Supervision
Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/30/2026 Number Present: 31 Completed Date: 1/30/2026 Age: From 5 To 10 Total Minutes: 85 Time In: 01:05 PM Time Out: 02:30 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 Meredith Hale, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Hale was available during the visit. I monitored the program for supervision, staff/child ratios, permit restrictions, discipline, 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 prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation; The Young Men’s Christian Association of Western North Carolina is current/active as of 1/27/26. Permit type – four-star center license issued on 9/4/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and ratios. The last annual compliance visit was conducted on 2/13/25. The last fire drill was practiced on 1/21/26. The last shelter-in-place drill was practiced on 10/31/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/30/24 without hazards. Lead paint and asbestos testing was completed on 3/27/25. Upon arrival, I learned that the program was going to close three (3) hours and thirty (30) minutes early due to Buncombe County Schools dismissing schools early. Hominy Valley Elementary School was dismissed at 12:15- 12:30 pm. Per Ms. Burke, the program only operated for two (2) hours after early dismissal. Due to limited time, file review was not completed during the visit. However, Ms. Burke agreed to meet with me via TEAMS after program is dismissed. I typically review the files via TEAMS meeting with Ms. Burke as well. Two (2) staff members - M. Hale and A. Nardi who were not listed on the Staff and Training Worksheet were present during the visit. I attempted to review the ABCMS system during the visit, but I was unable to, possibly due to poor Wi-Fi connection. However, since the program closes at 2:30 pm, I completed the site monitoring only. The review of staff and training worksheet will be added to the visit summary as addendum. I schedule a TEAM meeting to review staff and children's files with Ms. Burke at 2:35 pm. There was a total of thirty-one (31) children present with one (1) program coordinator and two (2) group leaders. The children spend time in the gym and cafeteria playing games and materials. Snacks were not served today. Three (3) emergency medications were maintained. All documentations were in compliance. Playgrounds were not monitored due to limited time on-stie. Supervision and interaction were adequate. File review of staff files and children’s files were completed vis TEAMS with Ms. Burke. The Staff and Training Worksheet was submitted to me prior to this visit, but two (2) staff members present during today’s visit were not listed on the worksheet. Therefore, Ms. Burke re-submitted the worksheet during the review. Two (2) new staff files and one (1) existing staff files were monitored. Two (2) staff members’ medical statement and TB screening results and annual evaluation for one (1) staff member were not on file. Two (2) staff members date of birth were obtained during the review for identification purposes. One (1) staff member’s on-going training hours for 6/1/24 – 5/30/25 period was determined to be eight (8) hours. Six (6) children’s files were monitored during the visit and were in compliance. 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. YMCA vehicles were monitored during other visit on 6/4/25. The following violations were documented during today’s visits: Violation Number Comment Rule 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Medical statement for two (2) staff members – a program coordinator hired on 1/20/26 and a group leader hired on 11/25/25 – was either not on file or not found in the system. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. TB screening for two (2) staff members – a program coordinator hired on 1/20/26 and a group leader hired on 11/25/25 – was either not on file or not found in the system. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Annual staff evaluation for one (1) group leader who was hired on 6/1/23 was not completed annually. 10A NCAC 09 .0514(f) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the emergency drill log posted in the gym, the last shelter-in-place drill was conducted on 10/30/25. The due date for the drill was today, but it was not conducted during the visit. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #1032: medical statement Medical statement must be completed and filed on or prior to each staff member’s first day of employment. To comply, locate the staff members’ medical statement or complete the new ones. In your compliance letter, please explain the action you took and verify the completion of the task. Item #1033: TB TB screening must be completed and filed on or prior to each staff member’s first day of employment. To comply, locate the staff members’ TB screening or complete the new ones. In your compliance letter, please explain the action you took and verify the completion of the task. Item 1232: Annual staff evaluation To comply, you must complete the staff member’s annual evaluation immediately. In your compliance letter, please verify the completion of the evaluation. 1811: shelter-in-place/lockdown drill The last shelter-in-place/lockdown drill was logged for 10/31/25. Due date for three (3) months drill was due today, and the drill was not completed during the visit. To comply, you will conduct a drill when children return to school. This drill is to make-up the drill for January. Your next shelter-in-place or lockdown drill must be conducted in April 2026. In your compliance letter, please state the date you completed the drill. Please note that the drill must be logged with all required information. I strongly advise you to complete the drill on the printed form rather than online logs. 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 2/19/26. 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 [email protected], 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: One (1) emergency medication will expire at the end of February. Please send the medication home within seventy-two (72) hours of the expiration date. New and terminated staff notification requirement: Please continue listing all staff members including administrator(s) on the ABCMS roster. 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. 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 [email protected] or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at [email protected]. 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