for the current week. We discussed placing the menu in a plastic sleeve and writing the current week’s date in dry erase marker to avoid having to reprint menus each week. 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. Item #1048 Staff must have an updated CPR/First Aid certificate on file. You stated the one (1) staff is receiving their CPR/First Aid Training tonight, 11/2/23. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall 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. Item #1049 Staff must have an updated CPR/First Aid certificate on file. You stated the one (!) staff is receiving their CPR/First Aid training tonight, 11/2/23. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (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. Item #1811 Shelter in place and lockdown drills must be practiced every three (3) months. The drill must be documented on a log. (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website. 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 11/16/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: We discussed the transition to bathroom and snack for group 1. The wait time between washing hands and moving to the cafeteria is long enough that children begin touching the walls/floor after washing hands. We discussed that the car riders for the elementary school use the cafeteria so, the afterschool program cannot start there. Work with your staff to devise a plan to reduce the wait time for children during this transition. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. We discussed that you will elect to have the ERS assessment conducted this year to increase your stars. The Rated License Reassessment Packet and Rated License Assessment Request Review form was provided to you today via email. Please let me know if you have any questions. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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 HAW CREEK AFTERSCHOOL Facility ID: 11000685 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/2/2023 Number Present: 44 Completed Date: 11/2/2023 Age: From 5 To 10 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Lake Browne, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Browne was present and available to ask and answer questions throughout the visit today. 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-nine percent (89%) as of 11/1/23. The last fire drill was practiced on 10/30/23. The last emergency drill, shelter-in-place drill, was practiced on 6/8/23. The last fire inspection was approved on 1/29/23. The program’s most recent sanitation inspection was completed on 9/6/23, with nine (9) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. Upon arrival I was greeted by L. Browne. Children met in the auditorium and were then divided into groups. Children in group 1 read books and played with animal figurines. Children in group 1 then transitioned to the hallway bathrooms to wash hands in preparation for lunch. Children in group 1 ate snack in the cafeteria. Snack today consisted of jerky, sunflower kernels, bean and vegetable crackers, applesauce, vegetable juice blend and milk. Children in group 2 transitioned to the gym. Children played dodgeball led by the teacher, built small structures with magna tiles and made plates of pretend food. Teachers were responsive to the needs of children. Children in group 3 transitioned to play outdoors. Children kicked, threw and caught balls and climbed on the jungle gym. Children were actively supervised at all times. Interactions were positive and children were redirected as needed. 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 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu posted was dated for the week of 10/9/23-10/13/23. 10A NCAC 09 .0901(b) 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. One (1) staff member, hire date 4/24/23, did not have a First Aid training certificate on file. .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. One (1) staff, hire date 4/24/23, did not have a CPR training certificate on file. .1102(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place or lockdown drill was practice 6/8/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #526 Menus must be dated for the current week. We discussed placing the menu in a plastic sleeve and writing the current week’s date in dry erase marker to avoid having to reprint menus each week. 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. Item #1048 Staff must have an updated CPR/First Aid certificate on file. You stated the one (1) staff is receiving their CPR/First Aid Training tonight, 11/2/23. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall 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. Item #1049 Staff must have an updated CPR/First Aid certificate on file. You stated the one (!) staff is receiving their CPR/First Aid training tonight, 11/2/23. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (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. Item #1811 Shelter in place and lockdown drills must be practiced every three (3) months. The drill must be documented on a log. (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (8) records of lockdown or shelter-in-place drills as defined in 10A NCAC 09 .0102, giving the date each drill was held, the time of day, the length of time taken to get into designated locations and the signature of the person who conducted the drill. A copy of the form may be found on the Division's website. 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 11/16/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: We discussed the transition to bathroom and snack for group 1. The wait time between washing hands and moving to the cafeteria is long enough that children begin touching the walls/floor after washing hands. We discussed that the car riders for the elementary school use the cafeteria so, the afterschool program cannot start there. Work with your staff to devise a plan to reduce the wait time for children during this transition. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. We discussed that you will elect to have the ERS assessment conducted this year to increase your stars. The Rated License Reassessment Packet and Rated License Assessment Request Review form was provided to you today via email. Please let me know if you have any questions. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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