Ymca West Buncombe Afterschool

10A NCAC 09 .0601 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/26/2026 Number Present: 36 Completed Date: 5/26/2026 Age: From 5 To 10 Total Minutes: 177 Time In: 01:33 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 Kaoru Eddins, Child Care Consultant and also signed by Cheyenne Carson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Director of Operation. I asked Ms. Burke to sign the visit summary and return it to me via email. Today, Ms. Carson was available during the visit. Limited monitoring of child care rules were conducted today including supervision, staff/child ratios, permit restrictions, discipline, general safety, medications and staff records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – five-star center license issued on 1/6/26. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 1/6/26. The last fire drill was practiced on 4/22/26. The last shelter-in-place drill was practiced on 2/27/26. The Emergency Medical Care plan was posted and current. The approved curriculum is Funny Daffer. Lead water testing was completed on 6/28/24 with hazards, but no mitigation was required. Lead paint and asbestos testing was completed without a date. No additional action is required by the facility per Clean Classroom for Carolina Kids website. Three (3) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Upon arrival, I monitored the environment. Current license was posted along with menu, first aid poster, summary of child care law, schedule/activity plan, staff/child ratios, and safe arrival/departure policy. At 2:27 p.m., children began arriving in the cafeteria. As children entered the cafeteria, a group leader took attendance using a tablet. Baskets were set up in the hallway for children to place their belongings upon arrival. Children sat at tables without materials and engaged in conversations with peers. Once all children had arrived, the group transitioned to the gym, where children took turns using the bathroom and washing their hands. Fourteen (14) children in Group #1 used the bathroom and gathered near the entrance/exit of the gym while waiting for the remainder of the group to complete handwashing. Most children sat on the floor during the transition. After returning to the cafeteria, children were served snacks and then transitioned to free play activities. Materials available included Plus-Plus blocks, magnetic tiles, magnetic drawing boards, Legos, marble tower materials, pretend animals, chess, checkers, Monopoly, Candy Land, and other age-appropriate activities. A total of twenty-two (22) children were present in the gym with two (2) staff members. Children engaged in a variety of activities during gross motor play. Some children played with soccer balls, sponge balls, wiffle balls, tennis balls, basketballs, and footballs. Ball play occurred in an unorganized manner, with some children throwing balls into hoops, some kicking balls against the wall, some running with balls, and others throwing balls toward peers. Other children sat against the wall and engaged with art materials, magnetic tiles, and books. Balls frequently rolled or traveled across the gym from wall to wall, which made it difficult for children using materials on the rugs to play without interruption. Children who were not participating in ball play sat at desks or on the bleachers and engaged in art activities. One (1) child who arrived later than the others appeared upset upon arrival. The child sat quietly on a rug and did not respond verbally despite multiple attempts by group leaders to engage the child in conversation. Two (2) children sustained minor injuries during gross motor play in the gym. One (1) child was struck on the chin by a ball, and another child hit their chin on the bleachers while attempting to retrieve a ball. Both children were briefly examined by staff and provided with ice packs. Incident reports were completed shortly after the incidents occurred. Ms. Carter contacted parents via text/messaging service. Both children returned to play shortly after bags of ice was provided. Children frequently left cafeteria/gym to access their backpacks. Each time, the program coordinator and the group leaders stand at the entrance and supervise children. During today’s visit, one (1) child who was not enrolled in the program entered the gym area, approached children participating in the program, and engaged them in conversation. Ms. Carson spoke with the parent/DPI staff member and requested that the child be reminded not to enter the space being used by the program during after-school hours. The child was escorted out of the gym by the parent/DPI staff member. Due to reoccurring shower during visit, the group did not use the playground, and I did not monitor general safety on the playground. Medication: No medications were maintained. One (1) child had a chronic health condition; therefore, the child’s action plan was reviewed. The action plan is valid through 6/15/26. Ms. Burke met with me via TEAMS and reviewed three (3) existing staff files. All staff members had valid Criminal background qualification letters, CPR and First Aid certificates and BSAC certificates on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation for field trips if summer programs are held at this location. Otherwise, children do not ride buses on a daily basis. The following violation was cited during today's visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. During gross motor play in the gym, soccer balls, footballs, basketballs, sponge balls, whiffle balls, tennis balls and others were freely accessible to the children. The children simultaneously engaged in running with a football, chasing after peers, throwing balls at peers, throwing balls in the hoops and kicking balls against walls. Additionally, one (1) staff member supervised a child accessing his/her backpack in the hallway throughout the day, making close supervision during gross motor play challenging. 10A NCAC 09 .0601(a) The technical assistance was provided as follows: 807: safe environment All child care centers shall provide a safe indoor and outdoor environment for the children in care. Children may not be capable of foreseeing potential safety risks during free play activities when multiple types of balls are provided simultaneously. The program should either utilize a larger outdoor space for activities involving various types of balls or provide limited materials while facilitating structured large-group gross motor activities. Hard balls, such as soccer balls, are not appropriate for kicking in an indoor space occupied by many children due to the increased risk of injury. To achieve compliance, review the daily schedule, activities, and supervision practices to reduce mingling between groups, minimize the frequency of children accessing personal belongings during program hours, and ensure adequate supervision of high-risk activities. In the compliance letter, describe the topics discussed with staff members and any rules, expectations, or supervision procedures reviewed regarding gross motor play, children’s access to belongings, group management, and active supervision practices. 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 6/9/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Fire drill and shelter-in-place/lockdown A fire drill and a shelter-in-place or a lockdown drill must be conducted before the end of May 2026. Safe Environment: Gross motor play in the gym needs to be more organized to support children’s safety. Children engaged in multiple types of ball play simultaneously without clear structure or designated activity areas. Some children ran with footballs, chased peers, threw balls into hoops, kicked balls against the wall, and threw balls toward peers at the same time. Children were at risk for injury due to running into one another, being struck by stray balls, and tripping over balls that rolled across the floor. The movement of balls throughout the gym also interfered with children participating in quieter activities along the walls and on rugs. Additional organization, staff direction, clear expectations, and designated activity areas would help reduce safety risks and support a safer gross motor environment for all children. Recommendations: Rather than making all balls available during gross motor play, staff should facilitate specific games and provide only the balls and materials necessary for the planned activity. Staff should clearly explain expectations and safety rules prior to and during gross motor play to help children understand appropriate ways to participate. The program should also establish clear procedures regarding children accessing items from their backpacks and reduce the frequency of children retrieving personal belongings during program hours. Staff supervision should be positioned to maximize visibility of all children and high-risk activities. Standing near the entrance to supervise one (1) child retrieving items from a backpack throughout program hours may limit staff’s ability to actively supervise other areas, including gross motor play activities in the gym. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/26/2026 Number Present: 36 Completed Date: 5/26/2026 Age: From 5 To 10 Total Minutes: 177 Time In: 01:33 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 Kaoru Eddins, Child Care Consultant and also signed by Cheyenne Carson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Director of Operation. I asked Ms. Burke to sign the visit summary and return it to me via email. Today, Ms. Carson was available during the visit. Limited monitoring of child care rules were conducted today including supervision, staff/child ratios, permit restrictions, discipline, general safety, medications and staff records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – five-star center license issued on 1/6/26. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 1/6/26. The last fire drill was practiced on 4/22/26. The last shelter-in-place drill was practiced on 2/27/26. The Emergency Medical Care plan was posted and current. The approved curriculum is Funny Daffer. Lead water testing was completed on 6/28/24 with hazards, but no mitigation was required. Lead paint and asbestos testing was completed without a date. No additional action is required by the facility per Clean Classroom for Carolina Kids website. Three (3) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Upon arrival, I monitored the environment. Current license was posted along with menu, first aid poster, summary of child care law, schedule/activity plan, staff/child ratios, and safe arrival/departure policy. At 2:27 p.m., children began arriving in the cafeteria. As children entered the cafeteria, a group leader took attendance using a tablet. Baskets were set up in the hallway for children to place their belongings upon arrival. Children sat at tables without materials and engaged in conversations with peers. Once all children had arrived, the group transitioned to the gym, where children took turns using the bathroom and washing their hands. Fourteen (14) children in Group #1 used the bathroom and gathered near the entrance/exit of the gym while waiting for the remainder of the group to complete handwashing. Most children sat on the floor during the transition. After returning to the cafeteria, children were served snacks and then transitioned to free play activities. Materials available included Plus-Plus blocks, magnetic tiles, magnetic drawing boards, Legos, marble tower materials, pretend animals, chess, checkers, Monopoly, Candy Land, and other age-appropriate activities. A total of twenty-two (22) children were present in the gym with two (2) staff members. Children engaged in a variety of activities during gross motor play. Some children played with soccer balls, sponge balls, wiffle balls, tennis balls, basketballs, and footballs. Ball play occurred in an unorganized manner, with some children throwing balls into hoops, some kicking balls against the wall, some running with balls, and others throwing balls toward peers. Other children sat against the wall and engaged with art materials, magnetic tiles, and books. Balls frequently rolled or traveled across the gym from wall to wall, which made it difficult for children using materials on the rugs to play without interruption. Children who were not participating in ball play sat at desks or on the bleachers and engaged in art activities. One (1) child who arrived later than the others appeared upset upon arrival. The child sat quietly on a rug and did not respond verbally despite multiple attempts by group leaders to engage the child in conversation. Two (2) children sustained minor injuries during gross motor play in the gym. One (1) child was struck on the chin by a ball, and another child hit their chin on the bleachers while attempting to retrieve a ball. Both children were briefly examined by staff and provided with ice packs. Incident reports were completed shortly after the incidents occurred. Ms. Carter contacted parents via text/messaging service. Both children returned to play shortly after bags of ice was provided. Children frequently left cafeteria/gym to access their backpacks. Each time, the program coordinator and the group leaders stand at the entrance and supervise children. During today’s visit, one (1) child who was not enrolled in the program entered the gym area, approached children participating in the program, and engaged them in conversation. Ms. Carson spoke with the parent/DPI staff member and requested that the child be reminded not to enter the space being used by the program during after-school hours. The child was escorted out of the gym by the parent/DPI staff member. Due to reoccurring shower during visit, the group did not use the playground, and I did not monitor general safety on the playground. Medication: No medications were maintained. One (1) child had a chronic health condition; therefore, the child’s action plan was reviewed. The action plan is valid through 6/15/26. Ms. Burke met with me via TEAMS and reviewed three (3) existing staff files. All staff members had valid Criminal background qualification letters, CPR and First Aid certificates and BSAC certificates on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation for field trips if summer programs are held at this location. Otherwise, children do not ride buses on a daily basis. The following violation was cited during today's visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. During gross motor play in the gym, soccer balls, footballs, basketballs, sponge balls, whiffle balls, tennis balls and others were freely accessible to the children. The children simultaneously engaged in running with a football, chasing after peers, throwing balls at peers, throwing balls in the hoops and kicking balls against walls. Additionally, one (1) staff member supervised a child accessing his/her backpack in the hallway throughout the day, making close supervision during gross motor play challenging. 10A NCAC 09 .0601(a) The technical assistance was provided as follows: 807: safe environment All child care centers shall provide a safe indoor and outdoor environment for the children in care. Children may not be capable of foreseeing potential safety risks during free play activities when multiple types of balls are provided simultaneously. The program should either utilize a larger outdoor space for activities involving various types of balls or provide limited materials while facilitating structured large-group gross motor activities. Hard balls, such as soccer balls, are not appropriate for kicking in an indoor space occupied by many children due to the increased risk of injury. To achieve compliance, review the daily schedule, activities, and supervision practices to reduce mingling between groups, minimize the frequency of children accessing personal belongings during program hours, and ensure adequate supervision of high-risk activities. In the compliance letter, describe the topics discussed with staff members and any rules, expectations, or supervision procedures reviewed regarding gross motor play, children’s access to belongings, group management, and active supervision practices. 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 6/9/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Fire drill and shelter-in-place/lockdown A fire drill and a shelter-in-place or a lockdown drill must be conducted before the end of May 2026. Safe Environment: Gross motor play in the gym needs to be more organized to support children’s safety. Children engaged in multiple types of ball play simultaneously without clear structure or designated activity areas. Some children ran with footballs, chased peers, threw balls into hoops, kicked balls against the wall, and threw balls toward peers at the same time. Children were at risk for injury due to running into one another, being struck by stray balls, and tripping over balls that rolled across the floor. The movement of balls throughout the gym also interfered with children participating in quieter activities along the walls and on rugs. Additional organization, staff direction, clear expectations, and designated activity areas would help reduce safety risks and support a safer gross motor environment for all children. Recommendations: Rather than making all balls available during gross motor play, staff should facilitate specific games and provide only the balls and materials necessary for the planned activity. Staff should clearly explain expectations and safety rules prior to and during gross motor play to help children understand appropriate ways to participate. The program should also establish clear procedures regarding children accessing items from their backpacks and reduce the frequency of children retrieving personal belongings during program hours. Staff supervision should be positioned to maximize visibility of all children and high-risk activities. Standing near the entrance to supervise one (1) child retrieving items from a backpack throughout program hours may limit staff’s ability to actively supervise other areas, including gross motor play activities in the gym. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/26/2026 Number Present: 36 Completed Date: 5/26/2026 Age: From 5 To 10 Total Minutes: 177 Time In: 01:33 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 Kaoru Eddins, Child Care Consultant and also signed by Cheyenne Carson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Director of Operation. I asked Ms. Burke to sign the visit summary and return it to me via email. Today, Ms. Carson was available during the visit. Limited monitoring of child care rules were conducted today including supervision, staff/child ratios, permit restrictions, discipline, general safety, medications and staff records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – five-star center license issued on 1/6/26. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 1/6/26. The last fire drill was practiced on 4/22/26. The last shelter-in-place drill was practiced on 2/27/26. The Emergency Medical Care plan was posted and current. The approved curriculum is Funny Daffer. Lead water testing was completed on 6/28/24 with hazards, but no mitigation was required. Lead paint and asbestos testing was completed without a date. No additional action is required by the facility per Clean Classroom for Carolina Kids website. Three (3) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). Upon arrival, I monitored the environment. Current license was posted along with menu, first aid poster, summary of child care law, schedule/activity plan, staff/child ratios, and safe arrival/departure policy. At 2:27 p.m., children began arriving in the cafeteria. As children entered the cafeteria, a group leader took attendance using a tablet. Baskets were set up in the hallway for children to place their belongings upon arrival. Children sat at tables without materials and engaged in conversations with peers. Once all children had arrived, the group transitioned to the gym, where children took turns using the bathroom and washing their hands. Fourteen (14) children in Group #1 used the bathroom and gathered near the entrance/exit of the gym while waiting for the remainder of the group to complete handwashing. Most children sat on the floor during the transition. After returning to the cafeteria, children were served snacks and then transitioned to free play activities. Materials available included Plus-Plus blocks, magnetic tiles, magnetic drawing boards, Legos, marble tower materials, pretend animals, chess, checkers, Monopoly, Candy Land, and other age-appropriate activities. A total of twenty-two (22) children were present in the gym with two (2) staff members. Children engaged in a variety of activities during gross motor play. Some children played with soccer balls, sponge balls, wiffle balls, tennis balls, basketballs, and footballs. Ball play occurred in an unorganized manner, with some children throwing balls into hoops, some kicking balls against the wall, some running with balls, and others throwing balls toward peers. Other children sat against the wall and engaged with art materials, magnetic tiles, and books. Balls frequently rolled or traveled across the gym from wall to wall, which made it difficult for children using materials on the rugs to play without interruption. Children who were not participating in ball play sat at desks or on the bleachers and engaged in art activities. One (1) child who arrived later than the others appeared upset upon arrival. The child sat quietly on a rug and did not respond verbally despite multiple attempts by group leaders to engage the child in conversation. Two (2) children sustained minor injuries during gross motor play in the gym. One (1) child was struck on the chin by a ball, and another child hit their chin on the bleachers while attempting to retrieve a ball. Both children were briefly examined by staff and provided with ice packs. Incident reports were completed shortly after the incidents occurred. Ms. Carter contacted parents via text/messaging service. Both children returned to play shortly after bags of ice was provided. Children frequently left cafeteria/gym to access their backpacks. Each time, the program coordinator and the group leaders stand at the entrance and supervise children. During today’s visit, one (1) child who was not enrolled in the program entered the gym area, approached children participating in the program, and engaged them in conversation. Ms. Carson spoke with the parent/DPI staff member and requested that the child be reminded not to enter the space being used by the program during after-school hours. The child was escorted out of the gym by the parent/DPI staff member. Due to reoccurring shower during visit, the group did not use the playground, and I did not monitor general safety on the playground. Medication: No medications were maintained. One (1) child had a chronic health condition; therefore, the child’s action plan was reviewed. The action plan is valid through 6/15/26. Ms. Burke met with me via TEAMS and reviewed three (3) existing staff files. All staff members had valid Criminal background qualification letters, CPR and First Aid certificates and BSAC certificates on file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation for field trips if summer programs are held at this location. Otherwise, children do not ride buses on a daily basis. The following violation was cited during today's visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. During gross motor play in the gym, soccer balls, footballs, basketballs, sponge balls, whiffle balls, tennis balls and others were freely accessible to the children. The children simultaneously engaged in running with a football, chasing after peers, throwing balls at peers, throwing balls in the hoops and kicking balls against walls. Additionally, one (1) staff member supervised a child accessing his/her backpack in the hallway throughout the day, making close supervision during gross motor play challenging. 10A NCAC 09 .0601(a) The technical assistance was provided as follows: 807: safe environment All child care centers shall provide a safe indoor and outdoor environment for the children in care. Children may not be capable of foreseeing potential safety risks during free play activities when multiple types of balls are provided simultaneously. The program should either utilize a larger outdoor space for activities involving various types of balls or provide limited materials while facilitating structured large-group gross motor activities. Hard balls, such as soccer balls, are not appropriate for kicking in an indoor space occupied by many children due to the increased risk of injury. To achieve compliance, review the daily schedule, activities, and supervision practices to reduce mingling between groups, minimize the frequency of children accessing personal belongings during program hours, and ensure adequate supervision of high-risk activities. In the compliance letter, describe the topics discussed with staff members and any rules, expectations, or supervision procedures reviewed regarding gross motor play, children’s access to belongings, group management, and active supervision practices. 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 6/9/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Fire drill and shelter-in-place/lockdown A fire drill and a shelter-in-place or a lockdown drill must be conducted before the end of May 2026. Safe Environment: Gross motor play in the gym needs to be more organized to support children’s safety. Children engaged in multiple types of ball play simultaneously without clear structure or designated activity areas. Some children ran with footballs, chased peers, threw balls into hoops, kicked balls against the wall, and threw balls toward peers at the same time. Children were at risk for injury due to running into one another, being struck by stray balls, and tripping over balls that rolled across the floor. The movement of balls throughout the gym also interfered with children participating in quieter activities along the walls and on rugs. Additional organization, staff direction, clear expectations, and designated activity areas would help reduce safety risks and support a safer gross motor environment for all children. Recommendations: Rather than making all balls available during gross motor play, staff should facilitate specific games and provide only the balls and materials necessary for the planned activity. Staff should clearly explain expectations and safety rules prior to and during gross motor play to help children understand appropriate ways to participate. The program should also establish clear procedures regarding children accessing items from their backpacks and reduce the frequency of children retrieving personal belongings during program hours. Staff supervision should be positioned to maximize visibility of all children and high-risk activities. Standing near the entrance to supervise one (1) child retrieving items from a backpack throughout program hours may limit staff’s ability to actively supervise other areas, including gross motor play activities in the gym. 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. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/6/2026 Number Present: 25 Completed Date: 1/6/2026 Age: From 5 To 10 Total Minutes: 163 Time In: 01:27 PM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Cheyenne Carson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delany Burke, Senior Program Director. Today, Ms. Carson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. 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 1/5/26. Permit type – five-star center license issued on 5/30/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The restriction, playground area does not meet child care playground safety standards and children are prohibited from being in the kitchen for any purpose, were removed due to changes in requirements based on HB 412/SL 2025-36. This matter was discussed with Ms. Carson and Ms. Burke during the visit. The last annual compliance visit was conducted on 1/29/25. The last fire drill was practiced on 11/24/25. The last shelter-in-place drill was practiced on 10/30/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/28/24 without hazards. Lead paint testing was completed on 2/20/25 and exempt from further testing. On-site visit results are pending for asbestos testing. No staff members were listed on the Automated Criminal Background Management System (ABCMS) Roster as of 1/5/26. Upon arrival, I greeted Ms. Carson. I notified Ms. Burke about my presence at this site. The children arrived at cafeteria around 2:30 pm. Attendance was taken and recorded by a group leader. In group #1, sixteen (16) children were present with two (2) group leaders. The children engaged in free play with flash lights, coloring pages and art tools, games and manipulatives. When children need to use the bathroom, the staff members communicated via radios and allowed children to walk to the gym while the staff member supervised them at the doorway. In group #2, eighteen (18) children were present and gathered in the gym. One (1) program coordinator supervised the group. The children participated in basketball or dodgeball. No emergency medications were maintained at this site currently. One (1) child has glucose pouches, and the medical action plan was on file. Bean dip, corn chips, apple sauce, veggie blend juice and milk were served for snacks. Playgrounds were monitored for safety. On one (1) playground with a slide structure, two (2) bolts on the wooden borders were observed protruding. This condition posed tripping and protrusion hazards. Supervision and interaction were adequate. The Staff and TRAINING Worksheet was submitted for two (2) staff members prior to this visit. The ABCMS was reviewed, and the qualification status for one (1) child was not verified due to lack of identification information including date of birth. One (1) staff member was added to the Worksheet. Due to Wi-Fi- connection, the ABCMS website was not monitored for two (2) staff members. Ms. Burke met with me via TEAMS and reviewed two (2) new staff members’ files in full, one (1) existing staff file partially and four (4) children’s files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation currently. 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. Per emergency drill log, the last fire drill was conducted on 11/24/25. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Two (2) bolts on the playground extended approximately 1/2 to 3/4 of an inch beyond the wood borders. One (1) bolt was located adjacent to the sidewalk near the trash can, and the other was located adjacent to the sidewalk near the slide. 10A NCAC 09 .0601(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) program coordinator obtained the medical statement on 6/9/25, while his/her date of employment was 5/27/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) program coordinator obtained the TB screening on 6/9/25, while his/her date of employment was 5/27/25. One (1) group leader did not have TB skin test attached to the TB questionnaire completed on 11/5/25. .0701(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were listed on the Automated Criminal Background Check Management System (ABCMS) as of 1/5/26. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 805: Fire drills A fire drill must be conducted monthly, and the log must include all required information, including the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill. To comply, you must conduct a make-up drill for December immediately. On the log sheet, include all information listed above. Document the actual date of drill and note that the drill is for November. The make-up drill will not replace the required drill for January. In your compliance letter, please verify the date of make-up drill. 807: safe environment Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. Please discuss the requirements with Buncombe County Schools and address it appropriately, you can either cut the bolts or screw/hammer them down. In your compliance letter, please state how you met the compliance. 1032: Health assessment 1033: TB screening Potential employees must submit both health assessment and TB screening to the employer prior to first day of employment. Since the health assessment and TB screening for C. Carson are already on file, please state how you will prevent this violation from recurring in your compliance letter. A. Shivone must complete TB skin test. In your compliance letter, please state the date you received the test result. 1805: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, you must list at least one (1) staff member on the roster within the next two (2) weeks. Please continue to list all staff members on the roster as soon as possible. Neglecting to do by the next monitoring visit will result in repeated violation. In your compliance letter, please verify that you listed at least one (1) staff member on the ABCMS roster. 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 1/20/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medical Action Plan: Even when children do not have medications at school, medical action plan is required for all children with chronic condition, such as allergies, asthma, diabetes and seizures. Please see the rule reference below and obtain an action plan for the child with peanut allergy. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Reminder: A lockdown or a shelter-in-place drill is due this month. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/6/2026 Number Present: 25 Completed Date: 1/6/2026 Age: From 5 To 10 Total Minutes: 163 Time In: 01:27 PM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Cheyenne Carson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delany Burke, Senior Program Director. Today, Ms. Carson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. 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 1/5/26. Permit type – five-star center license issued on 5/30/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The restriction, playground area does not meet child care playground safety standards and children are prohibited from being in the kitchen for any purpose, were removed due to changes in requirements based on HB 412/SL 2025-36. This matter was discussed with Ms. Carson and Ms. Burke during the visit. The last annual compliance visit was conducted on 1/29/25. The last fire drill was practiced on 11/24/25. The last shelter-in-place drill was practiced on 10/30/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/28/24 without hazards. Lead paint testing was completed on 2/20/25 and exempt from further testing. On-site visit results are pending for asbestos testing. No staff members were listed on the Automated Criminal Background Management System (ABCMS) Roster as of 1/5/26. Upon arrival, I greeted Ms. Carson. I notified Ms. Burke about my presence at this site. The children arrived at cafeteria around 2:30 pm. Attendance was taken and recorded by a group leader. In group #1, sixteen (16) children were present with two (2) group leaders. The children engaged in free play with flash lights, coloring pages and art tools, games and manipulatives. When children need to use the bathroom, the staff members communicated via radios and allowed children to walk to the gym while the staff member supervised them at the doorway. In group #2, eighteen (18) children were present and gathered in the gym. One (1) program coordinator supervised the group. The children participated in basketball or dodgeball. No emergency medications were maintained at this site currently. One (1) child has glucose pouches, and the medical action plan was on file. Bean dip, corn chips, apple sauce, veggie blend juice and milk were served for snacks. Playgrounds were monitored for safety. On one (1) playground with a slide structure, two (2) bolts on the wooden borders were observed protruding. This condition posed tripping and protrusion hazards. Supervision and interaction were adequate. The Staff and TRAINING Worksheet was submitted for two (2) staff members prior to this visit. The ABCMS was reviewed, and the qualification status for one (1) child was not verified due to lack of identification information including date of birth. One (1) staff member was added to the Worksheet. Due to Wi-Fi- connection, the ABCMS website was not monitored for two (2) staff members. Ms. Burke met with me via TEAMS and reviewed two (2) new staff members’ files in full, one (1) existing staff file partially and four (4) children’s files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation currently. 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. Per emergency drill log, the last fire drill was conducted on 11/24/25. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Two (2) bolts on the playground extended approximately 1/2 to 3/4 of an inch beyond the wood borders. One (1) bolt was located adjacent to the sidewalk near the trash can, and the other was located adjacent to the sidewalk near the slide. 10A NCAC 09 .0601(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) program coordinator obtained the medical statement on 6/9/25, while his/her date of employment was 5/27/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) program coordinator obtained the TB screening on 6/9/25, while his/her date of employment was 5/27/25. One (1) group leader did not have TB skin test attached to the TB questionnaire completed on 11/5/25. .0701(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were listed on the Automated Criminal Background Check Management System (ABCMS) as of 1/5/26. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 805: Fire drills A fire drill must be conducted monthly, and the log must include all required information, including the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill. To comply, you must conduct a make-up drill for December immediately. On the log sheet, include all information listed above. Document the actual date of drill and note that the drill is for November. The make-up drill will not replace the required drill for January. In your compliance letter, please verify the date of make-up drill. 807: safe environment Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. Please discuss the requirements with Buncombe County Schools and address it appropriately, you can either cut the bolts or screw/hammer them down. In your compliance letter, please state how you met the compliance. 1032: Health assessment 1033: TB screening Potential employees must submit both health assessment and TB screening to the employer prior to first day of employment. Since the health assessment and TB screening for C. Carson are already on file, please state how you will prevent this violation from recurring in your compliance letter. A. Shivone must complete TB skin test. In your compliance letter, please state the date you received the test result. 1805: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, you must list at least one (1) staff member on the roster within the next two (2) weeks. Please continue to list all staff members on the roster as soon as possible. Neglecting to do by the next monitoring visit will result in repeated violation. In your compliance letter, please verify that you listed at least one (1) staff member on the ABCMS roster. 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 1/20/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medical Action Plan: Even when children do not have medications at school, medical action plan is required for all children with chronic condition, such as allergies, asthma, diabetes and seizures. Please see the rule reference below and obtain an action plan for the child with peanut allergy. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Reminder: A lockdown or a shelter-in-place drill is due this month. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/6/2026 Number Present: 25 Completed Date: 1/6/2026 Age: From 5 To 10 Total Minutes: 163 Time In: 01:27 PM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Cheyenne Carson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delany Burke, Senior Program Director. Today, Ms. Carson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. 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 1/5/26. Permit type – five-star center license issued on 5/30/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The restriction, playground area does not meet child care playground safety standards and children are prohibited from being in the kitchen for any purpose, were removed due to changes in requirements based on HB 412/SL 2025-36. This matter was discussed with Ms. Carson and Ms. Burke during the visit. The last annual compliance visit was conducted on 1/29/25. The last fire drill was practiced on 11/24/25. The last shelter-in-place drill was practiced on 10/30/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/28/24 without hazards. Lead paint testing was completed on 2/20/25 and exempt from further testing. On-site visit results are pending for asbestos testing. No staff members were listed on the Automated Criminal Background Management System (ABCMS) Roster as of 1/5/26. Upon arrival, I greeted Ms. Carson. I notified Ms. Burke about my presence at this site. The children arrived at cafeteria around 2:30 pm. Attendance was taken and recorded by a group leader. In group #1, sixteen (16) children were present with two (2) group leaders. The children engaged in free play with flash lights, coloring pages and art tools, games and manipulatives. When children need to use the bathroom, the staff members communicated via radios and allowed children to walk to the gym while the staff member supervised them at the doorway. In group #2, eighteen (18) children were present and gathered in the gym. One (1) program coordinator supervised the group. The children participated in basketball or dodgeball. No emergency medications were maintained at this site currently. One (1) child has glucose pouches, and the medical action plan was on file. Bean dip, corn chips, apple sauce, veggie blend juice and milk were served for snacks. Playgrounds were monitored for safety. On one (1) playground with a slide structure, two (2) bolts on the wooden borders were observed protruding. This condition posed tripping and protrusion hazards. Supervision and interaction were adequate. The Staff and TRAINING Worksheet was submitted for two (2) staff members prior to this visit. The ABCMS was reviewed, and the qualification status for one (1) child was not verified due to lack of identification information including date of birth. One (1) staff member was added to the Worksheet. Due to Wi-Fi- connection, the ABCMS website was not monitored for two (2) staff members. Ms. Burke met with me via TEAMS and reviewed two (2) new staff members’ files in full, one (1) existing staff file partially and four (4) children’s files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation currently. 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. Per emergency drill log, the last fire drill was conducted on 11/24/25. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Two (2) bolts on the playground extended approximately 1/2 to 3/4 of an inch beyond the wood borders. One (1) bolt was located adjacent to the sidewalk near the trash can, and the other was located adjacent to the sidewalk near the slide. 10A NCAC 09 .0601(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) program coordinator obtained the medical statement on 6/9/25, while his/her date of employment was 5/27/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) program coordinator obtained the TB screening on 6/9/25, while his/her date of employment was 5/27/25. One (1) group leader did not have TB skin test attached to the TB questionnaire completed on 11/5/25. .0701(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were listed on the Automated Criminal Background Check Management System (ABCMS) as of 1/5/26. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 805: Fire drills A fire drill must be conducted monthly, and the log must include all required information, including the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill. To comply, you must conduct a make-up drill for December immediately. On the log sheet, include all information listed above. Document the actual date of drill and note that the drill is for November. The make-up drill will not replace the required drill for January. In your compliance letter, please verify the date of make-up drill. 807: safe environment Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. Please discuss the requirements with Buncombe County Schools and address it appropriately, you can either cut the bolts or screw/hammer them down. In your compliance letter, please state how you met the compliance. 1032: Health assessment 1033: TB screening Potential employees must submit both health assessment and TB screening to the employer prior to first day of employment. Since the health assessment and TB screening for C. Carson are already on file, please state how you will prevent this violation from recurring in your compliance letter. A. Shivone must complete TB skin test. In your compliance letter, please state the date you received the test result. 1805: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, you must list at least one (1) staff member on the roster within the next two (2) weeks. Please continue to list all staff members on the roster as soon as possible. Neglecting to do by the next monitoring visit will result in repeated violation. In your compliance letter, please verify that you listed at least one (1) staff member on the ABCMS roster. 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 1/20/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medical Action Plan: Even when children do not have medications at school, medical action plan is required for all children with chronic condition, such as allergies, asthma, diabetes and seizures. Please see the rule reference below and obtain an action plan for the child with peanut allergy. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Reminder: A lockdown or a shelter-in-place drill is due this month. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/6/2026 Number Present: 25 Completed Date: 1/6/2026 Age: From 5 To 10 Total Minutes: 163 Time In: 01:27 PM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Cheyenne Carson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delany Burke, Senior Program Director. Today, Ms. Carson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. 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 1/5/26. Permit type – five-star center license issued on 5/30/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The restriction, playground area does not meet child care playground safety standards and children are prohibited from being in the kitchen for any purpose, were removed due to changes in requirements based on HB 412/SL 2025-36. This matter was discussed with Ms. Carson and Ms. Burke during the visit. The last annual compliance visit was conducted on 1/29/25. The last fire drill was practiced on 11/24/25. The last shelter-in-place drill was practiced on 10/30/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/28/24 without hazards. Lead paint testing was completed on 2/20/25 and exempt from further testing. On-site visit results are pending for asbestos testing. No staff members were listed on the Automated Criminal Background Management System (ABCMS) Roster as of 1/5/26. Upon arrival, I greeted Ms. Carson. I notified Ms. Burke about my presence at this site. The children arrived at cafeteria around 2:30 pm. Attendance was taken and recorded by a group leader. In group #1, sixteen (16) children were present with two (2) group leaders. The children engaged in free play with flash lights, coloring pages and art tools, games and manipulatives. When children need to use the bathroom, the staff members communicated via radios and allowed children to walk to the gym while the staff member supervised them at the doorway. In group #2, eighteen (18) children were present and gathered in the gym. One (1) program coordinator supervised the group. The children participated in basketball or dodgeball. No emergency medications were maintained at this site currently. One (1) child has glucose pouches, and the medical action plan was on file. Bean dip, corn chips, apple sauce, veggie blend juice and milk were served for snacks. Playgrounds were monitored for safety. On one (1) playground with a slide structure, two (2) bolts on the wooden borders were observed protruding. This condition posed tripping and protrusion hazards. Supervision and interaction were adequate. The Staff and TRAINING Worksheet was submitted for two (2) staff members prior to this visit. The ABCMS was reviewed, and the qualification status for one (1) child was not verified due to lack of identification information including date of birth. One (1) staff member was added to the Worksheet. Due to Wi-Fi- connection, the ABCMS website was not monitored for two (2) staff members. Ms. Burke met with me via TEAMS and reviewed two (2) new staff members’ files in full, one (1) existing staff file partially and four (4) children’s files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation currently. 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. Per emergency drill log, the last fire drill was conducted on 11/24/25. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Two (2) bolts on the playground extended approximately 1/2 to 3/4 of an inch beyond the wood borders. One (1) bolt was located adjacent to the sidewalk near the trash can, and the other was located adjacent to the sidewalk near the slide. 10A NCAC 09 .0601(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) program coordinator obtained the medical statement on 6/9/25, while his/her date of employment was 5/27/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) program coordinator obtained the TB screening on 6/9/25, while his/her date of employment was 5/27/25. One (1) group leader did not have TB skin test attached to the TB questionnaire completed on 11/5/25. .0701(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were listed on the Automated Criminal Background Check Management System (ABCMS) as of 1/5/26. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 805: Fire drills A fire drill must be conducted monthly, and the log must include all required information, including the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill. To comply, you must conduct a make-up drill for December immediately. On the log sheet, include all information listed above. Document the actual date of drill and note that the drill is for November. The make-up drill will not replace the required drill for January. In your compliance letter, please verify the date of make-up drill. 807: safe environment Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. Please discuss the requirements with Buncombe County Schools and address it appropriately, you can either cut the bolts or screw/hammer them down. In your compliance letter, please state how you met the compliance. 1032: Health assessment 1033: TB screening Potential employees must submit both health assessment and TB screening to the employer prior to first day of employment. Since the health assessment and TB screening for C. Carson are already on file, please state how you will prevent this violation from recurring in your compliance letter. A. Shivone must complete TB skin test. In your compliance letter, please state the date you received the test result. 1805: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, you must list at least one (1) staff member on the roster within the next two (2) weeks. Please continue to list all staff members on the roster as soon as possible. Neglecting to do by the next monitoring visit will result in repeated violation. In your compliance letter, please verify that you listed at least one (1) staff member on the ABCMS roster. 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 1/20/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medical Action Plan: Even when children do not have medications at school, medical action plan is required for all children with chronic condition, such as allergies, asthma, diabetes and seizures. Please see the rule reference below and obtain an action plan for the child with peanut allergy. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Reminder: A lockdown or a shelter-in-place drill is due this month. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/6/2026 Number Present: 25 Completed Date: 1/6/2026 Age: From 5 To 10 Total Minutes: 163 Time In: 01:27 PM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Cheyenne Carson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delany Burke, Senior Program Director. Today, Ms. Carson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. 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 1/5/26. Permit type – five-star center license issued on 5/30/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The restriction, playground area does not meet child care playground safety standards and children are prohibited from being in the kitchen for any purpose, were removed due to changes in requirements based on HB 412/SL 2025-36. This matter was discussed with Ms. Carson and Ms. Burke during the visit. The last annual compliance visit was conducted on 1/29/25. The last fire drill was practiced on 11/24/25. The last shelter-in-place drill was practiced on 10/30/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/28/24 without hazards. Lead paint testing was completed on 2/20/25 and exempt from further testing. On-site visit results are pending for asbestos testing. No staff members were listed on the Automated Criminal Background Management System (ABCMS) Roster as of 1/5/26. Upon arrival, I greeted Ms. Carson. I notified Ms. Burke about my presence at this site. The children arrived at cafeteria around 2:30 pm. Attendance was taken and recorded by a group leader. In group #1, sixteen (16) children were present with two (2) group leaders. The children engaged in free play with flash lights, coloring pages and art tools, games and manipulatives. When children need to use the bathroom, the staff members communicated via radios and allowed children to walk to the gym while the staff member supervised them at the doorway. In group #2, eighteen (18) children were present and gathered in the gym. One (1) program coordinator supervised the group. The children participated in basketball or dodgeball. No emergency medications were maintained at this site currently. One (1) child has glucose pouches, and the medical action plan was on file. Bean dip, corn chips, apple sauce, veggie blend juice and milk were served for snacks. Playgrounds were monitored for safety. On one (1) playground with a slide structure, two (2) bolts on the wooden borders were observed protruding. This condition posed tripping and protrusion hazards. Supervision and interaction were adequate. The Staff and TRAINING Worksheet was submitted for two (2) staff members prior to this visit. The ABCMS was reviewed, and the qualification status for one (1) child was not verified due to lack of identification information including date of birth. One (1) staff member was added to the Worksheet. Due to Wi-Fi- connection, the ABCMS website was not monitored for two (2) staff members. Ms. Burke met with me via TEAMS and reviewed two (2) new staff members’ files in full, one (1) existing staff file partially and four (4) children’s files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation currently. 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. Per emergency drill log, the last fire drill was conducted on 11/24/25. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Two (2) bolts on the playground extended approximately 1/2 to 3/4 of an inch beyond the wood borders. One (1) bolt was located adjacent to the sidewalk near the trash can, and the other was located adjacent to the sidewalk near the slide. 10A NCAC 09 .0601(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) program coordinator obtained the medical statement on 6/9/25, while his/her date of employment was 5/27/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) program coordinator obtained the TB screening on 6/9/25, while his/her date of employment was 5/27/25. One (1) group leader did not have TB skin test attached to the TB questionnaire completed on 11/5/25. .0701(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were listed on the Automated Criminal Background Check Management System (ABCMS) as of 1/5/26. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 805: Fire drills A fire drill must be conducted monthly, and the log must include all required information, including the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill. To comply, you must conduct a make-up drill for December immediately. On the log sheet, include all information listed above. Document the actual date of drill and note that the drill is for November. The make-up drill will not replace the required drill for January. In your compliance letter, please verify the date of make-up drill. 807: safe environment Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. Please discuss the requirements with Buncombe County Schools and address it appropriately, you can either cut the bolts or screw/hammer them down. In your compliance letter, please state how you met the compliance. 1032: Health assessment 1033: TB screening Potential employees must submit both health assessment and TB screening to the employer prior to first day of employment. Since the health assessment and TB screening for C. Carson are already on file, please state how you will prevent this violation from recurring in your compliance letter. A. Shivone must complete TB skin test. In your compliance letter, please state the date you received the test result. 1805: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, you must list at least one (1) staff member on the roster within the next two (2) weeks. Please continue to list all staff members on the roster as soon as possible. Neglecting to do by the next monitoring visit will result in repeated violation. In your compliance letter, please verify that you listed at least one (1) staff member on the ABCMS roster. 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 1/20/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medical Action Plan: Even when children do not have medications at school, medical action plan is required for all children with chronic condition, such as allergies, asthma, diabetes and seizures. Please see the rule reference below and obtain an action plan for the child with peanut allergy. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Reminder: A lockdown or a shelter-in-place drill is due this month. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/6/2026 Number Present: 25 Completed Date: 1/6/2026 Age: From 5 To 10 Total Minutes: 163 Time In: 01:27 PM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Cheyenne Carson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delany Burke, Senior Program Director. Today, Ms. Carson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. 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 1/5/26. Permit type – five-star center license issued on 5/30/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The restriction, playground area does not meet child care playground safety standards and children are prohibited from being in the kitchen for any purpose, were removed due to changes in requirements based on HB 412/SL 2025-36. This matter was discussed with Ms. Carson and Ms. Burke during the visit. The last annual compliance visit was conducted on 1/29/25. The last fire drill was practiced on 11/24/25. The last shelter-in-place drill was practiced on 10/30/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/28/24 without hazards. Lead paint testing was completed on 2/20/25 and exempt from further testing. On-site visit results are pending for asbestos testing. No staff members were listed on the Automated Criminal Background Management System (ABCMS) Roster as of 1/5/26. Upon arrival, I greeted Ms. Carson. I notified Ms. Burke about my presence at this site. The children arrived at cafeteria around 2:30 pm. Attendance was taken and recorded by a group leader. In group #1, sixteen (16) children were present with two (2) group leaders. The children engaged in free play with flash lights, coloring pages and art tools, games and manipulatives. When children need to use the bathroom, the staff members communicated via radios and allowed children to walk to the gym while the staff member supervised them at the doorway. In group #2, eighteen (18) children were present and gathered in the gym. One (1) program coordinator supervised the group. The children participated in basketball or dodgeball. No emergency medications were maintained at this site currently. One (1) child has glucose pouches, and the medical action plan was on file. Bean dip, corn chips, apple sauce, veggie blend juice and milk were served for snacks. Playgrounds were monitored for safety. On one (1) playground with a slide structure, two (2) bolts on the wooden borders were observed protruding. This condition posed tripping and protrusion hazards. Supervision and interaction were adequate. The Staff and TRAINING Worksheet was submitted for two (2) staff members prior to this visit. The ABCMS was reviewed, and the qualification status for one (1) child was not verified due to lack of identification information including date of birth. One (1) staff member was added to the Worksheet. Due to Wi-Fi- connection, the ABCMS website was not monitored for two (2) staff members. Ms. Burke met with me via TEAMS and reviewed two (2) new staff members’ files in full, one (1) existing staff file partially and four (4) children’s files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation currently. 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. Per emergency drill log, the last fire drill was conducted on 11/24/25. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Two (2) bolts on the playground extended approximately 1/2 to 3/4 of an inch beyond the wood borders. One (1) bolt was located adjacent to the sidewalk near the trash can, and the other was located adjacent to the sidewalk near the slide. 10A NCAC 09 .0601(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) program coordinator obtained the medical statement on 6/9/25, while his/her date of employment was 5/27/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) program coordinator obtained the TB screening on 6/9/25, while his/her date of employment was 5/27/25. One (1) group leader did not have TB skin test attached to the TB questionnaire completed on 11/5/25. .0701(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were listed on the Automated Criminal Background Check Management System (ABCMS) as of 1/5/26. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 805: Fire drills A fire drill must be conducted monthly, and the log must include all required information, including the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill. To comply, you must conduct a make-up drill for December immediately. On the log sheet, include all information listed above. Document the actual date of drill and note that the drill is for November. The make-up drill will not replace the required drill for January. In your compliance letter, please verify the date of make-up drill. 807: safe environment Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. Please discuss the requirements with Buncombe County Schools and address it appropriately, you can either cut the bolts or screw/hammer them down. In your compliance letter, please state how you met the compliance. 1032: Health assessment 1033: TB screening Potential employees must submit both health assessment and TB screening to the employer prior to first day of employment. Since the health assessment and TB screening for C. Carson are already on file, please state how you will prevent this violation from recurring in your compliance letter. A. Shivone must complete TB skin test. In your compliance letter, please state the date you received the test result. 1805: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, you must list at least one (1) staff member on the roster within the next two (2) weeks. Please continue to list all staff members on the roster as soon as possible. Neglecting to do by the next monitoring visit will result in repeated violation. In your compliance letter, please verify that you listed at least one (1) staff member on the ABCMS roster. 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 1/20/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medical Action Plan: Even when children do not have medications at school, medical action plan is required for all children with chronic condition, such as allergies, asthma, diabetes and seizures. Please see the rule reference below and obtain an action plan for the child with peanut allergy. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Reminder: A lockdown or a shelter-in-place drill is due this month. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/6/2026 Number Present: 25 Completed Date: 1/6/2026 Age: From 5 To 10 Total Minutes: 163 Time In: 01:27 PM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Cheyenne Carson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delany Burke, Senior Program Director. Today, Ms. Carson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. 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 1/5/26. Permit type – five-star center license issued on 5/30/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The restriction, playground area does not meet child care playground safety standards and children are prohibited from being in the kitchen for any purpose, were removed due to changes in requirements based on HB 412/SL 2025-36. This matter was discussed with Ms. Carson and Ms. Burke during the visit. The last annual compliance visit was conducted on 1/29/25. The last fire drill was practiced on 11/24/25. The last shelter-in-place drill was practiced on 10/30/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/28/24 without hazards. Lead paint testing was completed on 2/20/25 and exempt from further testing. On-site visit results are pending for asbestos testing. No staff members were listed on the Automated Criminal Background Management System (ABCMS) Roster as of 1/5/26. Upon arrival, I greeted Ms. Carson. I notified Ms. Burke about my presence at this site. The children arrived at cafeteria around 2:30 pm. Attendance was taken and recorded by a group leader. In group #1, sixteen (16) children were present with two (2) group leaders. The children engaged in free play with flash lights, coloring pages and art tools, games and manipulatives. When children need to use the bathroom, the staff members communicated via radios and allowed children to walk to the gym while the staff member supervised them at the doorway. In group #2, eighteen (18) children were present and gathered in the gym. One (1) program coordinator supervised the group. The children participated in basketball or dodgeball. No emergency medications were maintained at this site currently. One (1) child has glucose pouches, and the medical action plan was on file. Bean dip, corn chips, apple sauce, veggie blend juice and milk were served for snacks. Playgrounds were monitored for safety. On one (1) playground with a slide structure, two (2) bolts on the wooden borders were observed protruding. This condition posed tripping and protrusion hazards. Supervision and interaction were adequate. The Staff and TRAINING Worksheet was submitted for two (2) staff members prior to this visit. The ABCMS was reviewed, and the qualification status for one (1) child was not verified due to lack of identification information including date of birth. One (1) staff member was added to the Worksheet. Due to Wi-Fi- connection, the ABCMS website was not monitored for two (2) staff members. Ms. Burke met with me via TEAMS and reviewed two (2) new staff members’ files in full, one (1) existing staff file partially and four (4) children’s files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation currently. 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. Per emergency drill log, the last fire drill was conducted on 11/24/25. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Two (2) bolts on the playground extended approximately 1/2 to 3/4 of an inch beyond the wood borders. One (1) bolt was located adjacent to the sidewalk near the trash can, and the other was located adjacent to the sidewalk near the slide. 10A NCAC 09 .0601(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) program coordinator obtained the medical statement on 6/9/25, while his/her date of employment was 5/27/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) program coordinator obtained the TB screening on 6/9/25, while his/her date of employment was 5/27/25. One (1) group leader did not have TB skin test attached to the TB questionnaire completed on 11/5/25. .0701(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were listed on the Automated Criminal Background Check Management System (ABCMS) as of 1/5/26. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 805: Fire drills A fire drill must be conducted monthly, and the log must include all required information, including the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill. To comply, you must conduct a make-up drill for December immediately. On the log sheet, include all information listed above. Document the actual date of drill and note that the drill is for November. The make-up drill will not replace the required drill for January. In your compliance letter, please verify the date of make-up drill. 807: safe environment Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. Please discuss the requirements with Buncombe County Schools and address it appropriately, you can either cut the bolts or screw/hammer them down. In your compliance letter, please state how you met the compliance. 1032: Health assessment 1033: TB screening Potential employees must submit both health assessment and TB screening to the employer prior to first day of employment. Since the health assessment and TB screening for C. Carson are already on file, please state how you will prevent this violation from recurring in your compliance letter. A. Shivone must complete TB skin test. In your compliance letter, please state the date you received the test result. 1805: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, you must list at least one (1) staff member on the roster within the next two (2) weeks. Please continue to list all staff members on the roster as soon as possible. Neglecting to do by the next monitoring visit will result in repeated violation. In your compliance letter, please verify that you listed at least one (1) staff member on the ABCMS roster. 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 1/20/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medical Action Plan: Even when children do not have medications at school, medical action plan is required for all children with chronic condition, such as allergies, asthma, diabetes and seizures. Please see the rule reference below and obtain an action plan for the child with peanut allergy. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Reminder: A lockdown or a shelter-in-place drill is due this month. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/6/2026 Number Present: 25 Completed Date: 1/6/2026 Age: From 5 To 10 Total Minutes: 163 Time In: 01:27 PM Time Out: 04:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Cheyenne Carson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delany Burke, Senior Program Director. Today, Ms. Carson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. 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 1/5/26. Permit type – five-star center license issued on 5/30/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The restriction, playground area does not meet child care playground safety standards and children are prohibited from being in the kitchen for any purpose, were removed due to changes in requirements based on HB 412/SL 2025-36. This matter was discussed with Ms. Carson and Ms. Burke during the visit. The last annual compliance visit was conducted on 1/29/25. The last fire drill was practiced on 11/24/25. The last shelter-in-place drill was practiced on 10/30/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 6/28/24 without hazards. Lead paint testing was completed on 2/20/25 and exempt from further testing. On-site visit results are pending for asbestos testing. No staff members were listed on the Automated Criminal Background Management System (ABCMS) Roster as of 1/5/26. Upon arrival, I greeted Ms. Carson. I notified Ms. Burke about my presence at this site. The children arrived at cafeteria around 2:30 pm. Attendance was taken and recorded by a group leader. In group #1, sixteen (16) children were present with two (2) group leaders. The children engaged in free play with flash lights, coloring pages and art tools, games and manipulatives. When children need to use the bathroom, the staff members communicated via radios and allowed children to walk to the gym while the staff member supervised them at the doorway. In group #2, eighteen (18) children were present and gathered in the gym. One (1) program coordinator supervised the group. The children participated in basketball or dodgeball. No emergency medications were maintained at this site currently. One (1) child has glucose pouches, and the medical action plan was on file. Bean dip, corn chips, apple sauce, veggie blend juice and milk were served for snacks. Playgrounds were monitored for safety. On one (1) playground with a slide structure, two (2) bolts on the wooden borders were observed protruding. This condition posed tripping and protrusion hazards. Supervision and interaction were adequate. The Staff and TRAINING Worksheet was submitted for two (2) staff members prior to this visit. The ABCMS was reviewed, and the qualification status for one (1) child was not verified due to lack of identification information including date of birth. One (1) staff member was added to the Worksheet. Due to Wi-Fi- connection, the ABCMS website was not monitored for two (2) staff members. Ms. Burke met with me via TEAMS and reviewed two (2) new staff members’ files in full, one (1) existing staff file partially and four (4) children’s files. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation currently. 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. Per emergency drill log, the last fire drill was conducted on 11/24/25. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. Two (2) bolts on the playground extended approximately 1/2 to 3/4 of an inch beyond the wood borders. One (1) bolt was located adjacent to the sidewalk near the trash can, and the other was located adjacent to the sidewalk near the slide. 10A NCAC 09 .0601(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) program coordinator obtained the medical statement on 6/9/25, while his/her date of employment was 5/27/25. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) program coordinator obtained the TB screening on 6/9/25, while his/her date of employment was 5/27/25. One (1) group leader did not have TB skin test attached to the TB questionnaire completed on 11/5/25. .0701(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. No staff members were listed on the Automated Criminal Background Check Management System (ABCMS) as of 1/5/26. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: 805: Fire drills A fire drill must be conducted monthly, and the log must include all required information, including the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill. To comply, you must conduct a make-up drill for December immediately. On the log sheet, include all information listed above. Document the actual date of drill and note that the drill is for November. The make-up drill will not replace the required drill for January. In your compliance letter, please verify the date of make-up drill. 807: safe environment Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. Please discuss the requirements with Buncombe County Schools and address it appropriately, you can either cut the bolts or screw/hammer them down. In your compliance letter, please state how you met the compliance. 1032: Health assessment 1033: TB screening Potential employees must submit both health assessment and TB screening to the employer prior to first day of employment. Since the health assessment and TB screening for C. Carson are already on file, please state how you will prevent this violation from recurring in your compliance letter. A. Shivone must complete TB skin test. In your compliance letter, please state the date you received the test result. 1805: New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. To comply, you must list at least one (1) staff member on the roster within the next two (2) weeks. Please continue to list all staff members on the roster as soon as possible. Neglecting to do by the next monitoring visit will result in repeated violation. In your compliance letter, please verify that you listed at least one (1) staff member on the ABCMS roster. 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 1/20/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Medical Action Plan: Even when children do not have medications at school, medical action plan is required for all children with chronic condition, such as allergies, asthma, diabetes and seizures. Please see the rule reference below and obtain an action plan for the child with peanut allergy. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp; Reminder: A lockdown or a shelter-in-place drill is due this month. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0510 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/22/2025 Number Present: 27 Completed Date: 5/22/2025 Age: From 5 To 10 Total Minutes: 165 Time In: 01:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: ERS Announced/Unannounced: Announced The purpose of today’s announced visit was to review the results of your Environment Rating Scale assessment and to finalize your rated license assessment. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Lily Elder, Program Director, was on-site and available to answer and ask questions. The program operates with a three-star center license issued on 1/25/23. The special restrictions include daytime care, school-age only, meets enhanced space and reduced ratios. The playground area does not meet child care playground safety standards. Children are prohibited in the kitchen for any purpose. SACERS-U was conducted on 4/30/25. The Rated License Assessment visit was conducted on 5/5/25 and scored 5. Upon arrival, I announced my presence and the purpose of the visit. All items scoring four (4) points and under were discussed with the Environment Rating Scale (ERS) Assessment Facility Summary Report and the Documentation of ERS Review tool. Limited monitoring was conducted today. There was a total of twenty (27) children present, and thirty-three (33) children enrolled. One (1) existing staff file was reviewed for updated CPR and First Aid certificate. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following items were reviewed for SACERS-U assessment: Item 2- 5.1 & 5.2: Outdoor play must be provided to the children on a daily basis whether permitted. Outdoor requirements do not apply to the program. Per interview with Ms. Elder, there may have been a language barrier on how a staff member responded to the interview question. Ms. Elder stated that children in this program goes outside on a daily basis with reasonable adjustments based on weather and children’s needs. Item 14 – 3.1: The loose surfacing is not required for this program per licensing restrictions. Item 17- 3.5: tables must be cleaned with soapy water and bleach solutions appropriately prior to each meal. This may be a violation of 15A NCAC 18A.2822(a)(1-4). Tables were cleaned with soapy water and sanitizing solutions prior to children’s arrival during the visit. Item 18 – 5.1: Handwashing shall be conducted appropriately. Per 15A NCAC 18A.2803(c), Children shall wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. Additionally, 15A NCAC 18A.2803(a) states that Staff shall wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and/or after handling soiled items. Upon arrival, children put their backpacks in the basket and gathered on a specific section in the cafeteria. Most children read books and talked with friends while all the children arrived. One (1) child moved to the tables where the materials were set up and played with toy animals, and one (1) child sat in the quiet area (individual tent) for appropriately five (5) minutes. When all the children arrived, the group lined up, went to the gym and used the bathroom to wash their hands. The materials used prior to handwashing were not moved. Item 18 – 5.2: lavatories must be kept clean per 15A NCAC 18A.2818(a). Per interview with staff members, the bathrooms are cleaned daily by the school custodians. I observed some paper towels on the floor. However, it was not possible for the group leaders to go into the bathroom and clean the bathroom as well as supervising the children. Item 20 – 5.1 and 5.2: Music and rhythm activities must be available weekly per 10A NCAC 09 .0510(c)(1). However, the types of musical instruments and the props are not a part of licensing requirements. Per Ms. Elder, music and rhythm materials are maintained in the cabinet and available for use weekly. No musical instruments were accessible to the children during the visit. Item 21 – 5.3: This is not a licensing requirement. Item 22 – 5.2: This is not a licensing requirement. However, extending child’s play nurture children’s creativity and approaches learning. Item 23- 5.1: This is not a licensing requirement. Item 23 – 5.2: This is not a licensing requirement. However, reading to children are important part of language and literacy development. The staff members should provide reading opportunities frequently. Per Ms. Elder, the program uses Kidz-Lit curriculum. This is the literacy curriculum where children and staff read a book followed by related activities and discussions over several days. Though the reading activity is not offered daily, the activities for Kidz-Lit is based on the reading and enriches overall literacy activities. Item 23 -5.3: Daily activity shall be designed to stimulate language development and communication per .0508(b)(1-5). Children in group #2 engages in group discussion upon arrival while children in group #1 uses the bathroom. Additionally, various games and books are accessible to the children daily. Apple to Apple Junior, Spapzi, Spot it! games were accessible to the children during today’s visit. Item 24 – 5.2: Daily activity shall be designed to stimulate cognitive development per .0508(b)(1-5). During the visit, I observed math related play materials, such as Plus Plus Blocks, Buildzi puzzles, chess, uno dominos and magnetic tiles. Item 25 – 3.2: Science and nature activities must be available weekly per .0510(c)(2). I observed one (1) children brought Red Clover plants and talked about it with other children. There were Science viewer kit and 3D insect specimens were accessible to the children during the visit. Item 29 – 5.4: even though this is not a licensing requirements, open-ended questions are effective ways to promote critical thinking. Item 36 – 5.3: for the program offers five (5) hours or less per day, a minimum of thirty (30) minutes of outdoor time is required weather permitted, per .0508(c). Both children in group #1 and group #2 played on the playground during today’s visit. The following violations of child care requirements observed: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children in group #1 gathered in the reading tables upon arrival until all the children arrived. Six (6) children read six (6) books, one (1) child played with some of the pretend animals and one (1) child used a quiet area. The group, then transitioned to the bathrooms in the gym to wash their hands. The materials used before handwashing was not removed and remained in the centers for children to play. 15A NCAC 18A .2803(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) containers of Vomit Control was maintained on the table by the window by the kitchen and accessible to the children. .2820(b) Technical assistance for correction plan: 608: hand washing - children Handwashing upon arrival is required. It is a good idea for children to gather in one area. I suggest you provide a bucket or two of play materials while children are waiting for other peers to arrive. When all children arrive, remove the bucket and make sure that they are not accessible to the children until they are appropriately sanitized. If children go to the other table and play with materials prior to washing their hands, those materials must be removed. For the corrective action plan, please submit your plan of correction to address this matter. 840: potentially hazardous materials Two (2) containers of Vomit Control were stored by the window by the kitchen area. Due to numbers of warnings listed on the chemical, Vomit Control must be stored in a locked storage while the program operates. When staff arrive each day, scan the licensed area for potentially hazardous chemicals and remove them as needed. Achieving Compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance with a signature I must receive your compliance statement by 6/5/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795, Pisgah Forest, NC 28768 Please call me at 828.556.9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was ninety-five (95) percent. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Staff education and experience are under review. Program Standards: For requirements for 10A NCAC 09 .2508, the program offers creative art activities, games/manipulatives, homework with assistance, reading activities and structured/unstructured physical activities daily. The program restrictions include enhanced space and reduced ratios. Additionally, SACERS-U score was 5.0. Based on the information above, the program standard is expected to be seven (7) points. The program standard sheet was signed by Ms. Burke. Quality Point: A quality point is met by meeting requirements for the staff benefits package(vacation, sick time, retirement, and health insurance) and infrastructure of parent involvement (quarterly newsletter and periodic conferences for all children). Quality Point = 1 point Total points will be determined after education is evaluated. After final review, points under each component may change. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. 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. 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. Consultation: Supervision: The cafeteria is a large space, which can make it challenging for a single staff member to reach a child quickly if needed. Although staff may visually monitor a child who steps out, it is safer to keep the cafeteria doors closed whenever possible. Unless there is a specific reason for the doors to remain open, they should be kept closed to enhance supervision and maintain a secure environment. When making this decision, it is important to consider the children’s developmental abilities and their capacity to follow safety rules. Safe arrival and departure procedures: Please post updated safe arrival/departure policy on the bulletin board. 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 as needed. 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2508 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/22/2025 Number Present: 27 Completed Date: 5/22/2025 Age: From 5 To 10 Total Minutes: 165 Time In: 01:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: ERS Announced/Unannounced: Announced The purpose of today’s announced visit was to review the results of your Environment Rating Scale assessment and to finalize your rated license assessment. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Lily Elder, Program Director, was on-site and available to answer and ask questions. The program operates with a three-star center license issued on 1/25/23. The special restrictions include daytime care, school-age only, meets enhanced space and reduced ratios. The playground area does not meet child care playground safety standards. Children are prohibited in the kitchen for any purpose. SACERS-U was conducted on 4/30/25. The Rated License Assessment visit was conducted on 5/5/25 and scored 5. Upon arrival, I announced my presence and the purpose of the visit. All items scoring four (4) points and under were discussed with the Environment Rating Scale (ERS) Assessment Facility Summary Report and the Documentation of ERS Review tool. Limited monitoring was conducted today. There was a total of twenty (27) children present, and thirty-three (33) children enrolled. One (1) existing staff file was reviewed for updated CPR and First Aid certificate. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following items were reviewed for SACERS-U assessment: Item 2- 5.1 & 5.2: Outdoor play must be provided to the children on a daily basis whether permitted. Outdoor requirements do not apply to the program. Per interview with Ms. Elder, there may have been a language barrier on how a staff member responded to the interview question. Ms. Elder stated that children in this program goes outside on a daily basis with reasonable adjustments based on weather and children’s needs. Item 14 – 3.1: The loose surfacing is not required for this program per licensing restrictions. Item 17- 3.5: tables must be cleaned with soapy water and bleach solutions appropriately prior to each meal. This may be a violation of 15A NCAC 18A.2822(a)(1-4). Tables were cleaned with soapy water and sanitizing solutions prior to children’s arrival during the visit. Item 18 – 5.1: Handwashing shall be conducted appropriately. Per 15A NCAC 18A.2803(c), Children shall wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. Additionally, 15A NCAC 18A.2803(a) states that Staff shall wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and/or after handling soiled items. Upon arrival, children put their backpacks in the basket and gathered on a specific section in the cafeteria. Most children read books and talked with friends while all the children arrived. One (1) child moved to the tables where the materials were set up and played with toy animals, and one (1) child sat in the quiet area (individual tent) for appropriately five (5) minutes. When all the children arrived, the group lined up, went to the gym and used the bathroom to wash their hands. The materials used prior to handwashing were not moved. Item 18 – 5.2: lavatories must be kept clean per 15A NCAC 18A.2818(a). Per interview with staff members, the bathrooms are cleaned daily by the school custodians. I observed some paper towels on the floor. However, it was not possible for the group leaders to go into the bathroom and clean the bathroom as well as supervising the children. Item 20 – 5.1 and 5.2: Music and rhythm activities must be available weekly per 10A NCAC 09 .0510(c)(1). However, the types of musical instruments and the props are not a part of licensing requirements. Per Ms. Elder, music and rhythm materials are maintained in the cabinet and available for use weekly. No musical instruments were accessible to the children during the visit. Item 21 – 5.3: This is not a licensing requirement. Item 22 – 5.2: This is not a licensing requirement. However, extending child’s play nurture children’s creativity and approaches learning. Item 23- 5.1: This is not a licensing requirement. Item 23 – 5.2: This is not a licensing requirement. However, reading to children are important part of language and literacy development. The staff members should provide reading opportunities frequently. Per Ms. Elder, the program uses Kidz-Lit curriculum. This is the literacy curriculum where children and staff read a book followed by related activities and discussions over several days. Though the reading activity is not offered daily, the activities for Kidz-Lit is based on the reading and enriches overall literacy activities. Item 23 -5.3: Daily activity shall be designed to stimulate language development and communication per .0508(b)(1-5). Children in group #2 engages in group discussion upon arrival while children in group #1 uses the bathroom. Additionally, various games and books are accessible to the children daily. Apple to Apple Junior, Spapzi, Spot it! games were accessible to the children during today’s visit. Item 24 – 5.2: Daily activity shall be designed to stimulate cognitive development per .0508(b)(1-5). During the visit, I observed math related play materials, such as Plus Plus Blocks, Buildzi puzzles, chess, uno dominos and magnetic tiles. Item 25 – 3.2: Science and nature activities must be available weekly per .0510(c)(2). I observed one (1) children brought Red Clover plants and talked about it with other children. There were Science viewer kit and 3D insect specimens were accessible to the children during the visit. Item 29 – 5.4: even though this is not a licensing requirements, open-ended questions are effective ways to promote critical thinking. Item 36 – 5.3: for the program offers five (5) hours or less per day, a minimum of thirty (30) minutes of outdoor time is required weather permitted, per .0508(c). Both children in group #1 and group #2 played on the playground during today’s visit. The following violations of child care requirements observed: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children in group #1 gathered in the reading tables upon arrival until all the children arrived. Six (6) children read six (6) books, one (1) child played with some of the pretend animals and one (1) child used a quiet area. The group, then transitioned to the bathrooms in the gym to wash their hands. The materials used before handwashing was not removed and remained in the centers for children to play. 15A NCAC 18A .2803(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) containers of Vomit Control was maintained on the table by the window by the kitchen and accessible to the children. .2820(b) Technical assistance for correction plan: 608: hand washing - children Handwashing upon arrival is required. It is a good idea for children to gather in one area. I suggest you provide a bucket or two of play materials while children are waiting for other peers to arrive. When all children arrive, remove the bucket and make sure that they are not accessible to the children until they are appropriately sanitized. If children go to the other table and play with materials prior to washing their hands, those materials must be removed. For the corrective action plan, please submit your plan of correction to address this matter. 840: potentially hazardous materials Two (2) containers of Vomit Control were stored by the window by the kitchen area. Due to numbers of warnings listed on the chemical, Vomit Control must be stored in a locked storage while the program operates. When staff arrive each day, scan the licensed area for potentially hazardous chemicals and remove them as needed. Achieving Compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance with a signature I must receive your compliance statement by 6/5/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795, Pisgah Forest, NC 28768 Please call me at 828.556.9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was ninety-five (95) percent. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Staff education and experience are under review. Program Standards: For requirements for 10A NCAC 09 .2508, the program offers creative art activities, games/manipulatives, homework with assistance, reading activities and structured/unstructured physical activities daily. The program restrictions include enhanced space and reduced ratios. Additionally, SACERS-U score was 5.0. Based on the information above, the program standard is expected to be seven (7) points. The program standard sheet was signed by Ms. Burke. Quality Point: A quality point is met by meeting requirements for the staff benefits package(vacation, sick time, retirement, and health insurance) and infrastructure of parent involvement (quarterly newsletter and periodic conferences for all children). Quality Point = 1 point Total points will be determined after education is evaluated. After final review, points under each component may change. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. 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. 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. Consultation: Supervision: The cafeteria is a large space, which can make it challenging for a single staff member to reach a child quickly if needed. Although staff may visually monitor a child who steps out, it is safer to keep the cafeteria doors closed whenever possible. Unless there is a specific reason for the doors to remain open, they should be kept closed to enhance supervision and maintain a secure environment. When making this decision, it is important to consider the children’s developmental abilities and their capacity to follow safety rules. Safe arrival and departure procedures: Please post updated safe arrival/departure policy on the bulletin board. 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 as needed. 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/22/2025 Number Present: 27 Completed Date: 5/22/2025 Age: From 5 To 10 Total Minutes: 165 Time In: 01:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: ERS Announced/Unannounced: Announced The purpose of today’s announced visit was to review the results of your Environment Rating Scale assessment and to finalize your rated license assessment. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Lily Elder, Program Director, was on-site and available to answer and ask questions. The program operates with a three-star center license issued on 1/25/23. The special restrictions include daytime care, school-age only, meets enhanced space and reduced ratios. The playground area does not meet child care playground safety standards. Children are prohibited in the kitchen for any purpose. SACERS-U was conducted on 4/30/25. The Rated License Assessment visit was conducted on 5/5/25 and scored 5. Upon arrival, I announced my presence and the purpose of the visit. All items scoring four (4) points and under were discussed with the Environment Rating Scale (ERS) Assessment Facility Summary Report and the Documentation of ERS Review tool. Limited monitoring was conducted today. There was a total of twenty (27) children present, and thirty-three (33) children enrolled. One (1) existing staff file was reviewed for updated CPR and First Aid certificate. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following items were reviewed for SACERS-U assessment: Item 2- 5.1 & 5.2: Outdoor play must be provided to the children on a daily basis whether permitted. Outdoor requirements do not apply to the program. Per interview with Ms. Elder, there may have been a language barrier on how a staff member responded to the interview question. Ms. Elder stated that children in this program goes outside on a daily basis with reasonable adjustments based on weather and children’s needs. Item 14 – 3.1: The loose surfacing is not required for this program per licensing restrictions. Item 17- 3.5: tables must be cleaned with soapy water and bleach solutions appropriately prior to each meal. This may be a violation of 15A NCAC 18A.2822(a)(1-4). Tables were cleaned with soapy water and sanitizing solutions prior to children’s arrival during the visit. Item 18 – 5.1: Handwashing shall be conducted appropriately. Per 15A NCAC 18A.2803(c), Children shall wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. Additionally, 15A NCAC 18A.2803(a) states that Staff shall wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and/or after handling soiled items. Upon arrival, children put their backpacks in the basket and gathered on a specific section in the cafeteria. Most children read books and talked with friends while all the children arrived. One (1) child moved to the tables where the materials were set up and played with toy animals, and one (1) child sat in the quiet area (individual tent) for appropriately five (5) minutes. When all the children arrived, the group lined up, went to the gym and used the bathroom to wash their hands. The materials used prior to handwashing were not moved. Item 18 – 5.2: lavatories must be kept clean per 15A NCAC 18A.2818(a). Per interview with staff members, the bathrooms are cleaned daily by the school custodians. I observed some paper towels on the floor. However, it was not possible for the group leaders to go into the bathroom and clean the bathroom as well as supervising the children. Item 20 – 5.1 and 5.2: Music and rhythm activities must be available weekly per 10A NCAC 09 .0510(c)(1). However, the types of musical instruments and the props are not a part of licensing requirements. Per Ms. Elder, music and rhythm materials are maintained in the cabinet and available for use weekly. No musical instruments were accessible to the children during the visit. Item 21 – 5.3: This is not a licensing requirement. Item 22 – 5.2: This is not a licensing requirement. However, extending child’s play nurture children’s creativity and approaches learning. Item 23- 5.1: This is not a licensing requirement. Item 23 – 5.2: This is not a licensing requirement. However, reading to children are important part of language and literacy development. The staff members should provide reading opportunities frequently. Per Ms. Elder, the program uses Kidz-Lit curriculum. This is the literacy curriculum where children and staff read a book followed by related activities and discussions over several days. Though the reading activity is not offered daily, the activities for Kidz-Lit is based on the reading and enriches overall literacy activities. Item 23 -5.3: Daily activity shall be designed to stimulate language development and communication per .0508(b)(1-5). Children in group #2 engages in group discussion upon arrival while children in group #1 uses the bathroom. Additionally, various games and books are accessible to the children daily. Apple to Apple Junior, Spapzi, Spot it! games were accessible to the children during today’s visit. Item 24 – 5.2: Daily activity shall be designed to stimulate cognitive development per .0508(b)(1-5). During the visit, I observed math related play materials, such as Plus Plus Blocks, Buildzi puzzles, chess, uno dominos and magnetic tiles. Item 25 – 3.2: Science and nature activities must be available weekly per .0510(c)(2). I observed one (1) children brought Red Clover plants and talked about it with other children. There were Science viewer kit and 3D insect specimens were accessible to the children during the visit. Item 29 – 5.4: even though this is not a licensing requirements, open-ended questions are effective ways to promote critical thinking. Item 36 – 5.3: for the program offers five (5) hours or less per day, a minimum of thirty (30) minutes of outdoor time is required weather permitted, per .0508(c). Both children in group #1 and group #2 played on the playground during today’s visit. The following violations of child care requirements observed: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children in group #1 gathered in the reading tables upon arrival until all the children arrived. Six (6) children read six (6) books, one (1) child played with some of the pretend animals and one (1) child used a quiet area. The group, then transitioned to the bathrooms in the gym to wash their hands. The materials used before handwashing was not removed and remained in the centers for children to play. 15A NCAC 18A .2803(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) containers of Vomit Control was maintained on the table by the window by the kitchen and accessible to the children. .2820(b) Technical assistance for correction plan: 608: hand washing - children Handwashing upon arrival is required. It is a good idea for children to gather in one area. I suggest you provide a bucket or two of play materials while children are waiting for other peers to arrive. When all children arrive, remove the bucket and make sure that they are not accessible to the children until they are appropriately sanitized. If children go to the other table and play with materials prior to washing their hands, those materials must be removed. For the corrective action plan, please submit your plan of correction to address this matter. 840: potentially hazardous materials Two (2) containers of Vomit Control were stored by the window by the kitchen area. Due to numbers of warnings listed on the chemical, Vomit Control must be stored in a locked storage while the program operates. When staff arrive each day, scan the licensed area for potentially hazardous chemicals and remove them as needed. Achieving Compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance with a signature I must receive your compliance statement by 6/5/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795, Pisgah Forest, NC 28768 Please call me at 828.556.9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was ninety-five (95) percent. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Staff education and experience are under review. Program Standards: For requirements for 10A NCAC 09 .2508, the program offers creative art activities, games/manipulatives, homework with assistance, reading activities and structured/unstructured physical activities daily. The program restrictions include enhanced space and reduced ratios. Additionally, SACERS-U score was 5.0. Based on the information above, the program standard is expected to be seven (7) points. The program standard sheet was signed by Ms. Burke. Quality Point: A quality point is met by meeting requirements for the staff benefits package(vacation, sick time, retirement, and health insurance) and infrastructure of parent involvement (quarterly newsletter and periodic conferences for all children). Quality Point = 1 point Total points will be determined after education is evaluated. After final review, points under each component may change. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. 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. 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. Consultation: Supervision: The cafeteria is a large space, which can make it challenging for a single staff member to reach a child quickly if needed. Although staff may visually monitor a child who steps out, it is safer to keep the cafeteria doors closed whenever possible. Unless there is a specific reason for the doors to remain open, they should be kept closed to enhance supervision and maintain a secure environment. When making this decision, it is important to consider the children’s developmental abilities and their capacity to follow safety rules. Safe arrival and departure procedures: Please post updated safe arrival/departure policy on the bulletin board. 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 as needed. 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/22/2025 Number Present: 27 Completed Date: 5/22/2025 Age: From 5 To 10 Total Minutes: 165 Time In: 01:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: ERS Announced/Unannounced: Announced The purpose of today’s announced visit was to review the results of your Environment Rating Scale assessment and to finalize your rated license assessment. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Sora Dowty, Program Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Lily Elder, Program Director, was on-site and available to answer and ask questions. The program operates with a three-star center license issued on 1/25/23. The special restrictions include daytime care, school-age only, meets enhanced space and reduced ratios. The playground area does not meet child care playground safety standards. Children are prohibited in the kitchen for any purpose. SACERS-U was conducted on 4/30/25. The Rated License Assessment visit was conducted on 5/5/25 and scored 5. Upon arrival, I announced my presence and the purpose of the visit. All items scoring four (4) points and under were discussed with the Environment Rating Scale (ERS) Assessment Facility Summary Report and the Documentation of ERS Review tool. Limited monitoring was conducted today. There was a total of twenty (27) children present, and thirty-three (33) children enrolled. One (1) existing staff file was reviewed for updated CPR and First Aid certificate. The Child Care Center Item Number Listing (DCDEE-0357) was used as a basic monitoring tool to assess compliance with applicable child care requirements pertinent to this facility. The following items were reviewed for SACERS-U assessment: Item 2- 5.1 & 5.2: Outdoor play must be provided to the children on a daily basis whether permitted. Outdoor requirements do not apply to the program. Per interview with Ms. Elder, there may have been a language barrier on how a staff member responded to the interview question. Ms. Elder stated that children in this program goes outside on a daily basis with reasonable adjustments based on weather and children’s needs. Item 14 – 3.1: The loose surfacing is not required for this program per licensing restrictions. Item 17- 3.5: tables must be cleaned with soapy water and bleach solutions appropriately prior to each meal. This may be a violation of 15A NCAC 18A.2822(a)(1-4). Tables were cleaned with soapy water and sanitizing solutions prior to children’s arrival during the visit. Item 18 – 5.1: Handwashing shall be conducted appropriately. Per 15A NCAC 18A.2803(c), Children shall wash their hands upon arrival at the center, after each visit to the toilet, before eating, and before and after water play, after outside play, and/or after handling animals or animal cages. Additionally, 15A NCAC 18A.2803(a) states that Staff shall wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and/or after handling soiled items. Upon arrival, children put their backpacks in the basket and gathered on a specific section in the cafeteria. Most children read books and talked with friends while all the children arrived. One (1) child moved to the tables where the materials were set up and played with toy animals, and one (1) child sat in the quiet area (individual tent) for appropriately five (5) minutes. When all the children arrived, the group lined up, went to the gym and used the bathroom to wash their hands. The materials used prior to handwashing were not moved. Item 18 – 5.2: lavatories must be kept clean per 15A NCAC 18A.2818(a). Per interview with staff members, the bathrooms are cleaned daily by the school custodians. I observed some paper towels on the floor. However, it was not possible for the group leaders to go into the bathroom and clean the bathroom as well as supervising the children. Item 20 – 5.1 and 5.2: Music and rhythm activities must be available weekly per 10A NCAC 09 .0510(c)(1). However, the types of musical instruments and the props are not a part of licensing requirements. Per Ms. Elder, music and rhythm materials are maintained in the cabinet and available for use weekly. No musical instruments were accessible to the children during the visit. Item 21 – 5.3: This is not a licensing requirement. Item 22 – 5.2: This is not a licensing requirement. However, extending child’s play nurture children’s creativity and approaches learning. Item 23- 5.1: This is not a licensing requirement. Item 23 – 5.2: This is not a licensing requirement. However, reading to children are important part of language and literacy development. The staff members should provide reading opportunities frequently. Per Ms. Elder, the program uses Kidz-Lit curriculum. This is the literacy curriculum where children and staff read a book followed by related activities and discussions over several days. Though the reading activity is not offered daily, the activities for Kidz-Lit is based on the reading and enriches overall literacy activities. Item 23 -5.3: Daily activity shall be designed to stimulate language development and communication per .0508(b)(1-5). Children in group #2 engages in group discussion upon arrival while children in group #1 uses the bathroom. Additionally, various games and books are accessible to the children daily. Apple to Apple Junior, Spapzi, Spot it! games were accessible to the children during today’s visit. Item 24 – 5.2: Daily activity shall be designed to stimulate cognitive development per .0508(b)(1-5). During the visit, I observed math related play materials, such as Plus Plus Blocks, Buildzi puzzles, chess, uno dominos and magnetic tiles. Item 25 – 3.2: Science and nature activities must be available weekly per .0510(c)(2). I observed one (1) children brought Red Clover plants and talked about it with other children. There were Science viewer kit and 3D insect specimens were accessible to the children during the visit. Item 29 – 5.4: even though this is not a licensing requirements, open-ended questions are effective ways to promote critical thinking. Item 36 – 5.3: for the program offers five (5) hours or less per day, a minimum of thirty (30) minutes of outdoor time is required weather permitted, per .0508(c). Both children in group #1 and group #2 played on the playground during today’s visit. The following violations of child care requirements observed: Violation Number Comment Rule 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Children in group #1 gathered in the reading tables upon arrival until all the children arrived. Six (6) children read six (6) books, one (1) child played with some of the pretend animals and one (1) child used a quiet area. The group, then transitioned to the bathrooms in the gym to wash their hands. The materials used before handwashing was not removed and remained in the centers for children to play. 15A NCAC 18A .2803(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) containers of Vomit Control was maintained on the table by the window by the kitchen and accessible to the children. .2820(b) Technical assistance for correction plan: 608: hand washing - children Handwashing upon arrival is required. It is a good idea for children to gather in one area. I suggest you provide a bucket or two of play materials while children are waiting for other peers to arrive. When all children arrive, remove the bucket and make sure that they are not accessible to the children until they are appropriately sanitized. If children go to the other table and play with materials prior to washing their hands, those materials must be removed. For the corrective action plan, please submit your plan of correction to address this matter. 840: potentially hazardous materials Two (2) containers of Vomit Control were stored by the window by the kitchen area. Due to numbers of warnings listed on the chemical, Vomit Control must be stored in a locked storage while the program operates. When staff arrive each day, scan the licensed area for potentially hazardous chemicals and remove them as needed. Achieving Compliance: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance with a signature I must receive your compliance statement by 6/5/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: kaoru.eddins@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795, Pisgah Forest, NC 28768 Please call me at 828.556.9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Rated License Assessment: Compliance History: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. The compliance history for the facility prior to the visit today was ninety-five (95) percent. Staff Education: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. Staff education and experience are under review. Program Standards: For requirements for 10A NCAC 09 .2508, the program offers creative art activities, games/manipulatives, homework with assistance, reading activities and structured/unstructured physical activities daily. The program restrictions include enhanced space and reduced ratios. Additionally, SACERS-U score was 5.0. Based on the information above, the program standard is expected to be seven (7) points. The program standard sheet was signed by Ms. Burke. Quality Point: A quality point is met by meeting requirements for the staff benefits package(vacation, sick time, retirement, and health insurance) and infrastructure of parent involvement (quarterly newsletter and periodic conferences for all children). Quality Point = 1 point Total points will be determined after education is evaluated. After final review, points under each component may change. The centers rated license assessment is due once every three years based on the date of the completed Environment Rating Scale scores, if applicable. During the three-year reassessment, the center’s program standards, staff education and a quality point option are determined to award the center’s star level. It is the center operator’s responsibility to maintain the same point level under each component at all times. If changes occur that may affect your rated license, please notify your licensing consultant to inform her of the changes and discuss a plan of action to maintain the center’s star rating. 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. 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. Consultation: Supervision: The cafeteria is a large space, which can make it challenging for a single staff member to reach a child quickly if needed. Although staff may visually monitor a child who steps out, it is safer to keep the cafeteria doors closed whenever possible. Unless there is a specific reason for the doors to remain open, they should be kept closed to enhance supervision and maintain a secure environment. When making this decision, it is important to consider the children’s developmental abilities and their capacity to follow safety rules. Safe arrival and departure procedures: Please post updated safe arrival/departure policy on the bulletin board. 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 as needed. 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. Please continue to visit DCDEE’s website to get the latest COVID-19 information for child care at https://ncchildcare.ncdhhs.gov/. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0713 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/31/2025 Number Present: 28 Completed Date: 3/31/2025 Age: From 6 To 10 Total Minutes: 150 Time In: 02:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance during a Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. A singed copy of the visit summary was to Delaney Burke, Senior Operations Director. Ms. Dowty was available to ask and answer questions during the visit. The following items were monitored. Supervision Staff Child Ratios CPR First Aid Special Training Storage of Hazardous Substances Adequate/Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – Three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground does not meet child care safety standards. Upon arrival, I announced my presence and the purpose of the visit. Three (3) staff members were present with a total of twenty-eight (28) children. Upon arrival, the children put their backpacks in the basket and gathered in the designated area – cafeteria for group #1 and the gym for group #2. The children in the cafeteria sat and read books. When all the children arrived, the group washed their hands in the gym bathroom. The children in group #1 had snacks in the cafeteria. Today, milk, WOW butter, sunflower kernels, honey teddy graham, apples sauce, and veggie blend juice were served. All the items were accurately listed on the menu. The children in group #2 participated in a group discussion after washing their hands. The children also engaged in basketball as well as free play in the gym. Outdoor areas were not monitored during today’s visit due to inclement weather. Two (2) prescription medications were maintained at this facility. Both medications met requirements for storage, expiration dates, action plans and medical authorizations. Supervision and interaction were adequate. Four (4) staff files were reviewed partially for criminal background letters, First Aid/CPR certificate and BSAC training certificates. All four (4) members had current letters and certificates. Ms. Burke’s correct expiration date for her criminal background letter is 1/25/27. The ABCMS system was reviewed prior to this visit. I reviewed the staff files with Ms. Elder at the TEAM meeting prior to this visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today's visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratios sheet was not posted in the gym. .0713(a)(10), (c) & (f)(3); .2818(e) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One of the doors to the kitchen area was not locked. In the kitchen, there was a storage for various chemicals including but not limited to Lime-A-Way, Wasp and Hornet Killer, Eco Lab cleaning solutions. The door to the chemical storage were open. .2820(b) 9995 A violation was found for which there is no item number. Hot Water heater in the kitchen was accessible to the children due to one of the doors to the kitchen were unlocked. Technical assistance was provided as follows: 319: Staff/child ratio sheet Staff/child ratio sheet must be posted in every licensed space. The staff/child sheet was not posted in the gym. Please refer to 10A NCAC 09 .0713(a)(10). 840: Hazardous materials There is a closet with various chemicals stored in the kitchen area. The door for chemical storage was open and the door to the kitchen area was unlocked. Please make sure that both doors to the kitchen are closed and locked. Refer to 15A NCAC 18A .2820(b). 9995: Hot water heater Due to hot water in the kitchen area are over 120 degrees, the area must be inaccessible to the children. Please discuss this matter with the school as well as the cafeteria staff members to make sure that both doors to the kitchen area are locked at all times during operating hours. 15A NCAC 18A .2815 WATER SUPPLY (e) Hot water used for cleaning and sanitizing food utensils and laundry shall be provided at a minimum temperature of 120°F (49°C) at the point of use. Water in areas accessible to children shall be tempered between 80°F (27°C) and 110°F (43°C). For handwash lavatories used exclusively by school-age children, the 80°F (27°C) minimum temperature requirement shall not apply. Hot water in an area accessible to any child, which is in excess of 120°F (49°C), shall be considered a burn hazard. Child care centers serving only school-age children are not required to provide hot water in areas accessible to children. In the event of the loss of hot water, the person in charge shall immediately contact the local health department. 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 • Signature of administrator I must receive your compliance statement by 4/14/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Handwashing procedures: If materials, such as a basket of books, were used prior to children washing their hands, the materials should be removed from the center and be replaced with another ones. It is acceptable to use sets of materials to be used during waiting time. For example, a bucket of Legos and a bucket of Brain Flakes can be used by the children when they returned from outside and while they are waiting for turns for handwashing. It is an effective strategy to prevent behavioral challenges during waiting time. However, the materials used by the children before they wash their hands must only be used as transition materials. Rated License Assessment: Furnishing for relaxation and comfort: Sufficient soft furnishings for at least three children to use must be present in one or more areas of the room. Children must have access to many soft furnishings for at least one-third of the time they are in care. Gross motor play: A variety of different gross motor materials shall be available to children. At least five (5) different gross motor skills shall be promoted through the activities. Art materials: At least one material from three different categories of art materials shall be accessible daily. The categories of art materials are drawing materials, paints, collage, sculpture and crafts. Make sure to inspect the drawing materials as they are required to be in good condition. If markers are dried out or color pencil lead are broken, replace or repair them. 14. Safety practice • Safety rules are taught to children. • staff members should conduct daily inspections to eliminate safety hazards on facilities, playgrounds and equipment. • emergency number should be posted near the phone. • emergency procedures should be posted. • First aid supplied should be well-stocked. 17: Meal/snacks • staff members should sit with children during snacks when possible. • Children’s allergies another food restrictions must be posted, and the appropriate substitutions must be served. 18. Personal Hygiene • Hand hygiene is practiced upon arrival, before/after eating, after messy activities and outdoor play, after toileting, etc. • Staff shall check bathrooms for cleanliness and supplies periodically. • Teach children not to share personal items, such as combs, food and drink. • Staff member also washes hands upon arrival, before/after handling food, after outdoor play, etc. 20. Music and Movement • Music and movement activities shall be accessible for free choice, including listening to music, dancing and playing with musical instruments. • Various types of musical experience are accessible. The examples are classical, pop music, different languages, musical instruments and different cultures. 22. Dramatic play/theatre • Examples of materials include dress-up clothes, costumes, props, and puppets. • Variety of dramatic play materials for both boys and girls that support many roles and situations shall be available. Examples of roles/situation include work, adventure, fantasy, theatrical productions. • Staff shall extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic roles. 23. Language/reading activities • Examples of materials include print materials, such as books, dictionaries, encyclopedia, audio materials and games. • Many appropriate books and language games are accessible daily. • There shall be no graphic description of violence or prejudice in books. • Age-appropriate stories are read or told at least weekly. • Children are encouraged to use reading/writing in practical situations, such as writing letters to friends, read instructions for games, retrieve information online, etc.) 24. Math/reasoning activities • Examples of materials include puzzles, number games, dominoes, Veritec, board game, such as Chutes and Ladders. • For grade 1 and up, chess, checkers, Veritec, backgammon, domonoes, this category. • Variety of age-appropriate math/reasoning game and/or activities are accessible for free choice daily. At least 3-5 different games/activities shall be accessible. • Staff encourage children to practice math/reasoning skills in daily activities. Staff shall link math and numbers to practical life events in the children’s daily schedule. Use opportunities, such as mealtime, counting number of children, transition times, use timer for taking turns, keeping scores in ball games, taking attendance by children, taking about times using clock, etc. 25. Science/nature activities • Equipment examples include aquarium, terrarium, measuring tools, magnifying glasses, magnets, scales, microscope. • Materials examples include natural objects, living things, realistic books, posters, pictures, and science games. • Special activities for extended opportunity to observe nature is offered at least twice a year. Examples are watching caterpillars turn into butterflies, planting and caring for a garden. 26 Cultural Awareness • At least four easily visible examples of different types of diversity must be present, other than gender. Examples are multi-cultural books, pictures of various countries and races, books in more than one language bilingual community, dolls or block accessory people of different races, ages. • make sure to scan the books for inappropriate and/or violate images. Remove those books as needed. • Staff must display a non-biased approach to activities. For example, girls are encouraged to participate in carpentry, and boys are encouraged to participate in cooking. 28 Staff-Child interactions • Staff respond to children in a warm, supportive manner. Staff show respect for children. • For 7 pt level, staff shall support children and take the lead in selecting and initiating activities. 29 staff-child communication • Staff communicates with children frequently. • Children ask why, how and what if questions. • For 7 pts level, staff shall make effort to talk with each child and expand on ideas presented by children. 30 Staff supervision of children • Supervision shall be provided to all children, and the adjustment shall be made for younger and more challenging children to supervise them more closely. • Staff shall provide help and encouragement to children as needed. • Staff shall show appreciation of children’s effort and accomplishments. 36 Schedule • Flexibility is possible within the schedule • Both Staff-initiated and child-initiated activities shall be available. • Gross motor activities for all children outdoors shall be available daily (weather permitted). 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/31/2025 Number Present: 28 Completed Date: 3/31/2025 Age: From 6 To 10 Total Minutes: 150 Time In: 02:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance during a Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. A singed copy of the visit summary was to Delaney Burke, Senior Operations Director. Ms. Dowty was available to ask and answer questions during the visit. The following items were monitored. Supervision Staff Child Ratios CPR First Aid Special Training Storage of Hazardous Substances Adequate/Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – Three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground does not meet child care safety standards. Upon arrival, I announced my presence and the purpose of the visit. Three (3) staff members were present with a total of twenty-eight (28) children. Upon arrival, the children put their backpacks in the basket and gathered in the designated area – cafeteria for group #1 and the gym for group #2. The children in the cafeteria sat and read books. When all the children arrived, the group washed their hands in the gym bathroom. The children in group #1 had snacks in the cafeteria. Today, milk, WOW butter, sunflower kernels, honey teddy graham, apples sauce, and veggie blend juice were served. All the items were accurately listed on the menu. The children in group #2 participated in a group discussion after washing their hands. The children also engaged in basketball as well as free play in the gym. Outdoor areas were not monitored during today’s visit due to inclement weather. Two (2) prescription medications were maintained at this facility. Both medications met requirements for storage, expiration dates, action plans and medical authorizations. Supervision and interaction were adequate. Four (4) staff files were reviewed partially for criminal background letters, First Aid/CPR certificate and BSAC training certificates. All four (4) members had current letters and certificates. Ms. Burke’s correct expiration date for her criminal background letter is 1/25/27. The ABCMS system was reviewed prior to this visit. I reviewed the staff files with Ms. Elder at the TEAM meeting prior to this visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today's visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratios sheet was not posted in the gym. .0713(a)(10), (c) & (f)(3); .2818(e) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One of the doors to the kitchen area was not locked. In the kitchen, there was a storage for various chemicals including but not limited to Lime-A-Way, Wasp and Hornet Killer, Eco Lab cleaning solutions. The door to the chemical storage were open. .2820(b) 9995 A violation was found for which there is no item number. Hot Water heater in the kitchen was accessible to the children due to one of the doors to the kitchen were unlocked. Technical assistance was provided as follows: 319: Staff/child ratio sheet Staff/child ratio sheet must be posted in every licensed space. The staff/child sheet was not posted in the gym. Please refer to 10A NCAC 09 .0713(a)(10). 840: Hazardous materials There is a closet with various chemicals stored in the kitchen area. The door for chemical storage was open and the door to the kitchen area was unlocked. Please make sure that both doors to the kitchen are closed and locked. Refer to 15A NCAC 18A .2820(b). 9995: Hot water heater Due to hot water in the kitchen area are over 120 degrees, the area must be inaccessible to the children. Please discuss this matter with the school as well as the cafeteria staff members to make sure that both doors to the kitchen area are locked at all times during operating hours. 15A NCAC 18A .2815 WATER SUPPLY (e) Hot water used for cleaning and sanitizing food utensils and laundry shall be provided at a minimum temperature of 120°F (49°C) at the point of use. Water in areas accessible to children shall be tempered between 80°F (27°C) and 110°F (43°C). For handwash lavatories used exclusively by school-age children, the 80°F (27°C) minimum temperature requirement shall not apply. Hot water in an area accessible to any child, which is in excess of 120°F (49°C), shall be considered a burn hazard. Child care centers serving only school-age children are not required to provide hot water in areas accessible to children. In the event of the loss of hot water, the person in charge shall immediately contact the local health department. 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 • Signature of administrator I must receive your compliance statement by 4/14/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Handwashing procedures: If materials, such as a basket of books, were used prior to children washing their hands, the materials should be removed from the center and be replaced with another ones. It is acceptable to use sets of materials to be used during waiting time. For example, a bucket of Legos and a bucket of Brain Flakes can be used by the children when they returned from outside and while they are waiting for turns for handwashing. It is an effective strategy to prevent behavioral challenges during waiting time. However, the materials used by the children before they wash their hands must only be used as transition materials. Rated License Assessment: Furnishing for relaxation and comfort: Sufficient soft furnishings for at least three children to use must be present in one or more areas of the room. Children must have access to many soft furnishings for at least one-third of the time they are in care. Gross motor play: A variety of different gross motor materials shall be available to children. At least five (5) different gross motor skills shall be promoted through the activities. Art materials: At least one material from three different categories of art materials shall be accessible daily. The categories of art materials are drawing materials, paints, collage, sculpture and crafts. Make sure to inspect the drawing materials as they are required to be in good condition. If markers are dried out or color pencil lead are broken, replace or repair them. 14. Safety practice • Safety rules are taught to children. • staff members should conduct daily inspections to eliminate safety hazards on facilities, playgrounds and equipment. • emergency number should be posted near the phone. • emergency procedures should be posted. • First aid supplied should be well-stocked. 17: Meal/snacks • staff members should sit with children during snacks when possible. • Children’s allergies another food restrictions must be posted, and the appropriate substitutions must be served. 18. Personal Hygiene • Hand hygiene is practiced upon arrival, before/after eating, after messy activities and outdoor play, after toileting, etc. • Staff shall check bathrooms for cleanliness and supplies periodically. • Teach children not to share personal items, such as combs, food and drink. • Staff member also washes hands upon arrival, before/after handling food, after outdoor play, etc. 20. Music and Movement • Music and movement activities shall be accessible for free choice, including listening to music, dancing and playing with musical instruments. • Various types of musical experience are accessible. The examples are classical, pop music, different languages, musical instruments and different cultures. 22. Dramatic play/theatre • Examples of materials include dress-up clothes, costumes, props, and puppets. • Variety of dramatic play materials for both boys and girls that support many roles and situations shall be available. Examples of roles/situation include work, adventure, fantasy, theatrical productions. • Staff shall extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic roles. 23. Language/reading activities • Examples of materials include print materials, such as books, dictionaries, encyclopedia, audio materials and games. • Many appropriate books and language games are accessible daily. • There shall be no graphic description of violence or prejudice in books. • Age-appropriate stories are read or told at least weekly. • Children are encouraged to use reading/writing in practical situations, such as writing letters to friends, read instructions for games, retrieve information online, etc.) 24. Math/reasoning activities • Examples of materials include puzzles, number games, dominoes, Veritec, board game, such as Chutes and Ladders. • For grade 1 and up, chess, checkers, Veritec, backgammon, domonoes, this category. • Variety of age-appropriate math/reasoning game and/or activities are accessible for free choice daily. At least 3-5 different games/activities shall be accessible. • Staff encourage children to practice math/reasoning skills in daily activities. Staff shall link math and numbers to practical life events in the children’s daily schedule. Use opportunities, such as mealtime, counting number of children, transition times, use timer for taking turns, keeping scores in ball games, taking attendance by children, taking about times using clock, etc. 25. Science/nature activities • Equipment examples include aquarium, terrarium, measuring tools, magnifying glasses, magnets, scales, microscope. • Materials examples include natural objects, living things, realistic books, posters, pictures, and science games. • Special activities for extended opportunity to observe nature is offered at least twice a year. Examples are watching caterpillars turn into butterflies, planting and caring for a garden. 26 Cultural Awareness • At least four easily visible examples of different types of diversity must be present, other than gender. Examples are multi-cultural books, pictures of various countries and races, books in more than one language bilingual community, dolls or block accessory people of different races, ages. • make sure to scan the books for inappropriate and/or violate images. Remove those books as needed. • Staff must display a non-biased approach to activities. For example, girls are encouraged to participate in carpentry, and boys are encouraged to participate in cooking. 28 Staff-Child interactions • Staff respond to children in a warm, supportive manner. Staff show respect for children. • For 7 pt level, staff shall support children and take the lead in selecting and initiating activities. 29 staff-child communication • Staff communicates with children frequently. • Children ask why, how and what if questions. • For 7 pts level, staff shall make effort to talk with each child and expand on ideas presented by children. 30 Staff supervision of children • Supervision shall be provided to all children, and the adjustment shall be made for younger and more challenging children to supervise them more closely. • Staff shall provide help and encouragement to children as needed. • Staff shall show appreciation of children’s effort and accomplishments. 36 Schedule • Flexibility is possible within the schedule • Both Staff-initiated and child-initiated activities shall be available. • Gross motor activities for all children outdoors shall be available daily (weather permitted). 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/31/2025 Number Present: 28 Completed Date: 3/31/2025 Age: From 6 To 10 Total Minutes: 150 Time In: 02:00 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance during a Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. A singed copy of the visit summary was to Delaney Burke, Senior Operations Director. Ms. Dowty was available to ask and answer questions during the visit. The following items were monitored. Supervision Staff Child Ratios CPR First Aid Special Training Storage of Hazardous Substances Adequate/Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – Three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground does not meet child care safety standards. Upon arrival, I announced my presence and the purpose of the visit. Three (3) staff members were present with a total of twenty-eight (28) children. Upon arrival, the children put their backpacks in the basket and gathered in the designated area – cafeteria for group #1 and the gym for group #2. The children in the cafeteria sat and read books. When all the children arrived, the group washed their hands in the gym bathroom. The children in group #1 had snacks in the cafeteria. Today, milk, WOW butter, sunflower kernels, honey teddy graham, apples sauce, and veggie blend juice were served. All the items were accurately listed on the menu. The children in group #2 participated in a group discussion after washing their hands. The children also engaged in basketball as well as free play in the gym. Outdoor areas were not monitored during today’s visit due to inclement weather. Two (2) prescription medications were maintained at this facility. Both medications met requirements for storage, expiration dates, action plans and medical authorizations. Supervision and interaction were adequate. Four (4) staff files were reviewed partially for criminal background letters, First Aid/CPR certificate and BSAC training certificates. All four (4) members had current letters and certificates. Ms. Burke’s correct expiration date for her criminal background letter is 1/25/27. The ABCMS system was reviewed prior to this visit. I reviewed the staff files with Ms. Elder at the TEAM meeting prior to this visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today's visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratios sheet was not posted in the gym. .0713(a)(10), (c) & (f)(3); .2818(e) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. One of the doors to the kitchen area was not locked. In the kitchen, there was a storage for various chemicals including but not limited to Lime-A-Way, Wasp and Hornet Killer, Eco Lab cleaning solutions. The door to the chemical storage were open. .2820(b) 9995 A violation was found for which there is no item number. Hot Water heater in the kitchen was accessible to the children due to one of the doors to the kitchen were unlocked. Technical assistance was provided as follows: 319: Staff/child ratio sheet Staff/child ratio sheet must be posted in every licensed space. The staff/child sheet was not posted in the gym. Please refer to 10A NCAC 09 .0713(a)(10). 840: Hazardous materials There is a closet with various chemicals stored in the kitchen area. The door for chemical storage was open and the door to the kitchen area was unlocked. Please make sure that both doors to the kitchen are closed and locked. Refer to 15A NCAC 18A .2820(b). 9995: Hot water heater Due to hot water in the kitchen area are over 120 degrees, the area must be inaccessible to the children. Please discuss this matter with the school as well as the cafeteria staff members to make sure that both doors to the kitchen area are locked at all times during operating hours. 15A NCAC 18A .2815 WATER SUPPLY (e) Hot water used for cleaning and sanitizing food utensils and laundry shall be provided at a minimum temperature of 120°F (49°C) at the point of use. Water in areas accessible to children shall be tempered between 80°F (27°C) and 110°F (43°C). For handwash lavatories used exclusively by school-age children, the 80°F (27°C) minimum temperature requirement shall not apply. Hot water in an area accessible to any child, which is in excess of 120°F (49°C), shall be considered a burn hazard. Child care centers serving only school-age children are not required to provide hot water in areas accessible to children. In the event of the loss of hot water, the person in charge shall immediately contact the local health department. 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 • Signature of administrator I must receive your compliance statement by 4/14/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation: Handwashing procedures: If materials, such as a basket of books, were used prior to children washing their hands, the materials should be removed from the center and be replaced with another ones. It is acceptable to use sets of materials to be used during waiting time. For example, a bucket of Legos and a bucket of Brain Flakes can be used by the children when they returned from outside and while they are waiting for turns for handwashing. It is an effective strategy to prevent behavioral challenges during waiting time. However, the materials used by the children before they wash their hands must only be used as transition materials. Rated License Assessment: Furnishing for relaxation and comfort: Sufficient soft furnishings for at least three children to use must be present in one or more areas of the room. Children must have access to many soft furnishings for at least one-third of the time they are in care. Gross motor play: A variety of different gross motor materials shall be available to children. At least five (5) different gross motor skills shall be promoted through the activities. Art materials: At least one material from three different categories of art materials shall be accessible daily. The categories of art materials are drawing materials, paints, collage, sculpture and crafts. Make sure to inspect the drawing materials as they are required to be in good condition. If markers are dried out or color pencil lead are broken, replace or repair them. 14. Safety practice • Safety rules are taught to children. • staff members should conduct daily inspections to eliminate safety hazards on facilities, playgrounds and equipment. • emergency number should be posted near the phone. • emergency procedures should be posted. • First aid supplied should be well-stocked. 17: Meal/snacks • staff members should sit with children during snacks when possible. • Children’s allergies another food restrictions must be posted, and the appropriate substitutions must be served. 18. Personal Hygiene • Hand hygiene is practiced upon arrival, before/after eating, after messy activities and outdoor play, after toileting, etc. • Staff shall check bathrooms for cleanliness and supplies periodically. • Teach children not to share personal items, such as combs, food and drink. • Staff member also washes hands upon arrival, before/after handling food, after outdoor play, etc. 20. Music and Movement • Music and movement activities shall be accessible for free choice, including listening to music, dancing and playing with musical instruments. • Various types of musical experience are accessible. The examples are classical, pop music, different languages, musical instruments and different cultures. 22. Dramatic play/theatre • Examples of materials include dress-up clothes, costumes, props, and puppets. • Variety of dramatic play materials for both boys and girls that support many roles and situations shall be available. Examples of roles/situation include work, adventure, fantasy, theatrical productions. • Staff shall extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic roles. 23. Language/reading activities • Examples of materials include print materials, such as books, dictionaries, encyclopedia, audio materials and games. • Many appropriate books and language games are accessible daily. • There shall be no graphic description of violence or prejudice in books. • Age-appropriate stories are read or told at least weekly. • Children are encouraged to use reading/writing in practical situations, such as writing letters to friends, read instructions for games, retrieve information online, etc.) 24. Math/reasoning activities • Examples of materials include puzzles, number games, dominoes, Veritec, board game, such as Chutes and Ladders. • For grade 1 and up, chess, checkers, Veritec, backgammon, domonoes, this category. • Variety of age-appropriate math/reasoning game and/or activities are accessible for free choice daily. At least 3-5 different games/activities shall be accessible. • Staff encourage children to practice math/reasoning skills in daily activities. Staff shall link math and numbers to practical life events in the children’s daily schedule. Use opportunities, such as mealtime, counting number of children, transition times, use timer for taking turns, keeping scores in ball games, taking attendance by children, taking about times using clock, etc. 25. Science/nature activities • Equipment examples include aquarium, terrarium, measuring tools, magnifying glasses, magnets, scales, microscope. • Materials examples include natural objects, living things, realistic books, posters, pictures, and science games. • Special activities for extended opportunity to observe nature is offered at least twice a year. Examples are watching caterpillars turn into butterflies, planting and caring for a garden. 26 Cultural Awareness • At least four easily visible examples of different types of diversity must be present, other than gender. Examples are multi-cultural books, pictures of various countries and races, books in more than one language bilingual community, dolls or block accessory people of different races, ages. • make sure to scan the books for inappropriate and/or violate images. Remove those books as needed. • Staff must display a non-biased approach to activities. For example, girls are encouraged to participate in carpentry, and boys are encouraged to participate in cooking. 28 Staff-Child interactions • Staff respond to children in a warm, supportive manner. Staff show respect for children. • For 7 pt level, staff shall support children and take the lead in selecting and initiating activities. 29 staff-child communication • Staff communicates with children frequently. • Children ask why, how and what if questions. • For 7 pts level, staff shall make effort to talk with each child and expand on ideas presented by children. 30 Staff supervision of children • Supervision shall be provided to all children, and the adjustment shall be made for younger and more challenging children to supervise them more closely. • Staff shall provide help and encouragement to children as needed. • Staff shall show appreciation of children’s effort and accomplishments. 36 Schedule • Flexibility is possible within the schedule • Both Staff-initiated and child-initiated activities shall be available. • Gross motor activities for all children outdoors shall be available daily (weather permitted). 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 27 Completed Date: 1/29/2025 Age: From 5 To 10 Total Minutes: 135 Time In: 02:15 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Elder assisted me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit organization, The Young Men’s Christian Association of Western North Carolina, is current/active as of 1/27/25. Permit type – three-star center license issued on 1/25/23. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground area does not meet child care playground safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/9/24. The last fire drill was practiced on 11/26/24. The last lockdown drill was practiced on 10/30/24. The last fire inspection was approved on 9/23/24. The last sanitation inspection was conducted on 9/6/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children in group #1 gathered in the cafeteria. After washing their hands in the bathroom in the gym, the children had snacks and transitioned to free play in the cafeteria. The children played with Legos, weaving, crafts and games. For snacks, they had BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk. These items were listed for the Thursday menu. The children in group #2 gathered in the gym. The children engaged in gross motor activities, such as basketball and games. No medications are maintained at this facility. Two (2) staff members’ files were monitored. Ms. Elder’s file was reviewed at YMCA Sandhill-Venable Afterschool on 1/28/25 and Ms. Burke’s file was reviewed at YMCA Glen Arden Afterschool on 1/22/25. Three (3) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ No children at this site take transportation currently. YMCA vehicles and buses were inspected on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During the visit, BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk were served. On the menu, WOW butter, sunflower, WG tortilla, Jelly packet, apple sauce, veggie juice blend and milk were listed on the menu. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was completed on 11/26/24 according to the Emergency Drill Log. .0604(t); .0302(d)(5) Technical assistance was provided as follows: 528: Food substitution Food substitutions must be listed on the menu prior to serving children. During the visit, BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk were served. On the menu, WOW butter, sunflower, WG tortilla, Jelly packet, apple sauce, veggie juice blend and milk were listed on the menu. Refer to 10A NCAC 09 .0901(b). Ms. Elder posted additional notes on the menu stating what was served to the children. This item was corrected during the visit. 805: Per 10A NCAC 09 .0604(t), fire drill shall be conducted monthly. Based on the Emergency drill log, the last fire drill was conducted on 11/26/24. Please complete fire drills monthly. The rule states that a fire drill is mandated if there is one (1) school day per month. Additional technical assistance was provided as follows. Due to the effects of tropical storm Helene, additional time is permitted to achieve compliance for the following items: Health and Safety Training: Y. Skoroplias, hired on 10/16/23, needs to complete the Health and Safety training. The staff will start taking the classes. It will probably takes the staff member about two (2) weeks to complete. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place/lockdown drill is due this month. According to Ms. Elder, a lockdown drill is scheduled to be conducted. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 27 Completed Date: 1/29/2025 Age: From 5 To 10 Total Minutes: 135 Time In: 02:15 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Elder assisted me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit organization, The Young Men’s Christian Association of Western North Carolina, is current/active as of 1/27/25. Permit type – three-star center license issued on 1/25/23. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground area does not meet child care playground safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/9/24. The last fire drill was practiced on 11/26/24. The last lockdown drill was practiced on 10/30/24. The last fire inspection was approved on 9/23/24. The last sanitation inspection was conducted on 9/6/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children in group #1 gathered in the cafeteria. After washing their hands in the bathroom in the gym, the children had snacks and transitioned to free play in the cafeteria. The children played with Legos, weaving, crafts and games. For snacks, they had BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk. These items were listed for the Thursday menu. The children in group #2 gathered in the gym. The children engaged in gross motor activities, such as basketball and games. No medications are maintained at this facility. Two (2) staff members’ files were monitored. Ms. Elder’s file was reviewed at YMCA Sandhill-Venable Afterschool on 1/28/25 and Ms. Burke’s file was reviewed at YMCA Glen Arden Afterschool on 1/22/25. Three (3) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ No children at this site take transportation currently. YMCA vehicles and buses were inspected on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During the visit, BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk were served. On the menu, WOW butter, sunflower, WG tortilla, Jelly packet, apple sauce, veggie juice blend and milk were listed on the menu. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was completed on 11/26/24 according to the Emergency Drill Log. .0604(t); .0302(d)(5) Technical assistance was provided as follows: 528: Food substitution Food substitutions must be listed on the menu prior to serving children. During the visit, BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk were served. On the menu, WOW butter, sunflower, WG tortilla, Jelly packet, apple sauce, veggie juice blend and milk were listed on the menu. Refer to 10A NCAC 09 .0901(b). Ms. Elder posted additional notes on the menu stating what was served to the children. This item was corrected during the visit. 805: Per 10A NCAC 09 .0604(t), fire drill shall be conducted monthly. Based on the Emergency drill log, the last fire drill was conducted on 11/26/24. Please complete fire drills monthly. The rule states that a fire drill is mandated if there is one (1) school day per month. Additional technical assistance was provided as follows. Due to the effects of tropical storm Helene, additional time is permitted to achieve compliance for the following items: Health and Safety Training: Y. Skoroplias, hired on 10/16/23, needs to complete the Health and Safety training. The staff will start taking the classes. It will probably takes the staff member about two (2) weeks to complete. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place/lockdown drill is due this month. According to Ms. Elder, a lockdown drill is scheduled to be conducted. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 27 Completed Date: 1/29/2025 Age: From 5 To 10 Total Minutes: 135 Time In: 02:15 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Elder assisted me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit organization, The Young Men’s Christian Association of Western North Carolina, is current/active as of 1/27/25. Permit type – three-star center license issued on 1/25/23. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground area does not meet child care playground safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/9/24. The last fire drill was practiced on 11/26/24. The last lockdown drill was practiced on 10/30/24. The last fire inspection was approved on 9/23/24. The last sanitation inspection was conducted on 9/6/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children in group #1 gathered in the cafeteria. After washing their hands in the bathroom in the gym, the children had snacks and transitioned to free play in the cafeteria. The children played with Legos, weaving, crafts and games. For snacks, they had BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk. These items were listed for the Thursday menu. The children in group #2 gathered in the gym. The children engaged in gross motor activities, such as basketball and games. No medications are maintained at this facility. Two (2) staff members’ files were monitored. Ms. Elder’s file was reviewed at YMCA Sandhill-Venable Afterschool on 1/28/25 and Ms. Burke’s file was reviewed at YMCA Glen Arden Afterschool on 1/22/25. Three (3) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ No children at this site take transportation currently. YMCA vehicles and buses were inspected on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During the visit, BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk were served. On the menu, WOW butter, sunflower, WG tortilla, Jelly packet, apple sauce, veggie juice blend and milk were listed on the menu. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was completed on 11/26/24 according to the Emergency Drill Log. .0604(t); .0302(d)(5) Technical assistance was provided as follows: 528: Food substitution Food substitutions must be listed on the menu prior to serving children. During the visit, BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk were served. On the menu, WOW butter, sunflower, WG tortilla, Jelly packet, apple sauce, veggie juice blend and milk were listed on the menu. Refer to 10A NCAC 09 .0901(b). Ms. Elder posted additional notes on the menu stating what was served to the children. This item was corrected during the visit. 805: Per 10A NCAC 09 .0604(t), fire drill shall be conducted monthly. Based on the Emergency drill log, the last fire drill was conducted on 11/26/24. Please complete fire drills monthly. The rule states that a fire drill is mandated if there is one (1) school day per month. Additional technical assistance was provided as follows. Due to the effects of tropical storm Helene, additional time is permitted to achieve compliance for the following items: Health and Safety Training: Y. Skoroplias, hired on 10/16/23, needs to complete the Health and Safety training. The staff will start taking the classes. It will probably takes the staff member about two (2) weeks to complete. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place/lockdown drill is due this month. According to Ms. Elder, a lockdown drill is scheduled to be conducted. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 27 Completed Date: 1/29/2025 Age: From 5 To 10 Total Minutes: 135 Time In: 02:15 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Elder assisted me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit organization, The Young Men’s Christian Association of Western North Carolina, is current/active as of 1/27/25. Permit type – three-star center license issued on 1/25/23. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground area does not meet child care playground safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/9/24. The last fire drill was practiced on 11/26/24. The last lockdown drill was practiced on 10/30/24. The last fire inspection was approved on 9/23/24. The last sanitation inspection was conducted on 9/6/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children in group #1 gathered in the cafeteria. After washing their hands in the bathroom in the gym, the children had snacks and transitioned to free play in the cafeteria. The children played with Legos, weaving, crafts and games. For snacks, they had BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk. These items were listed for the Thursday menu. The children in group #2 gathered in the gym. The children engaged in gross motor activities, such as basketball and games. No medications are maintained at this facility. Two (2) staff members’ files were monitored. Ms. Elder’s file was reviewed at YMCA Sandhill-Venable Afterschool on 1/28/25 and Ms. Burke’s file was reviewed at YMCA Glen Arden Afterschool on 1/22/25. Three (3) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ No children at this site take transportation currently. YMCA vehicles and buses were inspected on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During the visit, BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk were served. On the menu, WOW butter, sunflower, WG tortilla, Jelly packet, apple sauce, veggie juice blend and milk were listed on the menu. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was completed on 11/26/24 according to the Emergency Drill Log. .0604(t); .0302(d)(5) Technical assistance was provided as follows: 528: Food substitution Food substitutions must be listed on the menu prior to serving children. During the visit, BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk were served. On the menu, WOW butter, sunflower, WG tortilla, Jelly packet, apple sauce, veggie juice blend and milk were listed on the menu. Refer to 10A NCAC 09 .0901(b). Ms. Elder posted additional notes on the menu stating what was served to the children. This item was corrected during the visit. 805: Per 10A NCAC 09 .0604(t), fire drill shall be conducted monthly. Based on the Emergency drill log, the last fire drill was conducted on 11/26/24. Please complete fire drills monthly. The rule states that a fire drill is mandated if there is one (1) school day per month. Additional technical assistance was provided as follows. Due to the effects of tropical storm Helene, additional time is permitted to achieve compliance for the following items: Health and Safety Training: Y. Skoroplias, hired on 10/16/23, needs to complete the Health and Safety training. The staff will start taking the classes. It will probably takes the staff member about two (2) weeks to complete. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place/lockdown drill is due this month. According to Ms. Elder, a lockdown drill is scheduled to be conducted. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 27 Completed Date: 1/29/2025 Age: From 5 To 10 Total Minutes: 135 Time In: 02:15 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Elder assisted me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit organization, The Young Men’s Christian Association of Western North Carolina, is current/active as of 1/27/25. Permit type – three-star center license issued on 1/25/23. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground area does not meet child care playground safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/9/24. The last fire drill was practiced on 11/26/24. The last lockdown drill was practiced on 10/30/24. The last fire inspection was approved on 9/23/24. The last sanitation inspection was conducted on 9/6/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children in group #1 gathered in the cafeteria. After washing their hands in the bathroom in the gym, the children had snacks and transitioned to free play in the cafeteria. The children played with Legos, weaving, crafts and games. For snacks, they had BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk. These items were listed for the Thursday menu. The children in group #2 gathered in the gym. The children engaged in gross motor activities, such as basketball and games. No medications are maintained at this facility. Two (2) staff members’ files were monitored. Ms. Elder’s file was reviewed at YMCA Sandhill-Venable Afterschool on 1/28/25 and Ms. Burke’s file was reviewed at YMCA Glen Arden Afterschool on 1/22/25. Three (3) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ No children at this site take transportation currently. YMCA vehicles and buses were inspected on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During the visit, BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk were served. On the menu, WOW butter, sunflower, WG tortilla, Jelly packet, apple sauce, veggie juice blend and milk were listed on the menu. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was completed on 11/26/24 according to the Emergency Drill Log. .0604(t); .0302(d)(5) Technical assistance was provided as follows: 528: Food substitution Food substitutions must be listed on the menu prior to serving children. During the visit, BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk were served. On the menu, WOW butter, sunflower, WG tortilla, Jelly packet, apple sauce, veggie juice blend and milk were listed on the menu. Refer to 10A NCAC 09 .0901(b). Ms. Elder posted additional notes on the menu stating what was served to the children. This item was corrected during the visit. 805: Per 10A NCAC 09 .0604(t), fire drill shall be conducted monthly. Based on the Emergency drill log, the last fire drill was conducted on 11/26/24. Please complete fire drills monthly. The rule states that a fire drill is mandated if there is one (1) school day per month. Additional technical assistance was provided as follows. Due to the effects of tropical storm Helene, additional time is permitted to achieve compliance for the following items: Health and Safety Training: Y. Skoroplias, hired on 10/16/23, needs to complete the Health and Safety training. The staff will start taking the classes. It will probably takes the staff member about two (2) weeks to complete. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place/lockdown drill is due this month. According to Ms. Elder, a lockdown drill is scheduled to be conducted. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 27 Completed Date: 1/29/2025 Age: From 5 To 10 Total Minutes: 135 Time In: 02:15 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Elder assisted me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit organization, The Young Men’s Christian Association of Western North Carolina, is current/active as of 1/27/25. Permit type – three-star center license issued on 1/25/23. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground area does not meet child care playground safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/9/24. The last fire drill was practiced on 11/26/24. The last lockdown drill was practiced on 10/30/24. The last fire inspection was approved on 9/23/24. The last sanitation inspection was conducted on 9/6/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children in group #1 gathered in the cafeteria. After washing their hands in the bathroom in the gym, the children had snacks and transitioned to free play in the cafeteria. The children played with Legos, weaving, crafts and games. For snacks, they had BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk. These items were listed for the Thursday menu. The children in group #2 gathered in the gym. The children engaged in gross motor activities, such as basketball and games. No medications are maintained at this facility. Two (2) staff members’ files were monitored. Ms. Elder’s file was reviewed at YMCA Sandhill-Venable Afterschool on 1/28/25 and Ms. Burke’s file was reviewed at YMCA Glen Arden Afterschool on 1/22/25. Three (3) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ No children at this site take transportation currently. YMCA vehicles and buses were inspected on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During the visit, BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk were served. On the menu, WOW butter, sunflower, WG tortilla, Jelly packet, apple sauce, veggie juice blend and milk were listed on the menu. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was completed on 11/26/24 according to the Emergency Drill Log. .0604(t); .0302(d)(5) Technical assistance was provided as follows: 528: Food substitution Food substitutions must be listed on the menu prior to serving children. During the visit, BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk were served. On the menu, WOW butter, sunflower, WG tortilla, Jelly packet, apple sauce, veggie juice blend and milk were listed on the menu. Refer to 10A NCAC 09 .0901(b). Ms. Elder posted additional notes on the menu stating what was served to the children. This item was corrected during the visit. 805: Per 10A NCAC 09 .0604(t), fire drill shall be conducted monthly. Based on the Emergency drill log, the last fire drill was conducted on 11/26/24. Please complete fire drills monthly. The rule states that a fire drill is mandated if there is one (1) school day per month. Additional technical assistance was provided as follows. Due to the effects of tropical storm Helene, additional time is permitted to achieve compliance for the following items: Health and Safety Training: Y. Skoroplias, hired on 10/16/23, needs to complete the Health and Safety training. The staff will start taking the classes. It will probably takes the staff member about two (2) weeks to complete. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place/lockdown drill is due this month. According to Ms. Elder, a lockdown drill is scheduled to be conducted. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 27 Completed Date: 1/29/2025 Age: From 5 To 10 Total Minutes: 135 Time In: 02:15 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Elder assisted me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit organization, The Young Men’s Christian Association of Western North Carolina, is current/active as of 1/27/25. Permit type – three-star center license issued on 1/25/23. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground area does not meet child care playground safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/9/24. The last fire drill was practiced on 11/26/24. The last lockdown drill was practiced on 10/30/24. The last fire inspection was approved on 9/23/24. The last sanitation inspection was conducted on 9/6/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children in group #1 gathered in the cafeteria. After washing their hands in the bathroom in the gym, the children had snacks and transitioned to free play in the cafeteria. The children played with Legos, weaving, crafts and games. For snacks, they had BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk. These items were listed for the Thursday menu. The children in group #2 gathered in the gym. The children engaged in gross motor activities, such as basketball and games. No medications are maintained at this facility. Two (2) staff members’ files were monitored. Ms. Elder’s file was reviewed at YMCA Sandhill-Venable Afterschool on 1/28/25 and Ms. Burke’s file was reviewed at YMCA Glen Arden Afterschool on 1/22/25. Three (3) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ No children at this site take transportation currently. YMCA vehicles and buses were inspected on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During the visit, BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk were served. On the menu, WOW butter, sunflower, WG tortilla, Jelly packet, apple sauce, veggie juice blend and milk were listed on the menu. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was completed on 11/26/24 according to the Emergency Drill Log. .0604(t); .0302(d)(5) Technical assistance was provided as follows: 528: Food substitution Food substitutions must be listed on the menu prior to serving children. During the visit, BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk were served. On the menu, WOW butter, sunflower, WG tortilla, Jelly packet, apple sauce, veggie juice blend and milk were listed on the menu. Refer to 10A NCAC 09 .0901(b). Ms. Elder posted additional notes on the menu stating what was served to the children. This item was corrected during the visit. 805: Per 10A NCAC 09 .0604(t), fire drill shall be conducted monthly. Based on the Emergency drill log, the last fire drill was conducted on 11/26/24. Please complete fire drills monthly. The rule states that a fire drill is mandated if there is one (1) school day per month. Additional technical assistance was provided as follows. Due to the effects of tropical storm Helene, additional time is permitted to achieve compliance for the following items: Health and Safety Training: Y. Skoroplias, hired on 10/16/23, needs to complete the Health and Safety training. The staff will start taking the classes. It will probably takes the staff member about two (2) weeks to complete. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place/lockdown drill is due this month. According to Ms. Elder, a lockdown drill is scheduled to be conducted. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 27 Completed Date: 1/29/2025 Age: From 5 To 10 Total Minutes: 135 Time In: 02:15 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Elder assisted me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit organization, The Young Men’s Christian Association of Western North Carolina, is current/active as of 1/27/25. Permit type – three-star center license issued on 1/25/23. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground area does not meet child care playground safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/9/24. The last fire drill was practiced on 11/26/24. The last lockdown drill was practiced on 10/30/24. The last fire inspection was approved on 9/23/24. The last sanitation inspection was conducted on 9/6/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children in group #1 gathered in the cafeteria. After washing their hands in the bathroom in the gym, the children had snacks and transitioned to free play in the cafeteria. The children played with Legos, weaving, crafts and games. For snacks, they had BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk. These items were listed for the Thursday menu. The children in group #2 gathered in the gym. The children engaged in gross motor activities, such as basketball and games. No medications are maintained at this facility. Two (2) staff members’ files were monitored. Ms. Elder’s file was reviewed at YMCA Sandhill-Venable Afterschool on 1/28/25 and Ms. Burke’s file was reviewed at YMCA Glen Arden Afterschool on 1/22/25. Three (3) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ No children at this site take transportation currently. YMCA vehicles and buses were inspected on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During the visit, BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk were served. On the menu, WOW butter, sunflower, WG tortilla, Jelly packet, apple sauce, veggie juice blend and milk were listed on the menu. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was completed on 11/26/24 according to the Emergency Drill Log. .0604(t); .0302(d)(5) Technical assistance was provided as follows: 528: Food substitution Food substitutions must be listed on the menu prior to serving children. During the visit, BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk were served. On the menu, WOW butter, sunflower, WG tortilla, Jelly packet, apple sauce, veggie juice blend and milk were listed on the menu. Refer to 10A NCAC 09 .0901(b). Ms. Elder posted additional notes on the menu stating what was served to the children. This item was corrected during the visit. 805: Per 10A NCAC 09 .0604(t), fire drill shall be conducted monthly. Based on the Emergency drill log, the last fire drill was conducted on 11/26/24. Please complete fire drills monthly. The rule states that a fire drill is mandated if there is one (1) school day per month. Additional technical assistance was provided as follows. Due to the effects of tropical storm Helene, additional time is permitted to achieve compliance for the following items: Health and Safety Training: Y. Skoroplias, hired on 10/16/23, needs to complete the Health and Safety training. The staff will start taking the classes. It will probably takes the staff member about two (2) weeks to complete. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place/lockdown drill is due this month. According to Ms. Elder, a lockdown drill is scheduled to be conducted. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 27 Completed Date: 1/29/2025 Age: From 5 To 10 Total Minutes: 135 Time In: 02:15 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. An electronic signed copy of the visit summary was left on-site and/or electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Elder assisted me today. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven (87) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit organization, The Young Men’s Christian Association of Western North Carolina, is current/active as of 1/27/25. Permit type – three-star center license issued on 1/25/23. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground area does not meet child care playground safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/9/24. The last fire drill was practiced on 11/26/24. The last lockdown drill was practiced on 10/30/24. The last fire inspection was approved on 9/23/24. The last sanitation inspection was conducted on 9/6/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children in group #1 gathered in the cafeteria. After washing their hands in the bathroom in the gym, the children had snacks and transitioned to free play in the cafeteria. The children played with Legos, weaving, crafts and games. For snacks, they had BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk. These items were listed for the Thursday menu. The children in group #2 gathered in the gym. The children engaged in gross motor activities, such as basketball and games. No medications are maintained at this facility. Two (2) staff members’ files were monitored. Ms. Elder’s file was reviewed at YMCA Sandhill-Venable Afterschool on 1/28/25 and Ms. Burke’s file was reviewed at YMCA Glen Arden Afterschool on 1/22/25. Three (3) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ No children at this site take transportation currently. YMCA vehicles and buses were inspected on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During the visit, BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk were served. On the menu, WOW butter, sunflower, WG tortilla, Jelly packet, apple sauce, veggie juice blend and milk were listed on the menu. 10A NCAC 09 .0901(b) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was completed on 11/26/24 according to the Emergency Drill Log. .0604(t); .0302(d)(5) Technical assistance was provided as follows: 528: Food substitution Food substitutions must be listed on the menu prior to serving children. During the visit, BBQ links, WG crackers, sunflower kernels, apple sauce, veggie blend juice and milk were served. On the menu, WOW butter, sunflower, WG tortilla, Jelly packet, apple sauce, veggie juice blend and milk were listed on the menu. Refer to 10A NCAC 09 .0901(b). Ms. Elder posted additional notes on the menu stating what was served to the children. This item was corrected during the visit. 805: Per 10A NCAC 09 .0604(t), fire drill shall be conducted monthly. Based on the Emergency drill log, the last fire drill was conducted on 11/26/24. Please complete fire drills monthly. The rule states that a fire drill is mandated if there is one (1) school day per month. Additional technical assistance was provided as follows. Due to the effects of tropical storm Helene, additional time is permitted to achieve compliance for the following items: Health and Safety Training: Y. Skoroplias, hired on 10/16/23, needs to complete the Health and Safety training. The staff will start taking the classes. It will probably takes the staff member about two (2) weeks to complete. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place/lockdown drill is due this month. According to Ms. Elder, a lockdown drill is scheduled to be conducted. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 27 Completed Date: 9/11/2024 Age: From 5 To 10 Total Minutes: 110 Time In: 02:40 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, Kaoru Eddins, Child Care Consultant and also signed by Dan David, Program Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Today, Mr. David was available to ask and answer questions. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. Permit type – three-star center license issued on 1/25/23. Special Services/Restrictions – daytime care, school age only, meets enhanced space, meets reduced ratios. Playground area does not meet cc playground safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/9/24. The last fire drill was practiced on 8/30/24. The last shelter-in-place drill has not been practiced this year. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 9/6/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1, there were twelve (12) children with one (1) staff member present. The children played on with games, manipulatives and other materials. After free play, the group transitioned to the gym and engaged in gross motor activities. Fifteen (15) children in group #2 gathered in the gym. The children engaged in gross motor play and/or small group activities. Mr. David provided circle time activities as well. One (1) child is on an emergency medication. Action plan and medical authorization form were both signed on 2/19/24. The group transitioned to the cafeteria after washing their hands and had snacks. They had WOW Butter, sunflower kernels, tortilla, jelly pack, apple sauce veggie blend juice and milk. No medications are maintained in this group. No hazardous products were accessible to the children. Supervision and interactions were adequate. No new staff members were present. Due to staff shortage, Mr. Burke was not available to meet with me via TEAM to review some of the documents in staff files. Per ABSMS system, both staff members have current criminal background letter. Per Staff and Training Worksheet from YMCA Glen Arden Afterschool monitored on 2/5/24 and Staff and Training Worksheet monitored from YMCA West Buncombe Afterschool monitored on 2/9/24, both staff members have valid CPR/First aid certificates as well as BSAC certificates. 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 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Baqsimi 3mg for a child in group #2 expired on 5/21/24 but was not sent home. .0803(12) Technical assistance was provided as follows: Achieving Compliance: 849: expired medication Expired medications shall be returned to the parents or discarded within seventy-two (72) hours of their expiration date. The medication shall be sent home immediately. Monthly monitoring of medication and medication related paperwork is recommended. 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 9/25/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Fire drill/shelter-in-place/lockdown drill: If the program is closed during summer time, fire drill and shelter-in-place/lockdown drill shall be conducted as soon as school starts. In case o technical difficulties with the alarm system, temporary substitution shall be used to conduct the drills. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 27 Completed Date: 9/11/2024 Age: From 5 To 10 Total Minutes: 110 Time In: 02:40 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, Kaoru Eddins, Child Care Consultant and also signed by Dan David, Program Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Today, Mr. David was available to ask and answer questions. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. Permit type – three-star center license issued on 1/25/23. Special Services/Restrictions – daytime care, school age only, meets enhanced space, meets reduced ratios. Playground area does not meet cc playground safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/9/24. The last fire drill was practiced on 8/30/24. The last shelter-in-place drill has not been practiced this year. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 9/6/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1, there were twelve (12) children with one (1) staff member present. The children played on with games, manipulatives and other materials. After free play, the group transitioned to the gym and engaged in gross motor activities. Fifteen (15) children in group #2 gathered in the gym. The children engaged in gross motor play and/or small group activities. Mr. David provided circle time activities as well. One (1) child is on an emergency medication. Action plan and medical authorization form were both signed on 2/19/24. The group transitioned to the cafeteria after washing their hands and had snacks. They had WOW Butter, sunflower kernels, tortilla, jelly pack, apple sauce veggie blend juice and milk. No medications are maintained in this group. No hazardous products were accessible to the children. Supervision and interactions were adequate. No new staff members were present. Due to staff shortage, Mr. Burke was not available to meet with me via TEAM to review some of the documents in staff files. Per ABSMS system, both staff members have current criminal background letter. Per Staff and Training Worksheet from YMCA Glen Arden Afterschool monitored on 2/5/24 and Staff and Training Worksheet monitored from YMCA West Buncombe Afterschool monitored on 2/9/24, both staff members have valid CPR/First aid certificates as well as BSAC certificates. 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 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Baqsimi 3mg for a child in group #2 expired on 5/21/24 but was not sent home. .0803(12) Technical assistance was provided as follows: Achieving Compliance: 849: expired medication Expired medications shall be returned to the parents or discarded within seventy-two (72) hours of their expiration date. The medication shall be sent home immediately. Monthly monitoring of medication and medication related paperwork is recommended. 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 9/25/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Fire drill/shelter-in-place/lockdown drill: If the program is closed during summer time, fire drill and shelter-in-place/lockdown drill shall be conducted as soon as school starts. In case o technical difficulties with the alarm system, temporary substitution shall be used to conduct the drills. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 27 Completed Date: 9/11/2024 Age: From 5 To 10 Total Minutes: 110 Time In: 02:40 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, Kaoru Eddins, Child Care Consultant and also signed by Dan David, Program Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Today, Mr. David was available to ask and answer questions. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. Permit type – three-star center license issued on 1/25/23. Special Services/Restrictions – daytime care, school age only, meets enhanced space, meets reduced ratios. Playground area does not meet cc playground safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/9/24. The last fire drill was practiced on 8/30/24. The last shelter-in-place drill has not been practiced this year. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 9/6/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1, there were twelve (12) children with one (1) staff member present. The children played on with games, manipulatives and other materials. After free play, the group transitioned to the gym and engaged in gross motor activities. Fifteen (15) children in group #2 gathered in the gym. The children engaged in gross motor play and/or small group activities. Mr. David provided circle time activities as well. One (1) child is on an emergency medication. Action plan and medical authorization form were both signed on 2/19/24. The group transitioned to the cafeteria after washing their hands and had snacks. They had WOW Butter, sunflower kernels, tortilla, jelly pack, apple sauce veggie blend juice and milk. No medications are maintained in this group. No hazardous products were accessible to the children. Supervision and interactions were adequate. No new staff members were present. Due to staff shortage, Mr. Burke was not available to meet with me via TEAM to review some of the documents in staff files. Per ABSMS system, both staff members have current criminal background letter. Per Staff and Training Worksheet from YMCA Glen Arden Afterschool monitored on 2/5/24 and Staff and Training Worksheet monitored from YMCA West Buncombe Afterschool monitored on 2/9/24, both staff members have valid CPR/First aid certificates as well as BSAC certificates. 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 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Baqsimi 3mg for a child in group #2 expired on 5/21/24 but was not sent home. .0803(12) Technical assistance was provided as follows: Achieving Compliance: 849: expired medication Expired medications shall be returned to the parents or discarded within seventy-two (72) hours of their expiration date. The medication shall be sent home immediately. Monthly monitoring of medication and medication related paperwork is recommended. 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 9/25/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Fire drill/shelter-in-place/lockdown drill: If the program is closed during summer time, fire drill and shelter-in-place/lockdown drill shall be conducted as soon as school starts. In case o technical difficulties with the alarm system, temporary substitution shall be used to conduct the drills. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 27 Completed Date: 9/11/2024 Age: From 5 To 10 Total Minutes: 110 Time In: 02:40 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, Kaoru Eddins, Child Care Consultant and also signed by Dan David, Program Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Today, Mr. David was available to ask and answer questions. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. Permit type – three-star center license issued on 1/25/23. Special Services/Restrictions – daytime care, school age only, meets enhanced space, meets reduced ratios. Playground area does not meet cc playground safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/9/24. The last fire drill was practiced on 8/30/24. The last shelter-in-place drill has not been practiced this year. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 9/6/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1, there were twelve (12) children with one (1) staff member present. The children played on with games, manipulatives and other materials. After free play, the group transitioned to the gym and engaged in gross motor activities. Fifteen (15) children in group #2 gathered in the gym. The children engaged in gross motor play and/or small group activities. Mr. David provided circle time activities as well. One (1) child is on an emergency medication. Action plan and medical authorization form were both signed on 2/19/24. The group transitioned to the cafeteria after washing their hands and had snacks. They had WOW Butter, sunflower kernels, tortilla, jelly pack, apple sauce veggie blend juice and milk. No medications are maintained in this group. No hazardous products were accessible to the children. Supervision and interactions were adequate. No new staff members were present. Due to staff shortage, Mr. Burke was not available to meet with me via TEAM to review some of the documents in staff files. Per ABSMS system, both staff members have current criminal background letter. Per Staff and Training Worksheet from YMCA Glen Arden Afterschool monitored on 2/5/24 and Staff and Training Worksheet monitored from YMCA West Buncombe Afterschool monitored on 2/9/24, both staff members have valid CPR/First aid certificates as well as BSAC certificates. 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 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Baqsimi 3mg for a child in group #2 expired on 5/21/24 but was not sent home. .0803(12) Technical assistance was provided as follows: Achieving Compliance: 849: expired medication Expired medications shall be returned to the parents or discarded within seventy-two (72) hours of their expiration date. The medication shall be sent home immediately. Monthly monitoring of medication and medication related paperwork is recommended. 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 9/25/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Fire drill/shelter-in-place/lockdown drill: If the program is closed during summer time, fire drill and shelter-in-place/lockdown drill shall be conducted as soon as school starts. In case o technical difficulties with the alarm system, temporary substitution shall be used to conduct the drills. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 27 Completed Date: 9/11/2024 Age: From 5 To 10 Total Minutes: 110 Time In: 02:40 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, Kaoru Eddins, Child Care Consultant and also signed by Dan David, Program Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Today, Mr. David was available to ask and answer questions. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-four (84) percent as of today prior to this visit. Permit type – three-star center license issued on 1/25/23. Special Services/Restrictions – daytime care, school age only, meets enhanced space, meets reduced ratios. Playground area does not meet cc playground safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/9/24. The last fire drill was practiced on 8/30/24. The last shelter-in-place drill has not been practiced this year. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 9/6/24 with fifteen (15) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. In space #1, there were twelve (12) children with one (1) staff member present. The children played on with games, manipulatives and other materials. After free play, the group transitioned to the gym and engaged in gross motor activities. Fifteen (15) children in group #2 gathered in the gym. The children engaged in gross motor play and/or small group activities. Mr. David provided circle time activities as well. One (1) child is on an emergency medication. Action plan and medical authorization form were both signed on 2/19/24. The group transitioned to the cafeteria after washing their hands and had snacks. They had WOW Butter, sunflower kernels, tortilla, jelly pack, apple sauce veggie blend juice and milk. No medications are maintained in this group. No hazardous products were accessible to the children. Supervision and interactions were adequate. No new staff members were present. Due to staff shortage, Mr. Burke was not available to meet with me via TEAM to review some of the documents in staff files. Per ABSMS system, both staff members have current criminal background letter. Per Staff and Training Worksheet from YMCA Glen Arden Afterschool monitored on 2/5/24 and Staff and Training Worksheet monitored from YMCA West Buncombe Afterschool monitored on 2/9/24, both staff members have valid CPR/First aid certificates as well as BSAC certificates. 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 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Baqsimi 3mg for a child in group #2 expired on 5/21/24 but was not sent home. .0803(12) Technical assistance was provided as follows: Achieving Compliance: 849: expired medication Expired medications shall be returned to the parents or discarded within seventy-two (72) hours of their expiration date. The medication shall be sent home immediately. Monthly monitoring of medication and medication related paperwork is recommended. 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 9/25/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Fire drill/shelter-in-place/lockdown drill: If the program is closed during summer time, fire drill and shelter-in-place/lockdown drill shall be conducted as soon as school starts. In case o technical difficulties with the alarm system, temporary substitution shall be used to conduct the drills. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/9/2024 Number Present: 23 Completed Date: 2/9/2024 Age: From 5 To 10 Total Minutes: 165 Time In: 01:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Desmond Clark, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Will Deter, Senior Operation Director. Desmond Clark, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation Young Men’s Christian Associate of Western North Carolina, is current/active as of 2/8/24. Permit type – Three-star license issued on 1/25/23. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards, children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/22/23. The last fire drill was practiced on 1/27/24. The last lockdown drill was practiced on 12/19/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 9/11/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. However, the program director who is listed on the EMC plan was absent today. Upon arrival, I announced my presence and the purpose of the visit. The children gathered in the cafeteria, took turns and washed their hands in the bathroom in the gym. The children in group #1 had snack and played with manipulatives. The children in group #2 also had snacks in the different sections of the cafeteria then engaged in free play with art materials, games and manipulatives. The children in group #3 engaged in gross motor game in the gym. One (1) emergency medication was maintained. Per Mr. Clark, the parents were asked to submit/renew the medication authorization form and the action plan but have not been submitted. The medication was expired on 11/17/23. Two (2) new staff members and one (1) existing staff member’s files were monitored. Four (4) children’s files were monitored. The playground was inspected. There was a slide structure on the playground where the group #1 children played. The fall zone around the slide was mulched and the rest of the area was graveled. Group #2 played in the fenced in playground located behind the front parking lot. The children played soccer. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. The following violations were documented during today’s visit. Violation Number Comment Rule 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. .0802(h) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Baqsimi 3mg expired on 11/17/23. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The staff member (DC) has not reviewed the facility's EMC plan. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The staff member(DC)'s health questionnaire is dated 1/12/23 and has not been renewed. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The staff member(DC)'s emergency information form is dated 1/12/23 and has not been renewed. .0701(a) 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 staff member(DC) has not reviewed the facility's EPR plan. .0607(e) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The person and the alternate person listed on EMC plan to carry out emergency medical care including the person who determine the care, give CPR/First Aid and contacting emergency medical personnel were absent. .0802(b)(1-2) Technical assistance was provided as follows: 830: First Aid poster First aid poster shall be posted where the staff members can easily see and use the information as references. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229 849: Expired medication Expired medication shall be returned to the family or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the family today. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 862: Emergency Medical Care Plan Review: Emergency Medical Care Plan shall be reviewed with each staff member annually or whenever a change occurs, such as change of site, change of personnel and procedures. Please leave documentation of the review, such as attendance roster, orientation sheet, acknowledgement, etc. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 1034: Health Questionnaire 1035: Emergency Information Health Questionnaire and emergency information forms shall be annually renewed. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart. A Health Questionnaire is required for all staff, including the director. Health Questionnaire is a form signed by the staff member that indicates that the person is emotionally and physically fit to care for children, and it shall be in file annually following the initial medical statement. Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. The form shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1824: Emergency Preparedness and Response Plan shall be reviewed with each staff member annually or whenever a change occurs, such as change of site, change of personnel and procedures. Please leave documentation of the review, such as attendance roster, orientation sheet, acknowledgement, etc. 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. 1914: EMC plan The person identified as the person or alternate for carrying out the EMC plan shall be present at the facility while the children are cared for. Please add additional personnels. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/23/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA West Buncombe Afterschool is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 through June 2025. The program will not go through the prep-year assessment. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0607 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/9/2024 Number Present: 23 Completed Date: 2/9/2024 Age: From 5 To 10 Total Minutes: 165 Time In: 01:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Desmond Clark, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Will Deter, Senior Operation Director. Desmond Clark, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation Young Men’s Christian Associate of Western North Carolina, is current/active as of 2/8/24. Permit type – Three-star license issued on 1/25/23. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards, children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/22/23. The last fire drill was practiced on 1/27/24. The last lockdown drill was practiced on 12/19/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 9/11/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. However, the program director who is listed on the EMC plan was absent today. Upon arrival, I announced my presence and the purpose of the visit. The children gathered in the cafeteria, took turns and washed their hands in the bathroom in the gym. The children in group #1 had snack and played with manipulatives. The children in group #2 also had snacks in the different sections of the cafeteria then engaged in free play with art materials, games and manipulatives. The children in group #3 engaged in gross motor game in the gym. One (1) emergency medication was maintained. Per Mr. Clark, the parents were asked to submit/renew the medication authorization form and the action plan but have not been submitted. The medication was expired on 11/17/23. Two (2) new staff members and one (1) existing staff member’s files were monitored. Four (4) children’s files were monitored. The playground was inspected. There was a slide structure on the playground where the group #1 children played. The fall zone around the slide was mulched and the rest of the area was graveled. Group #2 played in the fenced in playground located behind the front parking lot. The children played soccer. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. The following violations were documented during today’s visit. Violation Number Comment Rule 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. .0802(h) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Baqsimi 3mg expired on 11/17/23. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The staff member (DC) has not reviewed the facility's EMC plan. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The staff member(DC)'s health questionnaire is dated 1/12/23 and has not been renewed. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The staff member(DC)'s emergency information form is dated 1/12/23 and has not been renewed. .0701(a) 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 staff member(DC) has not reviewed the facility's EPR plan. .0607(e) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The person and the alternate person listed on EMC plan to carry out emergency medical care including the person who determine the care, give CPR/First Aid and contacting emergency medical personnel were absent. .0802(b)(1-2) Technical assistance was provided as follows: 830: First Aid poster First aid poster shall be posted where the staff members can easily see and use the information as references. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229 849: Expired medication Expired medication shall be returned to the family or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the family today. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 862: Emergency Medical Care Plan Review: Emergency Medical Care Plan shall be reviewed with each staff member annually or whenever a change occurs, such as change of site, change of personnel and procedures. Please leave documentation of the review, such as attendance roster, orientation sheet, acknowledgement, etc. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 1034: Health Questionnaire 1035: Emergency Information Health Questionnaire and emergency information forms shall be annually renewed. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart. A Health Questionnaire is required for all staff, including the director. Health Questionnaire is a form signed by the staff member that indicates that the person is emotionally and physically fit to care for children, and it shall be in file annually following the initial medical statement. Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. The form shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1824: Emergency Preparedness and Response Plan shall be reviewed with each staff member annually or whenever a change occurs, such as change of site, change of personnel and procedures. Please leave documentation of the review, such as attendance roster, orientation sheet, acknowledgement, etc. 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. 1914: EMC plan The person identified as the person or alternate for carrying out the EMC plan shall be present at the facility while the children are cared for. Please add additional personnels. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/23/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA West Buncombe Afterschool is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 through June 2025. The program will not go through the prep-year assessment. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/9/2024 Number Present: 23 Completed Date: 2/9/2024 Age: From 5 To 10 Total Minutes: 165 Time In: 01:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Desmond Clark, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Will Deter, Senior Operation Director. Desmond Clark, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation Young Men’s Christian Associate of Western North Carolina, is current/active as of 2/8/24. Permit type – Three-star license issued on 1/25/23. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards, children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/22/23. The last fire drill was practiced on 1/27/24. The last lockdown drill was practiced on 12/19/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 9/11/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. However, the program director who is listed on the EMC plan was absent today. Upon arrival, I announced my presence and the purpose of the visit. The children gathered in the cafeteria, took turns and washed their hands in the bathroom in the gym. The children in group #1 had snack and played with manipulatives. The children in group #2 also had snacks in the different sections of the cafeteria then engaged in free play with art materials, games and manipulatives. The children in group #3 engaged in gross motor game in the gym. One (1) emergency medication was maintained. Per Mr. Clark, the parents were asked to submit/renew the medication authorization form and the action plan but have not been submitted. The medication was expired on 11/17/23. Two (2) new staff members and one (1) existing staff member’s files were monitored. Four (4) children’s files were monitored. The playground was inspected. There was a slide structure on the playground where the group #1 children played. The fall zone around the slide was mulched and the rest of the area was graveled. Group #2 played in the fenced in playground located behind the front parking lot. The children played soccer. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. The following violations were documented during today’s visit. Violation Number Comment Rule 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. .0802(h) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Baqsimi 3mg expired on 11/17/23. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The staff member (DC) has not reviewed the facility's EMC plan. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The staff member(DC)'s health questionnaire is dated 1/12/23 and has not been renewed. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The staff member(DC)'s emergency information form is dated 1/12/23 and has not been renewed. .0701(a) 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 staff member(DC) has not reviewed the facility's EPR plan. .0607(e) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The person and the alternate person listed on EMC plan to carry out emergency medical care including the person who determine the care, give CPR/First Aid and contacting emergency medical personnel were absent. .0802(b)(1-2) Technical assistance was provided as follows: 830: First Aid poster First aid poster shall be posted where the staff members can easily see and use the information as references. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229 849: Expired medication Expired medication shall be returned to the family or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the family today. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 862: Emergency Medical Care Plan Review: Emergency Medical Care Plan shall be reviewed with each staff member annually or whenever a change occurs, such as change of site, change of personnel and procedures. Please leave documentation of the review, such as attendance roster, orientation sheet, acknowledgement, etc. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 1034: Health Questionnaire 1035: Emergency Information Health Questionnaire and emergency information forms shall be annually renewed. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart. A Health Questionnaire is required for all staff, including the director. Health Questionnaire is a form signed by the staff member that indicates that the person is emotionally and physically fit to care for children, and it shall be in file annually following the initial medical statement. Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. The form shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1824: Emergency Preparedness and Response Plan shall be reviewed with each staff member annually or whenever a change occurs, such as change of site, change of personnel and procedures. Please leave documentation of the review, such as attendance roster, orientation sheet, acknowledgement, etc. 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. 1914: EMC plan The person identified as the person or alternate for carrying out the EMC plan shall be present at the facility while the children are cared for. Please add additional personnels. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/23/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA West Buncombe Afterschool is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 through June 2025. The program will not go through the prep-year assessment. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/9/2024 Number Present: 23 Completed Date: 2/9/2024 Age: From 5 To 10 Total Minutes: 165 Time In: 01:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Desmond Clark, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Will Deter, Senior Operation Director. Desmond Clark, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation Young Men’s Christian Associate of Western North Carolina, is current/active as of 2/8/24. Permit type – Three-star license issued on 1/25/23. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards, children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/22/23. The last fire drill was practiced on 1/27/24. The last lockdown drill was practiced on 12/19/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 9/11/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. However, the program director who is listed on the EMC plan was absent today. Upon arrival, I announced my presence and the purpose of the visit. The children gathered in the cafeteria, took turns and washed their hands in the bathroom in the gym. The children in group #1 had snack and played with manipulatives. The children in group #2 also had snacks in the different sections of the cafeteria then engaged in free play with art materials, games and manipulatives. The children in group #3 engaged in gross motor game in the gym. One (1) emergency medication was maintained. Per Mr. Clark, the parents were asked to submit/renew the medication authorization form and the action plan but have not been submitted. The medication was expired on 11/17/23. Two (2) new staff members and one (1) existing staff member’s files were monitored. Four (4) children’s files were monitored. The playground was inspected. There was a slide structure on the playground where the group #1 children played. The fall zone around the slide was mulched and the rest of the area was graveled. Group #2 played in the fenced in playground located behind the front parking lot. The children played soccer. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. The following violations were documented during today’s visit. Violation Number Comment Rule 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. .0802(h) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Baqsimi 3mg expired on 11/17/23. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The staff member (DC) has not reviewed the facility's EMC plan. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The staff member(DC)'s health questionnaire is dated 1/12/23 and has not been renewed. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The staff member(DC)'s emergency information form is dated 1/12/23 and has not been renewed. .0701(a) 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 staff member(DC) has not reviewed the facility's EPR plan. .0607(e) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The person and the alternate person listed on EMC plan to carry out emergency medical care including the person who determine the care, give CPR/First Aid and contacting emergency medical personnel were absent. .0802(b)(1-2) Technical assistance was provided as follows: 830: First Aid poster First aid poster shall be posted where the staff members can easily see and use the information as references. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229 849: Expired medication Expired medication shall be returned to the family or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the family today. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 862: Emergency Medical Care Plan Review: Emergency Medical Care Plan shall be reviewed with each staff member annually or whenever a change occurs, such as change of site, change of personnel and procedures. Please leave documentation of the review, such as attendance roster, orientation sheet, acknowledgement, etc. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 1034: Health Questionnaire 1035: Emergency Information Health Questionnaire and emergency information forms shall be annually renewed. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart. A Health Questionnaire is required for all staff, including the director. Health Questionnaire is a form signed by the staff member that indicates that the person is emotionally and physically fit to care for children, and it shall be in file annually following the initial medical statement. Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. The form shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1824: Emergency Preparedness and Response Plan shall be reviewed with each staff member annually or whenever a change occurs, such as change of site, change of personnel and procedures. Please leave documentation of the review, such as attendance roster, orientation sheet, acknowledgement, etc. 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. 1914: EMC plan The person identified as the person or alternate for carrying out the EMC plan shall be present at the facility while the children are cared for. Please add additional personnels. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/23/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA West Buncombe Afterschool is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 through June 2025. The program will not go through the prep-year assessment. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/9/2024 Number Present: 23 Completed Date: 2/9/2024 Age: From 5 To 10 Total Minutes: 165 Time In: 01:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Desmond Clark, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Will Deter, Senior Operation Director. Desmond Clark, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation Young Men’s Christian Associate of Western North Carolina, is current/active as of 2/8/24. Permit type – Three-star license issued on 1/25/23. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards, children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/22/23. The last fire drill was practiced on 1/27/24. The last lockdown drill was practiced on 12/19/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 9/11/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. However, the program director who is listed on the EMC plan was absent today. Upon arrival, I announced my presence and the purpose of the visit. The children gathered in the cafeteria, took turns and washed their hands in the bathroom in the gym. The children in group #1 had snack and played with manipulatives. The children in group #2 also had snacks in the different sections of the cafeteria then engaged in free play with art materials, games and manipulatives. The children in group #3 engaged in gross motor game in the gym. One (1) emergency medication was maintained. Per Mr. Clark, the parents were asked to submit/renew the medication authorization form and the action plan but have not been submitted. The medication was expired on 11/17/23. Two (2) new staff members and one (1) existing staff member’s files were monitored. Four (4) children’s files were monitored. The playground was inspected. There was a slide structure on the playground where the group #1 children played. The fall zone around the slide was mulched and the rest of the area was graveled. Group #2 played in the fenced in playground located behind the front parking lot. The children played soccer. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. The following violations were documented during today’s visit. Violation Number Comment Rule 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. .0802(h) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Baqsimi 3mg expired on 11/17/23. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The staff member (DC) has not reviewed the facility's EMC plan. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The staff member(DC)'s health questionnaire is dated 1/12/23 and has not been renewed. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The staff member(DC)'s emergency information form is dated 1/12/23 and has not been renewed. .0701(a) 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 staff member(DC) has not reviewed the facility's EPR plan. .0607(e) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The person and the alternate person listed on EMC plan to carry out emergency medical care including the person who determine the care, give CPR/First Aid and contacting emergency medical personnel were absent. .0802(b)(1-2) Technical assistance was provided as follows: 830: First Aid poster First aid poster shall be posted where the staff members can easily see and use the information as references. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229 849: Expired medication Expired medication shall be returned to the family or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the family today. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 862: Emergency Medical Care Plan Review: Emergency Medical Care Plan shall be reviewed with each staff member annually or whenever a change occurs, such as change of site, change of personnel and procedures. Please leave documentation of the review, such as attendance roster, orientation sheet, acknowledgement, etc. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 1034: Health Questionnaire 1035: Emergency Information Health Questionnaire and emergency information forms shall be annually renewed. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart. A Health Questionnaire is required for all staff, including the director. Health Questionnaire is a form signed by the staff member that indicates that the person is emotionally and physically fit to care for children, and it shall be in file annually following the initial medical statement. Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. The form shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1824: Emergency Preparedness and Response Plan shall be reviewed with each staff member annually or whenever a change occurs, such as change of site, change of personnel and procedures. Please leave documentation of the review, such as attendance roster, orientation sheet, acknowledgement, etc. 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. 1914: EMC plan The person identified as the person or alternate for carrying out the EMC plan shall be present at the facility while the children are cared for. Please add additional personnels. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/23/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA West Buncombe Afterschool is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 through June 2025. The program will not go through the prep-year assessment. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/9/2024 Number Present: 23 Completed Date: 2/9/2024 Age: From 5 To 10 Total Minutes: 165 Time In: 01:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Desmond Clark, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Will Deter, Senior Operation Director. Desmond Clark, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation Young Men’s Christian Associate of Western North Carolina, is current/active as of 2/8/24. Permit type – Three-star license issued on 1/25/23. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards, children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/22/23. The last fire drill was practiced on 1/27/24. The last lockdown drill was practiced on 12/19/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 9/11/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. However, the program director who is listed on the EMC plan was absent today. Upon arrival, I announced my presence and the purpose of the visit. The children gathered in the cafeteria, took turns and washed their hands in the bathroom in the gym. The children in group #1 had snack and played with manipulatives. The children in group #2 also had snacks in the different sections of the cafeteria then engaged in free play with art materials, games and manipulatives. The children in group #3 engaged in gross motor game in the gym. One (1) emergency medication was maintained. Per Mr. Clark, the parents were asked to submit/renew the medication authorization form and the action plan but have not been submitted. The medication was expired on 11/17/23. Two (2) new staff members and one (1) existing staff member’s files were monitored. Four (4) children’s files were monitored. The playground was inspected. There was a slide structure on the playground where the group #1 children played. The fall zone around the slide was mulched and the rest of the area was graveled. Group #2 played in the fenced in playground located behind the front parking lot. The children played soccer. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. The following violations were documented during today’s visit. Violation Number Comment Rule 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. .0802(h) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Baqsimi 3mg expired on 11/17/23. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The staff member (DC) has not reviewed the facility's EMC plan. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The staff member(DC)'s health questionnaire is dated 1/12/23 and has not been renewed. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The staff member(DC)'s emergency information form is dated 1/12/23 and has not been renewed. .0701(a) 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 staff member(DC) has not reviewed the facility's EPR plan. .0607(e) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The person and the alternate person listed on EMC plan to carry out emergency medical care including the person who determine the care, give CPR/First Aid and contacting emergency medical personnel were absent. .0802(b)(1-2) Technical assistance was provided as follows: 830: First Aid poster First aid poster shall be posted where the staff members can easily see and use the information as references. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229 849: Expired medication Expired medication shall be returned to the family or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the family today. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 862: Emergency Medical Care Plan Review: Emergency Medical Care Plan shall be reviewed with each staff member annually or whenever a change occurs, such as change of site, change of personnel and procedures. Please leave documentation of the review, such as attendance roster, orientation sheet, acknowledgement, etc. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 1034: Health Questionnaire 1035: Emergency Information Health Questionnaire and emergency information forms shall be annually renewed. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart. A Health Questionnaire is required for all staff, including the director. Health Questionnaire is a form signed by the staff member that indicates that the person is emotionally and physically fit to care for children, and it shall be in file annually following the initial medical statement. Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. The form shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1824: Emergency Preparedness and Response Plan shall be reviewed with each staff member annually or whenever a change occurs, such as change of site, change of personnel and procedures. Please leave documentation of the review, such as attendance roster, orientation sheet, acknowledgement, etc. 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. 1914: EMC plan The person identified as the person or alternate for carrying out the EMC plan shall be present at the facility while the children are cared for. Please add additional personnels. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/23/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA West Buncombe Afterschool is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 through June 2025. The program will not go through the prep-year assessment. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/9/2024 Number Present: 23 Completed Date: 2/9/2024 Age: From 5 To 10 Total Minutes: 165 Time In: 01:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Desmond Clark, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Will Deter, Senior Operation Director. Desmond Clark, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation Young Men’s Christian Associate of Western North Carolina, is current/active as of 2/8/24. Permit type – Three-star license issued on 1/25/23. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards, children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/22/23. The last fire drill was practiced on 1/27/24. The last lockdown drill was practiced on 12/19/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 9/11/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. However, the program director who is listed on the EMC plan was absent today. Upon arrival, I announced my presence and the purpose of the visit. The children gathered in the cafeteria, took turns and washed their hands in the bathroom in the gym. The children in group #1 had snack and played with manipulatives. The children in group #2 also had snacks in the different sections of the cafeteria then engaged in free play with art materials, games and manipulatives. The children in group #3 engaged in gross motor game in the gym. One (1) emergency medication was maintained. Per Mr. Clark, the parents were asked to submit/renew the medication authorization form and the action plan but have not been submitted. The medication was expired on 11/17/23. Two (2) new staff members and one (1) existing staff member’s files were monitored. Four (4) children’s files were monitored. The playground was inspected. There was a slide structure on the playground where the group #1 children played. The fall zone around the slide was mulched and the rest of the area was graveled. Group #2 played in the fenced in playground located behind the front parking lot. The children played soccer. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. The following violations were documented during today’s visit. Violation Number Comment Rule 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. .0802(h) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Baqsimi 3mg expired on 11/17/23. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The staff member (DC) has not reviewed the facility's EMC plan. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The staff member(DC)'s health questionnaire is dated 1/12/23 and has not been renewed. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The staff member(DC)'s emergency information form is dated 1/12/23 and has not been renewed. .0701(a) 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 staff member(DC) has not reviewed the facility's EPR plan. .0607(e) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The person and the alternate person listed on EMC plan to carry out emergency medical care including the person who determine the care, give CPR/First Aid and contacting emergency medical personnel were absent. .0802(b)(1-2) Technical assistance was provided as follows: 830: First Aid poster First aid poster shall be posted where the staff members can easily see and use the information as references. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229 849: Expired medication Expired medication shall be returned to the family or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the family today. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 862: Emergency Medical Care Plan Review: Emergency Medical Care Plan shall be reviewed with each staff member annually or whenever a change occurs, such as change of site, change of personnel and procedures. Please leave documentation of the review, such as attendance roster, orientation sheet, acknowledgement, etc. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 1034: Health Questionnaire 1035: Emergency Information Health Questionnaire and emergency information forms shall be annually renewed. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart. A Health Questionnaire is required for all staff, including the director. Health Questionnaire is a form signed by the staff member that indicates that the person is emotionally and physically fit to care for children, and it shall be in file annually following the initial medical statement. Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. The form shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1824: Emergency Preparedness and Response Plan shall be reviewed with each staff member annually or whenever a change occurs, such as change of site, change of personnel and procedures. Please leave documentation of the review, such as attendance roster, orientation sheet, acknowledgement, etc. 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. 1914: EMC plan The person identified as the person or alternate for carrying out the EMC plan shall be present at the facility while the children are cared for. Please add additional personnels. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/23/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA West Buncombe Afterschool is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 through June 2025. The program will not go through the prep-year assessment. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/9/2024 Number Present: 23 Completed Date: 2/9/2024 Age: From 5 To 10 Total Minutes: 165 Time In: 01:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Desmond Clark, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Will Deter, Senior Operation Director. Desmond Clark, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation Young Men’s Christian Associate of Western North Carolina, is current/active as of 2/8/24. Permit type – Three-star license issued on 1/25/23. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards, children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/22/23. The last fire drill was practiced on 1/27/24. The last lockdown drill was practiced on 12/19/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 9/11/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. However, the program director who is listed on the EMC plan was absent today. Upon arrival, I announced my presence and the purpose of the visit. The children gathered in the cafeteria, took turns and washed their hands in the bathroom in the gym. The children in group #1 had snack and played with manipulatives. The children in group #2 also had snacks in the different sections of the cafeteria then engaged in free play with art materials, games and manipulatives. The children in group #3 engaged in gross motor game in the gym. One (1) emergency medication was maintained. Per Mr. Clark, the parents were asked to submit/renew the medication authorization form and the action plan but have not been submitted. The medication was expired on 11/17/23. Two (2) new staff members and one (1) existing staff member’s files were monitored. Four (4) children’s files were monitored. The playground was inspected. There was a slide structure on the playground where the group #1 children played. The fall zone around the slide was mulched and the rest of the area was graveled. Group #2 played in the fenced in playground located behind the front parking lot. The children played soccer. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. The following violations were documented during today’s visit. Violation Number Comment Rule 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. .0802(h) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Baqsimi 3mg expired on 11/17/23. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The staff member (DC) has not reviewed the facility's EMC plan. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The staff member(DC)'s health questionnaire is dated 1/12/23 and has not been renewed. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The staff member(DC)'s emergency information form is dated 1/12/23 and has not been renewed. .0701(a) 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 staff member(DC) has not reviewed the facility's EPR plan. .0607(e) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The person and the alternate person listed on EMC plan to carry out emergency medical care including the person who determine the care, give CPR/First Aid and contacting emergency medical personnel were absent. .0802(b)(1-2) Technical assistance was provided as follows: 830: First Aid poster First aid poster shall be posted where the staff members can easily see and use the information as references. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229 849: Expired medication Expired medication shall be returned to the family or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the family today. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 862: Emergency Medical Care Plan Review: Emergency Medical Care Plan shall be reviewed with each staff member annually or whenever a change occurs, such as change of site, change of personnel and procedures. Please leave documentation of the review, such as attendance roster, orientation sheet, acknowledgement, etc. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 1034: Health Questionnaire 1035: Emergency Information Health Questionnaire and emergency information forms shall be annually renewed. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart. A Health Questionnaire is required for all staff, including the director. Health Questionnaire is a form signed by the staff member that indicates that the person is emotionally and physically fit to care for children, and it shall be in file annually following the initial medical statement. Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. The form shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1824: Emergency Preparedness and Response Plan shall be reviewed with each staff member annually or whenever a change occurs, such as change of site, change of personnel and procedures. Please leave documentation of the review, such as attendance roster, orientation sheet, acknowledgement, etc. 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. 1914: EMC plan The person identified as the person or alternate for carrying out the EMC plan shall be present at the facility while the children are cared for. Please add additional personnels. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/23/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA West Buncombe Afterschool is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 through June 2025. The program will not go through the prep-year assessment. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/9/2024 Number Present: 23 Completed Date: 2/9/2024 Age: From 5 To 10 Total Minutes: 165 Time In: 01:45 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Desmond Clark, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to Will Deter, Senior Operation Director. Desmond Clark, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation Young Men’s Christian Associate of Western North Carolina, is current/active as of 2/8/24. Permit type – Three-star license issued on 1/25/23. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards, children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/22/23. The last fire drill was practiced on 1/27/24. The last lockdown drill was practiced on 12/19/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 9/11/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. However, the program director who is listed on the EMC plan was absent today. Upon arrival, I announced my presence and the purpose of the visit. The children gathered in the cafeteria, took turns and washed their hands in the bathroom in the gym. The children in group #1 had snack and played with manipulatives. The children in group #2 also had snacks in the different sections of the cafeteria then engaged in free play with art materials, games and manipulatives. The children in group #3 engaged in gross motor game in the gym. One (1) emergency medication was maintained. Per Mr. Clark, the parents were asked to submit/renew the medication authorization form and the action plan but have not been submitted. The medication was expired on 11/17/23. Two (2) new staff members and one (1) existing staff member’s files were monitored. Four (4) children’s files were monitored. The playground was inspected. There was a slide structure on the playground where the group #1 children played. The fall zone around the slide was mulched and the rest of the area was graveled. Group #2 played in the fenced in playground located behind the front parking lot. The children played soccer. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. The following violations were documented during today’s visit. Violation Number Comment Rule 830 A First Aid information sheet was not posted in a place for referral and/or the information sheet did not include all the required information. .0802(h) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Baqsimi 3mg expired on 11/17/23. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The staff member (DC) has not reviewed the facility's EMC plan. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The staff member(DC)'s health questionnaire is dated 1/12/23 and has not been renewed. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The staff member(DC)'s emergency information form is dated 1/12/23 and has not been renewed. .0701(a) 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 staff member(DC) has not reviewed the facility's EPR plan. .0607(e) 1914 The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities. The person and the alternate person listed on EMC plan to carry out emergency medical care including the person who determine the care, give CPR/First Aid and contacting emergency medical personnel were absent. .0802(b)(1-2) Technical assistance was provided as follows: 830: First Aid poster First aid poster shall be posted where the staff members can easily see and use the information as references. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (h) A First Aid information sheet shall be posted in a place for referral. The information sheet shall include first aid guidance regarding burns, scalds, fractures, sprains, head injuries, poisons, skin wounds, stings and bites. An information sheet may be requested free of charge from the North Carolina Child Care Health and Safety Resource Center at 1-800-367-2229 849: Expired medication Expired medication shall be returned to the family or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the family today. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 862: Emergency Medical Care Plan Review: Emergency Medical Care Plan shall be reviewed with each staff member annually or whenever a change occurs, such as change of site, change of personnel and procedures. Please leave documentation of the review, such as attendance roster, orientation sheet, acknowledgement, etc. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. 1034: Health Questionnaire 1035: Emergency Information Health Questionnaire and emergency information forms shall be annually renewed. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart. A Health Questionnaire is required for all staff, including the director. Health Questionnaire is a form signed by the staff member that indicates that the person is emotionally and physically fit to care for children, and it shall be in file annually following the initial medical statement. Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. The form shall be in file on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1824: Emergency Preparedness and Response Plan shall be reviewed with each staff member annually or whenever a change occurs, such as change of site, change of personnel and procedures. Please leave documentation of the review, such as attendance roster, orientation sheet, acknowledgement, etc. 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. 1914: EMC plan The person identified as the person or alternate for carrying out the EMC plan shall be present at the facility while the children are cared for. Please add additional personnels. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (b) One person identified as the person or alternate responsible for carrying out the emergency medical care plan and ensuring that appropriate medical care is given shall: (1) be on the premises at all times; and (2) accompany children for off-premises activities. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/23/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA West Buncombe Afterschool is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 through June 2025. The program will not go through the prep-year assessment. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 36 Completed Date: 9/19/2023 Age: From 5 To 10 Total Minutes: 135 Time In: 02:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Amy Jo Streuter, Program Coordinator, was available during the visit. Nick Erwin, Program Director, arrived at 3:45 pm. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percentage as of 9/15/23. Permit type – Three-star center license issued on 1/25/23. Special Services/Restrictions – Daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/22/23. The last fire drill was practiced on 8/31/23. The last shelter-in-place drill was practiced on 5/31/23. The last fire inspection was approved on 1/24/23. The last sanitation inspection was conducted on 9/11/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announce my presence and the purpose of the visit. Children washed hands in the bathroom upon arrival and gathered in the cafeteria. Group four (4) had a snack then left for a field trip to a nearby park to take a tennis lessons. The group leader took eight (8) children with him/her. Group one (1) had a snack after group four (4) left, and group two (2) and three (3) were combined and played with materials in the cafeteria. Some children completed homework, played with magnetic tiles, manipulative toys, Legos, pretend food materials, art materials. The snacks served today were vegetable crackers, craisins, apple sauce, veggie blend juice, sunflower kernels and milk. The items written on the menu match what were served. In the gym, children played with basketball, car track, matchbox cars, UNO, blocks, books, Potato Head. One (1) child is on a prescription medication. Both action plan and the permission form are valid. No hazardous materials were accessible to children. Five (5) new staff files were monitored in full. The staff member hired on 5/16/23 has not completed CPR/First Aid training. The staff member is scheduled to take the class on 10/6/23. The staff member hired on 7/21/23 is schedule to take the class on 10/6/23 or on 11/2/23. two (2) existing staff file was monitored for criminal background letter, BSAC training and CPR/First Aid certification. The existing staff has valid qualification letter and both training certificates. ABCMS system was checked for all staff member on the Staff and Training Worksheet. All staff members have valid qualification letters. 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 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member hired on 5/16/23 and the staff member hired on 11/28/22 did not complete First Aid training within ninety(90) days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member hired on 5/16/23 and the staff member hired on 11/28/22 did not complete First Aid training within ninety(90) days of employment. .1102(d) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. A staff member SC accompanied a group of eight (8) children to a nearby park for tennis lessons. This staff member has not completed CPR/First Aid training. .1102(c-d) Technical assistance was provided as follows: 1048: First Aid 1049: CPR 1894: At least one (1) person who has valid CPR/FA certificate shall be not present when children were in care. Upon field trip, at least one (1) person who is certified in CPR/FA shall accompany the children. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 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 10/3/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest NC, 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Action plan for emergency medication is valid for one (1) year, and the permission form is valid for six(6) months. The medication for AB will expire on 11/17/23. Shelter-in-place/lockdown drill: Those programs that close for the summer shall conduct either a shelter-in-place or a lockdown drill within ten (10) days from the first day of program. Unless difference guidance is provided by the Division, this will be cited as a violation going forward. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 36 Completed Date: 9/19/2023 Age: From 5 To 10 Total Minutes: 135 Time In: 02:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Amy Jo Streuter, Program Coordinator, was available during the visit. Nick Erwin, Program Director, arrived at 3:45 pm. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percentage as of 9/15/23. Permit type – Three-star center license issued on 1/25/23. Special Services/Restrictions – Daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/22/23. The last fire drill was practiced on 8/31/23. The last shelter-in-place drill was practiced on 5/31/23. The last fire inspection was approved on 1/24/23. The last sanitation inspection was conducted on 9/11/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announce my presence and the purpose of the visit. Children washed hands in the bathroom upon arrival and gathered in the cafeteria. Group four (4) had a snack then left for a field trip to a nearby park to take a tennis lessons. The group leader took eight (8) children with him/her. Group one (1) had a snack after group four (4) left, and group two (2) and three (3) were combined and played with materials in the cafeteria. Some children completed homework, played with magnetic tiles, manipulative toys, Legos, pretend food materials, art materials. The snacks served today were vegetable crackers, craisins, apple sauce, veggie blend juice, sunflower kernels and milk. The items written on the menu match what were served. In the gym, children played with basketball, car track, matchbox cars, UNO, blocks, books, Potato Head. One (1) child is on a prescription medication. Both action plan and the permission form are valid. No hazardous materials were accessible to children. Five (5) new staff files were monitored in full. The staff member hired on 5/16/23 has not completed CPR/First Aid training. The staff member is scheduled to take the class on 10/6/23. The staff member hired on 7/21/23 is schedule to take the class on 10/6/23 or on 11/2/23. two (2) existing staff file was monitored for criminal background letter, BSAC training and CPR/First Aid certification. The existing staff has valid qualification letter and both training certificates. ABCMS system was checked for all staff member on the Staff and Training Worksheet. All staff members have valid qualification letters. 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 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member hired on 5/16/23 and the staff member hired on 11/28/22 did not complete First Aid training within ninety(90) days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member hired on 5/16/23 and the staff member hired on 11/28/22 did not complete First Aid training within ninety(90) days of employment. .1102(d) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. A staff member SC accompanied a group of eight (8) children to a nearby park for tennis lessons. This staff member has not completed CPR/First Aid training. .1102(c-d) Technical assistance was provided as follows: 1048: First Aid 1049: CPR 1894: At least one (1) person who has valid CPR/FA certificate shall be not present when children were in care. Upon field trip, at least one (1) person who is certified in CPR/FA shall accompany the children. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 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 10/3/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest NC, 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Action plan for emergency medication is valid for one (1) year, and the permission form is valid for six(6) months. The medication for AB will expire on 11/17/23. Shelter-in-place/lockdown drill: Those programs that close for the summer shall conduct either a shelter-in-place or a lockdown drill within ten (10) days from the first day of program. Unless difference guidance is provided by the Division, this will be cited as a violation going forward. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 36 Completed Date: 9/19/2023 Age: From 5 To 10 Total Minutes: 135 Time In: 02:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Amy Jo Streuter, Program Coordinator, was available during the visit. Nick Erwin, Program Director, arrived at 3:45 pm. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percentage as of 9/15/23. Permit type – Three-star center license issued on 1/25/23. Special Services/Restrictions – Daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/22/23. The last fire drill was practiced on 8/31/23. The last shelter-in-place drill was practiced on 5/31/23. The last fire inspection was approved on 1/24/23. The last sanitation inspection was conducted on 9/11/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announce my presence and the purpose of the visit. Children washed hands in the bathroom upon arrival and gathered in the cafeteria. Group four (4) had a snack then left for a field trip to a nearby park to take a tennis lessons. The group leader took eight (8) children with him/her. Group one (1) had a snack after group four (4) left, and group two (2) and three (3) were combined and played with materials in the cafeteria. Some children completed homework, played with magnetic tiles, manipulative toys, Legos, pretend food materials, art materials. The snacks served today were vegetable crackers, craisins, apple sauce, veggie blend juice, sunflower kernels and milk. The items written on the menu match what were served. In the gym, children played with basketball, car track, matchbox cars, UNO, blocks, books, Potato Head. One (1) child is on a prescription medication. Both action plan and the permission form are valid. No hazardous materials were accessible to children. Five (5) new staff files were monitored in full. The staff member hired on 5/16/23 has not completed CPR/First Aid training. The staff member is scheduled to take the class on 10/6/23. The staff member hired on 7/21/23 is schedule to take the class on 10/6/23 or on 11/2/23. two (2) existing staff file was monitored for criminal background letter, BSAC training and CPR/First Aid certification. The existing staff has valid qualification letter and both training certificates. ABCMS system was checked for all staff member on the Staff and Training Worksheet. All staff members have valid qualification letters. 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 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member hired on 5/16/23 and the staff member hired on 11/28/22 did not complete First Aid training within ninety(90) days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member hired on 5/16/23 and the staff member hired on 11/28/22 did not complete First Aid training within ninety(90) days of employment. .1102(d) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. A staff member SC accompanied a group of eight (8) children to a nearby park for tennis lessons. This staff member has not completed CPR/First Aid training. .1102(c-d) Technical assistance was provided as follows: 1048: First Aid 1049: CPR 1894: At least one (1) person who has valid CPR/FA certificate shall be not present when children were in care. Upon field trip, at least one (1) person who is certified in CPR/FA shall accompany the children. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 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 10/3/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest NC, 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Action plan for emergency medication is valid for one (1) year, and the permission form is valid for six(6) months. The medication for AB will expire on 11/17/23. Shelter-in-place/lockdown drill: Those programs that close for the summer shall conduct either a shelter-in-place or a lockdown drill within ten (10) days from the first day of program. Unless difference guidance is provided by the Division, this will be cited as a violation going forward. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 36 Completed Date: 9/19/2023 Age: From 5 To 10 Total Minutes: 135 Time In: 02:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Amy Jo Streuter, Program Coordinator, was available during the visit. Nick Erwin, Program Director, arrived at 3:45 pm. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percentage as of 9/15/23. Permit type – Three-star center license issued on 1/25/23. Special Services/Restrictions – Daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/22/23. The last fire drill was practiced on 8/31/23. The last shelter-in-place drill was practiced on 5/31/23. The last fire inspection was approved on 1/24/23. The last sanitation inspection was conducted on 9/11/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announce my presence and the purpose of the visit. Children washed hands in the bathroom upon arrival and gathered in the cafeteria. Group four (4) had a snack then left for a field trip to a nearby park to take a tennis lessons. The group leader took eight (8) children with him/her. Group one (1) had a snack after group four (4) left, and group two (2) and three (3) were combined and played with materials in the cafeteria. Some children completed homework, played with magnetic tiles, manipulative toys, Legos, pretend food materials, art materials. The snacks served today were vegetable crackers, craisins, apple sauce, veggie blend juice, sunflower kernels and milk. The items written on the menu match what were served. In the gym, children played with basketball, car track, matchbox cars, UNO, blocks, books, Potato Head. One (1) child is on a prescription medication. Both action plan and the permission form are valid. No hazardous materials were accessible to children. Five (5) new staff files were monitored in full. The staff member hired on 5/16/23 has not completed CPR/First Aid training. The staff member is scheduled to take the class on 10/6/23. The staff member hired on 7/21/23 is schedule to take the class on 10/6/23 or on 11/2/23. two (2) existing staff file was monitored for criminal background letter, BSAC training and CPR/First Aid certification. The existing staff has valid qualification letter and both training certificates. ABCMS system was checked for all staff member on the Staff and Training Worksheet. All staff members have valid qualification letters. 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 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member hired on 5/16/23 and the staff member hired on 11/28/22 did not complete First Aid training within ninety(90) days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member hired on 5/16/23 and the staff member hired on 11/28/22 did not complete First Aid training within ninety(90) days of employment. .1102(d) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. A staff member SC accompanied a group of eight (8) children to a nearby park for tennis lessons. This staff member has not completed CPR/First Aid training. .1102(c-d) Technical assistance was provided as follows: 1048: First Aid 1049: CPR 1894: At least one (1) person who has valid CPR/FA certificate shall be not present when children were in care. Upon field trip, at least one (1) person who is certified in CPR/FA shall accompany the children. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 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 10/3/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest NC, 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Action plan for emergency medication is valid for one (1) year, and the permission form is valid for six(6) months. The medication for AB will expire on 11/17/23. Shelter-in-place/lockdown drill: Those programs that close for the summer shall conduct either a shelter-in-place or a lockdown drill within ten (10) days from the first day of program. Unless difference guidance is provided by the Division, this will be cited as a violation going forward. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA WEST BUNCOMBE AFTERSCHOOL Facility ID: 11000686 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 36 Completed Date: 9/19/2023 Age: From 5 To 10 Total Minutes: 135 Time In: 02:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Amy Jo Streuter, Program Coordinator, was available during the visit. Nick Erwin, Program Director, arrived at 3:45 pm. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six (96) percentage as of 9/15/23. Permit type – Three-star center license issued on 1/25/23. Special Services/Restrictions – Daytime care, school-age only, meets enhanced space, meets reduced ratios, playground area does not meet child care playground safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/22/23. The last fire drill was practiced on 8/31/23. The last shelter-in-place drill was practiced on 5/31/23. The last fire inspection was approved on 1/24/23. The last sanitation inspection was conducted on 9/11/23 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announce my presence and the purpose of the visit. Children washed hands in the bathroom upon arrival and gathered in the cafeteria. Group four (4) had a snack then left for a field trip to a nearby park to take a tennis lessons. The group leader took eight (8) children with him/her. Group one (1) had a snack after group four (4) left, and group two (2) and three (3) were combined and played with materials in the cafeteria. Some children completed homework, played with magnetic tiles, manipulative toys, Legos, pretend food materials, art materials. The snacks served today were vegetable crackers, craisins, apple sauce, veggie blend juice, sunflower kernels and milk. The items written on the menu match what were served. In the gym, children played with basketball, car track, matchbox cars, UNO, blocks, books, Potato Head. One (1) child is on a prescription medication. Both action plan and the permission form are valid. No hazardous materials were accessible to children. Five (5) new staff files were monitored in full. The staff member hired on 5/16/23 has not completed CPR/First Aid training. The staff member is scheduled to take the class on 10/6/23. The staff member hired on 7/21/23 is schedule to take the class on 10/6/23 or on 11/2/23. two (2) existing staff file was monitored for criminal background letter, BSAC training and CPR/First Aid certification. The existing staff has valid qualification letter and both training certificates. ABCMS system was checked for all staff member on the Staff and Training Worksheet. All staff members have valid qualification letters. 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 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member hired on 5/16/23 and the staff member hired on 11/28/22 did not complete First Aid training within ninety(90) days of employment. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member hired on 5/16/23 and the staff member hired on 11/28/22 did not complete First Aid training within ninety(90) days of employment. .1102(d) 1894 At least one staff member was not present who had successfully completed First Aid and/or CPR training when children were in care. A staff member SC accompanied a group of eight (8) children to a nearby park for tennis lessons. This staff member has not completed CPR/First Aid training. .1102(c-d) Technical assistance was provided as follows: 1048: First Aid 1049: CPR 1894: At least one (1) person who has valid CPR/FA certificate shall be not present when children were in care. Upon field trip, at least one (1) person who is certified in CPR/FA shall accompany the children. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. 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 10/3/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest NC, 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Reminder: Action plan for emergency medication is valid for one (1) year, and the permission form is valid for six(6) months. The medication for AB will expire on 11/17/23. Shelter-in-place/lockdown drill: Those programs that close for the summer shall conduct either a shelter-in-place or a lockdown drill within ten (10) days from the first day of program. Unless difference guidance is provided by the Division, this will be cited as a violation going forward. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times