Ymca Oakley Afterschool

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA OAKLEY AFTERSCHOOL Facility ID: 11000676 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 43 Completed Date: 1/7/2026 Age: From 5 To 11 Total Minutes: 225 Time In: 01:45 PM Time Out: 05:30 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 me, Kaitlyn Marshall, Child Care Consultant and also signed by Jessie Parrish, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. J. Parrish 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-four percent (94%) as of 12/31/25. 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 12/31/25. Permit type – Four (4) star license issued 9/3/25. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets enhanced ratios. The last annual compliance visit was conducted on 1/16/25. The last fire drill was practiced on 12/18/25. The last shelter-in-place drill was practiced on 12/9/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/5/24 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids Website currently lists the status as “waiting for on-site visit results”. Continue to work with RTI and the public elementary school to complete the testing requirement. Upon arrival to the premises, I met with Delaney Burke, Administrator, via TEAMS to review staff and children files. At approximately 2:50pm, I began my observation of caregiving spaces. Upon arrival, children broke into groups in the cafeteria as attendance was taken. Children were engaged in quiet reading time for the beginning of the program. Children in groups 1 and 2 transitioned to wash hands and then ate snack. Snack today consisted of bean dip, tortilla, sunbutter, applesauce, vegetable juice and milk. Children in group 3 transitioned to use the restrooms and then went outside. Once outside, children played soccer and swung on swings. 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 program is approved to provide transportation. Transportation monitoring for all YMCA- WNC vehicles was conducted on 6/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill that was conducted on 12/18/25 was not recorded on the fire drill log .0604(t); .0302(d)(5) 1031 Documentation of staff's education, training, and experience was not on file. The orientation training record and training certificates for Recognizing and Responding to Suspicions of Child Maltreatment and Basic School Age Care trainings were not maintained in the file for one (1) group leader. .0302(d)(1)(B) 1043 All staff records, except financial records, were not made available for review. The medical report and TB test/screening were not maintained in the file for one (1) group leader. G.S. 110-91( 9) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place drill conducted on 12/9/25 was not documented on the log. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #805: This is corrected. Moving forward, plan to document the fire drills on the log immediately after completion of the drill. Item #1031: Training certificates and records must be maintained in staff files and must be made available for review. To reach compliance with this item, the training certificates and orientation training record must be placed in the staff member’s file. Alternatively, the staff member must retake the trainings and the certificates and training record must be placed in the staff members file. In your letter of compliance, include a statement that indicates how the training certificates and orientation training record have been maintained in the staff member’s file. Item #1043: Medical report and TB tests for all staff must be maintained on file and made available for review by representatives of the Division. A new medical report and TB test were completed on 12/17/25 and are maintained on file. In your letter of compliance, include a statement that indicates how you will ensure staff files are maintained for review, moving forward. Item #1811: This was corrected during the visit today. Moving forward, plan to document the safety drill on the log immediately after completion of the drill. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 1/21/25. 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: We discussed the tent in the corner of the cafeteria used by children as a quiet/calm down space. When the flaps are in the front, you are unable to see the child inside the tent. We discussed that this could create supervision issues and could provide a hiding place. We discussed implementing procedures that ensure adequate supervision at all times such as requiring the tent flaps to remain tied open, enforcing a rule of one child at a time inside and having each group leader check the tent prior to exiting the cafeteria during transitions. This job could also be given to a child in the group (for example, the “tent checker”) prior to exiting the cafeteria. Staff children from the elementary school cannot intermingle with children in the licensed program. Work with the public elementary school to ensure staff children do not enter YMCA spaces during the licensed program's operating hours. Approved Space: 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. Recognizing and Responding to Suspicions of 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 .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. 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 OAKLEY AFTERSCHOOL Facility ID: 11000676 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 43 Completed Date: 1/7/2026 Age: From 5 To 11 Total Minutes: 225 Time In: 01:45 PM Time Out: 05:30 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 me, Kaitlyn Marshall, Child Care Consultant and also signed by Jessie Parrish, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. J. Parrish 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-four percent (94%) as of 12/31/25. 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 12/31/25. Permit type – Four (4) star license issued 9/3/25. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets enhanced ratios. The last annual compliance visit was conducted on 1/16/25. The last fire drill was practiced on 12/18/25. The last shelter-in-place drill was practiced on 12/9/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/5/24 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids Website currently lists the status as “waiting for on-site visit results”. Continue to work with RTI and the public elementary school to complete the testing requirement. Upon arrival to the premises, I met with Delaney Burke, Administrator, via TEAMS to review staff and children files. At approximately 2:50pm, I began my observation of caregiving spaces. Upon arrival, children broke into groups in the cafeteria as attendance was taken. Children were engaged in quiet reading time for the beginning of the program. Children in groups 1 and 2 transitioned to wash hands and then ate snack. Snack today consisted of bean dip, tortilla, sunbutter, applesauce, vegetable juice and milk. Children in group 3 transitioned to use the restrooms and then went outside. Once outside, children played soccer and swung on swings. 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 program is approved to provide transportation. Transportation monitoring for all YMCA- WNC vehicles was conducted on 6/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill that was conducted on 12/18/25 was not recorded on the fire drill log .0604(t); .0302(d)(5) 1031 Documentation of staff's education, training, and experience was not on file. The orientation training record and training certificates for Recognizing and Responding to Suspicions of Child Maltreatment and Basic School Age Care trainings were not maintained in the file for one (1) group leader. .0302(d)(1)(B) 1043 All staff records, except financial records, were not made available for review. The medical report and TB test/screening were not maintained in the file for one (1) group leader. G.S. 110-91( 9) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place drill conducted on 12/9/25 was not documented on the log. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #805: This is corrected. Moving forward, plan to document the fire drills on the log immediately after completion of the drill. Item #1031: Training certificates and records must be maintained in staff files and must be made available for review. To reach compliance with this item, the training certificates and orientation training record must be placed in the staff member’s file. Alternatively, the staff member must retake the trainings and the certificates and training record must be placed in the staff members file. In your letter of compliance, include a statement that indicates how the training certificates and orientation training record have been maintained in the staff member’s file. Item #1043: Medical report and TB tests for all staff must be maintained on file and made available for review by representatives of the Division. A new medical report and TB test were completed on 12/17/25 and are maintained on file. In your letter of compliance, include a statement that indicates how you will ensure staff files are maintained for review, moving forward. Item #1811: This was corrected during the visit today. Moving forward, plan to document the safety drill on the log immediately after completion of the drill. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 1/21/25. 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: We discussed the tent in the corner of the cafeteria used by children as a quiet/calm down space. When the flaps are in the front, you are unable to see the child inside the tent. We discussed that this could create supervision issues and could provide a hiding place. We discussed implementing procedures that ensure adequate supervision at all times such as requiring the tent flaps to remain tied open, enforcing a rule of one child at a time inside and having each group leader check the tent prior to exiting the cafeteria during transitions. This job could also be given to a child in the group (for example, the “tent checker”) prior to exiting the cafeteria. Staff children from the elementary school cannot intermingle with children in the licensed program. Work with the public elementary school to ensure staff children do not enter YMCA spaces during the licensed program's operating hours. Approved Space: 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. Recognizing and Responding to Suspicions of 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 .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. 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 .2830 · Violation

Name of Operation: YMCA OAKLEY AFTERSCHOOL Facility ID: 11000676 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 43 Completed Date: 1/7/2026 Age: From 5 To 11 Total Minutes: 225 Time In: 01:45 PM Time Out: 05:30 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 me, Kaitlyn Marshall, Child Care Consultant and also signed by Jessie Parrish, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. J. Parrish 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-four percent (94%) as of 12/31/25. 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 12/31/25. Permit type – Four (4) star license issued 9/3/25. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets enhanced ratios. The last annual compliance visit was conducted on 1/16/25. The last fire drill was practiced on 12/18/25. The last shelter-in-place drill was practiced on 12/9/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/5/24 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids Website currently lists the status as “waiting for on-site visit results”. Continue to work with RTI and the public elementary school to complete the testing requirement. Upon arrival to the premises, I met with Delaney Burke, Administrator, via TEAMS to review staff and children files. At approximately 2:50pm, I began my observation of caregiving spaces. Upon arrival, children broke into groups in the cafeteria as attendance was taken. Children were engaged in quiet reading time for the beginning of the program. Children in groups 1 and 2 transitioned to wash hands and then ate snack. Snack today consisted of bean dip, tortilla, sunbutter, applesauce, vegetable juice and milk. Children in group 3 transitioned to use the restrooms and then went outside. Once outside, children played soccer and swung on swings. 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 program is approved to provide transportation. Transportation monitoring for all YMCA- WNC vehicles was conducted on 6/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill that was conducted on 12/18/25 was not recorded on the fire drill log .0604(t); .0302(d)(5) 1031 Documentation of staff's education, training, and experience was not on file. The orientation training record and training certificates for Recognizing and Responding to Suspicions of Child Maltreatment and Basic School Age Care trainings were not maintained in the file for one (1) group leader. .0302(d)(1)(B) 1043 All staff records, except financial records, were not made available for review. The medical report and TB test/screening were not maintained in the file for one (1) group leader. G.S. 110-91( 9) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place drill conducted on 12/9/25 was not documented on the log. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #805: This is corrected. Moving forward, plan to document the fire drills on the log immediately after completion of the drill. Item #1031: Training certificates and records must be maintained in staff files and must be made available for review. To reach compliance with this item, the training certificates and orientation training record must be placed in the staff member’s file. Alternatively, the staff member must retake the trainings and the certificates and training record must be placed in the staff members file. In your letter of compliance, include a statement that indicates how the training certificates and orientation training record have been maintained in the staff member’s file. Item #1043: Medical report and TB tests for all staff must be maintained on file and made available for review by representatives of the Division. A new medical report and TB test were completed on 12/17/25 and are maintained on file. In your letter of compliance, include a statement that indicates how you will ensure staff files are maintained for review, moving forward. Item #1811: This was corrected during the visit today. Moving forward, plan to document the safety drill on the log immediately after completion of the drill. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 1/21/25. 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: We discussed the tent in the corner of the cafeteria used by children as a quiet/calm down space. When the flaps are in the front, you are unable to see the child inside the tent. We discussed that this could create supervision issues and could provide a hiding place. We discussed implementing procedures that ensure adequate supervision at all times such as requiring the tent flaps to remain tied open, enforcing a rule of one child at a time inside and having each group leader check the tent prior to exiting the cafeteria during transitions. This job could also be given to a child in the group (for example, the “tent checker”) prior to exiting the cafeteria. Staff children from the elementary school cannot intermingle with children in the licensed program. Work with the public elementary school to ensure staff children do not enter YMCA spaces during the licensed program's operating hours. Approved Space: 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. Recognizing and Responding to Suspicions of 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 .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. 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. 110-91 · Violation

Name of Operation: YMCA OAKLEY AFTERSCHOOL Facility ID: 11000676 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 43 Completed Date: 1/7/2026 Age: From 5 To 11 Total Minutes: 225 Time In: 01:45 PM Time Out: 05:30 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 me, Kaitlyn Marshall, Child Care Consultant and also signed by Jessie Parrish, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. J. Parrish 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-four percent (94%) as of 12/31/25. 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 12/31/25. Permit type – Four (4) star license issued 9/3/25. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets enhanced ratios. The last annual compliance visit was conducted on 1/16/25. The last fire drill was practiced on 12/18/25. The last shelter-in-place drill was practiced on 12/9/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/5/24 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids Website currently lists the status as “waiting for on-site visit results”. Continue to work with RTI and the public elementary school to complete the testing requirement. Upon arrival to the premises, I met with Delaney Burke, Administrator, via TEAMS to review staff and children files. At approximately 2:50pm, I began my observation of caregiving spaces. Upon arrival, children broke into groups in the cafeteria as attendance was taken. Children were engaged in quiet reading time for the beginning of the program. Children in groups 1 and 2 transitioned to wash hands and then ate snack. Snack today consisted of bean dip, tortilla, sunbutter, applesauce, vegetable juice and milk. Children in group 3 transitioned to use the restrooms and then went outside. Once outside, children played soccer and swung on swings. 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 program is approved to provide transportation. Transportation monitoring for all YMCA- WNC vehicles was conducted on 6/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill that was conducted on 12/18/25 was not recorded on the fire drill log .0604(t); .0302(d)(5) 1031 Documentation of staff's education, training, and experience was not on file. The orientation training record and training certificates for Recognizing and Responding to Suspicions of Child Maltreatment and Basic School Age Care trainings were not maintained in the file for one (1) group leader. .0302(d)(1)(B) 1043 All staff records, except financial records, were not made available for review. The medical report and TB test/screening were not maintained in the file for one (1) group leader. G.S. 110-91( 9) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place drill conducted on 12/9/25 was not documented on the log. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #805: This is corrected. Moving forward, plan to document the fire drills on the log immediately after completion of the drill. Item #1031: Training certificates and records must be maintained in staff files and must be made available for review. To reach compliance with this item, the training certificates and orientation training record must be placed in the staff member’s file. Alternatively, the staff member must retake the trainings and the certificates and training record must be placed in the staff members file. In your letter of compliance, include a statement that indicates how the training certificates and orientation training record have been maintained in the staff member’s file. Item #1043: Medical report and TB tests for all staff must be maintained on file and made available for review by representatives of the Division. A new medical report and TB test were completed on 12/17/25 and are maintained on file. In your letter of compliance, include a statement that indicates how you will ensure staff files are maintained for review, moving forward. Item #1811: This was corrected during the visit today. Moving forward, plan to document the safety drill on the log immediately after completion of the drill. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 1/21/25. 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: We discussed the tent in the corner of the cafeteria used by children as a quiet/calm down space. When the flaps are in the front, you are unable to see the child inside the tent. We discussed that this could create supervision issues and could provide a hiding place. We discussed implementing procedures that ensure adequate supervision at all times such as requiring the tent flaps to remain tied open, enforcing a rule of one child at a time inside and having each group leader check the tent prior to exiting the cafeteria during transitions. This job could also be given to a child in the group (for example, the “tent checker”) prior to exiting the cafeteria. Staff children from the elementary school cannot intermingle with children in the licensed program. Work with the public elementary school to ensure staff children do not enter YMCA spaces during the licensed program's operating hours. Approved Space: 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. Recognizing and Responding to Suspicions of 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 .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. 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 OAKLEY AFTERSCHOOL Facility ID: 11000676 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 43 Completed Date: 1/7/2026 Age: From 5 To 11 Total Minutes: 225 Time In: 01:45 PM Time Out: 05:30 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 me, Kaitlyn Marshall, Child Care Consultant and also signed by Jessie Parrish, Program Coordinator, during the visit. A signed copy of the visit summary was emailed to you. J. Parrish 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-four percent (94%) as of 12/31/25. 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 12/31/25. Permit type – Four (4) star license issued 9/3/25. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets enhanced ratios. The last annual compliance visit was conducted on 1/16/25. The last fire drill was practiced on 12/18/25. The last shelter-in-place drill was practiced on 12/9/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/5/24 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids Website currently lists the status as “waiting for on-site visit results”. Continue to work with RTI and the public elementary school to complete the testing requirement. Upon arrival to the premises, I met with Delaney Burke, Administrator, via TEAMS to review staff and children files. At approximately 2:50pm, I began my observation of caregiving spaces. Upon arrival, children broke into groups in the cafeteria as attendance was taken. Children were engaged in quiet reading time for the beginning of the program. Children in groups 1 and 2 transitioned to wash hands and then ate snack. Snack today consisted of bean dip, tortilla, sunbutter, applesauce, vegetable juice and milk. Children in group 3 transitioned to use the restrooms and then went outside. Once outside, children played soccer and swung on swings. 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 program is approved to provide transportation. Transportation monitoring for all YMCA- WNC vehicles was conducted on 6/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The fire drill that was conducted on 12/18/25 was not recorded on the fire drill log .0604(t); .0302(d)(5) 1031 Documentation of staff's education, training, and experience was not on file. The orientation training record and training certificates for Recognizing and Responding to Suspicions of Child Maltreatment and Basic School Age Care trainings were not maintained in the file for one (1) group leader. .0302(d)(1)(B) 1043 All staff records, except financial records, were not made available for review. The medical report and TB test/screening were not maintained in the file for one (1) group leader. G.S. 110-91( 9) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The shelter-in-place drill conducted on 12/9/25 was not documented on the log. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #805: This is corrected. Moving forward, plan to document the fire drills on the log immediately after completion of the drill. Item #1031: Training certificates and records must be maintained in staff files and must be made available for review. To reach compliance with this item, the training certificates and orientation training record must be placed in the staff member’s file. Alternatively, the staff member must retake the trainings and the certificates and training record must be placed in the staff members file. In your letter of compliance, include a statement that indicates how the training certificates and orientation training record have been maintained in the staff member’s file. Item #1043: Medical report and TB tests for all staff must be maintained on file and made available for review by representatives of the Division. A new medical report and TB test were completed on 12/17/25 and are maintained on file. In your letter of compliance, include a statement that indicates how you will ensure staff files are maintained for review, moving forward. Item #1811: This was corrected during the visit today. Moving forward, plan to document the safety drill on the log immediately after completion of the drill. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 1/21/25. 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: We discussed the tent in the corner of the cafeteria used by children as a quiet/calm down space. When the flaps are in the front, you are unable to see the child inside the tent. We discussed that this could create supervision issues and could provide a hiding place. We discussed implementing procedures that ensure adequate supervision at all times such as requiring the tent flaps to remain tied open, enforcing a rule of one child at a time inside and having each group leader check the tent prior to exiting the cafeteria during transitions. This job could also be given to a child in the group (for example, the “tent checker”) prior to exiting the cafeteria. Staff children from the elementary school cannot intermingle with children in the licensed program. Work with the public elementary school to ensure staff children do not enter YMCA spaces during the licensed program's operating hours. Approved Space: 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. Recognizing and Responding to Suspicions of 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 .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. 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 OAKLEY AFTERSCHOOL Facility ID: 11000676 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 43 Completed Date: 9/3/2025 Age: From 5 To 12 Total Minutes: 180 Time In: 01:30 PM Time Out: 04:30 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 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 9/2/25. Permit type – Four (4) star licensed issued 8/23/24. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced ratios, meets enhanced space. Playground area does not meet child care requirements. The facility is approved to provide transportation. The last annual compliance visit was conducted on 1/16/25. The last fire drill was practiced on 8/29/25. The last shelter-in-place drill was practiced on 5/21/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/5/24 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids Website currently lists the status as “waiting for on-site visit results”. Continue to work with RTI and the public elementary school to complete the testing requirement. There is one (1) new staff. I met with Delaney Burke, Administrator, on TEAMS to review the one (1) new staff file. Upon arrival I was greeted by S. Applegate, Jessie Parrish, Program Coordinator, Jordan Singh, Group Leader, and Wilson Lewis, Group Leader. Upon arrival, children engaged in independent free choice play. Children built small structures with magnatiles, molded playdoh into various shapes, drew pictures with markers and crayons and played age appropriate board and card games. I observed groups 1 and 2 transition to snack. Snack consisted of milk, sunflower seeds, sun butter, tortilla, applesauce and vegetable juice. I observed group 3 transition to the playground. Interactions were supportive and positive. 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 102 The license was not posted in a prominent place at all times. The license was not posted. G.S. 110-99(a1) 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. The medical report was dated 7/11/25 for one (1) staff, hire date 7/10/25. 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. The TB test was dated 7/11/25 for one (1) staff, hire date 7/10/25. .0701(a) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The Medical Action Plan for one (1) child was completed 9/7/23. .0801(b) Technical assistance was provided as follows: Item #102 The license was located during the visit and was posted. This is corrected. WE discussed the license was removed at the end of the school year. I recommend using the program files checklist available on the Divisions website to ensure items are posted at the start of the school year. Item #1835 The parent of the one (1) child must update the Medical Action Plan. We discussed the parent can complete a new action plan. Alternatively, the parent can review the Medical Action Plan to make necessary changes or can indicate no changes are needed, sign and date the existing form. Item #1032 and #1033 We discussed the medical report for staff must be on file prior to employment. We discussed the TB test 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 these items are on file within the required timelines. 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 9/17/25. 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 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 following restriction will be removed from your license in accordance with new requirements: “playground area does not meet child care safety standards” A new license will be sent to the mailing address associated with this facility. A visit will be scheduled with you soon to review the new Quality Rating and Improvement System (QRIS) Pathways to the Stars. We will discuss all of the options to determine the best pathway for your program. In the meantime, plan to visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more about the pathway options. Additionally, ensure all staff have updated WORKS letters on file. The last shelter-in-place drill was conducted in May. We discussed the program was closed for the summer. The first day of the new school year was 8/25/25, leaving only 5 days to conduct the drill with new children and staff. Moving forward, plan to conduct a safety drill in the month that it is due, even if the program is only open for a few days. Plan to conduct a shelter-in-place drill immediately, so that there is not a long lapse between logged drills. 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. 110-99 · Violation

Name of Operation: YMCA OAKLEY AFTERSCHOOL Facility ID: 11000676 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 43 Completed Date: 9/3/2025 Age: From 5 To 12 Total Minutes: 180 Time In: 01:30 PM Time Out: 04:30 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 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 9/2/25. Permit type – Four (4) star licensed issued 8/23/24. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced ratios, meets enhanced space. Playground area does not meet child care requirements. The facility is approved to provide transportation. The last annual compliance visit was conducted on 1/16/25. The last fire drill was practiced on 8/29/25. The last shelter-in-place drill was practiced on 5/21/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/5/24 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids Website currently lists the status as “waiting for on-site visit results”. Continue to work with RTI and the public elementary school to complete the testing requirement. There is one (1) new staff. I met with Delaney Burke, Administrator, on TEAMS to review the one (1) new staff file. Upon arrival I was greeted by S. Applegate, Jessie Parrish, Program Coordinator, Jordan Singh, Group Leader, and Wilson Lewis, Group Leader. Upon arrival, children engaged in independent free choice play. Children built small structures with magnatiles, molded playdoh into various shapes, drew pictures with markers and crayons and played age appropriate board and card games. I observed groups 1 and 2 transition to snack. Snack consisted of milk, sunflower seeds, sun butter, tortilla, applesauce and vegetable juice. I observed group 3 transition to the playground. Interactions were supportive and positive. 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 102 The license was not posted in a prominent place at all times. The license was not posted. G.S. 110-99(a1) 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. The medical report was dated 7/11/25 for one (1) staff, hire date 7/10/25. 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. The TB test was dated 7/11/25 for one (1) staff, hire date 7/10/25. .0701(a) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The Medical Action Plan for one (1) child was completed 9/7/23. .0801(b) Technical assistance was provided as follows: Item #102 The license was located during the visit and was posted. This is corrected. WE discussed the license was removed at the end of the school year. I recommend using the program files checklist available on the Divisions website to ensure items are posted at the start of the school year. Item #1835 The parent of the one (1) child must update the Medical Action Plan. We discussed the parent can complete a new action plan. Alternatively, the parent can review the Medical Action Plan to make necessary changes or can indicate no changes are needed, sign and date the existing form. Item #1032 and #1033 We discussed the medical report for staff must be on file prior to employment. We discussed the TB test 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 these items are on file within the required timelines. 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 9/17/25. 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 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 following restriction will be removed from your license in accordance with new requirements: “playground area does not meet child care safety standards” A new license will be sent to the mailing address associated with this facility. A visit will be scheduled with you soon to review the new Quality Rating and Improvement System (QRIS) Pathways to the Stars. We will discuss all of the options to determine the best pathway for your program. In the meantime, plan to visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more about the pathway options. Additionally, ensure all staff have updated WORKS letters on file. The last shelter-in-place drill was conducted in May. We discussed the program was closed for the summer. The first day of the new school year was 8/25/25, leaving only 5 days to conduct the drill with new children and staff. Moving forward, plan to conduct a safety drill in the month that it is due, even if the program is only open for a few days. Plan to conduct a shelter-in-place drill immediately, so that there is not a long lapse between logged drills. 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 OAKLEY AFTERSCHOOL Facility ID: 11000676 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/3/2025 Number Present: 43 Completed Date: 9/3/2025 Age: From 5 To 12 Total Minutes: 180 Time In: 01:30 PM Time Out: 04:30 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 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 9/2/25. Permit type – Four (4) star licensed issued 8/23/24. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced ratios, meets enhanced space. Playground area does not meet child care requirements. The facility is approved to provide transportation. The last annual compliance visit was conducted on 1/16/25. The last fire drill was practiced on 8/29/25. The last shelter-in-place drill was practiced on 5/21/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/5/24 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids Website currently lists the status as “waiting for on-site visit results”. Continue to work with RTI and the public elementary school to complete the testing requirement. There is one (1) new staff. I met with Delaney Burke, Administrator, on TEAMS to review the one (1) new staff file. Upon arrival I was greeted by S. Applegate, Jessie Parrish, Program Coordinator, Jordan Singh, Group Leader, and Wilson Lewis, Group Leader. Upon arrival, children engaged in independent free choice play. Children built small structures with magnatiles, molded playdoh into various shapes, drew pictures with markers and crayons and played age appropriate board and card games. I observed groups 1 and 2 transition to snack. Snack consisted of milk, sunflower seeds, sun butter, tortilla, applesauce and vegetable juice. I observed group 3 transition to the playground. Interactions were supportive and positive. 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 102 The license was not posted in a prominent place at all times. The license was not posted. G.S. 110-99(a1) 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. The medical report was dated 7/11/25 for one (1) staff, hire date 7/10/25. 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. The TB test was dated 7/11/25 for one (1) staff, hire date 7/10/25. .0701(a) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The Medical Action Plan for one (1) child was completed 9/7/23. .0801(b) Technical assistance was provided as follows: Item #102 The license was located during the visit and was posted. This is corrected. WE discussed the license was removed at the end of the school year. I recommend using the program files checklist available on the Divisions website to ensure items are posted at the start of the school year. Item #1835 The parent of the one (1) child must update the Medical Action Plan. We discussed the parent can complete a new action plan. Alternatively, the parent can review the Medical Action Plan to make necessary changes or can indicate no changes are needed, sign and date the existing form. Item #1032 and #1033 We discussed the medical report for staff must be on file prior to employment. We discussed the TB test 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 these items are on file within the required timelines. 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 9/17/25. 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 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 following restriction will be removed from your license in accordance with new requirements: “playground area does not meet child care safety standards” A new license will be sent to the mailing address associated with this facility. A visit will be scheduled with you soon to review the new Quality Rating and Improvement System (QRIS) Pathways to the Stars. We will discuss all of the options to determine the best pathway for your program. In the meantime, plan to visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more about the pathway options. Additionally, ensure all staff have updated WORKS letters on file. The last shelter-in-place drill was conducted in May. We discussed the program was closed for the summer. The first day of the new school year was 8/25/25, leaving only 5 days to conduct the drill with new children and staff. Moving forward, plan to conduct a safety drill in the month that it is due, even if the program is only open for a few days. Plan to conduct a shelter-in-place drill immediately, so that there is not a long lapse between logged drills. 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 .1002 · Violation

Name of Operation: YMCA OAKLEY AFTERSCHOOL Facility ID: 11000676 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/4/2025 Number Present: 0 Completed Date: 6/4/2025 Age: From 0 To 0 Total Minutes: 120 Time In: 09:30 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance on transportation vehicles used by YMCA afterschool programs. 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 Delaney Burke, Senior Operations Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Burke and Spencer Williams, Senior Property Director, were available during the visit. The following buses were monitored at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all cars is at adequate depth. The staff members have access to the children’s emergency information and records online. An example of the emergency information that is carried with staff was provided today and contains the emergency contact and emergency medical information as required. 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 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. Six buses did not have valid registration cards as follows: M4 expired 10/31/24, M7 expired 4/30/25, M12 expired 10/31/24, B11 expired 10/31/24, B2 expired 4/30/25, B1 expired 12/31/24. .1002(b) 1123 All vehicles used to transport children were not free of hazards. A large tear was observed in one (1) seat on the passenger side of bus M12. Two small tears were observed on two (2) seats on the driver side of bus B2. 10A NCAC 09 .1002(a) Item #1123: The tears must be repaired or made inaccessible to children. We discussed, you are repairing tears with duct tape, per previous guidance. We discussed this is a temporary fix and a more permanent solution must be reached. Permanent solutions include purchasing seat covers for the larger tears, or using a vinyl repair kit for smaller tears. For compliance, include a statement in your letter of compliance that includes how you have made the tears inaccessible to children. Item #1110 Documentation was provided today that the registration for all vehicles was paid on 2/20/25. However, you have not received the updated registration cards. Plan to reach out to the Department of Motor Vehicles to follow up on the cards. To reach compliance with this item, all cards must be obtained. A temporary compliance solution includes stating the vehicles are not in use until all cards are obtained. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/18/25. 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 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: 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 OAKLEY AFTERSCHOOL Facility ID: 11000676 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/4/2025 Number Present: 0 Completed Date: 6/4/2025 Age: From 0 To 0 Total Minutes: 120 Time In: 09:30 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance on transportation vehicles used by YMCA afterschool programs. 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 Delaney Burke, Senior Operations Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Burke and Spencer Williams, Senior Property Director, were available during the visit. The following buses were monitored at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all cars is at adequate depth. The staff members have access to the children’s emergency information and records online. An example of the emergency information that is carried with staff was provided today and contains the emergency contact and emergency medical information as required. 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 1110 Vehicles used to transport children enrolled in the child care center did not comply with all applicable State and federal laws and regulations. Six buses did not have valid registration cards as follows: M4 expired 10/31/24, M7 expired 4/30/25, M12 expired 10/31/24, B11 expired 10/31/24, B2 expired 4/30/25, B1 expired 12/31/24. .1002(b) 1123 All vehicles used to transport children were not free of hazards. A large tear was observed in one (1) seat on the passenger side of bus M12. Two small tears were observed on two (2) seats on the driver side of bus B2. 10A NCAC 09 .1002(a) Item #1123: The tears must be repaired or made inaccessible to children. We discussed, you are repairing tears with duct tape, per previous guidance. We discussed this is a temporary fix and a more permanent solution must be reached. Permanent solutions include purchasing seat covers for the larger tears, or using a vinyl repair kit for smaller tears. For compliance, include a statement in your letter of compliance that includes how you have made the tears inaccessible to children. Item #1110 Documentation was provided today that the registration for all vehicles was paid on 2/20/25. However, you have not received the updated registration cards. Plan to reach out to the Department of Motor Vehicles to follow up on the cards. To reach compliance with this item, all cards must be obtained. A temporary compliance solution includes stating the vehicles are not in use until all cards are obtained. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/18/25. 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 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: 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 .0802 · Violation

Name of Operation: YMCA OAKLEY AFTERSCHOOL Facility ID: 11000676 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 8/27/2024 Number Present: 25 Completed Date: 8/27/2024 Age: From 5 To 12 Total Minutes: 135 Time In: 02:15 PM Time Out: 04:30 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 a Routine Unannounced 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 Ketner Ingle, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. K. Ingle 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 ninety-five percent (95%) as of 8/27/24. The last fire drill was practiced on 7/30/24. The last emergency drill, lockdown drill, was practiced on 5/23/24. The last fire inspection was approved on 1/26/24. The program’s most recent sanitation inspection was completed on 2/22/24, with five (5) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff files were monitored today. Upon arrival I was greeted by K. Ingle. Children washed hands as they entered the program and promptly ate snack. After snack, children in groups 1 and 3 transitioned to centers. Children were observed building with magnatiles, pretending to cook with a play kitchen set, building with Lincoln logs and drawing pictures with markers. Children in group 2 transitioned to outdoor play. Prior to walking, staff reviewed rules and expectations prior to walking. Children stopped at checkpoints and staff conducted head counts frequently throughout the walk. On the playground, children were observed swinging, climbing the jungle gym and explored sticks. Interactions were positive and nurturing. Redirection was given as needed. 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 853 Incident logs were not completed and maintained as required. One (1) incident that occurred on 6/27/24 was not documented on the incident log. .0802(g)(1-6) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident occurred in which a child required outside medical attention on 6/27/24. The report was sent to the consultant on 7/9/24. .0802(f) Technical Assistance provided as follows: Item #853 The incident was documented on the incident log during the visit. This was corrected. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. Item #1911 In your letter of compliance, plan to include a statement that indicates how you will plan to ensure incidents requiring medical attention are sent to the Division within seven (7) days. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. 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 9/10/24. 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: Plan to update your Emergency Medical Care plan to reflect current staff. Plan to remove former staff. Plan to conduct a shelter-in-place or lockdown drill by 8/30/24. CPR/First Aid is due for staff M. Hess on or before 10/1/24. We discussed parents who bring children from the elementary school to the playground that the licensed program uses. Ensure parents understand that they and their children cannot intermingle with children in the licensed program while you are using the playground. When I receive additional guidance regarding school families in space used by licensed programs, I will relay this guidance to you. 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 OAKLEY AFTERSCHOOL Facility ID: 11000676 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 8/27/2024 Number Present: 25 Completed Date: 8/27/2024 Age: From 5 To 12 Total Minutes: 135 Time In: 02:15 PM Time Out: 04:30 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 a Routine Unannounced 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 Ketner Ingle, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. K. Ingle 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 ninety-five percent (95%) as of 8/27/24. The last fire drill was practiced on 7/30/24. The last emergency drill, lockdown drill, was practiced on 5/23/24. The last fire inspection was approved on 1/26/24. The program’s most recent sanitation inspection was completed on 2/22/24, with five (5) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff files were monitored today. Upon arrival I was greeted by K. Ingle. Children washed hands as they entered the program and promptly ate snack. After snack, children in groups 1 and 3 transitioned to centers. Children were observed building with magnatiles, pretending to cook with a play kitchen set, building with Lincoln logs and drawing pictures with markers. Children in group 2 transitioned to outdoor play. Prior to walking, staff reviewed rules and expectations prior to walking. Children stopped at checkpoints and staff conducted head counts frequently throughout the walk. On the playground, children were observed swinging, climbing the jungle gym and explored sticks. Interactions were positive and nurturing. Redirection was given as needed. 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 853 Incident logs were not completed and maintained as required. One (1) incident that occurred on 6/27/24 was not documented on the incident log. .0802(g)(1-6) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident occurred in which a child required outside medical attention on 6/27/24. The report was sent to the consultant on 7/9/24. .0802(f) Technical Assistance provided as follows: Item #853 The incident was documented on the incident log during the visit. This was corrected. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. Item #1911 In your letter of compliance, plan to include a statement that indicates how you will plan to ensure incidents requiring medical attention are sent to the Division within seven (7) days. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. 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 9/10/24. 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: Plan to update your Emergency Medical Care plan to reflect current staff. Plan to remove former staff. Plan to conduct a shelter-in-place or lockdown drill by 8/30/24. CPR/First Aid is due for staff M. Hess on or before 10/1/24. We discussed parents who bring children from the elementary school to the playground that the licensed program uses. Ensure parents understand that they and their children cannot intermingle with children in the licensed program while you are using the playground. When I receive additional guidance regarding school families in space used by licensed programs, I will relay this guidance to you. 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 OAKLEY AFTERSCHOOL Facility ID: 11000676 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/14/2024 Number Present: 37 Completed Date: 2/14/2024 Age: From 5 To 12 Total Minutes: 165 Time In: 02:15 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 Kaitlyn Marshall, Child Care Consultant and also signed by Ketner Ingle, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. K. Ingle 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-four percent (94%) as of 2/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 2/13/24. Permit type – Four (4) star license issued 4/8/19 Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets enhanced ratios, playground area does not meet Child Care Playground safety standards. The last annual compliance visit was conducted on 3/15/23. The last fire drill was practiced on 1/31/24. The last shelter-in-place drill was practiced on 11/30/24. The last fire inspection was approved on 1/26/24. The last sanitation inspection was conducted on 2/22/23 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 8/29/22. The program is approved to provide transportation. You stated you are not currently transporting and children on a regular basis. All YMCA vehicles were inspected by Kaoru Eddins, Child Care Consultant, on 4/27/23. Upon arrival I was greeted by K. Ingle. Children arrived to the program and divided into three (3) groups. Children in group 1 engaged in free play in centers. Children built small structures with magnatiles, legos and Lincoln logs, engaged in pretend play with dinosaur figurines and ate snack consisting of applesauce, sunflower kernels, tortilla, jelly, vegetable juice and milk. Children in group 2 transitioned to outdoor play. Children engaged in gross motor exercise utilizing the swings, climbing structure, basketball court and zip line slider. Children in group 3 engaged in the free play with group one before transitioning to outdoor play, joining group 2. Interactions were positive and nurturing. Children were redirected as needed. Children were actively supervised at all times. 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 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response plan was last updated 8/19/22. .0607(e) Technical assistance was provided as follows: Item #1824 The Emergency Preparedness and Response plan was replaced with an updated version dated 11/27/23 during the visit today. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. Consultation is provided as follows: Plan to conduct a shelter-in-place or lockdown drill by 2/29/24. The authorization to administer the inhaler for one (1) child in group 3 will expire 2/28/24. Plan to obtain an updated authorization form from the parents. The facility’s sanitation is due by the end of the month. Plan to contact sanitation if you do not receive an inspection by 2/22/24. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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. 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 .0607 · Violation

Name of Operation: YMCA OAKLEY AFTERSCHOOL Facility ID: 11000676 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/14/2024 Number Present: 37 Completed Date: 2/14/2024 Age: From 5 To 12 Total Minutes: 165 Time In: 02:15 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 Kaitlyn Marshall, Child Care Consultant and also signed by Ketner Ingle, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. K. Ingle 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-four percent (94%) as of 2/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 2/13/24. Permit type – Four (4) star license issued 4/8/19 Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets enhanced ratios, playground area does not meet Child Care Playground safety standards. The last annual compliance visit was conducted on 3/15/23. The last fire drill was practiced on 1/31/24. The last shelter-in-place drill was practiced on 11/30/24. The last fire inspection was approved on 1/26/24. The last sanitation inspection was conducted on 2/22/23 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 8/29/22. The program is approved to provide transportation. You stated you are not currently transporting and children on a regular basis. All YMCA vehicles were inspected by Kaoru Eddins, Child Care Consultant, on 4/27/23. Upon arrival I was greeted by K. Ingle. Children arrived to the program and divided into three (3) groups. Children in group 1 engaged in free play in centers. Children built small structures with magnatiles, legos and Lincoln logs, engaged in pretend play with dinosaur figurines and ate snack consisting of applesauce, sunflower kernels, tortilla, jelly, vegetable juice and milk. Children in group 2 transitioned to outdoor play. Children engaged in gross motor exercise utilizing the swings, climbing structure, basketball court and zip line slider. Children in group 3 engaged in the free play with group one before transitioning to outdoor play, joining group 2. Interactions were positive and nurturing. Children were redirected as needed. Children were actively supervised at all times. 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 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response plan was last updated 8/19/22. .0607(e) Technical assistance was provided as follows: Item #1824 The Emergency Preparedness and Response plan was replaced with an updated version dated 11/27/23 during the visit today. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. Consultation is provided as follows: Plan to conduct a shelter-in-place or lockdown drill by 2/29/24. The authorization to administer the inhaler for one (1) child in group 3 will expire 2/28/24. Plan to obtain an updated authorization form from the parents. The facility’s sanitation is due by the end of the month. Plan to contact sanitation if you do not receive an inspection by 2/22/24. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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. 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 OAKLEY AFTERSCHOOL Facility ID: 11000676 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/14/2024 Number Present: 37 Completed Date: 2/14/2024 Age: From 5 To 12 Total Minutes: 165 Time In: 02:15 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 Kaitlyn Marshall, Child Care Consultant and also signed by Ketner Ingle, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. K. Ingle 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-four percent (94%) as of 2/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 2/13/24. Permit type – Four (4) star license issued 4/8/19 Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets enhanced ratios, playground area does not meet Child Care Playground safety standards. The last annual compliance visit was conducted on 3/15/23. The last fire drill was practiced on 1/31/24. The last shelter-in-place drill was practiced on 11/30/24. The last fire inspection was approved on 1/26/24. The last sanitation inspection was conducted on 2/22/23 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 8/29/22. The program is approved to provide transportation. You stated you are not currently transporting and children on a regular basis. All YMCA vehicles were inspected by Kaoru Eddins, Child Care Consultant, on 4/27/23. Upon arrival I was greeted by K. Ingle. Children arrived to the program and divided into three (3) groups. Children in group 1 engaged in free play in centers. Children built small structures with magnatiles, legos and Lincoln logs, engaged in pretend play with dinosaur figurines and ate snack consisting of applesauce, sunflower kernels, tortilla, jelly, vegetable juice and milk. Children in group 2 transitioned to outdoor play. Children engaged in gross motor exercise utilizing the swings, climbing structure, basketball court and zip line slider. Children in group 3 engaged in the free play with group one before transitioning to outdoor play, joining group 2. Interactions were positive and nurturing. Children were redirected as needed. Children were actively supervised at all times. 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 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response plan was last updated 8/19/22. .0607(e) Technical assistance was provided as follows: Item #1824 The Emergency Preparedness and Response plan was replaced with an updated version dated 11/27/23 during the visit today. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. Consultation is provided as follows: Plan to conduct a shelter-in-place or lockdown drill by 2/29/24. The authorization to administer the inhaler for one (1) child in group 3 will expire 2/28/24. Plan to obtain an updated authorization form from the parents. The facility’s sanitation is due by the end of the month. Plan to contact sanitation if you do not receive an inspection by 2/22/24. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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. 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 OAKLEY AFTERSCHOOL Facility ID: 11000676 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/14/2024 Number Present: 37 Completed Date: 2/14/2024 Age: From 5 To 12 Total Minutes: 165 Time In: 02:15 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 Kaitlyn Marshall, Child Care Consultant and also signed by Ketner Ingle, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. K. Ingle 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-four percent (94%) as of 2/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 2/13/24. Permit type – Four (4) star license issued 4/8/19 Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets enhanced ratios, playground area does not meet Child Care Playground safety standards. The last annual compliance visit was conducted on 3/15/23. The last fire drill was practiced on 1/31/24. The last shelter-in-place drill was practiced on 11/30/24. The last fire inspection was approved on 1/26/24. The last sanitation inspection was conducted on 2/22/23 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 8/29/22. The program is approved to provide transportation. You stated you are not currently transporting and children on a regular basis. All YMCA vehicles were inspected by Kaoru Eddins, Child Care Consultant, on 4/27/23. Upon arrival I was greeted by K. Ingle. Children arrived to the program and divided into three (3) groups. Children in group 1 engaged in free play in centers. Children built small structures with magnatiles, legos and Lincoln logs, engaged in pretend play with dinosaur figurines and ate snack consisting of applesauce, sunflower kernels, tortilla, jelly, vegetable juice and milk. Children in group 2 transitioned to outdoor play. Children engaged in gross motor exercise utilizing the swings, climbing structure, basketball court and zip line slider. Children in group 3 engaged in the free play with group one before transitioning to outdoor play, joining group 2. Interactions were positive and nurturing. Children were redirected as needed. Children were actively supervised at all times. 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 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response plan was last updated 8/19/22. .0607(e) Technical assistance was provided as follows: Item #1824 The Emergency Preparedness and Response plan was replaced with an updated version dated 11/27/23 during the visit today. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. Consultation is provided as follows: Plan to conduct a shelter-in-place or lockdown drill by 2/29/24. The authorization to administer the inhaler for one (1) child in group 3 will expire 2/28/24. Plan to obtain an updated authorization form from the parents. The facility’s sanitation is due by the end of the month. Plan to contact sanitation if you do not receive an inspection by 2/22/24. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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. 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 OAKLEY AFTERSCHOOL Facility ID: 11000676 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/14/2024 Number Present: 37 Completed Date: 2/14/2024 Age: From 5 To 12 Total Minutes: 165 Time In: 02:15 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 Kaitlyn Marshall, Child Care Consultant and also signed by Ketner Ingle, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. K. Ingle 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-four percent (94%) as of 2/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 2/13/24. Permit type – Four (4) star license issued 4/8/19 Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meets enhanced ratios, playground area does not meet Child Care Playground safety standards. The last annual compliance visit was conducted on 3/15/23. The last fire drill was practiced on 1/31/24. The last shelter-in-place drill was practiced on 11/30/24. The last fire inspection was approved on 1/26/24. The last sanitation inspection was conducted on 2/22/23 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 8/29/22. The program is approved to provide transportation. You stated you are not currently transporting and children on a regular basis. All YMCA vehicles were inspected by Kaoru Eddins, Child Care Consultant, on 4/27/23. Upon arrival I was greeted by K. Ingle. Children arrived to the program and divided into three (3) groups. Children in group 1 engaged in free play in centers. Children built small structures with magnatiles, legos and Lincoln logs, engaged in pretend play with dinosaur figurines and ate snack consisting of applesauce, sunflower kernels, tortilla, jelly, vegetable juice and milk. Children in group 2 transitioned to outdoor play. Children engaged in gross motor exercise utilizing the swings, climbing structure, basketball court and zip line slider. Children in group 3 engaged in the free play with group one before transitioning to outdoor play, joining group 2. Interactions were positive and nurturing. Children were redirected as needed. Children were actively supervised at all times. 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 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response plan was last updated 8/19/22. .0607(e) Technical assistance was provided as follows: Item #1824 The Emergency Preparedness and Response plan was replaced with an updated version dated 11/27/23 during the visit today. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. Consultation is provided as follows: Plan to conduct a shelter-in-place or lockdown drill by 2/29/24. The authorization to administer the inhaler for one (1) child in group 3 will expire 2/28/24. Plan to obtain an updated authorization form from the parents. The facility’s sanitation is due by the end of the month. Plan to contact sanitation if you do not receive an inspection by 2/22/24. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify 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. 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 .2510 · Violation

Name of Operation: YMCA OAKLEY AFTERSCHOOL Facility ID: 11000676 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 10/9/2023 Number Present: 39 Completed Date: 10/9/2023 Age: From 5 To 10 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: 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 Kaitlyn Marshall, Child Care Consultant and also signed by Ketner Ingle, Program Coordinator during the visit. An electronic signed copy of the visit summary was emailed to you. K . Ingle 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. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) as of 10/9/23. The last fire drill was practiced on 9/28/23. The last emergency drill, shelter-in-place drill, was practiced on 8/30/23. The last fire inspection was approved on 1/26/23. The program’s most recent sanitation inspection was completed on 2/22/23, with four (4) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. Upon arrival I was greeted by K. Ketner. Children in groups 1 and 3 were observed building with legos, playing card games, and building with Lincoln logs. Children in group 2 were observed in transition to the outdoor learning environment. Children in group 3 washed hands and transitioned to snack. Snack today consisted of milk, sunbutter, apple cinnamon graham crackers, applesauce and vegetable juice blend. Interactions were positive and encouraging. 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 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 6/8/23, did not complete BSAC training. .2510(j) Technical assistance was provided as follows: Item # 1921 The one (1) staff must complete BSAC training. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/23/23. 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: Your facility has been placed in cohort 2. Your prep year is 7/1/24- 6/30/25. Your reassessment year is 7/1/25-6/30/26. 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 OAKLEY AFTERSCHOOL Facility ID: 11000676 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 10/9/2023 Number Present: 39 Completed Date: 10/9/2023 Age: From 5 To 10 Total Minutes: 150 Time In: 02:30 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: 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 Kaitlyn Marshall, Child Care Consultant and also signed by Ketner Ingle, Program Coordinator during the visit. An electronic signed copy of the visit summary was emailed to you. K . Ingle 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. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94%) as of 10/9/23. The last fire drill was practiced on 9/28/23. The last emergency drill, shelter-in-place drill, was practiced on 8/30/23. The last fire inspection was approved on 1/26/23. The program’s most recent sanitation inspection was completed on 2/22/23, with four (4) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. Upon arrival I was greeted by K. Ketner. Children in groups 1 and 3 were observed building with legos, playing card games, and building with Lincoln logs. Children in group 2 were observed in transition to the outdoor learning environment. Children in group 3 washed hands and transitioned to snack. Snack today consisted of milk, sunbutter, apple cinnamon graham crackers, applesauce and vegetable juice blend. Interactions were positive and encouraging. 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 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 6/8/23, did not complete BSAC training. .2510(j) Technical assistance was provided as follows: Item # 1921 The one (1) staff must complete BSAC training. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/23/23. 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: Your facility has been placed in cohort 2. Your prep year is 7/1/24- 6/30/25. Your reassessment year is 7/1/25-6/30/26. 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