10A NCAC 09 .0601 · Violation

Name of Operation: YMCA BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 7/25/2025 Number Present: 56 Completed Date: 7/25/2025 Age: From 4 To 12 Total Minutes: 270 Time In: 10:15 AM Time Out: 02:45 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 your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Delaney Burke, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Gage Buckner, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. Samantha Applegate, Program Director arrived at 11:05a and Delaney Burke, Administrator arrived later to assist with the visit. The program’s annual compliance visit was conducted on 3/19/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 6/16/2025. Special Services/Restrictions – First shift (Daytime care), meets enhanced space, meets reduced ratios, PS children served June-August only. SA playground does not meet safety standards. The last fire drill was practiced on 6/4/2025 for school age, and 6/30/25 for preschool. The last emergency drill, lockdown drill, was practiced on 6/6/2025 for school age and preschool will need to conduct a drill by 7/30/2025. The last fire inspection was approved on 9/8/24 for school age and 2/26/2025 for preschool. The program’s most recent sanitation inspection was completed on 1/15/2025 for school age, with six (6) demerits and 5/21/2025 for preschool, with zero (0) demerits. The last lead water testing was completed on 6/11/2024. The last lead paint and asbestos testing was completed on 3/27/2025. The Emergency Preparedness and Response plan was on-site for the school age program but was missing in the preschool program. The Emergency Medical Care Plan was posted during the visit. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all cars is at adequate depth. The staff members have access to the children’s emergency information and records online. An example of the emergency information that is carried with staff was provided today and contains the emergency contact and emergency medical information as required. Upon arrival, I was greeted by Wilson Lewis, Group Leader. A walkthrough of the indoor and outdoor environment was conducted. The group of eight- to twelve-year-old children were engaged in outdoor gross motor play on the playground. Two (2) staff were outside supervising the group of eighteen (18). While monitoring the playground, I observed debris around the playground (Kleenex’s, plastic water bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that staff would need to pick up the debris and discard it in the trash receptacle located on the playground. Active bee nest located under the wooden bridge and a child with a recently established bee allergy was engaged in play. We discussed that the group would need to establish a new play location to keep the child away from the active bee nest until it is treated and removed. At 10:25a the group lined up to prepare to transition to the restroom and cafeteria. At 10:30a, the group transitioned into the cafeteria for center play at the tables. Lunch was served 11:00a. The group of seven- to nine-year-old children were located in the cafeteria engaged in center play at the tables with links, legos, drawing, and making bracelets. At 10:56a the group leader began serving lunch, and at 11:36a the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of fifteen (15) children and two (2) staff members. The group of five- to seven-year-old children were located in the gym. The group was engaged in center play with legos, magnetic tiles, links, and race tracks. Staff member was moving about the indoor area supervising the children. At 10:50a, the group was located in the cafeteria for lunch. At 11:36a, the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of thirteen (13) children and one (1) staff members. The group of four- to five-year-old children were located in the classroom engaged in free play with animals, legos, links, and cars. While monitoring the classroom, I observed the Emergency Medical Care (EMC) plan was not completed in its entirety for the YMCA summer program. The EMC was missing the medical consultant name and information, emergency room name and information, and hospital name and information. The Emergency Preparedness and Response (EPR) plan posted in the classroom was for the Black Mountain Primary Head Start classroom and not current for the YMCA summer preschool program. At 11:11a the group arrived in the cafeteria for lunch. The group was given hand sanitizer upon arrival in the cafeteria, while the other staff member sanitized the tables. Once tables were sanitized, the group sat down and the staff distributed lunch. Lunch consisted of pizza wedge, hot butter corn, cool tropics rip, and milk. Bus B2 repairs have been completed, and the bus was used for today’s field trip. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff member SM hired 6/12/2025 and MV hired 6/12/2025 one (1) topic (Information regarding prevention of shaken baby syndrome and abusive trauma and maltreatment) was not completed during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. Active bees nest under the wooden bridge on the playground. 10A NCAC 09 .0601(a) 833 The EMC plan did not give the procedures to be followed . While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. 10A NCAC 09 .0802(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. 10A NCAC 09 .0803(1)(a & b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). 10A NCAC 09 .0604(p) 1043 All staff records, except financial records, were not made available for review. Staff member MH hired 4/23/25 file was not on-site for review. G.S. 110-91( 9) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. .0607(c) Technical assistance was provided as follows: Item 807 While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. We discussed that the cover would need to be secured to the unit. The administrator resecured to the front of the unit. Active bees nest under the wooden bridge on the playground. We discussed treating, removing the bees nest, and establishing another outdoor play area away from the wooden bridge. Rule Reference: 10A NCAC 09.0601(a) Item 833 While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. We discussed that each of the these items is part of the EMC procedures that must be followed by staff in the event of an emergency. The administrator did have a completed copy on her computer, and was able to print and post it in the classroom. Rule Reference: 10A NCAC 09.0802 (a) Item 842 One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. We discussed prior to allowing medications in the group to ensure all the required medication forms are completed and on-site. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 856 While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that the group leaders will need to conduct a outdoor check prior to the children engaging in play and remove any debris and discard it in the trash receptacle. Rule Reference: 10A NCAC 09.0604(p) Item 1043 Staff member MH hired 4/23/25 file was not on-site for review. We discussed that each staff members electronic file should be on-site and available for review. Rule Reference: G.S. 110-91(9) Item 1812 The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. While reviewing this with the administrator, the administrator was able to show me the EPR plan and we discussed the items that needed to be updated to reflect the preschool children. Once completed, the administrator will need to send it to the preschool staff to print and have on-site and available in the event of an emergency. Rule Reference: 10A NCAC 09 .0607(c) 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 8/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing medication requirements to refresh the staff when accepting new medications on-site. We discussed the field trip requirements and the administration stated that previously they were given directives to add information to the parent handbook regarding field trips. I stated that I would follow up with my supervisor and get back with the administrator. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: YMCA BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 7/25/2025 Number Present: 56 Completed Date: 7/25/2025 Age: From 4 To 12 Total Minutes: 270 Time In: 10:15 AM Time Out: 02:45 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 your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Delaney Burke, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Gage Buckner, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. Samantha Applegate, Program Director arrived at 11:05a and Delaney Burke, Administrator arrived later to assist with the visit. The program’s annual compliance visit was conducted on 3/19/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 6/16/2025. Special Services/Restrictions – First shift (Daytime care), meets enhanced space, meets reduced ratios, PS children served June-August only. SA playground does not meet safety standards. The last fire drill was practiced on 6/4/2025 for school age, and 6/30/25 for preschool. The last emergency drill, lockdown drill, was practiced on 6/6/2025 for school age and preschool will need to conduct a drill by 7/30/2025. The last fire inspection was approved on 9/8/24 for school age and 2/26/2025 for preschool. The program’s most recent sanitation inspection was completed on 1/15/2025 for school age, with six (6) demerits and 5/21/2025 for preschool, with zero (0) demerits. The last lead water testing was completed on 6/11/2024. The last lead paint and asbestos testing was completed on 3/27/2025. The Emergency Preparedness and Response plan was on-site for the school age program but was missing in the preschool program. The Emergency Medical Care Plan was posted during the visit. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all cars is at adequate depth. The staff members have access to the children’s emergency information and records online. An example of the emergency information that is carried with staff was provided today and contains the emergency contact and emergency medical information as required. Upon arrival, I was greeted by Wilson Lewis, Group Leader. A walkthrough of the indoor and outdoor environment was conducted. The group of eight- to twelve-year-old children were engaged in outdoor gross motor play on the playground. Two (2) staff were outside supervising the group of eighteen (18). While monitoring the playground, I observed debris around the playground (Kleenex’s, plastic water bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that staff would need to pick up the debris and discard it in the trash receptacle located on the playground. Active bee nest located under the wooden bridge and a child with a recently established bee allergy was engaged in play. We discussed that the group would need to establish a new play location to keep the child away from the active bee nest until it is treated and removed. At 10:25a the group lined up to prepare to transition to the restroom and cafeteria. At 10:30a, the group transitioned into the cafeteria for center play at the tables. Lunch was served 11:00a. The group of seven- to nine-year-old children were located in the cafeteria engaged in center play at the tables with links, legos, drawing, and making bracelets. At 10:56a the group leader began serving lunch, and at 11:36a the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of fifteen (15) children and two (2) staff members. The group of five- to seven-year-old children were located in the gym. The group was engaged in center play with legos, magnetic tiles, links, and race tracks. Staff member was moving about the indoor area supervising the children. At 10:50a, the group was located in the cafeteria for lunch. At 11:36a, the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of thirteen (13) children and one (1) staff members. The group of four- to five-year-old children were located in the classroom engaged in free play with animals, legos, links, and cars. While monitoring the classroom, I observed the Emergency Medical Care (EMC) plan was not completed in its entirety for the YMCA summer program. The EMC was missing the medical consultant name and information, emergency room name and information, and hospital name and information. The Emergency Preparedness and Response (EPR) plan posted in the classroom was for the Black Mountain Primary Head Start classroom and not current for the YMCA summer preschool program. At 11:11a the group arrived in the cafeteria for lunch. The group was given hand sanitizer upon arrival in the cafeteria, while the other staff member sanitized the tables. Once tables were sanitized, the group sat down and the staff distributed lunch. Lunch consisted of pizza wedge, hot butter corn, cool tropics rip, and milk. Bus B2 repairs have been completed, and the bus was used for today’s field trip. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff member SM hired 6/12/2025 and MV hired 6/12/2025 one (1) topic (Information regarding prevention of shaken baby syndrome and abusive trauma and maltreatment) was not completed during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. Active bees nest under the wooden bridge on the playground. 10A NCAC 09 .0601(a) 833 The EMC plan did not give the procedures to be followed . While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. 10A NCAC 09 .0802(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. 10A NCAC 09 .0803(1)(a & b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). 10A NCAC 09 .0604(p) 1043 All staff records, except financial records, were not made available for review. Staff member MH hired 4/23/25 file was not on-site for review. G.S. 110-91( 9) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. .0607(c) Technical assistance was provided as follows: Item 807 While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. We discussed that the cover would need to be secured to the unit. The administrator resecured to the front of the unit. Active bees nest under the wooden bridge on the playground. We discussed treating, removing the bees nest, and establishing another outdoor play area away from the wooden bridge. Rule Reference: 10A NCAC 09.0601(a) Item 833 While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. We discussed that each of the these items is part of the EMC procedures that must be followed by staff in the event of an emergency. The administrator did have a completed copy on her computer, and was able to print and post it in the classroom. Rule Reference: 10A NCAC 09.0802 (a) Item 842 One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. We discussed prior to allowing medications in the group to ensure all the required medication forms are completed and on-site. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 856 While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that the group leaders will need to conduct a outdoor check prior to the children engaging in play and remove any debris and discard it in the trash receptacle. Rule Reference: 10A NCAC 09.0604(p) Item 1043 Staff member MH hired 4/23/25 file was not on-site for review. We discussed that each staff members electronic file should be on-site and available for review. Rule Reference: G.S. 110-91(9) Item 1812 The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. While reviewing this with the administrator, the administrator was able to show me the EPR plan and we discussed the items that needed to be updated to reflect the preschool children. Once completed, the administrator will need to send it to the preschool staff to print and have on-site and available in the event of an emergency. Rule Reference: 10A NCAC 09 .0607(c) 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 8/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing medication requirements to refresh the staff when accepting new medications on-site. We discussed the field trip requirements and the administration stated that previously they were given directives to add information to the parent handbook regarding field trips. I stated that I would follow up with my supervisor and get back with the administrator. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 7/25/2025 Number Present: 56 Completed Date: 7/25/2025 Age: From 4 To 12 Total Minutes: 270 Time In: 10:15 AM Time Out: 02:45 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 your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Delaney Burke, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Gage Buckner, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. Samantha Applegate, Program Director arrived at 11:05a and Delaney Burke, Administrator arrived later to assist with the visit. The program’s annual compliance visit was conducted on 3/19/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 6/16/2025. Special Services/Restrictions – First shift (Daytime care), meets enhanced space, meets reduced ratios, PS children served June-August only. SA playground does not meet safety standards. The last fire drill was practiced on 6/4/2025 for school age, and 6/30/25 for preschool. The last emergency drill, lockdown drill, was practiced on 6/6/2025 for school age and preschool will need to conduct a drill by 7/30/2025. The last fire inspection was approved on 9/8/24 for school age and 2/26/2025 for preschool. The program’s most recent sanitation inspection was completed on 1/15/2025 for school age, with six (6) demerits and 5/21/2025 for preschool, with zero (0) demerits. The last lead water testing was completed on 6/11/2024. The last lead paint and asbestos testing was completed on 3/27/2025. The Emergency Preparedness and Response plan was on-site for the school age program but was missing in the preschool program. The Emergency Medical Care Plan was posted during the visit. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all cars is at adequate depth. The staff members have access to the children’s emergency information and records online. An example of the emergency information that is carried with staff was provided today and contains the emergency contact and emergency medical information as required. Upon arrival, I was greeted by Wilson Lewis, Group Leader. A walkthrough of the indoor and outdoor environment was conducted. The group of eight- to twelve-year-old children were engaged in outdoor gross motor play on the playground. Two (2) staff were outside supervising the group of eighteen (18). While monitoring the playground, I observed debris around the playground (Kleenex’s, plastic water bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that staff would need to pick up the debris and discard it in the trash receptacle located on the playground. Active bee nest located under the wooden bridge and a child with a recently established bee allergy was engaged in play. We discussed that the group would need to establish a new play location to keep the child away from the active bee nest until it is treated and removed. At 10:25a the group lined up to prepare to transition to the restroom and cafeteria. At 10:30a, the group transitioned into the cafeteria for center play at the tables. Lunch was served 11:00a. The group of seven- to nine-year-old children were located in the cafeteria engaged in center play at the tables with links, legos, drawing, and making bracelets. At 10:56a the group leader began serving lunch, and at 11:36a the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of fifteen (15) children and two (2) staff members. The group of five- to seven-year-old children were located in the gym. The group was engaged in center play with legos, magnetic tiles, links, and race tracks. Staff member was moving about the indoor area supervising the children. At 10:50a, the group was located in the cafeteria for lunch. At 11:36a, the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of thirteen (13) children and one (1) staff members. The group of four- to five-year-old children were located in the classroom engaged in free play with animals, legos, links, and cars. While monitoring the classroom, I observed the Emergency Medical Care (EMC) plan was not completed in its entirety for the YMCA summer program. The EMC was missing the medical consultant name and information, emergency room name and information, and hospital name and information. The Emergency Preparedness and Response (EPR) plan posted in the classroom was for the Black Mountain Primary Head Start classroom and not current for the YMCA summer preschool program. At 11:11a the group arrived in the cafeteria for lunch. The group was given hand sanitizer upon arrival in the cafeteria, while the other staff member sanitized the tables. Once tables were sanitized, the group sat down and the staff distributed lunch. Lunch consisted of pizza wedge, hot butter corn, cool tropics rip, and milk. Bus B2 repairs have been completed, and the bus was used for today’s field trip. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff member SM hired 6/12/2025 and MV hired 6/12/2025 one (1) topic (Information regarding prevention of shaken baby syndrome and abusive trauma and maltreatment) was not completed during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. Active bees nest under the wooden bridge on the playground. 10A NCAC 09 .0601(a) 833 The EMC plan did not give the procedures to be followed . While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. 10A NCAC 09 .0802(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. 10A NCAC 09 .0803(1)(a & b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). 10A NCAC 09 .0604(p) 1043 All staff records, except financial records, were not made available for review. Staff member MH hired 4/23/25 file was not on-site for review. G.S. 110-91( 9) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. .0607(c) Technical assistance was provided as follows: Item 807 While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. We discussed that the cover would need to be secured to the unit. The administrator resecured to the front of the unit. Active bees nest under the wooden bridge on the playground. We discussed treating, removing the bees nest, and establishing another outdoor play area away from the wooden bridge. Rule Reference: 10A NCAC 09.0601(a) Item 833 While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. We discussed that each of the these items is part of the EMC procedures that must be followed by staff in the event of an emergency. The administrator did have a completed copy on her computer, and was able to print and post it in the classroom. Rule Reference: 10A NCAC 09.0802 (a) Item 842 One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. We discussed prior to allowing medications in the group to ensure all the required medication forms are completed and on-site. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 856 While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that the group leaders will need to conduct a outdoor check prior to the children engaging in play and remove any debris and discard it in the trash receptacle. Rule Reference: 10A NCAC 09.0604(p) Item 1043 Staff member MH hired 4/23/25 file was not on-site for review. We discussed that each staff members electronic file should be on-site and available for review. Rule Reference: G.S. 110-91(9) Item 1812 The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. While reviewing this with the administrator, the administrator was able to show me the EPR plan and we discussed the items that needed to be updated to reflect the preschool children. Once completed, the administrator will need to send it to the preschool staff to print and have on-site and available in the event of an emergency. Rule Reference: 10A NCAC 09 .0607(c) 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 8/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing medication requirements to refresh the staff when accepting new medications on-site. We discussed the field trip requirements and the administration stated that previously they were given directives to add information to the parent handbook regarding field trips. I stated that I would follow up with my supervisor and get back with the administrator. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 7/25/2025 Number Present: 56 Completed Date: 7/25/2025 Age: From 4 To 12 Total Minutes: 270 Time In: 10:15 AM Time Out: 02:45 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 your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Delaney Burke, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Gage Buckner, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. Samantha Applegate, Program Director arrived at 11:05a and Delaney Burke, Administrator arrived later to assist with the visit. The program’s annual compliance visit was conducted on 3/19/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 6/16/2025. Special Services/Restrictions – First shift (Daytime care), meets enhanced space, meets reduced ratios, PS children served June-August only. SA playground does not meet safety standards. The last fire drill was practiced on 6/4/2025 for school age, and 6/30/25 for preschool. The last emergency drill, lockdown drill, was practiced on 6/6/2025 for school age and preschool will need to conduct a drill by 7/30/2025. The last fire inspection was approved on 9/8/24 for school age and 2/26/2025 for preschool. The program’s most recent sanitation inspection was completed on 1/15/2025 for school age, with six (6) demerits and 5/21/2025 for preschool, with zero (0) demerits. The last lead water testing was completed on 6/11/2024. The last lead paint and asbestos testing was completed on 3/27/2025. The Emergency Preparedness and Response plan was on-site for the school age program but was missing in the preschool program. The Emergency Medical Care Plan was posted during the visit. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all cars is at adequate depth. The staff members have access to the children’s emergency information and records online. An example of the emergency information that is carried with staff was provided today and contains the emergency contact and emergency medical information as required. Upon arrival, I was greeted by Wilson Lewis, Group Leader. A walkthrough of the indoor and outdoor environment was conducted. The group of eight- to twelve-year-old children were engaged in outdoor gross motor play on the playground. Two (2) staff were outside supervising the group of eighteen (18). While monitoring the playground, I observed debris around the playground (Kleenex’s, plastic water bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that staff would need to pick up the debris and discard it in the trash receptacle located on the playground. Active bee nest located under the wooden bridge and a child with a recently established bee allergy was engaged in play. We discussed that the group would need to establish a new play location to keep the child away from the active bee nest until it is treated and removed. At 10:25a the group lined up to prepare to transition to the restroom and cafeteria. At 10:30a, the group transitioned into the cafeteria for center play at the tables. Lunch was served 11:00a. The group of seven- to nine-year-old children were located in the cafeteria engaged in center play at the tables with links, legos, drawing, and making bracelets. At 10:56a the group leader began serving lunch, and at 11:36a the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of fifteen (15) children and two (2) staff members. The group of five- to seven-year-old children were located in the gym. The group was engaged in center play with legos, magnetic tiles, links, and race tracks. Staff member was moving about the indoor area supervising the children. At 10:50a, the group was located in the cafeteria for lunch. At 11:36a, the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of thirteen (13) children and one (1) staff members. The group of four- to five-year-old children were located in the classroom engaged in free play with animals, legos, links, and cars. While monitoring the classroom, I observed the Emergency Medical Care (EMC) plan was not completed in its entirety for the YMCA summer program. The EMC was missing the medical consultant name and information, emergency room name and information, and hospital name and information. The Emergency Preparedness and Response (EPR) plan posted in the classroom was for the Black Mountain Primary Head Start classroom and not current for the YMCA summer preschool program. At 11:11a the group arrived in the cafeteria for lunch. The group was given hand sanitizer upon arrival in the cafeteria, while the other staff member sanitized the tables. Once tables were sanitized, the group sat down and the staff distributed lunch. Lunch consisted of pizza wedge, hot butter corn, cool tropics rip, and milk. Bus B2 repairs have been completed, and the bus was used for today’s field trip. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff member SM hired 6/12/2025 and MV hired 6/12/2025 one (1) topic (Information regarding prevention of shaken baby syndrome and abusive trauma and maltreatment) was not completed during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. Active bees nest under the wooden bridge on the playground. 10A NCAC 09 .0601(a) 833 The EMC plan did not give the procedures to be followed . While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. 10A NCAC 09 .0802(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. 10A NCAC 09 .0803(1)(a & b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). 10A NCAC 09 .0604(p) 1043 All staff records, except financial records, were not made available for review. Staff member MH hired 4/23/25 file was not on-site for review. G.S. 110-91( 9) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. .0607(c) Technical assistance was provided as follows: Item 807 While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. We discussed that the cover would need to be secured to the unit. The administrator resecured to the front of the unit. Active bees nest under the wooden bridge on the playground. We discussed treating, removing the bees nest, and establishing another outdoor play area away from the wooden bridge. Rule Reference: 10A NCAC 09.0601(a) Item 833 While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. We discussed that each of the these items is part of the EMC procedures that must be followed by staff in the event of an emergency. The administrator did have a completed copy on her computer, and was able to print and post it in the classroom. Rule Reference: 10A NCAC 09.0802 (a) Item 842 One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. We discussed prior to allowing medications in the group to ensure all the required medication forms are completed and on-site. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 856 While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that the group leaders will need to conduct a outdoor check prior to the children engaging in play and remove any debris and discard it in the trash receptacle. Rule Reference: 10A NCAC 09.0604(p) Item 1043 Staff member MH hired 4/23/25 file was not on-site for review. We discussed that each staff members electronic file should be on-site and available for review. Rule Reference: G.S. 110-91(9) Item 1812 The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. While reviewing this with the administrator, the administrator was able to show me the EPR plan and we discussed the items that needed to be updated to reflect the preschool children. Once completed, the administrator will need to send it to the preschool staff to print and have on-site and available in the event of an emergency. Rule Reference: 10A NCAC 09 .0607(c) 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 8/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing medication requirements to refresh the staff when accepting new medications on-site. We discussed the field trip requirements and the administration stated that previously they were given directives to add information to the parent handbook regarding field trips. I stated that I would follow up with my supervisor and get back with the administrator. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 7/25/2025 Number Present: 56 Completed Date: 7/25/2025 Age: From 4 To 12 Total Minutes: 270 Time In: 10:15 AM Time Out: 02:45 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 your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Delaney Burke, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Gage Buckner, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. Samantha Applegate, Program Director arrived at 11:05a and Delaney Burke, Administrator arrived later to assist with the visit. The program’s annual compliance visit was conducted on 3/19/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 6/16/2025. Special Services/Restrictions – First shift (Daytime care), meets enhanced space, meets reduced ratios, PS children served June-August only. SA playground does not meet safety standards. The last fire drill was practiced on 6/4/2025 for school age, and 6/30/25 for preschool. The last emergency drill, lockdown drill, was practiced on 6/6/2025 for school age and preschool will need to conduct a drill by 7/30/2025. The last fire inspection was approved on 9/8/24 for school age and 2/26/2025 for preschool. The program’s most recent sanitation inspection was completed on 1/15/2025 for school age, with six (6) demerits and 5/21/2025 for preschool, with zero (0) demerits. The last lead water testing was completed on 6/11/2024. The last lead paint and asbestos testing was completed on 3/27/2025. The Emergency Preparedness and Response plan was on-site for the school age program but was missing in the preschool program. The Emergency Medical Care Plan was posted during the visit. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all cars is at adequate depth. The staff members have access to the children’s emergency information and records online. An example of the emergency information that is carried with staff was provided today and contains the emergency contact and emergency medical information as required. Upon arrival, I was greeted by Wilson Lewis, Group Leader. A walkthrough of the indoor and outdoor environment was conducted. The group of eight- to twelve-year-old children were engaged in outdoor gross motor play on the playground. Two (2) staff were outside supervising the group of eighteen (18). While monitoring the playground, I observed debris around the playground (Kleenex’s, plastic water bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that staff would need to pick up the debris and discard it in the trash receptacle located on the playground. Active bee nest located under the wooden bridge and a child with a recently established bee allergy was engaged in play. We discussed that the group would need to establish a new play location to keep the child away from the active bee nest until it is treated and removed. At 10:25a the group lined up to prepare to transition to the restroom and cafeteria. At 10:30a, the group transitioned into the cafeteria for center play at the tables. Lunch was served 11:00a. The group of seven- to nine-year-old children were located in the cafeteria engaged in center play at the tables with links, legos, drawing, and making bracelets. At 10:56a the group leader began serving lunch, and at 11:36a the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of fifteen (15) children and two (2) staff members. The group of five- to seven-year-old children were located in the gym. The group was engaged in center play with legos, magnetic tiles, links, and race tracks. Staff member was moving about the indoor area supervising the children. At 10:50a, the group was located in the cafeteria for lunch. At 11:36a, the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of thirteen (13) children and one (1) staff members. The group of four- to five-year-old children were located in the classroom engaged in free play with animals, legos, links, and cars. While monitoring the classroom, I observed the Emergency Medical Care (EMC) plan was not completed in its entirety for the YMCA summer program. The EMC was missing the medical consultant name and information, emergency room name and information, and hospital name and information. The Emergency Preparedness and Response (EPR) plan posted in the classroom was for the Black Mountain Primary Head Start classroom and not current for the YMCA summer preschool program. At 11:11a the group arrived in the cafeteria for lunch. The group was given hand sanitizer upon arrival in the cafeteria, while the other staff member sanitized the tables. Once tables were sanitized, the group sat down and the staff distributed lunch. Lunch consisted of pizza wedge, hot butter corn, cool tropics rip, and milk. Bus B2 repairs have been completed, and the bus was used for today’s field trip. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff member SM hired 6/12/2025 and MV hired 6/12/2025 one (1) topic (Information regarding prevention of shaken baby syndrome and abusive trauma and maltreatment) was not completed during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. Active bees nest under the wooden bridge on the playground. 10A NCAC 09 .0601(a) 833 The EMC plan did not give the procedures to be followed . While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. 10A NCAC 09 .0802(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. 10A NCAC 09 .0803(1)(a & b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). 10A NCAC 09 .0604(p) 1043 All staff records, except financial records, were not made available for review. Staff member MH hired 4/23/25 file was not on-site for review. G.S. 110-91( 9) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. .0607(c) Technical assistance was provided as follows: Item 807 While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. We discussed that the cover would need to be secured to the unit. The administrator resecured to the front of the unit. Active bees nest under the wooden bridge on the playground. We discussed treating, removing the bees nest, and establishing another outdoor play area away from the wooden bridge. Rule Reference: 10A NCAC 09.0601(a) Item 833 While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. We discussed that each of the these items is part of the EMC procedures that must be followed by staff in the event of an emergency. The administrator did have a completed copy on her computer, and was able to print and post it in the classroom. Rule Reference: 10A NCAC 09.0802 (a) Item 842 One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. We discussed prior to allowing medications in the group to ensure all the required medication forms are completed and on-site. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 856 While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that the group leaders will need to conduct a outdoor check prior to the children engaging in play and remove any debris and discard it in the trash receptacle. Rule Reference: 10A NCAC 09.0604(p) Item 1043 Staff member MH hired 4/23/25 file was not on-site for review. We discussed that each staff members electronic file should be on-site and available for review. Rule Reference: G.S. 110-91(9) Item 1812 The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. While reviewing this with the administrator, the administrator was able to show me the EPR plan and we discussed the items that needed to be updated to reflect the preschool children. Once completed, the administrator will need to send it to the preschool staff to print and have on-site and available in the event of an emergency. Rule Reference: 10A NCAC 09 .0607(c) 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 8/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing medication requirements to refresh the staff when accepting new medications on-site. We discussed the field trip requirements and the administration stated that previously they were given directives to add information to the parent handbook regarding field trips. I stated that I would follow up with my supervisor and get back with the administrator. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 7/25/2025 Number Present: 56 Completed Date: 7/25/2025 Age: From 4 To 12 Total Minutes: 270 Time In: 10:15 AM Time Out: 02:45 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 your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Delaney Burke, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Gage Buckner, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. Samantha Applegate, Program Director arrived at 11:05a and Delaney Burke, Administrator arrived later to assist with the visit. The program’s annual compliance visit was conducted on 3/19/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 6/16/2025. Special Services/Restrictions – First shift (Daytime care), meets enhanced space, meets reduced ratios, PS children served June-August only. SA playground does not meet safety standards. The last fire drill was practiced on 6/4/2025 for school age, and 6/30/25 for preschool. The last emergency drill, lockdown drill, was practiced on 6/6/2025 for school age and preschool will need to conduct a drill by 7/30/2025. The last fire inspection was approved on 9/8/24 for school age and 2/26/2025 for preschool. The program’s most recent sanitation inspection was completed on 1/15/2025 for school age, with six (6) demerits and 5/21/2025 for preschool, with zero (0) demerits. The last lead water testing was completed on 6/11/2024. The last lead paint and asbestos testing was completed on 3/27/2025. The Emergency Preparedness and Response plan was on-site for the school age program but was missing in the preschool program. The Emergency Medical Care Plan was posted during the visit. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all cars is at adequate depth. The staff members have access to the children’s emergency information and records online. An example of the emergency information that is carried with staff was provided today and contains the emergency contact and emergency medical information as required. Upon arrival, I was greeted by Wilson Lewis, Group Leader. A walkthrough of the indoor and outdoor environment was conducted. The group of eight- to twelve-year-old children were engaged in outdoor gross motor play on the playground. Two (2) staff were outside supervising the group of eighteen (18). While monitoring the playground, I observed debris around the playground (Kleenex’s, plastic water bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that staff would need to pick up the debris and discard it in the trash receptacle located on the playground. Active bee nest located under the wooden bridge and a child with a recently established bee allergy was engaged in play. We discussed that the group would need to establish a new play location to keep the child away from the active bee nest until it is treated and removed. At 10:25a the group lined up to prepare to transition to the restroom and cafeteria. At 10:30a, the group transitioned into the cafeteria for center play at the tables. Lunch was served 11:00a. The group of seven- to nine-year-old children were located in the cafeteria engaged in center play at the tables with links, legos, drawing, and making bracelets. At 10:56a the group leader began serving lunch, and at 11:36a the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of fifteen (15) children and two (2) staff members. The group of five- to seven-year-old children were located in the gym. The group was engaged in center play with legos, magnetic tiles, links, and race tracks. Staff member was moving about the indoor area supervising the children. At 10:50a, the group was located in the cafeteria for lunch. At 11:36a, the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of thirteen (13) children and one (1) staff members. The group of four- to five-year-old children were located in the classroom engaged in free play with animals, legos, links, and cars. While monitoring the classroom, I observed the Emergency Medical Care (EMC) plan was not completed in its entirety for the YMCA summer program. The EMC was missing the medical consultant name and information, emergency room name and information, and hospital name and information. The Emergency Preparedness and Response (EPR) plan posted in the classroom was for the Black Mountain Primary Head Start classroom and not current for the YMCA summer preschool program. At 11:11a the group arrived in the cafeteria for lunch. The group was given hand sanitizer upon arrival in the cafeteria, while the other staff member sanitized the tables. Once tables were sanitized, the group sat down and the staff distributed lunch. Lunch consisted of pizza wedge, hot butter corn, cool tropics rip, and milk. Bus B2 repairs have been completed, and the bus was used for today’s field trip. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff member SM hired 6/12/2025 and MV hired 6/12/2025 one (1) topic (Information regarding prevention of shaken baby syndrome and abusive trauma and maltreatment) was not completed during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. Active bees nest under the wooden bridge on the playground. 10A NCAC 09 .0601(a) 833 The EMC plan did not give the procedures to be followed . While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. 10A NCAC 09 .0802(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. 10A NCAC 09 .0803(1)(a & b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). 10A NCAC 09 .0604(p) 1043 All staff records, except financial records, were not made available for review. Staff member MH hired 4/23/25 file was not on-site for review. G.S. 110-91( 9) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. .0607(c) Technical assistance was provided as follows: Item 807 While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. We discussed that the cover would need to be secured to the unit. The administrator resecured to the front of the unit. Active bees nest under the wooden bridge on the playground. We discussed treating, removing the bees nest, and establishing another outdoor play area away from the wooden bridge. Rule Reference: 10A NCAC 09.0601(a) Item 833 While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. We discussed that each of the these items is part of the EMC procedures that must be followed by staff in the event of an emergency. The administrator did have a completed copy on her computer, and was able to print and post it in the classroom. Rule Reference: 10A NCAC 09.0802 (a) Item 842 One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. We discussed prior to allowing medications in the group to ensure all the required medication forms are completed and on-site. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 856 While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that the group leaders will need to conduct a outdoor check prior to the children engaging in play and remove any debris and discard it in the trash receptacle. Rule Reference: 10A NCAC 09.0604(p) Item 1043 Staff member MH hired 4/23/25 file was not on-site for review. We discussed that each staff members electronic file should be on-site and available for review. Rule Reference: G.S. 110-91(9) Item 1812 The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. While reviewing this with the administrator, the administrator was able to show me the EPR plan and we discussed the items that needed to be updated to reflect the preschool children. Once completed, the administrator will need to send it to the preschool staff to print and have on-site and available in the event of an emergency. Rule Reference: 10A NCAC 09 .0607(c) 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 8/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing medication requirements to refresh the staff when accepting new medications on-site. We discussed the field trip requirements and the administration stated that previously they were given directives to add information to the parent handbook regarding field trips. I stated that I would follow up with my supervisor and get back with the administrator. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 7/25/2025 Number Present: 56 Completed Date: 7/25/2025 Age: From 4 To 12 Total Minutes: 270 Time In: 10:15 AM Time Out: 02:45 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 your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Delaney Burke, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Gage Buckner, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. Samantha Applegate, Program Director arrived at 11:05a and Delaney Burke, Administrator arrived later to assist with the visit. The program’s annual compliance visit was conducted on 3/19/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 6/16/2025. Special Services/Restrictions – First shift (Daytime care), meets enhanced space, meets reduced ratios, PS children served June-August only. SA playground does not meet safety standards. The last fire drill was practiced on 6/4/2025 for school age, and 6/30/25 for preschool. The last emergency drill, lockdown drill, was practiced on 6/6/2025 for school age and preschool will need to conduct a drill by 7/30/2025. The last fire inspection was approved on 9/8/24 for school age and 2/26/2025 for preschool. The program’s most recent sanitation inspection was completed on 1/15/2025 for school age, with six (6) demerits and 5/21/2025 for preschool, with zero (0) demerits. The last lead water testing was completed on 6/11/2024. The last lead paint and asbestos testing was completed on 3/27/2025. The Emergency Preparedness and Response plan was on-site for the school age program but was missing in the preschool program. The Emergency Medical Care Plan was posted during the visit. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all cars is at adequate depth. The staff members have access to the children’s emergency information and records online. An example of the emergency information that is carried with staff was provided today and contains the emergency contact and emergency medical information as required. Upon arrival, I was greeted by Wilson Lewis, Group Leader. A walkthrough of the indoor and outdoor environment was conducted. The group of eight- to twelve-year-old children were engaged in outdoor gross motor play on the playground. Two (2) staff were outside supervising the group of eighteen (18). While monitoring the playground, I observed debris around the playground (Kleenex’s, plastic water bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that staff would need to pick up the debris and discard it in the trash receptacle located on the playground. Active bee nest located under the wooden bridge and a child with a recently established bee allergy was engaged in play. We discussed that the group would need to establish a new play location to keep the child away from the active bee nest until it is treated and removed. At 10:25a the group lined up to prepare to transition to the restroom and cafeteria. At 10:30a, the group transitioned into the cafeteria for center play at the tables. Lunch was served 11:00a. The group of seven- to nine-year-old children were located in the cafeteria engaged in center play at the tables with links, legos, drawing, and making bracelets. At 10:56a the group leader began serving lunch, and at 11:36a the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of fifteen (15) children and two (2) staff members. The group of five- to seven-year-old children were located in the gym. The group was engaged in center play with legos, magnetic tiles, links, and race tracks. Staff member was moving about the indoor area supervising the children. At 10:50a, the group was located in the cafeteria for lunch. At 11:36a, the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of thirteen (13) children and one (1) staff members. The group of four- to five-year-old children were located in the classroom engaged in free play with animals, legos, links, and cars. While monitoring the classroom, I observed the Emergency Medical Care (EMC) plan was not completed in its entirety for the YMCA summer program. The EMC was missing the medical consultant name and information, emergency room name and information, and hospital name and information. The Emergency Preparedness and Response (EPR) plan posted in the classroom was for the Black Mountain Primary Head Start classroom and not current for the YMCA summer preschool program. At 11:11a the group arrived in the cafeteria for lunch. The group was given hand sanitizer upon arrival in the cafeteria, while the other staff member sanitized the tables. Once tables were sanitized, the group sat down and the staff distributed lunch. Lunch consisted of pizza wedge, hot butter corn, cool tropics rip, and milk. Bus B2 repairs have been completed, and the bus was used for today’s field trip. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff member SM hired 6/12/2025 and MV hired 6/12/2025 one (1) topic (Information regarding prevention of shaken baby syndrome and abusive trauma and maltreatment) was not completed during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. Active bees nest under the wooden bridge on the playground. 10A NCAC 09 .0601(a) 833 The EMC plan did not give the procedures to be followed . While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. 10A NCAC 09 .0802(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. 10A NCAC 09 .0803(1)(a & b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). 10A NCAC 09 .0604(p) 1043 All staff records, except financial records, were not made available for review. Staff member MH hired 4/23/25 file was not on-site for review. G.S. 110-91( 9) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. .0607(c) Technical assistance was provided as follows: Item 807 While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. We discussed that the cover would need to be secured to the unit. The administrator resecured to the front of the unit. Active bees nest under the wooden bridge on the playground. We discussed treating, removing the bees nest, and establishing another outdoor play area away from the wooden bridge. Rule Reference: 10A NCAC 09.0601(a) Item 833 While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. We discussed that each of the these items is part of the EMC procedures that must be followed by staff in the event of an emergency. The administrator did have a completed copy on her computer, and was able to print and post it in the classroom. Rule Reference: 10A NCAC 09.0802 (a) Item 842 One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. We discussed prior to allowing medications in the group to ensure all the required medication forms are completed and on-site. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 856 While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that the group leaders will need to conduct a outdoor check prior to the children engaging in play and remove any debris and discard it in the trash receptacle. Rule Reference: 10A NCAC 09.0604(p) Item 1043 Staff member MH hired 4/23/25 file was not on-site for review. We discussed that each staff members electronic file should be on-site and available for review. Rule Reference: G.S. 110-91(9) Item 1812 The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. While reviewing this with the administrator, the administrator was able to show me the EPR plan and we discussed the items that needed to be updated to reflect the preschool children. Once completed, the administrator will need to send it to the preschool staff to print and have on-site and available in the event of an emergency. Rule Reference: 10A NCAC 09 .0607(c) 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 8/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing medication requirements to refresh the staff when accepting new medications on-site. We discussed the field trip requirements and the administration stated that previously they were given directives to add information to the parent handbook regarding field trips. I stated that I would follow up with my supervisor and get back with the administrator. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 7/25/2025 Number Present: 56 Completed Date: 7/25/2025 Age: From 4 To 12 Total Minutes: 270 Time In: 10:15 AM Time Out: 02:45 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 your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Delaney Burke, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Gage Buckner, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. Samantha Applegate, Program Director arrived at 11:05a and Delaney Burke, Administrator arrived later to assist with the visit. The program’s annual compliance visit was conducted on 3/19/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 6/16/2025. Special Services/Restrictions – First shift (Daytime care), meets enhanced space, meets reduced ratios, PS children served June-August only. SA playground does not meet safety standards. The last fire drill was practiced on 6/4/2025 for school age, and 6/30/25 for preschool. The last emergency drill, lockdown drill, was practiced on 6/6/2025 for school age and preschool will need to conduct a drill by 7/30/2025. The last fire inspection was approved on 9/8/24 for school age and 2/26/2025 for preschool. The program’s most recent sanitation inspection was completed on 1/15/2025 for school age, with six (6) demerits and 5/21/2025 for preschool, with zero (0) demerits. The last lead water testing was completed on 6/11/2024. The last lead paint and asbestos testing was completed on 3/27/2025. The Emergency Preparedness and Response plan was on-site for the school age program but was missing in the preschool program. The Emergency Medical Care Plan was posted during the visit. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all cars is at adequate depth. The staff members have access to the children’s emergency information and records online. An example of the emergency information that is carried with staff was provided today and contains the emergency contact and emergency medical information as required. Upon arrival, I was greeted by Wilson Lewis, Group Leader. A walkthrough of the indoor and outdoor environment was conducted. The group of eight- to twelve-year-old children were engaged in outdoor gross motor play on the playground. Two (2) staff were outside supervising the group of eighteen (18). While monitoring the playground, I observed debris around the playground (Kleenex’s, plastic water bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that staff would need to pick up the debris and discard it in the trash receptacle located on the playground. Active bee nest located under the wooden bridge and a child with a recently established bee allergy was engaged in play. We discussed that the group would need to establish a new play location to keep the child away from the active bee nest until it is treated and removed. At 10:25a the group lined up to prepare to transition to the restroom and cafeteria. At 10:30a, the group transitioned into the cafeteria for center play at the tables. Lunch was served 11:00a. The group of seven- to nine-year-old children were located in the cafeteria engaged in center play at the tables with links, legos, drawing, and making bracelets. At 10:56a the group leader began serving lunch, and at 11:36a the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of fifteen (15) children and two (2) staff members. The group of five- to seven-year-old children were located in the gym. The group was engaged in center play with legos, magnetic tiles, links, and race tracks. Staff member was moving about the indoor area supervising the children. At 10:50a, the group was located in the cafeteria for lunch. At 11:36a, the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of thirteen (13) children and one (1) staff members. The group of four- to five-year-old children were located in the classroom engaged in free play with animals, legos, links, and cars. While monitoring the classroom, I observed the Emergency Medical Care (EMC) plan was not completed in its entirety for the YMCA summer program. The EMC was missing the medical consultant name and information, emergency room name and information, and hospital name and information. The Emergency Preparedness and Response (EPR) plan posted in the classroom was for the Black Mountain Primary Head Start classroom and not current for the YMCA summer preschool program. At 11:11a the group arrived in the cafeteria for lunch. The group was given hand sanitizer upon arrival in the cafeteria, while the other staff member sanitized the tables. Once tables were sanitized, the group sat down and the staff distributed lunch. Lunch consisted of pizza wedge, hot butter corn, cool tropics rip, and milk. Bus B2 repairs have been completed, and the bus was used for today’s field trip. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff member SM hired 6/12/2025 and MV hired 6/12/2025 one (1) topic (Information regarding prevention of shaken baby syndrome and abusive trauma and maltreatment) was not completed during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. Active bees nest under the wooden bridge on the playground. 10A NCAC 09 .0601(a) 833 The EMC plan did not give the procedures to be followed . While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. 10A NCAC 09 .0802(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. 10A NCAC 09 .0803(1)(a & b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). 10A NCAC 09 .0604(p) 1043 All staff records, except financial records, were not made available for review. Staff member MH hired 4/23/25 file was not on-site for review. G.S. 110-91( 9) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. .0607(c) Technical assistance was provided as follows: Item 807 While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. We discussed that the cover would need to be secured to the unit. The administrator resecured to the front of the unit. Active bees nest under the wooden bridge on the playground. We discussed treating, removing the bees nest, and establishing another outdoor play area away from the wooden bridge. Rule Reference: 10A NCAC 09.0601(a) Item 833 While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. We discussed that each of the these items is part of the EMC procedures that must be followed by staff in the event of an emergency. The administrator did have a completed copy on her computer, and was able to print and post it in the classroom. Rule Reference: 10A NCAC 09.0802 (a) Item 842 One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. We discussed prior to allowing medications in the group to ensure all the required medication forms are completed and on-site. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 856 While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that the group leaders will need to conduct a outdoor check prior to the children engaging in play and remove any debris and discard it in the trash receptacle. Rule Reference: 10A NCAC 09.0604(p) Item 1043 Staff member MH hired 4/23/25 file was not on-site for review. We discussed that each staff members electronic file should be on-site and available for review. Rule Reference: G.S. 110-91(9) Item 1812 The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. While reviewing this with the administrator, the administrator was able to show me the EPR plan and we discussed the items that needed to be updated to reflect the preschool children. Once completed, the administrator will need to send it to the preschool staff to print and have on-site and available in the event of an emergency. Rule Reference: 10A NCAC 09 .0607(c) 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 8/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing medication requirements to refresh the staff when accepting new medications on-site. We discussed the field trip requirements and the administration stated that previously they were given directives to add information to the parent handbook regarding field trips. I stated that I would follow up with my supervisor and get back with the administrator. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 7/25/2025 Number Present: 56 Completed Date: 7/25/2025 Age: From 4 To 12 Total Minutes: 270 Time In: 10:15 AM Time Out: 02:45 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 your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Delaney Burke, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Gage Buckner, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. Samantha Applegate, Program Director arrived at 11:05a and Delaney Burke, Administrator arrived later to assist with the visit. The program’s annual compliance visit was conducted on 3/19/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 6/16/2025. Special Services/Restrictions – First shift (Daytime care), meets enhanced space, meets reduced ratios, PS children served June-August only. SA playground does not meet safety standards. The last fire drill was practiced on 6/4/2025 for school age, and 6/30/25 for preschool. The last emergency drill, lockdown drill, was practiced on 6/6/2025 for school age and preschool will need to conduct a drill by 7/30/2025. The last fire inspection was approved on 9/8/24 for school age and 2/26/2025 for preschool. The program’s most recent sanitation inspection was completed on 1/15/2025 for school age, with six (6) demerits and 5/21/2025 for preschool, with zero (0) demerits. The last lead water testing was completed on 6/11/2024. The last lead paint and asbestos testing was completed on 3/27/2025. The Emergency Preparedness and Response plan was on-site for the school age program but was missing in the preschool program. The Emergency Medical Care Plan was posted during the visit. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all cars is at adequate depth. The staff members have access to the children’s emergency information and records online. An example of the emergency information that is carried with staff was provided today and contains the emergency contact and emergency medical information as required. Upon arrival, I was greeted by Wilson Lewis, Group Leader. A walkthrough of the indoor and outdoor environment was conducted. The group of eight- to twelve-year-old children were engaged in outdoor gross motor play on the playground. Two (2) staff were outside supervising the group of eighteen (18). While monitoring the playground, I observed debris around the playground (Kleenex’s, plastic water bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that staff would need to pick up the debris and discard it in the trash receptacle located on the playground. Active bee nest located under the wooden bridge and a child with a recently established bee allergy was engaged in play. We discussed that the group would need to establish a new play location to keep the child away from the active bee nest until it is treated and removed. At 10:25a the group lined up to prepare to transition to the restroom and cafeteria. At 10:30a, the group transitioned into the cafeteria for center play at the tables. Lunch was served 11:00a. The group of seven- to nine-year-old children were located in the cafeteria engaged in center play at the tables with links, legos, drawing, and making bracelets. At 10:56a the group leader began serving lunch, and at 11:36a the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of fifteen (15) children and two (2) staff members. The group of five- to seven-year-old children were located in the gym. The group was engaged in center play with legos, magnetic tiles, links, and race tracks. Staff member was moving about the indoor area supervising the children. At 10:50a, the group was located in the cafeteria for lunch. At 11:36a, the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of thirteen (13) children and one (1) staff members. The group of four- to five-year-old children were located in the classroom engaged in free play with animals, legos, links, and cars. While monitoring the classroom, I observed the Emergency Medical Care (EMC) plan was not completed in its entirety for the YMCA summer program. The EMC was missing the medical consultant name and information, emergency room name and information, and hospital name and information. The Emergency Preparedness and Response (EPR) plan posted in the classroom was for the Black Mountain Primary Head Start classroom and not current for the YMCA summer preschool program. At 11:11a the group arrived in the cafeteria for lunch. The group was given hand sanitizer upon arrival in the cafeteria, while the other staff member sanitized the tables. Once tables were sanitized, the group sat down and the staff distributed lunch. Lunch consisted of pizza wedge, hot butter corn, cool tropics rip, and milk. Bus B2 repairs have been completed, and the bus was used for today’s field trip. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff member SM hired 6/12/2025 and MV hired 6/12/2025 one (1) topic (Information regarding prevention of shaken baby syndrome and abusive trauma and maltreatment) was not completed during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. Active bees nest under the wooden bridge on the playground. 10A NCAC 09 .0601(a) 833 The EMC plan did not give the procedures to be followed . While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. 10A NCAC 09 .0802(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. 10A NCAC 09 .0803(1)(a & b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). 10A NCAC 09 .0604(p) 1043 All staff records, except financial records, were not made available for review. Staff member MH hired 4/23/25 file was not on-site for review. G.S. 110-91( 9) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. .0607(c) Technical assistance was provided as follows: Item 807 While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. We discussed that the cover would need to be secured to the unit. The administrator resecured to the front of the unit. Active bees nest under the wooden bridge on the playground. We discussed treating, removing the bees nest, and establishing another outdoor play area away from the wooden bridge. Rule Reference: 10A NCAC 09.0601(a) Item 833 While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. We discussed that each of the these items is part of the EMC procedures that must be followed by staff in the event of an emergency. The administrator did have a completed copy on her computer, and was able to print and post it in the classroom. Rule Reference: 10A NCAC 09.0802 (a) Item 842 One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. We discussed prior to allowing medications in the group to ensure all the required medication forms are completed and on-site. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 856 While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that the group leaders will need to conduct a outdoor check prior to the children engaging in play and remove any debris and discard it in the trash receptacle. Rule Reference: 10A NCAC 09.0604(p) Item 1043 Staff member MH hired 4/23/25 file was not on-site for review. We discussed that each staff members electronic file should be on-site and available for review. Rule Reference: G.S. 110-91(9) Item 1812 The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. While reviewing this with the administrator, the administrator was able to show me the EPR plan and we discussed the items that needed to be updated to reflect the preschool children. Once completed, the administrator will need to send it to the preschool staff to print and have on-site and available in the event of an emergency. Rule Reference: 10A NCAC 09 .0607(c) 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 8/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing medication requirements to refresh the staff when accepting new medications on-site. We discussed the field trip requirements and the administration stated that previously they were given directives to add information to the parent handbook regarding field trips. I stated that I would follow up with my supervisor and get back with the administrator. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 7/25/2025 Number Present: 56 Completed Date: 7/25/2025 Age: From 4 To 12 Total Minutes: 270 Time In: 10:15 AM Time Out: 02:45 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 your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Delaney Burke, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Gage Buckner, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. Samantha Applegate, Program Director arrived at 11:05a and Delaney Burke, Administrator arrived later to assist with the visit. The program’s annual compliance visit was conducted on 3/19/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 6/16/2025. Special Services/Restrictions – First shift (Daytime care), meets enhanced space, meets reduced ratios, PS children served June-August only. SA playground does not meet safety standards. The last fire drill was practiced on 6/4/2025 for school age, and 6/30/25 for preschool. The last emergency drill, lockdown drill, was practiced on 6/6/2025 for school age and preschool will need to conduct a drill by 7/30/2025. The last fire inspection was approved on 9/8/24 for school age and 2/26/2025 for preschool. The program’s most recent sanitation inspection was completed on 1/15/2025 for school age, with six (6) demerits and 5/21/2025 for preschool, with zero (0) demerits. The last lead water testing was completed on 6/11/2024. The last lead paint and asbestos testing was completed on 3/27/2025. The Emergency Preparedness and Response plan was on-site for the school age program but was missing in the preschool program. The Emergency Medical Care Plan was posted during the visit. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all cars is at adequate depth. The staff members have access to the children’s emergency information and records online. An example of the emergency information that is carried with staff was provided today and contains the emergency contact and emergency medical information as required. Upon arrival, I was greeted by Wilson Lewis, Group Leader. A walkthrough of the indoor and outdoor environment was conducted. The group of eight- to twelve-year-old children were engaged in outdoor gross motor play on the playground. Two (2) staff were outside supervising the group of eighteen (18). While monitoring the playground, I observed debris around the playground (Kleenex’s, plastic water bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that staff would need to pick up the debris and discard it in the trash receptacle located on the playground. Active bee nest located under the wooden bridge and a child with a recently established bee allergy was engaged in play. We discussed that the group would need to establish a new play location to keep the child away from the active bee nest until it is treated and removed. At 10:25a the group lined up to prepare to transition to the restroom and cafeteria. At 10:30a, the group transitioned into the cafeteria for center play at the tables. Lunch was served 11:00a. The group of seven- to nine-year-old children were located in the cafeteria engaged in center play at the tables with links, legos, drawing, and making bracelets. At 10:56a the group leader began serving lunch, and at 11:36a the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of fifteen (15) children and two (2) staff members. The group of five- to seven-year-old children were located in the gym. The group was engaged in center play with legos, magnetic tiles, links, and race tracks. Staff member was moving about the indoor area supervising the children. At 10:50a, the group was located in the cafeteria for lunch. At 11:36a, the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of thirteen (13) children and one (1) staff members. The group of four- to five-year-old children were located in the classroom engaged in free play with animals, legos, links, and cars. While monitoring the classroom, I observed the Emergency Medical Care (EMC) plan was not completed in its entirety for the YMCA summer program. The EMC was missing the medical consultant name and information, emergency room name and information, and hospital name and information. The Emergency Preparedness and Response (EPR) plan posted in the classroom was for the Black Mountain Primary Head Start classroom and not current for the YMCA summer preschool program. At 11:11a the group arrived in the cafeteria for lunch. The group was given hand sanitizer upon arrival in the cafeteria, while the other staff member sanitized the tables. Once tables were sanitized, the group sat down and the staff distributed lunch. Lunch consisted of pizza wedge, hot butter corn, cool tropics rip, and milk. Bus B2 repairs have been completed, and the bus was used for today’s field trip. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff member SM hired 6/12/2025 and MV hired 6/12/2025 one (1) topic (Information regarding prevention of shaken baby syndrome and abusive trauma and maltreatment) was not completed during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. Active bees nest under the wooden bridge on the playground. 10A NCAC 09 .0601(a) 833 The EMC plan did not give the procedures to be followed . While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. 10A NCAC 09 .0802(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. 10A NCAC 09 .0803(1)(a & b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). 10A NCAC 09 .0604(p) 1043 All staff records, except financial records, were not made available for review. Staff member MH hired 4/23/25 file was not on-site for review. G.S. 110-91( 9) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. .0607(c) Technical assistance was provided as follows: Item 807 While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. We discussed that the cover would need to be secured to the unit. The administrator resecured to the front of the unit. Active bees nest under the wooden bridge on the playground. We discussed treating, removing the bees nest, and establishing another outdoor play area away from the wooden bridge. Rule Reference: 10A NCAC 09.0601(a) Item 833 While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. We discussed that each of the these items is part of the EMC procedures that must be followed by staff in the event of an emergency. The administrator did have a completed copy on her computer, and was able to print and post it in the classroom. Rule Reference: 10A NCAC 09.0802 (a) Item 842 One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. We discussed prior to allowing medications in the group to ensure all the required medication forms are completed and on-site. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 856 While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that the group leaders will need to conduct a outdoor check prior to the children engaging in play and remove any debris and discard it in the trash receptacle. Rule Reference: 10A NCAC 09.0604(p) Item 1043 Staff member MH hired 4/23/25 file was not on-site for review. We discussed that each staff members electronic file should be on-site and available for review. Rule Reference: G.S. 110-91(9) Item 1812 The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. While reviewing this with the administrator, the administrator was able to show me the EPR plan and we discussed the items that needed to be updated to reflect the preschool children. Once completed, the administrator will need to send it to the preschool staff to print and have on-site and available in the event of an emergency. Rule Reference: 10A NCAC 09 .0607(c) 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 8/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing medication requirements to refresh the staff when accepting new medications on-site. We discussed the field trip requirements and the administration stated that previously they were given directives to add information to the parent handbook regarding field trips. I stated that I would follow up with my supervisor and get back with the administrator. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 7/25/2025 Number Present: 56 Completed Date: 7/25/2025 Age: From 4 To 12 Total Minutes: 270 Time In: 10:15 AM Time Out: 02:45 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 your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Delaney Burke, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Gage Buckner, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. Samantha Applegate, Program Director arrived at 11:05a and Delaney Burke, Administrator arrived later to assist with the visit. The program’s annual compliance visit was conducted on 3/19/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 6/16/2025. Special Services/Restrictions – First shift (Daytime care), meets enhanced space, meets reduced ratios, PS children served June-August only. SA playground does not meet safety standards. The last fire drill was practiced on 6/4/2025 for school age, and 6/30/25 for preschool. The last emergency drill, lockdown drill, was practiced on 6/6/2025 for school age and preschool will need to conduct a drill by 7/30/2025. The last fire inspection was approved on 9/8/24 for school age and 2/26/2025 for preschool. The program’s most recent sanitation inspection was completed on 1/15/2025 for school age, with six (6) demerits and 5/21/2025 for preschool, with zero (0) demerits. The last lead water testing was completed on 6/11/2024. The last lead paint and asbestos testing was completed on 3/27/2025. The Emergency Preparedness and Response plan was on-site for the school age program but was missing in the preschool program. The Emergency Medical Care Plan was posted during the visit. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all cars is at adequate depth. The staff members have access to the children’s emergency information and records online. An example of the emergency information that is carried with staff was provided today and contains the emergency contact and emergency medical information as required. Upon arrival, I was greeted by Wilson Lewis, Group Leader. A walkthrough of the indoor and outdoor environment was conducted. The group of eight- to twelve-year-old children were engaged in outdoor gross motor play on the playground. Two (2) staff were outside supervising the group of eighteen (18). While monitoring the playground, I observed debris around the playground (Kleenex’s, plastic water bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that staff would need to pick up the debris and discard it in the trash receptacle located on the playground. Active bee nest located under the wooden bridge and a child with a recently established bee allergy was engaged in play. We discussed that the group would need to establish a new play location to keep the child away from the active bee nest until it is treated and removed. At 10:25a the group lined up to prepare to transition to the restroom and cafeteria. At 10:30a, the group transitioned into the cafeteria for center play at the tables. Lunch was served 11:00a. The group of seven- to nine-year-old children were located in the cafeteria engaged in center play at the tables with links, legos, drawing, and making bracelets. At 10:56a the group leader began serving lunch, and at 11:36a the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of fifteen (15) children and two (2) staff members. The group of five- to seven-year-old children were located in the gym. The group was engaged in center play with legos, magnetic tiles, links, and race tracks. Staff member was moving about the indoor area supervising the children. At 10:50a, the group was located in the cafeteria for lunch. At 11:36a, the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of thirteen (13) children and one (1) staff members. The group of four- to five-year-old children were located in the classroom engaged in free play with animals, legos, links, and cars. While monitoring the classroom, I observed the Emergency Medical Care (EMC) plan was not completed in its entirety for the YMCA summer program. The EMC was missing the medical consultant name and information, emergency room name and information, and hospital name and information. The Emergency Preparedness and Response (EPR) plan posted in the classroom was for the Black Mountain Primary Head Start classroom and not current for the YMCA summer preschool program. At 11:11a the group arrived in the cafeteria for lunch. The group was given hand sanitizer upon arrival in the cafeteria, while the other staff member sanitized the tables. Once tables were sanitized, the group sat down and the staff distributed lunch. Lunch consisted of pizza wedge, hot butter corn, cool tropics rip, and milk. Bus B2 repairs have been completed, and the bus was used for today’s field trip. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff member SM hired 6/12/2025 and MV hired 6/12/2025 one (1) topic (Information regarding prevention of shaken baby syndrome and abusive trauma and maltreatment) was not completed during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. Active bees nest under the wooden bridge on the playground. 10A NCAC 09 .0601(a) 833 The EMC plan did not give the procedures to be followed . While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. 10A NCAC 09 .0802(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. 10A NCAC 09 .0803(1)(a & b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). 10A NCAC 09 .0604(p) 1043 All staff records, except financial records, were not made available for review. Staff member MH hired 4/23/25 file was not on-site for review. G.S. 110-91( 9) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. .0607(c) Technical assistance was provided as follows: Item 807 While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. We discussed that the cover would need to be secured to the unit. The administrator resecured to the front of the unit. Active bees nest under the wooden bridge on the playground. We discussed treating, removing the bees nest, and establishing another outdoor play area away from the wooden bridge. Rule Reference: 10A NCAC 09.0601(a) Item 833 While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. We discussed that each of the these items is part of the EMC procedures that must be followed by staff in the event of an emergency. The administrator did have a completed copy on her computer, and was able to print and post it in the classroom. Rule Reference: 10A NCAC 09.0802 (a) Item 842 One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. We discussed prior to allowing medications in the group to ensure all the required medication forms are completed and on-site. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 856 While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that the group leaders will need to conduct a outdoor check prior to the children engaging in play and remove any debris and discard it in the trash receptacle. Rule Reference: 10A NCAC 09.0604(p) Item 1043 Staff member MH hired 4/23/25 file was not on-site for review. We discussed that each staff members electronic file should be on-site and available for review. Rule Reference: G.S. 110-91(9) Item 1812 The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. While reviewing this with the administrator, the administrator was able to show me the EPR plan and we discussed the items that needed to be updated to reflect the preschool children. Once completed, the administrator will need to send it to the preschool staff to print and have on-site and available in the event of an emergency. Rule Reference: 10A NCAC 09 .0607(c) 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 8/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing medication requirements to refresh the staff when accepting new medications on-site. We discussed the field trip requirements and the administration stated that previously they were given directives to add information to the parent handbook regarding field trips. I stated that I would follow up with my supervisor and get back with the administrator. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 7/25/2025 Number Present: 56 Completed Date: 7/25/2025 Age: From 4 To 12 Total Minutes: 270 Time In: 10:15 AM Time Out: 02:45 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 your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Delaney Burke, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Gage Buckner, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. Samantha Applegate, Program Director arrived at 11:05a and Delaney Burke, Administrator arrived later to assist with the visit. The program’s annual compliance visit was conducted on 3/19/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 6/16/2025. Special Services/Restrictions – First shift (Daytime care), meets enhanced space, meets reduced ratios, PS children served June-August only. SA playground does not meet safety standards. The last fire drill was practiced on 6/4/2025 for school age, and 6/30/25 for preschool. The last emergency drill, lockdown drill, was practiced on 6/6/2025 for school age and preschool will need to conduct a drill by 7/30/2025. The last fire inspection was approved on 9/8/24 for school age and 2/26/2025 for preschool. The program’s most recent sanitation inspection was completed on 1/15/2025 for school age, with six (6) demerits and 5/21/2025 for preschool, with zero (0) demerits. The last lead water testing was completed on 6/11/2024. The last lead paint and asbestos testing was completed on 3/27/2025. The Emergency Preparedness and Response plan was on-site for the school age program but was missing in the preschool program. The Emergency Medical Care Plan was posted during the visit. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all cars is at adequate depth. The staff members have access to the children’s emergency information and records online. An example of the emergency information that is carried with staff was provided today and contains the emergency contact and emergency medical information as required. Upon arrival, I was greeted by Wilson Lewis, Group Leader. A walkthrough of the indoor and outdoor environment was conducted. The group of eight- to twelve-year-old children were engaged in outdoor gross motor play on the playground. Two (2) staff were outside supervising the group of eighteen (18). While monitoring the playground, I observed debris around the playground (Kleenex’s, plastic water bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that staff would need to pick up the debris and discard it in the trash receptacle located on the playground. Active bee nest located under the wooden bridge and a child with a recently established bee allergy was engaged in play. We discussed that the group would need to establish a new play location to keep the child away from the active bee nest until it is treated and removed. At 10:25a the group lined up to prepare to transition to the restroom and cafeteria. At 10:30a, the group transitioned into the cafeteria for center play at the tables. Lunch was served 11:00a. The group of seven- to nine-year-old children were located in the cafeteria engaged in center play at the tables with links, legos, drawing, and making bracelets. At 10:56a the group leader began serving lunch, and at 11:36a the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of fifteen (15) children and two (2) staff members. The group of five- to seven-year-old children were located in the gym. The group was engaged in center play with legos, magnetic tiles, links, and race tracks. Staff member was moving about the indoor area supervising the children. At 10:50a, the group was located in the cafeteria for lunch. At 11:36a, the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of thirteen (13) children and one (1) staff members. The group of four- to five-year-old children were located in the classroom engaged in free play with animals, legos, links, and cars. While monitoring the classroom, I observed the Emergency Medical Care (EMC) plan was not completed in its entirety for the YMCA summer program. The EMC was missing the medical consultant name and information, emergency room name and information, and hospital name and information. The Emergency Preparedness and Response (EPR) plan posted in the classroom was for the Black Mountain Primary Head Start classroom and not current for the YMCA summer preschool program. At 11:11a the group arrived in the cafeteria for lunch. The group was given hand sanitizer upon arrival in the cafeteria, while the other staff member sanitized the tables. Once tables were sanitized, the group sat down and the staff distributed lunch. Lunch consisted of pizza wedge, hot butter corn, cool tropics rip, and milk. Bus B2 repairs have been completed, and the bus was used for today’s field trip. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff member SM hired 6/12/2025 and MV hired 6/12/2025 one (1) topic (Information regarding prevention of shaken baby syndrome and abusive trauma and maltreatment) was not completed during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. Active bees nest under the wooden bridge on the playground. 10A NCAC 09 .0601(a) 833 The EMC plan did not give the procedures to be followed . While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. 10A NCAC 09 .0802(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. 10A NCAC 09 .0803(1)(a & b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). 10A NCAC 09 .0604(p) 1043 All staff records, except financial records, were not made available for review. Staff member MH hired 4/23/25 file was not on-site for review. G.S. 110-91( 9) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. .0607(c) Technical assistance was provided as follows: Item 807 While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. We discussed that the cover would need to be secured to the unit. The administrator resecured to the front of the unit. Active bees nest under the wooden bridge on the playground. We discussed treating, removing the bees nest, and establishing another outdoor play area away from the wooden bridge. Rule Reference: 10A NCAC 09.0601(a) Item 833 While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. We discussed that each of the these items is part of the EMC procedures that must be followed by staff in the event of an emergency. The administrator did have a completed copy on her computer, and was able to print and post it in the classroom. Rule Reference: 10A NCAC 09.0802 (a) Item 842 One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. We discussed prior to allowing medications in the group to ensure all the required medication forms are completed and on-site. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 856 While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that the group leaders will need to conduct a outdoor check prior to the children engaging in play and remove any debris and discard it in the trash receptacle. Rule Reference: 10A NCAC 09.0604(p) Item 1043 Staff member MH hired 4/23/25 file was not on-site for review. We discussed that each staff members electronic file should be on-site and available for review. Rule Reference: G.S. 110-91(9) Item 1812 The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. While reviewing this with the administrator, the administrator was able to show me the EPR plan and we discussed the items that needed to be updated to reflect the preschool children. Once completed, the administrator will need to send it to the preschool staff to print and have on-site and available in the event of an emergency. Rule Reference: 10A NCAC 09 .0607(c) 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 8/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing medication requirements to refresh the staff when accepting new medications on-site. We discussed the field trip requirements and the administration stated that previously they were given directives to add information to the parent handbook regarding field trips. I stated that I would follow up with my supervisor and get back with the administrator. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 7/25/2025 Number Present: 56 Completed Date: 7/25/2025 Age: From 4 To 12 Total Minutes: 270 Time In: 10:15 AM Time Out: 02:45 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 your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Delaney Burke, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Gage Buckner, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. Samantha Applegate, Program Director arrived at 11:05a and Delaney Burke, Administrator arrived later to assist with the visit. The program’s annual compliance visit was conducted on 3/19/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 6/16/2025. Special Services/Restrictions – First shift (Daytime care), meets enhanced space, meets reduced ratios, PS children served June-August only. SA playground does not meet safety standards. The last fire drill was practiced on 6/4/2025 for school age, and 6/30/25 for preschool. The last emergency drill, lockdown drill, was practiced on 6/6/2025 for school age and preschool will need to conduct a drill by 7/30/2025. The last fire inspection was approved on 9/8/24 for school age and 2/26/2025 for preschool. The program’s most recent sanitation inspection was completed on 1/15/2025 for school age, with six (6) demerits and 5/21/2025 for preschool, with zero (0) demerits. The last lead water testing was completed on 6/11/2024. The last lead paint and asbestos testing was completed on 3/27/2025. The Emergency Preparedness and Response plan was on-site for the school age program but was missing in the preschool program. The Emergency Medical Care Plan was posted during the visit. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all cars is at adequate depth. The staff members have access to the children’s emergency information and records online. An example of the emergency information that is carried with staff was provided today and contains the emergency contact and emergency medical information as required. Upon arrival, I was greeted by Wilson Lewis, Group Leader. A walkthrough of the indoor and outdoor environment was conducted. The group of eight- to twelve-year-old children were engaged in outdoor gross motor play on the playground. Two (2) staff were outside supervising the group of eighteen (18). While monitoring the playground, I observed debris around the playground (Kleenex’s, plastic water bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that staff would need to pick up the debris and discard it in the trash receptacle located on the playground. Active bee nest located under the wooden bridge and a child with a recently established bee allergy was engaged in play. We discussed that the group would need to establish a new play location to keep the child away from the active bee nest until it is treated and removed. At 10:25a the group lined up to prepare to transition to the restroom and cafeteria. At 10:30a, the group transitioned into the cafeteria for center play at the tables. Lunch was served 11:00a. The group of seven- to nine-year-old children were located in the cafeteria engaged in center play at the tables with links, legos, drawing, and making bracelets. At 10:56a the group leader began serving lunch, and at 11:36a the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of fifteen (15) children and two (2) staff members. The group of five- to seven-year-old children were located in the gym. The group was engaged in center play with legos, magnetic tiles, links, and race tracks. Staff member was moving about the indoor area supervising the children. At 10:50a, the group was located in the cafeteria for lunch. At 11:36a, the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of thirteen (13) children and one (1) staff members. The group of four- to five-year-old children were located in the classroom engaged in free play with animals, legos, links, and cars. While monitoring the classroom, I observed the Emergency Medical Care (EMC) plan was not completed in its entirety for the YMCA summer program. The EMC was missing the medical consultant name and information, emergency room name and information, and hospital name and information. The Emergency Preparedness and Response (EPR) plan posted in the classroom was for the Black Mountain Primary Head Start classroom and not current for the YMCA summer preschool program. At 11:11a the group arrived in the cafeteria for lunch. The group was given hand sanitizer upon arrival in the cafeteria, while the other staff member sanitized the tables. Once tables were sanitized, the group sat down and the staff distributed lunch. Lunch consisted of pizza wedge, hot butter corn, cool tropics rip, and milk. Bus B2 repairs have been completed, and the bus was used for today’s field trip. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff member SM hired 6/12/2025 and MV hired 6/12/2025 one (1) topic (Information regarding prevention of shaken baby syndrome and abusive trauma and maltreatment) was not completed during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. Active bees nest under the wooden bridge on the playground. 10A NCAC 09 .0601(a) 833 The EMC plan did not give the procedures to be followed . While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. 10A NCAC 09 .0802(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. 10A NCAC 09 .0803(1)(a & b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). 10A NCAC 09 .0604(p) 1043 All staff records, except financial records, were not made available for review. Staff member MH hired 4/23/25 file was not on-site for review. G.S. 110-91( 9) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. .0607(c) Technical assistance was provided as follows: Item 807 While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. We discussed that the cover would need to be secured to the unit. The administrator resecured to the front of the unit. Active bees nest under the wooden bridge on the playground. We discussed treating, removing the bees nest, and establishing another outdoor play area away from the wooden bridge. Rule Reference: 10A NCAC 09.0601(a) Item 833 While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. We discussed that each of the these items is part of the EMC procedures that must be followed by staff in the event of an emergency. The administrator did have a completed copy on her computer, and was able to print and post it in the classroom. Rule Reference: 10A NCAC 09.0802 (a) Item 842 One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. We discussed prior to allowing medications in the group to ensure all the required medication forms are completed and on-site. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 856 While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that the group leaders will need to conduct a outdoor check prior to the children engaging in play and remove any debris and discard it in the trash receptacle. Rule Reference: 10A NCAC 09.0604(p) Item 1043 Staff member MH hired 4/23/25 file was not on-site for review. We discussed that each staff members electronic file should be on-site and available for review. Rule Reference: G.S. 110-91(9) Item 1812 The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. While reviewing this with the administrator, the administrator was able to show me the EPR plan and we discussed the items that needed to be updated to reflect the preschool children. Once completed, the administrator will need to send it to the preschool staff to print and have on-site and available in the event of an emergency. Rule Reference: 10A NCAC 09 .0607(c) 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 8/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing medication requirements to refresh the staff when accepting new medications on-site. We discussed the field trip requirements and the administration stated that previously they were given directives to add information to the parent handbook regarding field trips. I stated that I would follow up with my supervisor and get back with the administrator. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: YMCA BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 7/25/2025 Number Present: 56 Completed Date: 7/25/2025 Age: From 4 To 12 Total Minutes: 270 Time In: 10:15 AM Time Out: 02:45 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 your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Delaney Burke, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Gage Buckner, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. Samantha Applegate, Program Director arrived at 11:05a and Delaney Burke, Administrator arrived later to assist with the visit. The program’s annual compliance visit was conducted on 3/19/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 6/16/2025. Special Services/Restrictions – First shift (Daytime care), meets enhanced space, meets reduced ratios, PS children served June-August only. SA playground does not meet safety standards. The last fire drill was practiced on 6/4/2025 for school age, and 6/30/25 for preschool. The last emergency drill, lockdown drill, was practiced on 6/6/2025 for school age and preschool will need to conduct a drill by 7/30/2025. The last fire inspection was approved on 9/8/24 for school age and 2/26/2025 for preschool. The program’s most recent sanitation inspection was completed on 1/15/2025 for school age, with six (6) demerits and 5/21/2025 for preschool, with zero (0) demerits. The last lead water testing was completed on 6/11/2024. The last lead paint and asbestos testing was completed on 3/27/2025. The Emergency Preparedness and Response plan was on-site for the school age program but was missing in the preschool program. The Emergency Medical Care Plan was posted during the visit. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all cars is at adequate depth. The staff members have access to the children’s emergency information and records online. An example of the emergency information that is carried with staff was provided today and contains the emergency contact and emergency medical information as required. Upon arrival, I was greeted by Wilson Lewis, Group Leader. A walkthrough of the indoor and outdoor environment was conducted. The group of eight- to twelve-year-old children were engaged in outdoor gross motor play on the playground. Two (2) staff were outside supervising the group of eighteen (18). While monitoring the playground, I observed debris around the playground (Kleenex’s, plastic water bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that staff would need to pick up the debris and discard it in the trash receptacle located on the playground. Active bee nest located under the wooden bridge and a child with a recently established bee allergy was engaged in play. We discussed that the group would need to establish a new play location to keep the child away from the active bee nest until it is treated and removed. At 10:25a the group lined up to prepare to transition to the restroom and cafeteria. At 10:30a, the group transitioned into the cafeteria for center play at the tables. Lunch was served 11:00a. The group of seven- to nine-year-old children were located in the cafeteria engaged in center play at the tables with links, legos, drawing, and making bracelets. At 10:56a the group leader began serving lunch, and at 11:36a the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of fifteen (15) children and two (2) staff members. The group of five- to seven-year-old children were located in the gym. The group was engaged in center play with legos, magnetic tiles, links, and race tracks. Staff member was moving about the indoor area supervising the children. At 10:50a, the group was located in the cafeteria for lunch. At 11:36a, the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of thirteen (13) children and one (1) staff members. The group of four- to five-year-old children were located in the classroom engaged in free play with animals, legos, links, and cars. While monitoring the classroom, I observed the Emergency Medical Care (EMC) plan was not completed in its entirety for the YMCA summer program. The EMC was missing the medical consultant name and information, emergency room name and information, and hospital name and information. The Emergency Preparedness and Response (EPR) plan posted in the classroom was for the Black Mountain Primary Head Start classroom and not current for the YMCA summer preschool program. At 11:11a the group arrived in the cafeteria for lunch. The group was given hand sanitizer upon arrival in the cafeteria, while the other staff member sanitized the tables. Once tables were sanitized, the group sat down and the staff distributed lunch. Lunch consisted of pizza wedge, hot butter corn, cool tropics rip, and milk. Bus B2 repairs have been completed, and the bus was used for today’s field trip. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff member SM hired 6/12/2025 and MV hired 6/12/2025 one (1) topic (Information regarding prevention of shaken baby syndrome and abusive trauma and maltreatment) was not completed during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. Active bees nest under the wooden bridge on the playground. 10A NCAC 09 .0601(a) 833 The EMC plan did not give the procedures to be followed . While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. 10A NCAC 09 .0802(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. 10A NCAC 09 .0803(1)(a & b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). 10A NCAC 09 .0604(p) 1043 All staff records, except financial records, were not made available for review. Staff member MH hired 4/23/25 file was not on-site for review. G.S. 110-91( 9) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. .0607(c) Technical assistance was provided as follows: Item 807 While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. We discussed that the cover would need to be secured to the unit. The administrator resecured to the front of the unit. Active bees nest under the wooden bridge on the playground. We discussed treating, removing the bees nest, and establishing another outdoor play area away from the wooden bridge. Rule Reference: 10A NCAC 09.0601(a) Item 833 While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. We discussed that each of the these items is part of the EMC procedures that must be followed by staff in the event of an emergency. The administrator did have a completed copy on her computer, and was able to print and post it in the classroom. Rule Reference: 10A NCAC 09.0802 (a) Item 842 One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. We discussed prior to allowing medications in the group to ensure all the required medication forms are completed and on-site. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 856 While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that the group leaders will need to conduct a outdoor check prior to the children engaging in play and remove any debris and discard it in the trash receptacle. Rule Reference: 10A NCAC 09.0604(p) Item 1043 Staff member MH hired 4/23/25 file was not on-site for review. We discussed that each staff members electronic file should be on-site and available for review. Rule Reference: G.S. 110-91(9) Item 1812 The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. While reviewing this with the administrator, the administrator was able to show me the EPR plan and we discussed the items that needed to be updated to reflect the preschool children. Once completed, the administrator will need to send it to the preschool staff to print and have on-site and available in the event of an emergency. Rule Reference: 10A NCAC 09 .0607(c) 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 8/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing medication requirements to refresh the staff when accepting new medications on-site. We discussed the field trip requirements and the administration stated that previously they were given directives to add information to the parent handbook regarding field trips. I stated that I would follow up with my supervisor and get back with the administrator. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 7/25/2025 Number Present: 56 Completed Date: 7/25/2025 Age: From 4 To 12 Total Minutes: 270 Time In: 10:15 AM Time Out: 02:45 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 your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Delaney Burke, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Gage Buckner, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. Samantha Applegate, Program Director arrived at 11:05a and Delaney Burke, Administrator arrived later to assist with the visit. The program’s annual compliance visit was conducted on 3/19/2025. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Permit type – Five (5) Star Rated License, issued 6/16/2025. Special Services/Restrictions – First shift (Daytime care), meets enhanced space, meets reduced ratios, PS children served June-August only. SA playground does not meet safety standards. The last fire drill was practiced on 6/4/2025 for school age, and 6/30/25 for preschool. The last emergency drill, lockdown drill, was practiced on 6/6/2025 for school age and preschool will need to conduct a drill by 7/30/2025. The last fire inspection was approved on 9/8/24 for school age and 2/26/2025 for preschool. The program’s most recent sanitation inspection was completed on 1/15/2025 for school age, with six (6) demerits and 5/21/2025 for preschool, with zero (0) demerits. The last lead water testing was completed on 6/11/2024. The last lead paint and asbestos testing was completed on 3/27/2025. The Emergency Preparedness and Response plan was on-site for the school age program but was missing in the preschool program. The Emergency Medical Care Plan was posted during the visit. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all cars is at adequate depth. The staff members have access to the children’s emergency information and records online. An example of the emergency information that is carried with staff was provided today and contains the emergency contact and emergency medical information as required. Upon arrival, I was greeted by Wilson Lewis, Group Leader. A walkthrough of the indoor and outdoor environment was conducted. The group of eight- to twelve-year-old children were engaged in outdoor gross motor play on the playground. Two (2) staff were outside supervising the group of eighteen (18). While monitoring the playground, I observed debris around the playground (Kleenex’s, plastic water bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that staff would need to pick up the debris and discard it in the trash receptacle located on the playground. Active bee nest located under the wooden bridge and a child with a recently established bee allergy was engaged in play. We discussed that the group would need to establish a new play location to keep the child away from the active bee nest until it is treated and removed. At 10:25a the group lined up to prepare to transition to the restroom and cafeteria. At 10:30a, the group transitioned into the cafeteria for center play at the tables. Lunch was served 11:00a. The group of seven- to nine-year-old children were located in the cafeteria engaged in center play at the tables with links, legos, drawing, and making bracelets. At 10:56a the group leader began serving lunch, and at 11:36a the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of fifteen (15) children and two (2) staff members. The group of five- to seven-year-old children were located in the gym. The group was engaged in center play with legos, magnetic tiles, links, and race tracks. Staff member was moving about the indoor area supervising the children. At 10:50a, the group was located in the cafeteria for lunch. At 11:36a, the group transitioned to the bus to go on their field trip to the Nature Center. The children loaded the bus at 11:50a and the bus departed the facility at 12:00p. Group of thirteen (13) children and one (1) staff members. The group of four- to five-year-old children were located in the classroom engaged in free play with animals, legos, links, and cars. While monitoring the classroom, I observed the Emergency Medical Care (EMC) plan was not completed in its entirety for the YMCA summer program. The EMC was missing the medical consultant name and information, emergency room name and information, and hospital name and information. The Emergency Preparedness and Response (EPR) plan posted in the classroom was for the Black Mountain Primary Head Start classroom and not current for the YMCA summer preschool program. At 11:11a the group arrived in the cafeteria for lunch. The group was given hand sanitizer upon arrival in the cafeteria, while the other staff member sanitized the tables. Once tables were sanitized, the group sat down and the staff distributed lunch. Lunch consisted of pizza wedge, hot butter corn, cool tropics rip, and milk. Bus B2 repairs have been completed, and the bus was used for today’s field trip. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. Staff member SM hired 6/12/2025 and MV hired 6/12/2025 one (1) topic (Information regarding prevention of shaken baby syndrome and abusive trauma and maltreatment) was not completed during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. Active bees nest under the wooden bridge on the playground. 10A NCAC 09 .0601(a) 833 The EMC plan did not give the procedures to be followed . While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. 10A NCAC 09 .0802(a) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. 10A NCAC 09 .0803(1)(a & b) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). 10A NCAC 09 .0604(p) 1043 All staff records, except financial records, were not made available for review. Staff member MH hired 4/23/25 file was not on-site for review. G.S. 110-91( 9) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. .0607(c) Technical assistance was provided as follows: Item 807 While monitoring the cafeteria, I observed an AC unit on the left side of the cafeteria under the window had a front cover that was not secured to the unit causing it to stick out away from the unit. We discussed that the cover would need to be secured to the unit. The administrator resecured to the front of the unit. Active bees nest under the wooden bridge on the playground. We discussed treating, removing the bees nest, and establishing another outdoor play area away from the wooden bridge. Rule Reference: 10A NCAC 09.0601(a) Item 833 While monitoring the preschool classroom, I observed the Emergency Medical Care (EMC) plan was not completed in it’s entirety. The EMC plan was missing the medical consultant information, emergency room information, and the hospital information. We discussed that each of the these items is part of the EMC procedures that must be followed by staff in the event of an emergency. The administrator did have a completed copy on her computer, and was able to print and post it in the classroom. Rule Reference: 10A NCAC 09.0802 (a) Item 842 One (1) emergency medication was on-site without a permission to administer medication form completed by the parent or guardian. We discussed prior to allowing medications in the group to ensure all the required medication forms are completed and on-site. Rule Reference: 10A NCAC 09.0803(1)(a)&(b) Item 856 While monitoring outdoors, I observed debris around the outdoor environment (ex. Kleenex, plastic bottles, Styrofoam cups, plastic icy pop wrapping, etc). We discussed that the group leaders will need to conduct a outdoor check prior to the children engaging in play and remove any debris and discard it in the trash receptacle. Rule Reference: 10A NCAC 09.0604(p) Item 1043 Staff member MH hired 4/23/25 file was not on-site for review. We discussed that each staff members electronic file should be on-site and available for review. Rule Reference: G.S. 110-91(9) Item 1812 The Emergency Preparedness and Response plan located in the preschool classroom was completed for the Black Mountain Primary Head Start classroom and not the YMCA summer preschool program. While reviewing this with the administrator, the administrator was able to show me the EPR plan and we discussed the items that needed to be updated to reflect the preschool children. Once completed, the administrator will need to send it to the preschool staff to print and have on-site and available in the event of an emergency. Rule Reference: 10A NCAC 09 .0607(c) 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 8/8/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed reviewing medication requirements to refresh the staff when accepting new medications on-site. We discussed the field trip requirements and the administration stated that previously they were given directives to add information to the parent handbook regarding field trips. I stated that I would follow up with my supervisor and get back with the administrator. 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. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 24 Completed Date: 3/19/2025 Age: From 5 To 12 Total Minutes: 170 Time In: 02:30 PM Time Out: 05:20 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 reviewed with Gage Buckner, Program Coordinator and a copy of the visit summary was sent to Delaney Burke, Senior Director of Operations for signature via email due to print issues. Gage Buckner, Program Coordinator, accompanied me during the visit. Delaney Burke, Senior Director of Operations, assisted with reviewing staff and children’s files via TEAMS. 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 percent (91%) as of 3/11/2025. 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 3/11/2025. Permit type – Five (5) Star Rated License, issued 3/12/2019. Special Services/Restrictions – school age care only, playground does not meet child care playground safety standards, meeting reduced ratios, meets enhanced space. The last annual compliance visit was conducted on 3/27/2024. The last fire drill was practiced on 1/20/25. A fire drill was missed for October due to Tropical Storm Helene, and a drill for February was not documented. The last shelter-in-place drill was practiced on 12/20/2024. An emergency drill is due by the end of March. The last fire inspection was approved on 9/8/2024. The last sanitation inspection was conducted on 1/15/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/28/2025 due to Tropical Storm Helene. The facility re-opened on 10/16/2024 at an emergency relocation site due to damages sustained at the permanent location. On 10/28/2024 the facility was able to re-open at its permanent location. When I arrived at 2:30 pm, I was greeted by Gage Buckner, Program Coordinator. The group of five- to twelve-year-olds were located in the gym. There were two (2) staff members and ten (10) children. Mr. Buckner stated that today was afterschool clubs day so the children would be trickling in as the afternoon went on. At 2:45p six (6) children arrived bring the total present to sixteen (16). The group was divided into two (2) groups, group#1 had ten (10) children ages five to seven years old and group #2 had six (6) children ages eight to twelve years old. The groups were putting their belongings away in their individual basket and washing hands. At 3:00pm the groups transitioned outdoors for gross motor play. Outside, the children engaged in play with the swings, climber, basketball, and soccer. At 3:00p Delaney Burke, Senior Director of Operations, was able to meet with me to review the staff and children’s files via TEAMS. During the virtual meeting, I monitored three (3) staff files and three (3) children’s files. When finished reviewing the staff documents, I asked Ms. Burke to please update the staff and training worksheet with the updated dates that were in the staff files and resubmit the staff and training worksheet to me. While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide. We discussed that more surfacing will need to be added or the black felt will need to be cut to prevent a child from tripping. While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with pop corn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal. Also, while outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. At 3:45p seven (7) children arrived and at 4:16p two (2) more children arrived bringing the total for the day to twenty-five (25) children for the day. At 4:20pm the groups transitioned indoors to prepare for snack. Once in the cafeteria, the children washed their hands, got their snack, and sat down at the tables. Snack consisted of WOW Butter, Sunflower kernels, WG Tortilla, jelly packet, applesauce, and juice. All medications on-site were monitored and two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he has sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. 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 511 Foods and beverages with little or no nutritional value were available often and not just for special occasions. While outside I also observed one (1) child walking around eating a sucker. One (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating and/or attempting to eat. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. .0901(i) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for the month of February. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the playground for safety hazards, the black felt under the mulch was exposed at the end of the slide creating a tripping hazard. 10A NCAC 09 .0601(a) 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. While monitoring the posted items, the first aid information chart was not posted for reference. .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. Two (2) emergency permission to administer medication forms expired 2/26/2025. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. 10A NCAC 09 .0604(p) Technical assistance was provided as follows: Item 511 While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. We discussed that children can have unknown allergies and allowing children to eat foods that another child has could trigger an allergic reaction. The staff need to remind the children that outside candy or foods brought to the program must stay in their bookbags until they go home for the day. Rule Reference: 10A NCAC 09.0901(i) Item 805 A fire drill was not conducted for the month of February. When I asked the group leader about the drill he stated that he did conduct the drill but did not remember the date. I asked if he had documentation of when the drill was conducted, and he stated that he did not write it down. We discussed that it would be best practice to use a paper calendar or electronic calendar to document the drill dates as a reminder. Rule Reference: 10A NCAC 09.0604 (t) Item 807 While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide creating a tripping hazard. We discussed that more surfacing would need to be added or the black felt will need to be cut to prevent a child from tripping. Rule Reference: 10A NCAC 09 .0601 (a) Item 830 While monitoring the posted items, the first aid information chart was not posted for reference. We discussed that the first aid information chart will need to be posted on the information board near the entrance door of the gym. Rule Reference: 10A NCAC 09 .0802 (b) Item 849 Two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he had sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back and explain to the parents that the afterschool program is unable to administer the medication until the updated forms are returned giving the program authorization to administer the medication. The parents would need to develop a plan of action should the child have an allergic reaction or asthma attach while at the program. Rule Reference: 10A NCAC 09.0803(12) Item 856 While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. I recommend speaking with the school administration. If the school is unable to assist with emptying the trash receptacle, the afterschool program will need to empty the receptacle in order to meet requirements. Rule Reference: 10A NCAC 09 .0604 (q) 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 4/2/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: While outside, I observed the fence that was not latched and standing open near the steps that lead to the front of the school near the main road in town. We discussed that it is best practice to keep the gate closed while the children are engaged in outdoor play in order to keep them safe. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: YMCA BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 24 Completed Date: 3/19/2025 Age: From 5 To 12 Total Minutes: 170 Time In: 02:30 PM Time Out: 05:20 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 reviewed with Gage Buckner, Program Coordinator and a copy of the visit summary was sent to Delaney Burke, Senior Director of Operations for signature via email due to print issues. Gage Buckner, Program Coordinator, accompanied me during the visit. Delaney Burke, Senior Director of Operations, assisted with reviewing staff and children’s files via TEAMS. 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 percent (91%) as of 3/11/2025. 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 3/11/2025. Permit type – Five (5) Star Rated License, issued 3/12/2019. Special Services/Restrictions – school age care only, playground does not meet child care playground safety standards, meeting reduced ratios, meets enhanced space. The last annual compliance visit was conducted on 3/27/2024. The last fire drill was practiced on 1/20/25. A fire drill was missed for October due to Tropical Storm Helene, and a drill for February was not documented. The last shelter-in-place drill was practiced on 12/20/2024. An emergency drill is due by the end of March. The last fire inspection was approved on 9/8/2024. The last sanitation inspection was conducted on 1/15/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/28/2025 due to Tropical Storm Helene. The facility re-opened on 10/16/2024 at an emergency relocation site due to damages sustained at the permanent location. On 10/28/2024 the facility was able to re-open at its permanent location. When I arrived at 2:30 pm, I was greeted by Gage Buckner, Program Coordinator. The group of five- to twelve-year-olds were located in the gym. There were two (2) staff members and ten (10) children. Mr. Buckner stated that today was afterschool clubs day so the children would be trickling in as the afternoon went on. At 2:45p six (6) children arrived bring the total present to sixteen (16). The group was divided into two (2) groups, group#1 had ten (10) children ages five to seven years old and group #2 had six (6) children ages eight to twelve years old. The groups were putting their belongings away in their individual basket and washing hands. At 3:00pm the groups transitioned outdoors for gross motor play. Outside, the children engaged in play with the swings, climber, basketball, and soccer. At 3:00p Delaney Burke, Senior Director of Operations, was able to meet with me to review the staff and children’s files via TEAMS. During the virtual meeting, I monitored three (3) staff files and three (3) children’s files. When finished reviewing the staff documents, I asked Ms. Burke to please update the staff and training worksheet with the updated dates that were in the staff files and resubmit the staff and training worksheet to me. While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide. We discussed that more surfacing will need to be added or the black felt will need to be cut to prevent a child from tripping. While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with pop corn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal. Also, while outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. At 3:45p seven (7) children arrived and at 4:16p two (2) more children arrived bringing the total for the day to twenty-five (25) children for the day. At 4:20pm the groups transitioned indoors to prepare for snack. Once in the cafeteria, the children washed their hands, got their snack, and sat down at the tables. Snack consisted of WOW Butter, Sunflower kernels, WG Tortilla, jelly packet, applesauce, and juice. All medications on-site were monitored and two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he has sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. 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 511 Foods and beverages with little or no nutritional value were available often and not just for special occasions. While outside I also observed one (1) child walking around eating a sucker. One (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating and/or attempting to eat. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. .0901(i) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for the month of February. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the playground for safety hazards, the black felt under the mulch was exposed at the end of the slide creating a tripping hazard. 10A NCAC 09 .0601(a) 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. While monitoring the posted items, the first aid information chart was not posted for reference. .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. Two (2) emergency permission to administer medication forms expired 2/26/2025. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. 10A NCAC 09 .0604(p) Technical assistance was provided as follows: Item 511 While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. We discussed that children can have unknown allergies and allowing children to eat foods that another child has could trigger an allergic reaction. The staff need to remind the children that outside candy or foods brought to the program must stay in their bookbags until they go home for the day. Rule Reference: 10A NCAC 09.0901(i) Item 805 A fire drill was not conducted for the month of February. When I asked the group leader about the drill he stated that he did conduct the drill but did not remember the date. I asked if he had documentation of when the drill was conducted, and he stated that he did not write it down. We discussed that it would be best practice to use a paper calendar or electronic calendar to document the drill dates as a reminder. Rule Reference: 10A NCAC 09.0604 (t) Item 807 While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide creating a tripping hazard. We discussed that more surfacing would need to be added or the black felt will need to be cut to prevent a child from tripping. Rule Reference: 10A NCAC 09 .0601 (a) Item 830 While monitoring the posted items, the first aid information chart was not posted for reference. We discussed that the first aid information chart will need to be posted on the information board near the entrance door of the gym. Rule Reference: 10A NCAC 09 .0802 (b) Item 849 Two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he had sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back and explain to the parents that the afterschool program is unable to administer the medication until the updated forms are returned giving the program authorization to administer the medication. The parents would need to develop a plan of action should the child have an allergic reaction or asthma attach while at the program. Rule Reference: 10A NCAC 09.0803(12) Item 856 While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. I recommend speaking with the school administration. If the school is unable to assist with emptying the trash receptacle, the afterschool program will need to empty the receptacle in order to meet requirements. Rule Reference: 10A NCAC 09 .0604 (q) 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 4/2/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: While outside, I observed the fence that was not latched and standing open near the steps that lead to the front of the school near the main road in town. We discussed that it is best practice to keep the gate closed while the children are engaged in outdoor play in order to keep them safe. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 24 Completed Date: 3/19/2025 Age: From 5 To 12 Total Minutes: 170 Time In: 02:30 PM Time Out: 05:20 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 reviewed with Gage Buckner, Program Coordinator and a copy of the visit summary was sent to Delaney Burke, Senior Director of Operations for signature via email due to print issues. Gage Buckner, Program Coordinator, accompanied me during the visit. Delaney Burke, Senior Director of Operations, assisted with reviewing staff and children’s files via TEAMS. 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 percent (91%) as of 3/11/2025. 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 3/11/2025. Permit type – Five (5) Star Rated License, issued 3/12/2019. Special Services/Restrictions – school age care only, playground does not meet child care playground safety standards, meeting reduced ratios, meets enhanced space. The last annual compliance visit was conducted on 3/27/2024. The last fire drill was practiced on 1/20/25. A fire drill was missed for October due to Tropical Storm Helene, and a drill for February was not documented. The last shelter-in-place drill was practiced on 12/20/2024. An emergency drill is due by the end of March. The last fire inspection was approved on 9/8/2024. The last sanitation inspection was conducted on 1/15/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/28/2025 due to Tropical Storm Helene. The facility re-opened on 10/16/2024 at an emergency relocation site due to damages sustained at the permanent location. On 10/28/2024 the facility was able to re-open at its permanent location. When I arrived at 2:30 pm, I was greeted by Gage Buckner, Program Coordinator. The group of five- to twelve-year-olds were located in the gym. There were two (2) staff members and ten (10) children. Mr. Buckner stated that today was afterschool clubs day so the children would be trickling in as the afternoon went on. At 2:45p six (6) children arrived bring the total present to sixteen (16). The group was divided into two (2) groups, group#1 had ten (10) children ages five to seven years old and group #2 had six (6) children ages eight to twelve years old. The groups were putting their belongings away in their individual basket and washing hands. At 3:00pm the groups transitioned outdoors for gross motor play. Outside, the children engaged in play with the swings, climber, basketball, and soccer. At 3:00p Delaney Burke, Senior Director of Operations, was able to meet with me to review the staff and children’s files via TEAMS. During the virtual meeting, I monitored three (3) staff files and three (3) children’s files. When finished reviewing the staff documents, I asked Ms. Burke to please update the staff and training worksheet with the updated dates that were in the staff files and resubmit the staff and training worksheet to me. While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide. We discussed that more surfacing will need to be added or the black felt will need to be cut to prevent a child from tripping. While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with pop corn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal. Also, while outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. At 3:45p seven (7) children arrived and at 4:16p two (2) more children arrived bringing the total for the day to twenty-five (25) children for the day. At 4:20pm the groups transitioned indoors to prepare for snack. Once in the cafeteria, the children washed their hands, got their snack, and sat down at the tables. Snack consisted of WOW Butter, Sunflower kernels, WG Tortilla, jelly packet, applesauce, and juice. All medications on-site were monitored and two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he has sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. 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 511 Foods and beverages with little or no nutritional value were available often and not just for special occasions. While outside I also observed one (1) child walking around eating a sucker. One (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating and/or attempting to eat. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. .0901(i) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for the month of February. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the playground for safety hazards, the black felt under the mulch was exposed at the end of the slide creating a tripping hazard. 10A NCAC 09 .0601(a) 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. While monitoring the posted items, the first aid information chart was not posted for reference. .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. Two (2) emergency permission to administer medication forms expired 2/26/2025. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. 10A NCAC 09 .0604(p) Technical assistance was provided as follows: Item 511 While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. We discussed that children can have unknown allergies and allowing children to eat foods that another child has could trigger an allergic reaction. The staff need to remind the children that outside candy or foods brought to the program must stay in their bookbags until they go home for the day. Rule Reference: 10A NCAC 09.0901(i) Item 805 A fire drill was not conducted for the month of February. When I asked the group leader about the drill he stated that he did conduct the drill but did not remember the date. I asked if he had documentation of when the drill was conducted, and he stated that he did not write it down. We discussed that it would be best practice to use a paper calendar or electronic calendar to document the drill dates as a reminder. Rule Reference: 10A NCAC 09.0604 (t) Item 807 While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide creating a tripping hazard. We discussed that more surfacing would need to be added or the black felt will need to be cut to prevent a child from tripping. Rule Reference: 10A NCAC 09 .0601 (a) Item 830 While monitoring the posted items, the first aid information chart was not posted for reference. We discussed that the first aid information chart will need to be posted on the information board near the entrance door of the gym. Rule Reference: 10A NCAC 09 .0802 (b) Item 849 Two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he had sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back and explain to the parents that the afterschool program is unable to administer the medication until the updated forms are returned giving the program authorization to administer the medication. The parents would need to develop a plan of action should the child have an allergic reaction or asthma attach while at the program. Rule Reference: 10A NCAC 09.0803(12) Item 856 While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. I recommend speaking with the school administration. If the school is unable to assist with emptying the trash receptacle, the afterschool program will need to empty the receptacle in order to meet requirements. Rule Reference: 10A NCAC 09 .0604 (q) 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 4/2/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: While outside, I observed the fence that was not latched and standing open near the steps that lead to the front of the school near the main road in town. We discussed that it is best practice to keep the gate closed while the children are engaged in outdoor play in order to keep them safe. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 24 Completed Date: 3/19/2025 Age: From 5 To 12 Total Minutes: 170 Time In: 02:30 PM Time Out: 05:20 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 reviewed with Gage Buckner, Program Coordinator and a copy of the visit summary was sent to Delaney Burke, Senior Director of Operations for signature via email due to print issues. Gage Buckner, Program Coordinator, accompanied me during the visit. Delaney Burke, Senior Director of Operations, assisted with reviewing staff and children’s files via TEAMS. 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 percent (91%) as of 3/11/2025. 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 3/11/2025. Permit type – Five (5) Star Rated License, issued 3/12/2019. Special Services/Restrictions – school age care only, playground does not meet child care playground safety standards, meeting reduced ratios, meets enhanced space. The last annual compliance visit was conducted on 3/27/2024. The last fire drill was practiced on 1/20/25. A fire drill was missed for October due to Tropical Storm Helene, and a drill for February was not documented. The last shelter-in-place drill was practiced on 12/20/2024. An emergency drill is due by the end of March. The last fire inspection was approved on 9/8/2024. The last sanitation inspection was conducted on 1/15/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/28/2025 due to Tropical Storm Helene. The facility re-opened on 10/16/2024 at an emergency relocation site due to damages sustained at the permanent location. On 10/28/2024 the facility was able to re-open at its permanent location. When I arrived at 2:30 pm, I was greeted by Gage Buckner, Program Coordinator. The group of five- to twelve-year-olds were located in the gym. There were two (2) staff members and ten (10) children. Mr. Buckner stated that today was afterschool clubs day so the children would be trickling in as the afternoon went on. At 2:45p six (6) children arrived bring the total present to sixteen (16). The group was divided into two (2) groups, group#1 had ten (10) children ages five to seven years old and group #2 had six (6) children ages eight to twelve years old. The groups were putting their belongings away in their individual basket and washing hands. At 3:00pm the groups transitioned outdoors for gross motor play. Outside, the children engaged in play with the swings, climber, basketball, and soccer. At 3:00p Delaney Burke, Senior Director of Operations, was able to meet with me to review the staff and children’s files via TEAMS. During the virtual meeting, I monitored three (3) staff files and three (3) children’s files. When finished reviewing the staff documents, I asked Ms. Burke to please update the staff and training worksheet with the updated dates that were in the staff files and resubmit the staff and training worksheet to me. While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide. We discussed that more surfacing will need to be added or the black felt will need to be cut to prevent a child from tripping. While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with pop corn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal. Also, while outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. At 3:45p seven (7) children arrived and at 4:16p two (2) more children arrived bringing the total for the day to twenty-five (25) children for the day. At 4:20pm the groups transitioned indoors to prepare for snack. Once in the cafeteria, the children washed their hands, got their snack, and sat down at the tables. Snack consisted of WOW Butter, Sunflower kernels, WG Tortilla, jelly packet, applesauce, and juice. All medications on-site were monitored and two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he has sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. 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 511 Foods and beverages with little or no nutritional value were available often and not just for special occasions. While outside I also observed one (1) child walking around eating a sucker. One (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating and/or attempting to eat. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. .0901(i) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for the month of February. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the playground for safety hazards, the black felt under the mulch was exposed at the end of the slide creating a tripping hazard. 10A NCAC 09 .0601(a) 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. While monitoring the posted items, the first aid information chart was not posted for reference. .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. Two (2) emergency permission to administer medication forms expired 2/26/2025. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. 10A NCAC 09 .0604(p) Technical assistance was provided as follows: Item 511 While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. We discussed that children can have unknown allergies and allowing children to eat foods that another child has could trigger an allergic reaction. The staff need to remind the children that outside candy or foods brought to the program must stay in their bookbags until they go home for the day. Rule Reference: 10A NCAC 09.0901(i) Item 805 A fire drill was not conducted for the month of February. When I asked the group leader about the drill he stated that he did conduct the drill but did not remember the date. I asked if he had documentation of when the drill was conducted, and he stated that he did not write it down. We discussed that it would be best practice to use a paper calendar or electronic calendar to document the drill dates as a reminder. Rule Reference: 10A NCAC 09.0604 (t) Item 807 While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide creating a tripping hazard. We discussed that more surfacing would need to be added or the black felt will need to be cut to prevent a child from tripping. Rule Reference: 10A NCAC 09 .0601 (a) Item 830 While monitoring the posted items, the first aid information chart was not posted for reference. We discussed that the first aid information chart will need to be posted on the information board near the entrance door of the gym. Rule Reference: 10A NCAC 09 .0802 (b) Item 849 Two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he had sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back and explain to the parents that the afterschool program is unable to administer the medication until the updated forms are returned giving the program authorization to administer the medication. The parents would need to develop a plan of action should the child have an allergic reaction or asthma attach while at the program. Rule Reference: 10A NCAC 09.0803(12) Item 856 While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. I recommend speaking with the school administration. If the school is unable to assist with emptying the trash receptacle, the afterschool program will need to empty the receptacle in order to meet requirements. Rule Reference: 10A NCAC 09 .0604 (q) 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 4/2/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: While outside, I observed the fence that was not latched and standing open near the steps that lead to the front of the school near the main road in town. We discussed that it is best practice to keep the gate closed while the children are engaged in outdoor play in order to keep them safe. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 24 Completed Date: 3/19/2025 Age: From 5 To 12 Total Minutes: 170 Time In: 02:30 PM Time Out: 05:20 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 reviewed with Gage Buckner, Program Coordinator and a copy of the visit summary was sent to Delaney Burke, Senior Director of Operations for signature via email due to print issues. Gage Buckner, Program Coordinator, accompanied me during the visit. Delaney Burke, Senior Director of Operations, assisted with reviewing staff and children’s files via TEAMS. 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 percent (91%) as of 3/11/2025. 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 3/11/2025. Permit type – Five (5) Star Rated License, issued 3/12/2019. Special Services/Restrictions – school age care only, playground does not meet child care playground safety standards, meeting reduced ratios, meets enhanced space. The last annual compliance visit was conducted on 3/27/2024. The last fire drill was practiced on 1/20/25. A fire drill was missed for October due to Tropical Storm Helene, and a drill for February was not documented. The last shelter-in-place drill was practiced on 12/20/2024. An emergency drill is due by the end of March. The last fire inspection was approved on 9/8/2024. The last sanitation inspection was conducted on 1/15/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/28/2025 due to Tropical Storm Helene. The facility re-opened on 10/16/2024 at an emergency relocation site due to damages sustained at the permanent location. On 10/28/2024 the facility was able to re-open at its permanent location. When I arrived at 2:30 pm, I was greeted by Gage Buckner, Program Coordinator. The group of five- to twelve-year-olds were located in the gym. There were two (2) staff members and ten (10) children. Mr. Buckner stated that today was afterschool clubs day so the children would be trickling in as the afternoon went on. At 2:45p six (6) children arrived bring the total present to sixteen (16). The group was divided into two (2) groups, group#1 had ten (10) children ages five to seven years old and group #2 had six (6) children ages eight to twelve years old. The groups were putting their belongings away in their individual basket and washing hands. At 3:00pm the groups transitioned outdoors for gross motor play. Outside, the children engaged in play with the swings, climber, basketball, and soccer. At 3:00p Delaney Burke, Senior Director of Operations, was able to meet with me to review the staff and children’s files via TEAMS. During the virtual meeting, I monitored three (3) staff files and three (3) children’s files. When finished reviewing the staff documents, I asked Ms. Burke to please update the staff and training worksheet with the updated dates that were in the staff files and resubmit the staff and training worksheet to me. While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide. We discussed that more surfacing will need to be added or the black felt will need to be cut to prevent a child from tripping. While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with pop corn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal. Also, while outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. At 3:45p seven (7) children arrived and at 4:16p two (2) more children arrived bringing the total for the day to twenty-five (25) children for the day. At 4:20pm the groups transitioned indoors to prepare for snack. Once in the cafeteria, the children washed their hands, got their snack, and sat down at the tables. Snack consisted of WOW Butter, Sunflower kernels, WG Tortilla, jelly packet, applesauce, and juice. All medications on-site were monitored and two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he has sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. 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 511 Foods and beverages with little or no nutritional value were available often and not just for special occasions. While outside I also observed one (1) child walking around eating a sucker. One (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating and/or attempting to eat. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. .0901(i) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for the month of February. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the playground for safety hazards, the black felt under the mulch was exposed at the end of the slide creating a tripping hazard. 10A NCAC 09 .0601(a) 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. While monitoring the posted items, the first aid information chart was not posted for reference. .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. Two (2) emergency permission to administer medication forms expired 2/26/2025. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. 10A NCAC 09 .0604(p) Technical assistance was provided as follows: Item 511 While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. We discussed that children can have unknown allergies and allowing children to eat foods that another child has could trigger an allergic reaction. The staff need to remind the children that outside candy or foods brought to the program must stay in their bookbags until they go home for the day. Rule Reference: 10A NCAC 09.0901(i) Item 805 A fire drill was not conducted for the month of February. When I asked the group leader about the drill he stated that he did conduct the drill but did not remember the date. I asked if he had documentation of when the drill was conducted, and he stated that he did not write it down. We discussed that it would be best practice to use a paper calendar or electronic calendar to document the drill dates as a reminder. Rule Reference: 10A NCAC 09.0604 (t) Item 807 While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide creating a tripping hazard. We discussed that more surfacing would need to be added or the black felt will need to be cut to prevent a child from tripping. Rule Reference: 10A NCAC 09 .0601 (a) Item 830 While monitoring the posted items, the first aid information chart was not posted for reference. We discussed that the first aid information chart will need to be posted on the information board near the entrance door of the gym. Rule Reference: 10A NCAC 09 .0802 (b) Item 849 Two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he had sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back and explain to the parents that the afterschool program is unable to administer the medication until the updated forms are returned giving the program authorization to administer the medication. The parents would need to develop a plan of action should the child have an allergic reaction or asthma attach while at the program. Rule Reference: 10A NCAC 09.0803(12) Item 856 While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. I recommend speaking with the school administration. If the school is unable to assist with emptying the trash receptacle, the afterschool program will need to empty the receptacle in order to meet requirements. Rule Reference: 10A NCAC 09 .0604 (q) 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 4/2/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: While outside, I observed the fence that was not latched and standing open near the steps that lead to the front of the school near the main road in town. We discussed that it is best practice to keep the gate closed while the children are engaged in outdoor play in order to keep them safe. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 24 Completed Date: 3/19/2025 Age: From 5 To 12 Total Minutes: 170 Time In: 02:30 PM Time Out: 05:20 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 reviewed with Gage Buckner, Program Coordinator and a copy of the visit summary was sent to Delaney Burke, Senior Director of Operations for signature via email due to print issues. Gage Buckner, Program Coordinator, accompanied me during the visit. Delaney Burke, Senior Director of Operations, assisted with reviewing staff and children’s files via TEAMS. 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 percent (91%) as of 3/11/2025. 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 3/11/2025. Permit type – Five (5) Star Rated License, issued 3/12/2019. Special Services/Restrictions – school age care only, playground does not meet child care playground safety standards, meeting reduced ratios, meets enhanced space. The last annual compliance visit was conducted on 3/27/2024. The last fire drill was practiced on 1/20/25. A fire drill was missed for October due to Tropical Storm Helene, and a drill for February was not documented. The last shelter-in-place drill was practiced on 12/20/2024. An emergency drill is due by the end of March. The last fire inspection was approved on 9/8/2024. The last sanitation inspection was conducted on 1/15/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/28/2025 due to Tropical Storm Helene. The facility re-opened on 10/16/2024 at an emergency relocation site due to damages sustained at the permanent location. On 10/28/2024 the facility was able to re-open at its permanent location. When I arrived at 2:30 pm, I was greeted by Gage Buckner, Program Coordinator. The group of five- to twelve-year-olds were located in the gym. There were two (2) staff members and ten (10) children. Mr. Buckner stated that today was afterschool clubs day so the children would be trickling in as the afternoon went on. At 2:45p six (6) children arrived bring the total present to sixteen (16). The group was divided into two (2) groups, group#1 had ten (10) children ages five to seven years old and group #2 had six (6) children ages eight to twelve years old. The groups were putting their belongings away in their individual basket and washing hands. At 3:00pm the groups transitioned outdoors for gross motor play. Outside, the children engaged in play with the swings, climber, basketball, and soccer. At 3:00p Delaney Burke, Senior Director of Operations, was able to meet with me to review the staff and children’s files via TEAMS. During the virtual meeting, I monitored three (3) staff files and three (3) children’s files. When finished reviewing the staff documents, I asked Ms. Burke to please update the staff and training worksheet with the updated dates that were in the staff files and resubmit the staff and training worksheet to me. While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide. We discussed that more surfacing will need to be added or the black felt will need to be cut to prevent a child from tripping. While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with pop corn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal. Also, while outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. At 3:45p seven (7) children arrived and at 4:16p two (2) more children arrived bringing the total for the day to twenty-five (25) children for the day. At 4:20pm the groups transitioned indoors to prepare for snack. Once in the cafeteria, the children washed their hands, got their snack, and sat down at the tables. Snack consisted of WOW Butter, Sunflower kernels, WG Tortilla, jelly packet, applesauce, and juice. All medications on-site were monitored and two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he has sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. 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 511 Foods and beverages with little or no nutritional value were available often and not just for special occasions. While outside I also observed one (1) child walking around eating a sucker. One (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating and/or attempting to eat. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. .0901(i) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for the month of February. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the playground for safety hazards, the black felt under the mulch was exposed at the end of the slide creating a tripping hazard. 10A NCAC 09 .0601(a) 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. While monitoring the posted items, the first aid information chart was not posted for reference. .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. Two (2) emergency permission to administer medication forms expired 2/26/2025. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. 10A NCAC 09 .0604(p) Technical assistance was provided as follows: Item 511 While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. We discussed that children can have unknown allergies and allowing children to eat foods that another child has could trigger an allergic reaction. The staff need to remind the children that outside candy or foods brought to the program must stay in their bookbags until they go home for the day. Rule Reference: 10A NCAC 09.0901(i) Item 805 A fire drill was not conducted for the month of February. When I asked the group leader about the drill he stated that he did conduct the drill but did not remember the date. I asked if he had documentation of when the drill was conducted, and he stated that he did not write it down. We discussed that it would be best practice to use a paper calendar or electronic calendar to document the drill dates as a reminder. Rule Reference: 10A NCAC 09.0604 (t) Item 807 While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide creating a tripping hazard. We discussed that more surfacing would need to be added or the black felt will need to be cut to prevent a child from tripping. Rule Reference: 10A NCAC 09 .0601 (a) Item 830 While monitoring the posted items, the first aid information chart was not posted for reference. We discussed that the first aid information chart will need to be posted on the information board near the entrance door of the gym. Rule Reference: 10A NCAC 09 .0802 (b) Item 849 Two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he had sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back and explain to the parents that the afterschool program is unable to administer the medication until the updated forms are returned giving the program authorization to administer the medication. The parents would need to develop a plan of action should the child have an allergic reaction or asthma attach while at the program. Rule Reference: 10A NCAC 09.0803(12) Item 856 While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. I recommend speaking with the school administration. If the school is unable to assist with emptying the trash receptacle, the afterschool program will need to empty the receptacle in order to meet requirements. Rule Reference: 10A NCAC 09 .0604 (q) 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 4/2/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: While outside, I observed the fence that was not latched and standing open near the steps that lead to the front of the school near the main road in town. We discussed that it is best practice to keep the gate closed while the children are engaged in outdoor play in order to keep them safe. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 24 Completed Date: 3/19/2025 Age: From 5 To 12 Total Minutes: 170 Time In: 02:30 PM Time Out: 05:20 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 reviewed with Gage Buckner, Program Coordinator and a copy of the visit summary was sent to Delaney Burke, Senior Director of Operations for signature via email due to print issues. Gage Buckner, Program Coordinator, accompanied me during the visit. Delaney Burke, Senior Director of Operations, assisted with reviewing staff and children’s files via TEAMS. 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 percent (91%) as of 3/11/2025. 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 3/11/2025. Permit type – Five (5) Star Rated License, issued 3/12/2019. Special Services/Restrictions – school age care only, playground does not meet child care playground safety standards, meeting reduced ratios, meets enhanced space. The last annual compliance visit was conducted on 3/27/2024. The last fire drill was practiced on 1/20/25. A fire drill was missed for October due to Tropical Storm Helene, and a drill for February was not documented. The last shelter-in-place drill was practiced on 12/20/2024. An emergency drill is due by the end of March. The last fire inspection was approved on 9/8/2024. The last sanitation inspection was conducted on 1/15/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/28/2025 due to Tropical Storm Helene. The facility re-opened on 10/16/2024 at an emergency relocation site due to damages sustained at the permanent location. On 10/28/2024 the facility was able to re-open at its permanent location. When I arrived at 2:30 pm, I was greeted by Gage Buckner, Program Coordinator. The group of five- to twelve-year-olds were located in the gym. There were two (2) staff members and ten (10) children. Mr. Buckner stated that today was afterschool clubs day so the children would be trickling in as the afternoon went on. At 2:45p six (6) children arrived bring the total present to sixteen (16). The group was divided into two (2) groups, group#1 had ten (10) children ages five to seven years old and group #2 had six (6) children ages eight to twelve years old. The groups were putting their belongings away in their individual basket and washing hands. At 3:00pm the groups transitioned outdoors for gross motor play. Outside, the children engaged in play with the swings, climber, basketball, and soccer. At 3:00p Delaney Burke, Senior Director of Operations, was able to meet with me to review the staff and children’s files via TEAMS. During the virtual meeting, I monitored three (3) staff files and three (3) children’s files. When finished reviewing the staff documents, I asked Ms. Burke to please update the staff and training worksheet with the updated dates that were in the staff files and resubmit the staff and training worksheet to me. While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide. We discussed that more surfacing will need to be added or the black felt will need to be cut to prevent a child from tripping. While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with pop corn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal. Also, while outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. At 3:45p seven (7) children arrived and at 4:16p two (2) more children arrived bringing the total for the day to twenty-five (25) children for the day. At 4:20pm the groups transitioned indoors to prepare for snack. Once in the cafeteria, the children washed their hands, got their snack, and sat down at the tables. Snack consisted of WOW Butter, Sunflower kernels, WG Tortilla, jelly packet, applesauce, and juice. All medications on-site were monitored and two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he has sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. 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 511 Foods and beverages with little or no nutritional value were available often and not just for special occasions. While outside I also observed one (1) child walking around eating a sucker. One (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating and/or attempting to eat. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. .0901(i) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for the month of February. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the playground for safety hazards, the black felt under the mulch was exposed at the end of the slide creating a tripping hazard. 10A NCAC 09 .0601(a) 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. While monitoring the posted items, the first aid information chart was not posted for reference. .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. Two (2) emergency permission to administer medication forms expired 2/26/2025. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. 10A NCAC 09 .0604(p) Technical assistance was provided as follows: Item 511 While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. We discussed that children can have unknown allergies and allowing children to eat foods that another child has could trigger an allergic reaction. The staff need to remind the children that outside candy or foods brought to the program must stay in their bookbags until they go home for the day. Rule Reference: 10A NCAC 09.0901(i) Item 805 A fire drill was not conducted for the month of February. When I asked the group leader about the drill he stated that he did conduct the drill but did not remember the date. I asked if he had documentation of when the drill was conducted, and he stated that he did not write it down. We discussed that it would be best practice to use a paper calendar or electronic calendar to document the drill dates as a reminder. Rule Reference: 10A NCAC 09.0604 (t) Item 807 While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide creating a tripping hazard. We discussed that more surfacing would need to be added or the black felt will need to be cut to prevent a child from tripping. Rule Reference: 10A NCAC 09 .0601 (a) Item 830 While monitoring the posted items, the first aid information chart was not posted for reference. We discussed that the first aid information chart will need to be posted on the information board near the entrance door of the gym. Rule Reference: 10A NCAC 09 .0802 (b) Item 849 Two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he had sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back and explain to the parents that the afterschool program is unable to administer the medication until the updated forms are returned giving the program authorization to administer the medication. The parents would need to develop a plan of action should the child have an allergic reaction or asthma attach while at the program. Rule Reference: 10A NCAC 09.0803(12) Item 856 While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. I recommend speaking with the school administration. If the school is unable to assist with emptying the trash receptacle, the afterschool program will need to empty the receptacle in order to meet requirements. Rule Reference: 10A NCAC 09 .0604 (q) 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 4/2/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: While outside, I observed the fence that was not latched and standing open near the steps that lead to the front of the school near the main road in town. We discussed that it is best practice to keep the gate closed while the children are engaged in outdoor play in order to keep them safe. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 24 Completed Date: 3/19/2025 Age: From 5 To 12 Total Minutes: 170 Time In: 02:30 PM Time Out: 05:20 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 reviewed with Gage Buckner, Program Coordinator and a copy of the visit summary was sent to Delaney Burke, Senior Director of Operations for signature via email due to print issues. Gage Buckner, Program Coordinator, accompanied me during the visit. Delaney Burke, Senior Director of Operations, assisted with reviewing staff and children’s files via TEAMS. 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 percent (91%) as of 3/11/2025. 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 3/11/2025. Permit type – Five (5) Star Rated License, issued 3/12/2019. Special Services/Restrictions – school age care only, playground does not meet child care playground safety standards, meeting reduced ratios, meets enhanced space. The last annual compliance visit was conducted on 3/27/2024. The last fire drill was practiced on 1/20/25. A fire drill was missed for October due to Tropical Storm Helene, and a drill for February was not documented. The last shelter-in-place drill was practiced on 12/20/2024. An emergency drill is due by the end of March. The last fire inspection was approved on 9/8/2024. The last sanitation inspection was conducted on 1/15/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/28/2025 due to Tropical Storm Helene. The facility re-opened on 10/16/2024 at an emergency relocation site due to damages sustained at the permanent location. On 10/28/2024 the facility was able to re-open at its permanent location. When I arrived at 2:30 pm, I was greeted by Gage Buckner, Program Coordinator. The group of five- to twelve-year-olds were located in the gym. There were two (2) staff members and ten (10) children. Mr. Buckner stated that today was afterschool clubs day so the children would be trickling in as the afternoon went on. At 2:45p six (6) children arrived bring the total present to sixteen (16). The group was divided into two (2) groups, group#1 had ten (10) children ages five to seven years old and group #2 had six (6) children ages eight to twelve years old. The groups were putting their belongings away in their individual basket and washing hands. At 3:00pm the groups transitioned outdoors for gross motor play. Outside, the children engaged in play with the swings, climber, basketball, and soccer. At 3:00p Delaney Burke, Senior Director of Operations, was able to meet with me to review the staff and children’s files via TEAMS. During the virtual meeting, I monitored three (3) staff files and three (3) children’s files. When finished reviewing the staff documents, I asked Ms. Burke to please update the staff and training worksheet with the updated dates that were in the staff files and resubmit the staff and training worksheet to me. While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide. We discussed that more surfacing will need to be added or the black felt will need to be cut to prevent a child from tripping. While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with pop corn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal. Also, while outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. At 3:45p seven (7) children arrived and at 4:16p two (2) more children arrived bringing the total for the day to twenty-five (25) children for the day. At 4:20pm the groups transitioned indoors to prepare for snack. Once in the cafeteria, the children washed their hands, got their snack, and sat down at the tables. Snack consisted of WOW Butter, Sunflower kernels, WG Tortilla, jelly packet, applesauce, and juice. All medications on-site were monitored and two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he has sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. 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 511 Foods and beverages with little or no nutritional value were available often and not just for special occasions. While outside I also observed one (1) child walking around eating a sucker. One (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating and/or attempting to eat. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. .0901(i) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for the month of February. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the playground for safety hazards, the black felt under the mulch was exposed at the end of the slide creating a tripping hazard. 10A NCAC 09 .0601(a) 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. While monitoring the posted items, the first aid information chart was not posted for reference. .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. Two (2) emergency permission to administer medication forms expired 2/26/2025. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. 10A NCAC 09 .0604(p) Technical assistance was provided as follows: Item 511 While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. We discussed that children can have unknown allergies and allowing children to eat foods that another child has could trigger an allergic reaction. The staff need to remind the children that outside candy or foods brought to the program must stay in their bookbags until they go home for the day. Rule Reference: 10A NCAC 09.0901(i) Item 805 A fire drill was not conducted for the month of February. When I asked the group leader about the drill he stated that he did conduct the drill but did not remember the date. I asked if he had documentation of when the drill was conducted, and he stated that he did not write it down. We discussed that it would be best practice to use a paper calendar or electronic calendar to document the drill dates as a reminder. Rule Reference: 10A NCAC 09.0604 (t) Item 807 While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide creating a tripping hazard. We discussed that more surfacing would need to be added or the black felt will need to be cut to prevent a child from tripping. Rule Reference: 10A NCAC 09 .0601 (a) Item 830 While monitoring the posted items, the first aid information chart was not posted for reference. We discussed that the first aid information chart will need to be posted on the information board near the entrance door of the gym. Rule Reference: 10A NCAC 09 .0802 (b) Item 849 Two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he had sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back and explain to the parents that the afterschool program is unable to administer the medication until the updated forms are returned giving the program authorization to administer the medication. The parents would need to develop a plan of action should the child have an allergic reaction or asthma attach while at the program. Rule Reference: 10A NCAC 09.0803(12) Item 856 While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. I recommend speaking with the school administration. If the school is unable to assist with emptying the trash receptacle, the afterschool program will need to empty the receptacle in order to meet requirements. Rule Reference: 10A NCAC 09 .0604 (q) 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 4/2/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: While outside, I observed the fence that was not latched and standing open near the steps that lead to the front of the school near the main road in town. We discussed that it is best practice to keep the gate closed while the children are engaged in outdoor play in order to keep them safe. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 24 Completed Date: 3/19/2025 Age: From 5 To 12 Total Minutes: 170 Time In: 02:30 PM Time Out: 05:20 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 reviewed with Gage Buckner, Program Coordinator and a copy of the visit summary was sent to Delaney Burke, Senior Director of Operations for signature via email due to print issues. Gage Buckner, Program Coordinator, accompanied me during the visit. Delaney Burke, Senior Director of Operations, assisted with reviewing staff and children’s files via TEAMS. 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 percent (91%) as of 3/11/2025. 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 3/11/2025. Permit type – Five (5) Star Rated License, issued 3/12/2019. Special Services/Restrictions – school age care only, playground does not meet child care playground safety standards, meeting reduced ratios, meets enhanced space. The last annual compliance visit was conducted on 3/27/2024. The last fire drill was practiced on 1/20/25. A fire drill was missed for October due to Tropical Storm Helene, and a drill for February was not documented. The last shelter-in-place drill was practiced on 12/20/2024. An emergency drill is due by the end of March. The last fire inspection was approved on 9/8/2024. The last sanitation inspection was conducted on 1/15/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/28/2025 due to Tropical Storm Helene. The facility re-opened on 10/16/2024 at an emergency relocation site due to damages sustained at the permanent location. On 10/28/2024 the facility was able to re-open at its permanent location. When I arrived at 2:30 pm, I was greeted by Gage Buckner, Program Coordinator. The group of five- to twelve-year-olds were located in the gym. There were two (2) staff members and ten (10) children. Mr. Buckner stated that today was afterschool clubs day so the children would be trickling in as the afternoon went on. At 2:45p six (6) children arrived bring the total present to sixteen (16). The group was divided into two (2) groups, group#1 had ten (10) children ages five to seven years old and group #2 had six (6) children ages eight to twelve years old. The groups were putting their belongings away in their individual basket and washing hands. At 3:00pm the groups transitioned outdoors for gross motor play. Outside, the children engaged in play with the swings, climber, basketball, and soccer. At 3:00p Delaney Burke, Senior Director of Operations, was able to meet with me to review the staff and children’s files via TEAMS. During the virtual meeting, I monitored three (3) staff files and three (3) children’s files. When finished reviewing the staff documents, I asked Ms. Burke to please update the staff and training worksheet with the updated dates that were in the staff files and resubmit the staff and training worksheet to me. While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide. We discussed that more surfacing will need to be added or the black felt will need to be cut to prevent a child from tripping. While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with pop corn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal. Also, while outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. At 3:45p seven (7) children arrived and at 4:16p two (2) more children arrived bringing the total for the day to twenty-five (25) children for the day. At 4:20pm the groups transitioned indoors to prepare for snack. Once in the cafeteria, the children washed their hands, got their snack, and sat down at the tables. Snack consisted of WOW Butter, Sunflower kernels, WG Tortilla, jelly packet, applesauce, and juice. All medications on-site were monitored and two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he has sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. 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 511 Foods and beverages with little or no nutritional value were available often and not just for special occasions. While outside I also observed one (1) child walking around eating a sucker. One (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating and/or attempting to eat. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. .0901(i) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for the month of February. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the playground for safety hazards, the black felt under the mulch was exposed at the end of the slide creating a tripping hazard. 10A NCAC 09 .0601(a) 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. While monitoring the posted items, the first aid information chart was not posted for reference. .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. Two (2) emergency permission to administer medication forms expired 2/26/2025. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. 10A NCAC 09 .0604(p) Technical assistance was provided as follows: Item 511 While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. We discussed that children can have unknown allergies and allowing children to eat foods that another child has could trigger an allergic reaction. The staff need to remind the children that outside candy or foods brought to the program must stay in their bookbags until they go home for the day. Rule Reference: 10A NCAC 09.0901(i) Item 805 A fire drill was not conducted for the month of February. When I asked the group leader about the drill he stated that he did conduct the drill but did not remember the date. I asked if he had documentation of when the drill was conducted, and he stated that he did not write it down. We discussed that it would be best practice to use a paper calendar or electronic calendar to document the drill dates as a reminder. Rule Reference: 10A NCAC 09.0604 (t) Item 807 While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide creating a tripping hazard. We discussed that more surfacing would need to be added or the black felt will need to be cut to prevent a child from tripping. Rule Reference: 10A NCAC 09 .0601 (a) Item 830 While monitoring the posted items, the first aid information chart was not posted for reference. We discussed that the first aid information chart will need to be posted on the information board near the entrance door of the gym. Rule Reference: 10A NCAC 09 .0802 (b) Item 849 Two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he had sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back and explain to the parents that the afterschool program is unable to administer the medication until the updated forms are returned giving the program authorization to administer the medication. The parents would need to develop a plan of action should the child have an allergic reaction or asthma attach while at the program. Rule Reference: 10A NCAC 09.0803(12) Item 856 While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. I recommend speaking with the school administration. If the school is unable to assist with emptying the trash receptacle, the afterschool program will need to empty the receptacle in order to meet requirements. Rule Reference: 10A NCAC 09 .0604 (q) 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 4/2/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: While outside, I observed the fence that was not latched and standing open near the steps that lead to the front of the school near the main road in town. We discussed that it is best practice to keep the gate closed while the children are engaged in outdoor play in order to keep them safe. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 24 Completed Date: 3/19/2025 Age: From 5 To 12 Total Minutes: 170 Time In: 02:30 PM Time Out: 05:20 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 reviewed with Gage Buckner, Program Coordinator and a copy of the visit summary was sent to Delaney Burke, Senior Director of Operations for signature via email due to print issues. Gage Buckner, Program Coordinator, accompanied me during the visit. Delaney Burke, Senior Director of Operations, assisted with reviewing staff and children’s files via TEAMS. 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 percent (91%) as of 3/11/2025. 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 3/11/2025. Permit type – Five (5) Star Rated License, issued 3/12/2019. Special Services/Restrictions – school age care only, playground does not meet child care playground safety standards, meeting reduced ratios, meets enhanced space. The last annual compliance visit was conducted on 3/27/2024. The last fire drill was practiced on 1/20/25. A fire drill was missed for October due to Tropical Storm Helene, and a drill for February was not documented. The last shelter-in-place drill was practiced on 12/20/2024. An emergency drill is due by the end of March. The last fire inspection was approved on 9/8/2024. The last sanitation inspection was conducted on 1/15/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/28/2025 due to Tropical Storm Helene. The facility re-opened on 10/16/2024 at an emergency relocation site due to damages sustained at the permanent location. On 10/28/2024 the facility was able to re-open at its permanent location. When I arrived at 2:30 pm, I was greeted by Gage Buckner, Program Coordinator. The group of five- to twelve-year-olds were located in the gym. There were two (2) staff members and ten (10) children. Mr. Buckner stated that today was afterschool clubs day so the children would be trickling in as the afternoon went on. At 2:45p six (6) children arrived bring the total present to sixteen (16). The group was divided into two (2) groups, group#1 had ten (10) children ages five to seven years old and group #2 had six (6) children ages eight to twelve years old. The groups were putting their belongings away in their individual basket and washing hands. At 3:00pm the groups transitioned outdoors for gross motor play. Outside, the children engaged in play with the swings, climber, basketball, and soccer. At 3:00p Delaney Burke, Senior Director of Operations, was able to meet with me to review the staff and children’s files via TEAMS. During the virtual meeting, I monitored three (3) staff files and three (3) children’s files. When finished reviewing the staff documents, I asked Ms. Burke to please update the staff and training worksheet with the updated dates that were in the staff files and resubmit the staff and training worksheet to me. While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide. We discussed that more surfacing will need to be added or the black felt will need to be cut to prevent a child from tripping. While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with pop corn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal. Also, while outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. At 3:45p seven (7) children arrived and at 4:16p two (2) more children arrived bringing the total for the day to twenty-five (25) children for the day. At 4:20pm the groups transitioned indoors to prepare for snack. Once in the cafeteria, the children washed their hands, got their snack, and sat down at the tables. Snack consisted of WOW Butter, Sunflower kernels, WG Tortilla, jelly packet, applesauce, and juice. All medications on-site were monitored and two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he has sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. 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 511 Foods and beverages with little or no nutritional value were available often and not just for special occasions. While outside I also observed one (1) child walking around eating a sucker. One (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating and/or attempting to eat. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. .0901(i) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for the month of February. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the playground for safety hazards, the black felt under the mulch was exposed at the end of the slide creating a tripping hazard. 10A NCAC 09 .0601(a) 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. While monitoring the posted items, the first aid information chart was not posted for reference. .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. Two (2) emergency permission to administer medication forms expired 2/26/2025. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. 10A NCAC 09 .0604(p) Technical assistance was provided as follows: Item 511 While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. We discussed that children can have unknown allergies and allowing children to eat foods that another child has could trigger an allergic reaction. The staff need to remind the children that outside candy or foods brought to the program must stay in their bookbags until they go home for the day. Rule Reference: 10A NCAC 09.0901(i) Item 805 A fire drill was not conducted for the month of February. When I asked the group leader about the drill he stated that he did conduct the drill but did not remember the date. I asked if he had documentation of when the drill was conducted, and he stated that he did not write it down. We discussed that it would be best practice to use a paper calendar or electronic calendar to document the drill dates as a reminder. Rule Reference: 10A NCAC 09.0604 (t) Item 807 While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide creating a tripping hazard. We discussed that more surfacing would need to be added or the black felt will need to be cut to prevent a child from tripping. Rule Reference: 10A NCAC 09 .0601 (a) Item 830 While monitoring the posted items, the first aid information chart was not posted for reference. We discussed that the first aid information chart will need to be posted on the information board near the entrance door of the gym. Rule Reference: 10A NCAC 09 .0802 (b) Item 849 Two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he had sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back and explain to the parents that the afterschool program is unable to administer the medication until the updated forms are returned giving the program authorization to administer the medication. The parents would need to develop a plan of action should the child have an allergic reaction or asthma attach while at the program. Rule Reference: 10A NCAC 09.0803(12) Item 856 While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. I recommend speaking with the school administration. If the school is unable to assist with emptying the trash receptacle, the afterschool program will need to empty the receptacle in order to meet requirements. Rule Reference: 10A NCAC 09 .0604 (q) 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 4/2/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: While outside, I observed the fence that was not latched and standing open near the steps that lead to the front of the school near the main road in town. We discussed that it is best practice to keep the gate closed while the children are engaged in outdoor play in order to keep them safe. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 24 Completed Date: 3/19/2025 Age: From 5 To 12 Total Minutes: 170 Time In: 02:30 PM Time Out: 05:20 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 reviewed with Gage Buckner, Program Coordinator and a copy of the visit summary was sent to Delaney Burke, Senior Director of Operations for signature via email due to print issues. Gage Buckner, Program Coordinator, accompanied me during the visit. Delaney Burke, Senior Director of Operations, assisted with reviewing staff and children’s files via TEAMS. 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 percent (91%) as of 3/11/2025. 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 3/11/2025. Permit type – Five (5) Star Rated License, issued 3/12/2019. Special Services/Restrictions – school age care only, playground does not meet child care playground safety standards, meeting reduced ratios, meets enhanced space. The last annual compliance visit was conducted on 3/27/2024. The last fire drill was practiced on 1/20/25. A fire drill was missed for October due to Tropical Storm Helene, and a drill for February was not documented. The last shelter-in-place drill was practiced on 12/20/2024. An emergency drill is due by the end of March. The last fire inspection was approved on 9/8/2024. The last sanitation inspection was conducted on 1/15/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/28/2025 due to Tropical Storm Helene. The facility re-opened on 10/16/2024 at an emergency relocation site due to damages sustained at the permanent location. On 10/28/2024 the facility was able to re-open at its permanent location. When I arrived at 2:30 pm, I was greeted by Gage Buckner, Program Coordinator. The group of five- to twelve-year-olds were located in the gym. There were two (2) staff members and ten (10) children. Mr. Buckner stated that today was afterschool clubs day so the children would be trickling in as the afternoon went on. At 2:45p six (6) children arrived bring the total present to sixteen (16). The group was divided into two (2) groups, group#1 had ten (10) children ages five to seven years old and group #2 had six (6) children ages eight to twelve years old. The groups were putting their belongings away in their individual basket and washing hands. At 3:00pm the groups transitioned outdoors for gross motor play. Outside, the children engaged in play with the swings, climber, basketball, and soccer. At 3:00p Delaney Burke, Senior Director of Operations, was able to meet with me to review the staff and children’s files via TEAMS. During the virtual meeting, I monitored three (3) staff files and three (3) children’s files. When finished reviewing the staff documents, I asked Ms. Burke to please update the staff and training worksheet with the updated dates that were in the staff files and resubmit the staff and training worksheet to me. While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide. We discussed that more surfacing will need to be added or the black felt will need to be cut to prevent a child from tripping. While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with pop corn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal. Also, while outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. At 3:45p seven (7) children arrived and at 4:16p two (2) more children arrived bringing the total for the day to twenty-five (25) children for the day. At 4:20pm the groups transitioned indoors to prepare for snack. Once in the cafeteria, the children washed their hands, got their snack, and sat down at the tables. Snack consisted of WOW Butter, Sunflower kernels, WG Tortilla, jelly packet, applesauce, and juice. All medications on-site were monitored and two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he has sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. 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 511 Foods and beverages with little or no nutritional value were available often and not just for special occasions. While outside I also observed one (1) child walking around eating a sucker. One (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating and/or attempting to eat. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. .0901(i) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for the month of February. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the playground for safety hazards, the black felt under the mulch was exposed at the end of the slide creating a tripping hazard. 10A NCAC 09 .0601(a) 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. While monitoring the posted items, the first aid information chart was not posted for reference. .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. Two (2) emergency permission to administer medication forms expired 2/26/2025. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. 10A NCAC 09 .0604(p) Technical assistance was provided as follows: Item 511 While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. We discussed that children can have unknown allergies and allowing children to eat foods that another child has could trigger an allergic reaction. The staff need to remind the children that outside candy or foods brought to the program must stay in their bookbags until they go home for the day. Rule Reference: 10A NCAC 09.0901(i) Item 805 A fire drill was not conducted for the month of February. When I asked the group leader about the drill he stated that he did conduct the drill but did not remember the date. I asked if he had documentation of when the drill was conducted, and he stated that he did not write it down. We discussed that it would be best practice to use a paper calendar or electronic calendar to document the drill dates as a reminder. Rule Reference: 10A NCAC 09.0604 (t) Item 807 While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide creating a tripping hazard. We discussed that more surfacing would need to be added or the black felt will need to be cut to prevent a child from tripping. Rule Reference: 10A NCAC 09 .0601 (a) Item 830 While monitoring the posted items, the first aid information chart was not posted for reference. We discussed that the first aid information chart will need to be posted on the information board near the entrance door of the gym. Rule Reference: 10A NCAC 09 .0802 (b) Item 849 Two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he had sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back and explain to the parents that the afterschool program is unable to administer the medication until the updated forms are returned giving the program authorization to administer the medication. The parents would need to develop a plan of action should the child have an allergic reaction or asthma attach while at the program. Rule Reference: 10A NCAC 09.0803(12) Item 856 While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. I recommend speaking with the school administration. If the school is unable to assist with emptying the trash receptacle, the afterschool program will need to empty the receptacle in order to meet requirements. Rule Reference: 10A NCAC 09 .0604 (q) 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 4/2/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: While outside, I observed the fence that was not latched and standing open near the steps that lead to the front of the school near the main road in town. We discussed that it is best practice to keep the gate closed while the children are engaged in outdoor play in order to keep them safe. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 24 Completed Date: 3/19/2025 Age: From 5 To 12 Total Minutes: 170 Time In: 02:30 PM Time Out: 05:20 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 reviewed with Gage Buckner, Program Coordinator and a copy of the visit summary was sent to Delaney Burke, Senior Director of Operations for signature via email due to print issues. Gage Buckner, Program Coordinator, accompanied me during the visit. Delaney Burke, Senior Director of Operations, assisted with reviewing staff and children’s files via TEAMS. 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 percent (91%) as of 3/11/2025. 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 3/11/2025. Permit type – Five (5) Star Rated License, issued 3/12/2019. Special Services/Restrictions – school age care only, playground does not meet child care playground safety standards, meeting reduced ratios, meets enhanced space. The last annual compliance visit was conducted on 3/27/2024. The last fire drill was practiced on 1/20/25. A fire drill was missed for October due to Tropical Storm Helene, and a drill for February was not documented. The last shelter-in-place drill was practiced on 12/20/2024. An emergency drill is due by the end of March. The last fire inspection was approved on 9/8/2024. The last sanitation inspection was conducted on 1/15/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/28/2025 due to Tropical Storm Helene. The facility re-opened on 10/16/2024 at an emergency relocation site due to damages sustained at the permanent location. On 10/28/2024 the facility was able to re-open at its permanent location. When I arrived at 2:30 pm, I was greeted by Gage Buckner, Program Coordinator. The group of five- to twelve-year-olds were located in the gym. There were two (2) staff members and ten (10) children. Mr. Buckner stated that today was afterschool clubs day so the children would be trickling in as the afternoon went on. At 2:45p six (6) children arrived bring the total present to sixteen (16). The group was divided into two (2) groups, group#1 had ten (10) children ages five to seven years old and group #2 had six (6) children ages eight to twelve years old. The groups were putting their belongings away in their individual basket and washing hands. At 3:00pm the groups transitioned outdoors for gross motor play. Outside, the children engaged in play with the swings, climber, basketball, and soccer. At 3:00p Delaney Burke, Senior Director of Operations, was able to meet with me to review the staff and children’s files via TEAMS. During the virtual meeting, I monitored three (3) staff files and three (3) children’s files. When finished reviewing the staff documents, I asked Ms. Burke to please update the staff and training worksheet with the updated dates that were in the staff files and resubmit the staff and training worksheet to me. While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide. We discussed that more surfacing will need to be added or the black felt will need to be cut to prevent a child from tripping. While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with pop corn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal. Also, while outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. At 3:45p seven (7) children arrived and at 4:16p two (2) more children arrived bringing the total for the day to twenty-five (25) children for the day. At 4:20pm the groups transitioned indoors to prepare for snack. Once in the cafeteria, the children washed their hands, got their snack, and sat down at the tables. Snack consisted of WOW Butter, Sunflower kernels, WG Tortilla, jelly packet, applesauce, and juice. All medications on-site were monitored and two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he has sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. 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 511 Foods and beverages with little or no nutritional value were available often and not just for special occasions. While outside I also observed one (1) child walking around eating a sucker. One (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating and/or attempting to eat. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. .0901(i) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for the month of February. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the playground for safety hazards, the black felt under the mulch was exposed at the end of the slide creating a tripping hazard. 10A NCAC 09 .0601(a) 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. While monitoring the posted items, the first aid information chart was not posted for reference. .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. Two (2) emergency permission to administer medication forms expired 2/26/2025. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. 10A NCAC 09 .0604(p) Technical assistance was provided as follows: Item 511 While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. We discussed that children can have unknown allergies and allowing children to eat foods that another child has could trigger an allergic reaction. The staff need to remind the children that outside candy or foods brought to the program must stay in their bookbags until they go home for the day. Rule Reference: 10A NCAC 09.0901(i) Item 805 A fire drill was not conducted for the month of February. When I asked the group leader about the drill he stated that he did conduct the drill but did not remember the date. I asked if he had documentation of when the drill was conducted, and he stated that he did not write it down. We discussed that it would be best practice to use a paper calendar or electronic calendar to document the drill dates as a reminder. Rule Reference: 10A NCAC 09.0604 (t) Item 807 While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide creating a tripping hazard. We discussed that more surfacing would need to be added or the black felt will need to be cut to prevent a child from tripping. Rule Reference: 10A NCAC 09 .0601 (a) Item 830 While monitoring the posted items, the first aid information chart was not posted for reference. We discussed that the first aid information chart will need to be posted on the information board near the entrance door of the gym. Rule Reference: 10A NCAC 09 .0802 (b) Item 849 Two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he had sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back and explain to the parents that the afterschool program is unable to administer the medication until the updated forms are returned giving the program authorization to administer the medication. The parents would need to develop a plan of action should the child have an allergic reaction or asthma attach while at the program. Rule Reference: 10A NCAC 09.0803(12) Item 856 While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. I recommend speaking with the school administration. If the school is unable to assist with emptying the trash receptacle, the afterschool program will need to empty the receptacle in order to meet requirements. Rule Reference: 10A NCAC 09 .0604 (q) 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 4/2/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: While outside, I observed the fence that was not latched and standing open near the steps that lead to the front of the school near the main road in town. We discussed that it is best practice to keep the gate closed while the children are engaged in outdoor play in order to keep them safe. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 24 Completed Date: 3/19/2025 Age: From 5 To 12 Total Minutes: 170 Time In: 02:30 PM Time Out: 05:20 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 reviewed with Gage Buckner, Program Coordinator and a copy of the visit summary was sent to Delaney Burke, Senior Director of Operations for signature via email due to print issues. Gage Buckner, Program Coordinator, accompanied me during the visit. Delaney Burke, Senior Director of Operations, assisted with reviewing staff and children’s files via TEAMS. 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 percent (91%) as of 3/11/2025. 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 3/11/2025. Permit type – Five (5) Star Rated License, issued 3/12/2019. Special Services/Restrictions – school age care only, playground does not meet child care playground safety standards, meeting reduced ratios, meets enhanced space. The last annual compliance visit was conducted on 3/27/2024. The last fire drill was practiced on 1/20/25. A fire drill was missed for October due to Tropical Storm Helene, and a drill for February was not documented. The last shelter-in-place drill was practiced on 12/20/2024. An emergency drill is due by the end of March. The last fire inspection was approved on 9/8/2024. The last sanitation inspection was conducted on 1/15/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/28/2025 due to Tropical Storm Helene. The facility re-opened on 10/16/2024 at an emergency relocation site due to damages sustained at the permanent location. On 10/28/2024 the facility was able to re-open at its permanent location. When I arrived at 2:30 pm, I was greeted by Gage Buckner, Program Coordinator. The group of five- to twelve-year-olds were located in the gym. There were two (2) staff members and ten (10) children. Mr. Buckner stated that today was afterschool clubs day so the children would be trickling in as the afternoon went on. At 2:45p six (6) children arrived bring the total present to sixteen (16). The group was divided into two (2) groups, group#1 had ten (10) children ages five to seven years old and group #2 had six (6) children ages eight to twelve years old. The groups were putting their belongings away in their individual basket and washing hands. At 3:00pm the groups transitioned outdoors for gross motor play. Outside, the children engaged in play with the swings, climber, basketball, and soccer. At 3:00p Delaney Burke, Senior Director of Operations, was able to meet with me to review the staff and children’s files via TEAMS. During the virtual meeting, I monitored three (3) staff files and three (3) children’s files. When finished reviewing the staff documents, I asked Ms. Burke to please update the staff and training worksheet with the updated dates that were in the staff files and resubmit the staff and training worksheet to me. While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide. We discussed that more surfacing will need to be added or the black felt will need to be cut to prevent a child from tripping. While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with pop corn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal. Also, while outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. At 3:45p seven (7) children arrived and at 4:16p two (2) more children arrived bringing the total for the day to twenty-five (25) children for the day. At 4:20pm the groups transitioned indoors to prepare for snack. Once in the cafeteria, the children washed their hands, got their snack, and sat down at the tables. Snack consisted of WOW Butter, Sunflower kernels, WG Tortilla, jelly packet, applesauce, and juice. All medications on-site were monitored and two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he has sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. 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 511 Foods and beverages with little or no nutritional value were available often and not just for special occasions. While outside I also observed one (1) child walking around eating a sucker. One (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating and/or attempting to eat. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. .0901(i) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for the month of February. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the playground for safety hazards, the black felt under the mulch was exposed at the end of the slide creating a tripping hazard. 10A NCAC 09 .0601(a) 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. While monitoring the posted items, the first aid information chart was not posted for reference. .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. Two (2) emergency permission to administer medication forms expired 2/26/2025. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. 10A NCAC 09 .0604(p) Technical assistance was provided as follows: Item 511 While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. We discussed that children can have unknown allergies and allowing children to eat foods that another child has could trigger an allergic reaction. The staff need to remind the children that outside candy or foods brought to the program must stay in their bookbags until they go home for the day. Rule Reference: 10A NCAC 09.0901(i) Item 805 A fire drill was not conducted for the month of February. When I asked the group leader about the drill he stated that he did conduct the drill but did not remember the date. I asked if he had documentation of when the drill was conducted, and he stated that he did not write it down. We discussed that it would be best practice to use a paper calendar or electronic calendar to document the drill dates as a reminder. Rule Reference: 10A NCAC 09.0604 (t) Item 807 While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide creating a tripping hazard. We discussed that more surfacing would need to be added or the black felt will need to be cut to prevent a child from tripping. Rule Reference: 10A NCAC 09 .0601 (a) Item 830 While monitoring the posted items, the first aid information chart was not posted for reference. We discussed that the first aid information chart will need to be posted on the information board near the entrance door of the gym. Rule Reference: 10A NCAC 09 .0802 (b) Item 849 Two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he had sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back and explain to the parents that the afterschool program is unable to administer the medication until the updated forms are returned giving the program authorization to administer the medication. The parents would need to develop a plan of action should the child have an allergic reaction or asthma attach while at the program. Rule Reference: 10A NCAC 09.0803(12) Item 856 While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. I recommend speaking with the school administration. If the school is unable to assist with emptying the trash receptacle, the afterschool program will need to empty the receptacle in order to meet requirements. Rule Reference: 10A NCAC 09 .0604 (q) 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 4/2/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: While outside, I observed the fence that was not latched and standing open near the steps that lead to the front of the school near the main road in town. We discussed that it is best practice to keep the gate closed while the children are engaged in outdoor play in order to keep them safe. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/19/2025 Number Present: 24 Completed Date: 3/19/2025 Age: From 5 To 12 Total Minutes: 170 Time In: 02:30 PM Time Out: 05:20 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 reviewed with Gage Buckner, Program Coordinator and a copy of the visit summary was sent to Delaney Burke, Senior Director of Operations for signature via email due to print issues. Gage Buckner, Program Coordinator, accompanied me during the visit. Delaney Burke, Senior Director of Operations, assisted with reviewing staff and children’s files via TEAMS. 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 percent (91%) as of 3/11/2025. 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 3/11/2025. Permit type – Five (5) Star Rated License, issued 3/12/2019. Special Services/Restrictions – school age care only, playground does not meet child care playground safety standards, meeting reduced ratios, meets enhanced space. The last annual compliance visit was conducted on 3/27/2024. The last fire drill was practiced on 1/20/25. A fire drill was missed for October due to Tropical Storm Helene, and a drill for February was not documented. The last shelter-in-place drill was practiced on 12/20/2024. An emergency drill is due by the end of March. The last fire inspection was approved on 9/8/2024. The last sanitation inspection was conducted on 1/15/2025 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility was closed from 9/27/2024 to 10/28/2025 due to Tropical Storm Helene. The facility re-opened on 10/16/2024 at an emergency relocation site due to damages sustained at the permanent location. On 10/28/2024 the facility was able to re-open at its permanent location. When I arrived at 2:30 pm, I was greeted by Gage Buckner, Program Coordinator. The group of five- to twelve-year-olds were located in the gym. There were two (2) staff members and ten (10) children. Mr. Buckner stated that today was afterschool clubs day so the children would be trickling in as the afternoon went on. At 2:45p six (6) children arrived bring the total present to sixteen (16). The group was divided into two (2) groups, group#1 had ten (10) children ages five to seven years old and group #2 had six (6) children ages eight to twelve years old. The groups were putting their belongings away in their individual basket and washing hands. At 3:00pm the groups transitioned outdoors for gross motor play. Outside, the children engaged in play with the swings, climber, basketball, and soccer. At 3:00p Delaney Burke, Senior Director of Operations, was able to meet with me to review the staff and children’s files via TEAMS. During the virtual meeting, I monitored three (3) staff files and three (3) children’s files. When finished reviewing the staff documents, I asked Ms. Burke to please update the staff and training worksheet with the updated dates that were in the staff files and resubmit the staff and training worksheet to me. While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide. We discussed that more surfacing will need to be added or the black felt will need to be cut to prevent a child from tripping. While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with pop corn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal. Also, while outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. At 3:45p seven (7) children arrived and at 4:16p two (2) more children arrived bringing the total for the day to twenty-five (25) children for the day. At 4:20pm the groups transitioned indoors to prepare for snack. Once in the cafeteria, the children washed their hands, got their snack, and sat down at the tables. Snack consisted of WOW Butter, Sunflower kernels, WG Tortilla, jelly packet, applesauce, and juice. All medications on-site were monitored and two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he has sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. 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 511 Foods and beverages with little or no nutritional value were available often and not just for special occasions. While outside I also observed one (1) child walking around eating a sucker. One (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating and/or attempting to eat. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. .0901(i) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for the month of February. .0604(t); .0302(d)(5) 807 A safe indoor and outdoor environment was not provided for the children. While monitoring the playground for safety hazards, the black felt under the mulch was exposed at the end of the slide creating a tripping hazard. 10A NCAC 09 .0601(a) 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. While monitoring the posted items, the first aid information chart was not posted for reference. .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. Two (2) emergency permission to administer medication forms expired 2/26/2025. .0803(12) 856 The indoor and/or outdoor premises was not checked once a day, prior to initial use, ensuring debris, and broken equipment was removed and disposed of. While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. 10A NCAC 09 .0604(p) Technical assistance was provided as follows: Item 511 While outside I also observed one (1) child walking around eating a sucker. I discussed with the group leader and the program coordinator that the child will need to throw the sucker away. The child went and sat down on the bench and when he finished the sucker threw the sucker stick away. Later I observed one (1) child with a individual bowl of cereal, another child with a snack bar, and another child with popcorn eating or attempting to eat. The group leader talked to the children and asked them to put the food items away and stated that they would be going into for snack soon. One (1) child with the cereal bowl walked off continuing to eat the cereal after being asked to put it away. We discussed that children can have unknown allergies and allowing children to eat foods that another child has could trigger an allergic reaction. The staff need to remind the children that outside candy or foods brought to the program must stay in their bookbags until they go home for the day. Rule Reference: 10A NCAC 09.0901(i) Item 805 A fire drill was not conducted for the month of February. When I asked the group leader about the drill he stated that he did conduct the drill but did not remember the date. I asked if he had documentation of when the drill was conducted, and he stated that he did not write it down. We discussed that it would be best practice to use a paper calendar or electronic calendar to document the drill dates as a reminder. Rule Reference: 10A NCAC 09.0604 (t) Item 807 While monitoring the playground for safety hazards, I observed the black felt under the mulch exposed at the end of the slide creating a tripping hazard. We discussed that more surfacing would need to be added or the black felt will need to be cut to prevent a child from tripping. Rule Reference: 10A NCAC 09 .0601 (a) Item 830 While monitoring the posted items, the first aid information chart was not posted for reference. We discussed that the first aid information chart will need to be posted on the information board near the entrance door of the gym. Rule Reference: 10A NCAC 09 .0802 (b) Item 849 Two (2) emergency permission to administer medication forms expired 2/26/2025. When I asked Mr. Buckner about the forms, he stated that he had sent the forms home for the parent to update, but the parent has not returned the forms. I stated that he will need to follow up with the parents to get the from back and explain to the parents that the afterschool program is unable to administer the medication until the updated forms are returned giving the program authorization to administer the medication. The parents would need to develop a plan of action should the child have an allergic reaction or asthma attach while at the program. Rule Reference: 10A NCAC 09.0803(12) Item 856 While outside, I observed the trash cans overflowing and trash scattered around the trash receptacle and pieces located around the playground. When I asked the group leader about the trash he stated that he has a hard time getting the school to assist with emptying the trash receptacle. I recommend speaking with the school administration. If the school is unable to assist with emptying the trash receptacle, the afterschool program will need to empty the receptacle in order to meet requirements. Rule Reference: 10A NCAC 09 .0604 (q) 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 4/2/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: While outside, I observed the fence that was not latched and standing open near the steps that lead to the front of the school near the main road in town. We discussed that it is best practice to keep the gate closed while the children are engaged in outdoor play in order to keep them safe. 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 karla.terry@ dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 24 Completed Date: 9/11/2024 Age: From 5 To 11 Total Minutes: 125 Time In: 02:55 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 your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Gage Buckner, Program Coordinator. At 3:45p, I met via TEAMS with Nick Erwin, Program Director. The program operates with a Five Star Rated License, issued 3/12/2019. The permit restrictions were in compliance including first shift, school-age only, meets enhanced space, playground does not meet child care playground safety standards, and meeting reduced ratios. Gage Buckner, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 3/27/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions When I arrived, group one (1) ages five- to seven-year-olds were preparing to transition to outdoors for gross motor play. Group two (2) ages eight- to eleven-year-olds was outside engaged in play with the climber, swings, tennis racket and balls, basketball, and jump ropes. Staff engaged in play with the children while actively supervising and moving about the outdoor area. While monitoring the outdoor space, I observed a staff member consuming a Prime drink supervising the children. After outdoor play, the groups transitioned indoors to prepare for snack. Snack today consisted of WOW butter, tortilla, applesauce, juice, and milk. The last fire drill was practiced on 8/29/2024. The last emergency drill, lockdown or shelter in place drill has not been conducted. The group leader stated that it is scheduled to be completed. The last fire inspection was approved on 9/8/2023. While reviewing files with Nick Erwin, Program Director via TEAMS stated that the 9/8/2023 fire inspection is the inspection on file for the facility. The program’s most recent sanitation inspection was completed on 1/8/2024, with thirteen (13) demerits. The Emergency Medical Care Plan is posted and was updated in 7/25/2024. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Fire inspection on file was dated 9/8/2023. A fire inspection has not been completed for the facility. 10A NCAC 09 .0304(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. While monitoring the outdoor space, I observed a staff member consuming a Prime drink while supervising the children. .0901(i) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 3/6/2024 Recognizing and Responding to Suspicions of Child Maltreatment training certificate was not on file. It is unknown if the staff member completed the training within the first ninety (90) days of employment. .1102(g) Technical assistance was provided as follows: Item 106 Fire inspection on file was dated 9/8/2023. A fire inspection has not been completed for the facility. We discussed the need to reach out to the Fire Marshall to ensure that they are aware the facility is past due for inspection. Rule Reference: 10A NCAC 09 ON-GOING REQUIREMENTS FOR A LICENSE .0304(a) Item 1792 While monitoring the outdoor space, I observed a staff member consuming a Prime drink while supervising the children. We discussed to model appropriate eating habits in front of the children this includes consuming beverages that meet the meal pattern guidelines. Rule Reference: 10A NCAC 09 GENERAL NUTRITION REQUIREMENTS 0901j Item 1897 Staff member hired 3/6/2024 Recognizing and Responding to Suspicions of Child Maltreatment training certificate was not on file. It is unknown if the staff member completed the training within the first ninety (90) days of employment. I spoke with the staff member about this and they were unable to pull up the training certificate. We discussed that the training certificate must be on file for review. Once staff members complete the training have them submit the certificate to you to print and have on file. Rule Reference: 10A NCAC 09 HEALTH AND SAFETY TRAINING REQUIREMENTS .1102(g) 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 9/25/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Gage Buckner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 24 Completed Date: 9/11/2024 Age: From 5 To 11 Total Minutes: 125 Time In: 02:55 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 your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Gage Buckner, Program Coordinator. At 3:45p, I met via TEAMS with Nick Erwin, Program Director. The program operates with a Five Star Rated License, issued 3/12/2019. The permit restrictions were in compliance including first shift, school-age only, meets enhanced space, playground does not meet child care playground safety standards, and meeting reduced ratios. Gage Buckner, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 3/27/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions When I arrived, group one (1) ages five- to seven-year-olds were preparing to transition to outdoors for gross motor play. Group two (2) ages eight- to eleven-year-olds was outside engaged in play with the climber, swings, tennis racket and balls, basketball, and jump ropes. Staff engaged in play with the children while actively supervising and moving about the outdoor area. While monitoring the outdoor space, I observed a staff member consuming a Prime drink supervising the children. After outdoor play, the groups transitioned indoors to prepare for snack. Snack today consisted of WOW butter, tortilla, applesauce, juice, and milk. The last fire drill was practiced on 8/29/2024. The last emergency drill, lockdown or shelter in place drill has not been conducted. The group leader stated that it is scheduled to be completed. The last fire inspection was approved on 9/8/2023. While reviewing files with Nick Erwin, Program Director via TEAMS stated that the 9/8/2023 fire inspection is the inspection on file for the facility. The program’s most recent sanitation inspection was completed on 1/8/2024, with thirteen (13) demerits. The Emergency Medical Care Plan is posted and was updated in 7/25/2024. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Fire inspection on file was dated 9/8/2023. A fire inspection has not been completed for the facility. 10A NCAC 09 .0304(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. While monitoring the outdoor space, I observed a staff member consuming a Prime drink while supervising the children. .0901(i) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 3/6/2024 Recognizing and Responding to Suspicions of Child Maltreatment training certificate was not on file. It is unknown if the staff member completed the training within the first ninety (90) days of employment. .1102(g) Technical assistance was provided as follows: Item 106 Fire inspection on file was dated 9/8/2023. A fire inspection has not been completed for the facility. We discussed the need to reach out to the Fire Marshall to ensure that they are aware the facility is past due for inspection. Rule Reference: 10A NCAC 09 ON-GOING REQUIREMENTS FOR A LICENSE .0304(a) Item 1792 While monitoring the outdoor space, I observed a staff member consuming a Prime drink while supervising the children. We discussed to model appropriate eating habits in front of the children this includes consuming beverages that meet the meal pattern guidelines. Rule Reference: 10A NCAC 09 GENERAL NUTRITION REQUIREMENTS 0901j Item 1897 Staff member hired 3/6/2024 Recognizing and Responding to Suspicions of Child Maltreatment training certificate was not on file. It is unknown if the staff member completed the training within the first ninety (90) days of employment. I spoke with the staff member about this and they were unable to pull up the training certificate. We discussed that the training certificate must be on file for review. Once staff members complete the training have them submit the certificate to you to print and have on file. Rule Reference: 10A NCAC 09 HEALTH AND SAFETY TRAINING REQUIREMENTS .1102(g) 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 9/25/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Gage Buckner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 24 Completed Date: 9/11/2024 Age: From 5 To 11 Total Minutes: 125 Time In: 02:55 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 your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Gage Buckner, Program Coordinator. At 3:45p, I met via TEAMS with Nick Erwin, Program Director. The program operates with a Five Star Rated License, issued 3/12/2019. The permit restrictions were in compliance including first shift, school-age only, meets enhanced space, playground does not meet child care playground safety standards, and meeting reduced ratios. Gage Buckner, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 3/27/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions When I arrived, group one (1) ages five- to seven-year-olds were preparing to transition to outdoors for gross motor play. Group two (2) ages eight- to eleven-year-olds was outside engaged in play with the climber, swings, tennis racket and balls, basketball, and jump ropes. Staff engaged in play with the children while actively supervising and moving about the outdoor area. While monitoring the outdoor space, I observed a staff member consuming a Prime drink supervising the children. After outdoor play, the groups transitioned indoors to prepare for snack. Snack today consisted of WOW butter, tortilla, applesauce, juice, and milk. The last fire drill was practiced on 8/29/2024. The last emergency drill, lockdown or shelter in place drill has not been conducted. The group leader stated that it is scheduled to be completed. The last fire inspection was approved on 9/8/2023. While reviewing files with Nick Erwin, Program Director via TEAMS stated that the 9/8/2023 fire inspection is the inspection on file for the facility. The program’s most recent sanitation inspection was completed on 1/8/2024, with thirteen (13) demerits. The Emergency Medical Care Plan is posted and was updated in 7/25/2024. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Fire inspection on file was dated 9/8/2023. A fire inspection has not been completed for the facility. 10A NCAC 09 .0304(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. While monitoring the outdoor space, I observed a staff member consuming a Prime drink while supervising the children. .0901(i) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 3/6/2024 Recognizing and Responding to Suspicions of Child Maltreatment training certificate was not on file. It is unknown if the staff member completed the training within the first ninety (90) days of employment. .1102(g) Technical assistance was provided as follows: Item 106 Fire inspection on file was dated 9/8/2023. A fire inspection has not been completed for the facility. We discussed the need to reach out to the Fire Marshall to ensure that they are aware the facility is past due for inspection. Rule Reference: 10A NCAC 09 ON-GOING REQUIREMENTS FOR A LICENSE .0304(a) Item 1792 While monitoring the outdoor space, I observed a staff member consuming a Prime drink while supervising the children. We discussed to model appropriate eating habits in front of the children this includes consuming beverages that meet the meal pattern guidelines. Rule Reference: 10A NCAC 09 GENERAL NUTRITION REQUIREMENTS 0901j Item 1897 Staff member hired 3/6/2024 Recognizing and Responding to Suspicions of Child Maltreatment training certificate was not on file. It is unknown if the staff member completed the training within the first ninety (90) days of employment. I spoke with the staff member about this and they were unable to pull up the training certificate. We discussed that the training certificate must be on file for review. Once staff members complete the training have them submit the certificate to you to print and have on file. Rule Reference: 10A NCAC 09 HEALTH AND SAFETY TRAINING REQUIREMENTS .1102(g) 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 9/25/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Gage Buckner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 24 Completed Date: 9/11/2024 Age: From 5 To 11 Total Minutes: 125 Time In: 02:55 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 your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Gage Buckner, Program Coordinator. At 3:45p, I met via TEAMS with Nick Erwin, Program Director. The program operates with a Five Star Rated License, issued 3/12/2019. The permit restrictions were in compliance including first shift, school-age only, meets enhanced space, playground does not meet child care playground safety standards, and meeting reduced ratios. Gage Buckner, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 3/27/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions When I arrived, group one (1) ages five- to seven-year-olds were preparing to transition to outdoors for gross motor play. Group two (2) ages eight- to eleven-year-olds was outside engaged in play with the climber, swings, tennis racket and balls, basketball, and jump ropes. Staff engaged in play with the children while actively supervising and moving about the outdoor area. While monitoring the outdoor space, I observed a staff member consuming a Prime drink supervising the children. After outdoor play, the groups transitioned indoors to prepare for snack. Snack today consisted of WOW butter, tortilla, applesauce, juice, and milk. The last fire drill was practiced on 8/29/2024. The last emergency drill, lockdown or shelter in place drill has not been conducted. The group leader stated that it is scheduled to be completed. The last fire inspection was approved on 9/8/2023. While reviewing files with Nick Erwin, Program Director via TEAMS stated that the 9/8/2023 fire inspection is the inspection on file for the facility. The program’s most recent sanitation inspection was completed on 1/8/2024, with thirteen (13) demerits. The Emergency Medical Care Plan is posted and was updated in 7/25/2024. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Fire inspection on file was dated 9/8/2023. A fire inspection has not been completed for the facility. 10A NCAC 09 .0304(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. While monitoring the outdoor space, I observed a staff member consuming a Prime drink while supervising the children. .0901(i) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 3/6/2024 Recognizing and Responding to Suspicions of Child Maltreatment training certificate was not on file. It is unknown if the staff member completed the training within the first ninety (90) days of employment. .1102(g) Technical assistance was provided as follows: Item 106 Fire inspection on file was dated 9/8/2023. A fire inspection has not been completed for the facility. We discussed the need to reach out to the Fire Marshall to ensure that they are aware the facility is past due for inspection. Rule Reference: 10A NCAC 09 ON-GOING REQUIREMENTS FOR A LICENSE .0304(a) Item 1792 While monitoring the outdoor space, I observed a staff member consuming a Prime drink while supervising the children. We discussed to model appropriate eating habits in front of the children this includes consuming beverages that meet the meal pattern guidelines. Rule Reference: 10A NCAC 09 GENERAL NUTRITION REQUIREMENTS 0901j Item 1897 Staff member hired 3/6/2024 Recognizing and Responding to Suspicions of Child Maltreatment training certificate was not on file. It is unknown if the staff member completed the training within the first ninety (90) days of employment. I spoke with the staff member about this and they were unable to pull up the training certificate. We discussed that the training certificate must be on file for review. Once staff members complete the training have them submit the certificate to you to print and have on file. Rule Reference: 10A NCAC 09 HEALTH AND SAFETY TRAINING REQUIREMENTS .1102(g) 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 9/25/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Gage Buckner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/11/2024 Number Present: 24 Completed Date: 9/11/2024 Age: From 5 To 11 Total Minutes: 125 Time In: 02:55 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 your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Gage Buckner, Program Coordinator. At 3:45p, I met via TEAMS with Nick Erwin, Program Director. The program operates with a Five Star Rated License, issued 3/12/2019. The permit restrictions were in compliance including first shift, school-age only, meets enhanced space, playground does not meet child care playground safety standards, and meeting reduced ratios. Gage Buckner, Program Coordinator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 3/27/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions When I arrived, group one (1) ages five- to seven-year-olds were preparing to transition to outdoors for gross motor play. Group two (2) ages eight- to eleven-year-olds was outside engaged in play with the climber, swings, tennis racket and balls, basketball, and jump ropes. Staff engaged in play with the children while actively supervising and moving about the outdoor area. While monitoring the outdoor space, I observed a staff member consuming a Prime drink supervising the children. After outdoor play, the groups transitioned indoors to prepare for snack. Snack today consisted of WOW butter, tortilla, applesauce, juice, and milk. The last fire drill was practiced on 8/29/2024. The last emergency drill, lockdown or shelter in place drill has not been conducted. The group leader stated that it is scheduled to be completed. The last fire inspection was approved on 9/8/2023. While reviewing files with Nick Erwin, Program Director via TEAMS stated that the 9/8/2023 fire inspection is the inspection on file for the facility. The program’s most recent sanitation inspection was completed on 1/8/2024, with thirteen (13) demerits. The Emergency Medical Care Plan is posted and was updated in 7/25/2024. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. Fire inspection on file was dated 9/8/2023. A fire inspection has not been completed for the facility. 10A NCAC 09 .0304(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. While monitoring the outdoor space, I observed a staff member consuming a Prime drink while supervising the children. .0901(i) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Staff member hired 3/6/2024 Recognizing and Responding to Suspicions of Child Maltreatment training certificate was not on file. It is unknown if the staff member completed the training within the first ninety (90) days of employment. .1102(g) Technical assistance was provided as follows: Item 106 Fire inspection on file was dated 9/8/2023. A fire inspection has not been completed for the facility. We discussed the need to reach out to the Fire Marshall to ensure that they are aware the facility is past due for inspection. Rule Reference: 10A NCAC 09 ON-GOING REQUIREMENTS FOR A LICENSE .0304(a) Item 1792 While monitoring the outdoor space, I observed a staff member consuming a Prime drink while supervising the children. We discussed to model appropriate eating habits in front of the children this includes consuming beverages that meet the meal pattern guidelines. Rule Reference: 10A NCAC 09 GENERAL NUTRITION REQUIREMENTS 0901j Item 1897 Staff member hired 3/6/2024 Recognizing and Responding to Suspicions of Child Maltreatment training certificate was not on file. It is unknown if the staff member completed the training within the first ninety (90) days of employment. I spoke with the staff member about this and they were unable to pull up the training certificate. We discussed that the training certificate must be on file for review. Once staff members complete the training have them submit the certificate to you to print and have on file. Rule Reference: 10A NCAC 09 HEALTH AND SAFETY TRAINING REQUIREMENTS .1102(g) 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 9/25/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Gage Buckner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 20 Completed Date: 3/27/2024 Age: From 5 To 12 Total Minutes: 180 Time In: 02:45 PM Time Out: 05:45 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. Upon arrival, I checked in at the front office and walked down to the gym. Once at the gym, I was greeted by Gage Buckner, Program Coordinator. Gage Buckner, Program Coordinator, and Samantha Applegate, Substitute were available during the visit. Delaney Burke, Senior Director of Operations - Youth Services was available to assist me virtually with viewing the electronic files for children and staff. The program operates with a Five Star Center License, issued 3/12/2019. The permit restrictions were in compliance including school age care only. Playground does not meet Child Care Playground Safety requirements. 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 last annual compliance visit was conducted on 4/10/2023. The last fire drill was practiced on 3/13/24. The last shelter-in-place drill was practiced on 12/19/2024. The last fire inspection was approved on 9/8/2023. The last sanitation inspection was conducted on 1/8/2024 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 11/27/2023. All medications were monitored and met requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 3/27/2024. 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 3/27/2024. When I arrived, I was greeted by the Program Coordinator, Gage Buckner. I observed the students running around the gym. The Program Coordinator and the substitute called the children to separate into their groups. Group one (1), ages five to ten years old met at the right side of the gym to take attendance and review the plan for today. Group two (2), ages seven to twelve years old met at the left side of the gym to take attendance and discuss the upcoming fundraiser. After both groups concluded their group meeting, the students used the restroom and prepared to transition outdoors for gross motor play. Outside, the students climbed on the climber, played soccer, and played basketball. Staff were engaged in play with the children while actively supervising the children. After outdoor play, the groups transitioned to the cafeteria to wash hands and eat snack. Snack consisted of WOW butter, Sunflower Kernels, tortilla, jelly, applesauce, and milk. Staff and children’s files were monitored during the visit. I monitored one (1) new staff, and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 3/27/2024. Staff file concerns: Staff member DB hired 2/1/2019 review of Emergency Medical Care Plan and Emergency Preparedness and Response plan was not updated annually. The last date review documented in the electronic file was dated 5/19/2021. I monitored four (4) children’s files and completed the Children’s Record form. Children’s file concerns: Child OL enrolled 8/23/23 immunizations on file did not have a completed or printed date to show that the records were printed and submitted within thirty (30) days of enrollment. Child AS enrolled 8/23/23 immunizations on file were dated 8/22/19. When asked when the child was originally enrolled, the administrator was unable to go back that far in the system to see if the childs original enrollment date was in 2019. 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 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EMC plan. The last documented review was dated 5/19/2021. 10A NCAC 09 .0802(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EPR plan. The last documented review was dated 5/19/2021. .0607(f) Technical assistance was provided as follows: Item # 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 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. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EMC plan. The last documented review was dated 5/19/2021. I suggest each year documenting on your calendar as a reminder when to review the EMC and sign off on documentation of review. Item # 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EPR plan. The last documented review was dated 5/19/2021. I suggest each year documenting on your calendar as a reminder when to review the EPR and sign off on documentation of review. 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 4/10/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. - Outdoors at the swings the black protective barrier under the mulch is exposed and creating a tripping hazard. Since this is a safety concern, it will be a potential violation in the future if it is not taken care of. I suggest cutting the exposed felt or raking to cover the exposed felt with mulch. - First Aid bag and topical ointment like Chapstick should be stored up five (5) feet or kept on your person. If the Chapstick is medicated and states to keep out of reach of children, it will need to be stored in a locked cabinet or locked zipper compartment. - Print an updated copy of the EPR plan to have in your emergency backpack with you at all times. - Since the resignation of the previous staff member TV, you will need to update the Emergency Medical Care Plan to list a new alternate person. Once updated you will need to ensure that you review the plan and sign off the date it was reviewed with all staff. - Emergency information for substitutes need to be completed and on-site on or before the first day of work. I suggest having blank copies on hand to have the substitutes completed when they arrive to sub at the facility. - Immunizations- documentation must be provided to ensure immunizations are received within thirty (30) days of enrollment. When the facility receives immunizations from the parents, the facility will need to note on the immunizations when the immunizations were received by the facility. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Gage Buckner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0607 · Violation

Name of Operation: YMCA BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 20 Completed Date: 3/27/2024 Age: From 5 To 12 Total Minutes: 180 Time In: 02:45 PM Time Out: 05:45 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. Upon arrival, I checked in at the front office and walked down to the gym. Once at the gym, I was greeted by Gage Buckner, Program Coordinator. Gage Buckner, Program Coordinator, and Samantha Applegate, Substitute were available during the visit. Delaney Burke, Senior Director of Operations - Youth Services was available to assist me virtually with viewing the electronic files for children and staff. The program operates with a Five Star Center License, issued 3/12/2019. The permit restrictions were in compliance including school age care only. Playground does not meet Child Care Playground Safety requirements. 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 last annual compliance visit was conducted on 4/10/2023. The last fire drill was practiced on 3/13/24. The last shelter-in-place drill was practiced on 12/19/2024. The last fire inspection was approved on 9/8/2023. The last sanitation inspection was conducted on 1/8/2024 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 11/27/2023. All medications were monitored and met requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 3/27/2024. 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 3/27/2024. When I arrived, I was greeted by the Program Coordinator, Gage Buckner. I observed the students running around the gym. The Program Coordinator and the substitute called the children to separate into their groups. Group one (1), ages five to ten years old met at the right side of the gym to take attendance and review the plan for today. Group two (2), ages seven to twelve years old met at the left side of the gym to take attendance and discuss the upcoming fundraiser. After both groups concluded their group meeting, the students used the restroom and prepared to transition outdoors for gross motor play. Outside, the students climbed on the climber, played soccer, and played basketball. Staff were engaged in play with the children while actively supervising the children. After outdoor play, the groups transitioned to the cafeteria to wash hands and eat snack. Snack consisted of WOW butter, Sunflower Kernels, tortilla, jelly, applesauce, and milk. Staff and children’s files were monitored during the visit. I monitored one (1) new staff, and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 3/27/2024. Staff file concerns: Staff member DB hired 2/1/2019 review of Emergency Medical Care Plan and Emergency Preparedness and Response plan was not updated annually. The last date review documented in the electronic file was dated 5/19/2021. I monitored four (4) children’s files and completed the Children’s Record form. Children’s file concerns: Child OL enrolled 8/23/23 immunizations on file did not have a completed or printed date to show that the records were printed and submitted within thirty (30) days of enrollment. Child AS enrolled 8/23/23 immunizations on file were dated 8/22/19. When asked when the child was originally enrolled, the administrator was unable to go back that far in the system to see if the childs original enrollment date was in 2019. 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 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EMC plan. The last documented review was dated 5/19/2021. 10A NCAC 09 .0802(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EPR plan. The last documented review was dated 5/19/2021. .0607(f) Technical assistance was provided as follows: Item # 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 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. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EMC plan. The last documented review was dated 5/19/2021. I suggest each year documenting on your calendar as a reminder when to review the EMC and sign off on documentation of review. Item # 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EPR plan. The last documented review was dated 5/19/2021. I suggest each year documenting on your calendar as a reminder when to review the EPR and sign off on documentation of review. 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 4/10/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. - Outdoors at the swings the black protective barrier under the mulch is exposed and creating a tripping hazard. Since this is a safety concern, it will be a potential violation in the future if it is not taken care of. I suggest cutting the exposed felt or raking to cover the exposed felt with mulch. - First Aid bag and topical ointment like Chapstick should be stored up five (5) feet or kept on your person. If the Chapstick is medicated and states to keep out of reach of children, it will need to be stored in a locked cabinet or locked zipper compartment. - Print an updated copy of the EPR plan to have in your emergency backpack with you at all times. - Since the resignation of the previous staff member TV, you will need to update the Emergency Medical Care Plan to list a new alternate person. Once updated you will need to ensure that you review the plan and sign off the date it was reviewed with all staff. - Emergency information for substitutes need to be completed and on-site on or before the first day of work. I suggest having blank copies on hand to have the substitutes completed when they arrive to sub at the facility. - Immunizations- documentation must be provided to ensure immunizations are received within thirty (30) days of enrollment. When the facility receives immunizations from the parents, the facility will need to note on the immunizations when the immunizations were received by the facility. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Gage Buckner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 20 Completed Date: 3/27/2024 Age: From 5 To 12 Total Minutes: 180 Time In: 02:45 PM Time Out: 05:45 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. Upon arrival, I checked in at the front office and walked down to the gym. Once at the gym, I was greeted by Gage Buckner, Program Coordinator. Gage Buckner, Program Coordinator, and Samantha Applegate, Substitute were available during the visit. Delaney Burke, Senior Director of Operations - Youth Services was available to assist me virtually with viewing the electronic files for children and staff. The program operates with a Five Star Center License, issued 3/12/2019. The permit restrictions were in compliance including school age care only. Playground does not meet Child Care Playground Safety requirements. 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 last annual compliance visit was conducted on 4/10/2023. The last fire drill was practiced on 3/13/24. The last shelter-in-place drill was practiced on 12/19/2024. The last fire inspection was approved on 9/8/2023. The last sanitation inspection was conducted on 1/8/2024 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 11/27/2023. All medications were monitored and met requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 3/27/2024. 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 3/27/2024. When I arrived, I was greeted by the Program Coordinator, Gage Buckner. I observed the students running around the gym. The Program Coordinator and the substitute called the children to separate into their groups. Group one (1), ages five to ten years old met at the right side of the gym to take attendance and review the plan for today. Group two (2), ages seven to twelve years old met at the left side of the gym to take attendance and discuss the upcoming fundraiser. After both groups concluded their group meeting, the students used the restroom and prepared to transition outdoors for gross motor play. Outside, the students climbed on the climber, played soccer, and played basketball. Staff were engaged in play with the children while actively supervising the children. After outdoor play, the groups transitioned to the cafeteria to wash hands and eat snack. Snack consisted of WOW butter, Sunflower Kernels, tortilla, jelly, applesauce, and milk. Staff and children’s files were monitored during the visit. I monitored one (1) new staff, and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 3/27/2024. Staff file concerns: Staff member DB hired 2/1/2019 review of Emergency Medical Care Plan and Emergency Preparedness and Response plan was not updated annually. The last date review documented in the electronic file was dated 5/19/2021. I monitored four (4) children’s files and completed the Children’s Record form. Children’s file concerns: Child OL enrolled 8/23/23 immunizations on file did not have a completed or printed date to show that the records were printed and submitted within thirty (30) days of enrollment. Child AS enrolled 8/23/23 immunizations on file were dated 8/22/19. When asked when the child was originally enrolled, the administrator was unable to go back that far in the system to see if the childs original enrollment date was in 2019. 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 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EMC plan. The last documented review was dated 5/19/2021. 10A NCAC 09 .0802(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EPR plan. The last documented review was dated 5/19/2021. .0607(f) Technical assistance was provided as follows: Item # 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 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. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EMC plan. The last documented review was dated 5/19/2021. I suggest each year documenting on your calendar as a reminder when to review the EMC and sign off on documentation of review. Item # 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EPR plan. The last documented review was dated 5/19/2021. I suggest each year documenting on your calendar as a reminder when to review the EPR and sign off on documentation of review. 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 4/10/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. - Outdoors at the swings the black protective barrier under the mulch is exposed and creating a tripping hazard. Since this is a safety concern, it will be a potential violation in the future if it is not taken care of. I suggest cutting the exposed felt or raking to cover the exposed felt with mulch. - First Aid bag and topical ointment like Chapstick should be stored up five (5) feet or kept on your person. If the Chapstick is medicated and states to keep out of reach of children, it will need to be stored in a locked cabinet or locked zipper compartment. - Print an updated copy of the EPR plan to have in your emergency backpack with you at all times. - Since the resignation of the previous staff member TV, you will need to update the Emergency Medical Care Plan to list a new alternate person. Once updated you will need to ensure that you review the plan and sign off the date it was reviewed with all staff. - Emergency information for substitutes need to be completed and on-site on or before the first day of work. I suggest having blank copies on hand to have the substitutes completed when they arrive to sub at the facility. - Immunizations- documentation must be provided to ensure immunizations are received within thirty (30) days of enrollment. When the facility receives immunizations from the parents, the facility will need to note on the immunizations when the immunizations were received by the facility. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Gage Buckner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 20 Completed Date: 3/27/2024 Age: From 5 To 12 Total Minutes: 180 Time In: 02:45 PM Time Out: 05:45 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. Upon arrival, I checked in at the front office and walked down to the gym. Once at the gym, I was greeted by Gage Buckner, Program Coordinator. Gage Buckner, Program Coordinator, and Samantha Applegate, Substitute were available during the visit. Delaney Burke, Senior Director of Operations - Youth Services was available to assist me virtually with viewing the electronic files for children and staff. The program operates with a Five Star Center License, issued 3/12/2019. The permit restrictions were in compliance including school age care only. Playground does not meet Child Care Playground Safety requirements. 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 last annual compliance visit was conducted on 4/10/2023. The last fire drill was practiced on 3/13/24. The last shelter-in-place drill was practiced on 12/19/2024. The last fire inspection was approved on 9/8/2023. The last sanitation inspection was conducted on 1/8/2024 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 11/27/2023. All medications were monitored and met requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 3/27/2024. 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 3/27/2024. When I arrived, I was greeted by the Program Coordinator, Gage Buckner. I observed the students running around the gym. The Program Coordinator and the substitute called the children to separate into their groups. Group one (1), ages five to ten years old met at the right side of the gym to take attendance and review the plan for today. Group two (2), ages seven to twelve years old met at the left side of the gym to take attendance and discuss the upcoming fundraiser. After both groups concluded their group meeting, the students used the restroom and prepared to transition outdoors for gross motor play. Outside, the students climbed on the climber, played soccer, and played basketball. Staff were engaged in play with the children while actively supervising the children. After outdoor play, the groups transitioned to the cafeteria to wash hands and eat snack. Snack consisted of WOW butter, Sunflower Kernels, tortilla, jelly, applesauce, and milk. Staff and children’s files were monitored during the visit. I monitored one (1) new staff, and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 3/27/2024. Staff file concerns: Staff member DB hired 2/1/2019 review of Emergency Medical Care Plan and Emergency Preparedness and Response plan was not updated annually. The last date review documented in the electronic file was dated 5/19/2021. I monitored four (4) children’s files and completed the Children’s Record form. Children’s file concerns: Child OL enrolled 8/23/23 immunizations on file did not have a completed or printed date to show that the records were printed and submitted within thirty (30) days of enrollment. Child AS enrolled 8/23/23 immunizations on file were dated 8/22/19. When asked when the child was originally enrolled, the administrator was unable to go back that far in the system to see if the childs original enrollment date was in 2019. 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 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EMC plan. The last documented review was dated 5/19/2021. 10A NCAC 09 .0802(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EPR plan. The last documented review was dated 5/19/2021. .0607(f) Technical assistance was provided as follows: Item # 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 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. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EMC plan. The last documented review was dated 5/19/2021. I suggest each year documenting on your calendar as a reminder when to review the EMC and sign off on documentation of review. Item # 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EPR plan. The last documented review was dated 5/19/2021. I suggest each year documenting on your calendar as a reminder when to review the EPR and sign off on documentation of review. 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 4/10/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. - Outdoors at the swings the black protective barrier under the mulch is exposed and creating a tripping hazard. Since this is a safety concern, it will be a potential violation in the future if it is not taken care of. I suggest cutting the exposed felt or raking to cover the exposed felt with mulch. - First Aid bag and topical ointment like Chapstick should be stored up five (5) feet or kept on your person. If the Chapstick is medicated and states to keep out of reach of children, it will need to be stored in a locked cabinet or locked zipper compartment. - Print an updated copy of the EPR plan to have in your emergency backpack with you at all times. - Since the resignation of the previous staff member TV, you will need to update the Emergency Medical Care Plan to list a new alternate person. Once updated you will need to ensure that you review the plan and sign off the date it was reviewed with all staff. - Emergency information for substitutes need to be completed and on-site on or before the first day of work. I suggest having blank copies on hand to have the substitutes completed when they arrive to sub at the facility. - Immunizations- documentation must be provided to ensure immunizations are received within thirty (30) days of enrollment. When the facility receives immunizations from the parents, the facility will need to note on the immunizations when the immunizations were received by the facility. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Gage Buckner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 20 Completed Date: 3/27/2024 Age: From 5 To 12 Total Minutes: 180 Time In: 02:45 PM Time Out: 05:45 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. Upon arrival, I checked in at the front office and walked down to the gym. Once at the gym, I was greeted by Gage Buckner, Program Coordinator. Gage Buckner, Program Coordinator, and Samantha Applegate, Substitute were available during the visit. Delaney Burke, Senior Director of Operations - Youth Services was available to assist me virtually with viewing the electronic files for children and staff. The program operates with a Five Star Center License, issued 3/12/2019. The permit restrictions were in compliance including school age care only. Playground does not meet Child Care Playground Safety requirements. 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 last annual compliance visit was conducted on 4/10/2023. The last fire drill was practiced on 3/13/24. The last shelter-in-place drill was practiced on 12/19/2024. The last fire inspection was approved on 9/8/2023. The last sanitation inspection was conducted on 1/8/2024 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 11/27/2023. All medications were monitored and met requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 3/27/2024. 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 3/27/2024. When I arrived, I was greeted by the Program Coordinator, Gage Buckner. I observed the students running around the gym. The Program Coordinator and the substitute called the children to separate into their groups. Group one (1), ages five to ten years old met at the right side of the gym to take attendance and review the plan for today. Group two (2), ages seven to twelve years old met at the left side of the gym to take attendance and discuss the upcoming fundraiser. After both groups concluded their group meeting, the students used the restroom and prepared to transition outdoors for gross motor play. Outside, the students climbed on the climber, played soccer, and played basketball. Staff were engaged in play with the children while actively supervising the children. After outdoor play, the groups transitioned to the cafeteria to wash hands and eat snack. Snack consisted of WOW butter, Sunflower Kernels, tortilla, jelly, applesauce, and milk. Staff and children’s files were monitored during the visit. I monitored one (1) new staff, and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 3/27/2024. Staff file concerns: Staff member DB hired 2/1/2019 review of Emergency Medical Care Plan and Emergency Preparedness and Response plan was not updated annually. The last date review documented in the electronic file was dated 5/19/2021. I monitored four (4) children’s files and completed the Children’s Record form. Children’s file concerns: Child OL enrolled 8/23/23 immunizations on file did not have a completed or printed date to show that the records were printed and submitted within thirty (30) days of enrollment. Child AS enrolled 8/23/23 immunizations on file were dated 8/22/19. When asked when the child was originally enrolled, the administrator was unable to go back that far in the system to see if the childs original enrollment date was in 2019. 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 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EMC plan. The last documented review was dated 5/19/2021. 10A NCAC 09 .0802(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EPR plan. The last documented review was dated 5/19/2021. .0607(f) Technical assistance was provided as follows: Item # 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 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. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EMC plan. The last documented review was dated 5/19/2021. I suggest each year documenting on your calendar as a reminder when to review the EMC and sign off on documentation of review. Item # 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EPR plan. The last documented review was dated 5/19/2021. I suggest each year documenting on your calendar as a reminder when to review the EPR and sign off on documentation of review. 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 4/10/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. - Outdoors at the swings the black protective barrier under the mulch is exposed and creating a tripping hazard. Since this is a safety concern, it will be a potential violation in the future if it is not taken care of. I suggest cutting the exposed felt or raking to cover the exposed felt with mulch. - First Aid bag and topical ointment like Chapstick should be stored up five (5) feet or kept on your person. If the Chapstick is medicated and states to keep out of reach of children, it will need to be stored in a locked cabinet or locked zipper compartment. - Print an updated copy of the EPR plan to have in your emergency backpack with you at all times. - Since the resignation of the previous staff member TV, you will need to update the Emergency Medical Care Plan to list a new alternate person. Once updated you will need to ensure that you review the plan and sign off the date it was reviewed with all staff. - Emergency information for substitutes need to be completed and on-site on or before the first day of work. I suggest having blank copies on hand to have the substitutes completed when they arrive to sub at the facility. - Immunizations- documentation must be provided to ensure immunizations are received within thirty (30) days of enrollment. When the facility receives immunizations from the parents, the facility will need to note on the immunizations when the immunizations were received by the facility. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Gage Buckner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 20 Completed Date: 3/27/2024 Age: From 5 To 12 Total Minutes: 180 Time In: 02:45 PM Time Out: 05:45 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. Upon arrival, I checked in at the front office and walked down to the gym. Once at the gym, I was greeted by Gage Buckner, Program Coordinator. Gage Buckner, Program Coordinator, and Samantha Applegate, Substitute were available during the visit. Delaney Burke, Senior Director of Operations - Youth Services was available to assist me virtually with viewing the electronic files for children and staff. The program operates with a Five Star Center License, issued 3/12/2019. The permit restrictions were in compliance including school age care only. Playground does not meet Child Care Playground Safety requirements. 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 last annual compliance visit was conducted on 4/10/2023. The last fire drill was practiced on 3/13/24. The last shelter-in-place drill was practiced on 12/19/2024. The last fire inspection was approved on 9/8/2023. The last sanitation inspection was conducted on 1/8/2024 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 11/27/2023. All medications were monitored and met requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 3/27/2024. 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 3/27/2024. When I arrived, I was greeted by the Program Coordinator, Gage Buckner. I observed the students running around the gym. The Program Coordinator and the substitute called the children to separate into their groups. Group one (1), ages five to ten years old met at the right side of the gym to take attendance and review the plan for today. Group two (2), ages seven to twelve years old met at the left side of the gym to take attendance and discuss the upcoming fundraiser. After both groups concluded their group meeting, the students used the restroom and prepared to transition outdoors for gross motor play. Outside, the students climbed on the climber, played soccer, and played basketball. Staff were engaged in play with the children while actively supervising the children. After outdoor play, the groups transitioned to the cafeteria to wash hands and eat snack. Snack consisted of WOW butter, Sunflower Kernels, tortilla, jelly, applesauce, and milk. Staff and children’s files were monitored during the visit. I monitored one (1) new staff, and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 3/27/2024. Staff file concerns: Staff member DB hired 2/1/2019 review of Emergency Medical Care Plan and Emergency Preparedness and Response plan was not updated annually. The last date review documented in the electronic file was dated 5/19/2021. I monitored four (4) children’s files and completed the Children’s Record form. Children’s file concerns: Child OL enrolled 8/23/23 immunizations on file did not have a completed or printed date to show that the records were printed and submitted within thirty (30) days of enrollment. Child AS enrolled 8/23/23 immunizations on file were dated 8/22/19. When asked when the child was originally enrolled, the administrator was unable to go back that far in the system to see if the childs original enrollment date was in 2019. 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 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EMC plan. The last documented review was dated 5/19/2021. 10A NCAC 09 .0802(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EPR plan. The last documented review was dated 5/19/2021. .0607(f) Technical assistance was provided as follows: Item # 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 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. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EMC plan. The last documented review was dated 5/19/2021. I suggest each year documenting on your calendar as a reminder when to review the EMC and sign off on documentation of review. Item # 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EPR plan. The last documented review was dated 5/19/2021. I suggest each year documenting on your calendar as a reminder when to review the EPR and sign off on documentation of review. 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 4/10/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. - Outdoors at the swings the black protective barrier under the mulch is exposed and creating a tripping hazard. Since this is a safety concern, it will be a potential violation in the future if it is not taken care of. I suggest cutting the exposed felt or raking to cover the exposed felt with mulch. - First Aid bag and topical ointment like Chapstick should be stored up five (5) feet or kept on your person. If the Chapstick is medicated and states to keep out of reach of children, it will need to be stored in a locked cabinet or locked zipper compartment. - Print an updated copy of the EPR plan to have in your emergency backpack with you at all times. - Since the resignation of the previous staff member TV, you will need to update the Emergency Medical Care Plan to list a new alternate person. Once updated you will need to ensure that you review the plan and sign off the date it was reviewed with all staff. - Emergency information for substitutes need to be completed and on-site on or before the first day of work. I suggest having blank copies on hand to have the substitutes completed when they arrive to sub at the facility. - Immunizations- documentation must be provided to ensure immunizations are received within thirty (30) days of enrollment. When the facility receives immunizations from the parents, the facility will need to note on the immunizations when the immunizations were received by the facility. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Gage Buckner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 3/27/2024 Number Present: 20 Completed Date: 3/27/2024 Age: From 5 To 12 Total Minutes: 180 Time In: 02:45 PM Time Out: 05:45 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. Upon arrival, I checked in at the front office and walked down to the gym. Once at the gym, I was greeted by Gage Buckner, Program Coordinator. Gage Buckner, Program Coordinator, and Samantha Applegate, Substitute were available during the visit. Delaney Burke, Senior Director of Operations - Youth Services was available to assist me virtually with viewing the electronic files for children and staff. The program operates with a Five Star Center License, issued 3/12/2019. The permit restrictions were in compliance including school age care only. Playground does not meet Child Care Playground Safety requirements. 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 last annual compliance visit was conducted on 4/10/2023. The last fire drill was practiced on 3/13/24. The last shelter-in-place drill was practiced on 12/19/2024. The last fire inspection was approved on 9/8/2023. The last sanitation inspection was conducted on 1/8/2024 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 11/27/2023. All medications were monitored and met requirement. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 3/27/2024. 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 3/27/2024. When I arrived, I was greeted by the Program Coordinator, Gage Buckner. I observed the students running around the gym. The Program Coordinator and the substitute called the children to separate into their groups. Group one (1), ages five to ten years old met at the right side of the gym to take attendance and review the plan for today. Group two (2), ages seven to twelve years old met at the left side of the gym to take attendance and discuss the upcoming fundraiser. After both groups concluded their group meeting, the students used the restroom and prepared to transition outdoors for gross motor play. Outside, the students climbed on the climber, played soccer, and played basketball. Staff were engaged in play with the children while actively supervising the children. After outdoor play, the groups transitioned to the cafeteria to wash hands and eat snack. Snack consisted of WOW butter, Sunflower Kernels, tortilla, jelly, applesauce, and milk. Staff and children’s files were monitored during the visit. I monitored one (1) new staff, and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 3/27/2024. Staff file concerns: Staff member DB hired 2/1/2019 review of Emergency Medical Care Plan and Emergency Preparedness and Response plan was not updated annually. The last date review documented in the electronic file was dated 5/19/2021. I monitored four (4) children’s files and completed the Children’s Record form. Children’s file concerns: Child OL enrolled 8/23/23 immunizations on file did not have a completed or printed date to show that the records were printed and submitted within thirty (30) days of enrollment. Child AS enrolled 8/23/23 immunizations on file were dated 8/22/19. When asked when the child was originally enrolled, the administrator was unable to go back that far in the system to see if the childs original enrollment date was in 2019. 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 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EMC plan. The last documented review was dated 5/19/2021. 10A NCAC 09 .0802(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EPR plan. The last documented review was dated 5/19/2021. .0607(f) Technical assistance was provided as follows: Item # 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 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. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. - Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EMC plan. The last documented review was dated 5/19/2021. I suggest each year documenting on your calendar as a reminder when to review the EMC and sign off on documentation of review. Item # 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. - Staff member DB hired 2/1/2019 did not have annual documentation of the review of the EPR plan. The last documented review was dated 5/19/2021. I suggest each year documenting on your calendar as a reminder when to review the EPR and sign off on documentation of review. 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 4/10/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@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: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. - Outdoors at the swings the black protective barrier under the mulch is exposed and creating a tripping hazard. Since this is a safety concern, it will be a potential violation in the future if it is not taken care of. I suggest cutting the exposed felt or raking to cover the exposed felt with mulch. - First Aid bag and topical ointment like Chapstick should be stored up five (5) feet or kept on your person. If the Chapstick is medicated and states to keep out of reach of children, it will need to be stored in a locked cabinet or locked zipper compartment. - Print an updated copy of the EPR plan to have in your emergency backpack with you at all times. - Since the resignation of the previous staff member TV, you will need to update the Emergency Medical Care Plan to list a new alternate person. Once updated you will need to ensure that you review the plan and sign off the date it was reviewed with all staff. - Emergency information for substitutes need to be completed and on-site on or before the first day of work. I suggest having blank copies on hand to have the substitutes completed when they arrive to sub at the facility. - Immunizations- documentation must be provided to ensure immunizations are received within thirty (30) days of enrollment. When the facility receives immunizations from the parents, the facility will need to note on the immunizations when the immunizations were received by the facility. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. 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. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Gage Buckner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 22 Completed Date: 11/8/2023 Age: From 5 To 12 Total Minutes: 100 Time In: 02:40 PM Time Out: 04:20 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 your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Gage Buckner, Program Coordinator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Gage Buckner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The program currently operates with a Five (5) Star Rated License effective March 12, 2019. The permit restrictions were in compliance including first shift, school-age only, meets enhanced space, playground does not meet child care playground safety standards, and meeting reduced ratios. Gage Buckner, Program Coordinator, on-site and available during the visit. The program’s annual compliance visit was conducted on 4/10/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions When I arrived, I was greeted by the Program Coordinator, Gage Buckner. I observed the students putting their belongings away in individual baskets and using the restroom. The staff were actively supervising the students. Once all of the students used the restroom, the students divided up into their groups. Group one (1), ages five to eight years old met at the right side of the gym to take attendance and review the plan for today. Group two (2), ages eight to twelve years old met at the left side of the gym to take attendance and discuss the Fall Family Night. After both groups concluded their group meeting, the groups transitioned outdoors for gross motor play. Outside, the students ran or walked the track, played ball with soccer or footballs, climbed on the climber, and played basketball. Staff were engaged in play with the children while actively supervising the children. Snack today was wow butter, sunflower kernels, WG tortillas, jelly pack, applesauce, and juice. The last fire drill was practiced on 10/25/2023. The last emergency drill, lockdown drill, was practiced on 9/29/2023. The last fire inspection was approved on 9/8/2023. The program’s most recent sanitation inspection was completed on 1/11/2023, with ten (10) demerits. The Emergency Medical Care Plan is posted and current. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There have been no new staff hired since the annual compliance visit conducted on 4/10/2023. I reviewed the items that were due to be updated by today’s visit to ensure compliance was met. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. Liquid white out was observed on the table as you enter the gym on the left. The Program Coordinator corrected this during the visit. .2820(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Staff member TB was observed consuming Pepsi while outside observing the children. The staff member moved the drink to the emergency back while outside. .0901(i) 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. Technical Assistance for Correction Plan: Item #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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Liquid white out was observed on the table as you enter the gym on the left. The Program Coordinator corrected this during the visit. I suggested using the correction tape instead of liquid white out or only using it in the office space that is locked when the children are in care. Item #1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. - Staff member TB was observed consuming Pepsi while outside observing the children. The staff member moved the drink to the emergency back while outside. I suggested putting the drink away and consuming it out of the presence of students. Consultation: Today, we discussed the following: -We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0901 · Violation

Name of Operation: YMCA BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 22 Completed Date: 11/8/2023 Age: From 5 To 12 Total Minutes: 100 Time In: 02:40 PM Time Out: 04:20 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 your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Gage Buckner, Program Coordinator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Gage Buckner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The program currently operates with a Five (5) Star Rated License effective March 12, 2019. The permit restrictions were in compliance including first shift, school-age only, meets enhanced space, playground does not meet child care playground safety standards, and meeting reduced ratios. Gage Buckner, Program Coordinator, on-site and available during the visit. The program’s annual compliance visit was conducted on 4/10/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions When I arrived, I was greeted by the Program Coordinator, Gage Buckner. I observed the students putting their belongings away in individual baskets and using the restroom. The staff were actively supervising the students. Once all of the students used the restroom, the students divided up into their groups. Group one (1), ages five to eight years old met at the right side of the gym to take attendance and review the plan for today. Group two (2), ages eight to twelve years old met at the left side of the gym to take attendance and discuss the Fall Family Night. After both groups concluded their group meeting, the groups transitioned outdoors for gross motor play. Outside, the students ran or walked the track, played ball with soccer or footballs, climbed on the climber, and played basketball. Staff were engaged in play with the children while actively supervising the children. Snack today was wow butter, sunflower kernels, WG tortillas, jelly pack, applesauce, and juice. The last fire drill was practiced on 10/25/2023. The last emergency drill, lockdown drill, was practiced on 9/29/2023. The last fire inspection was approved on 9/8/2023. The program’s most recent sanitation inspection was completed on 1/11/2023, with ten (10) demerits. The Emergency Medical Care Plan is posted and current. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There have been no new staff hired since the annual compliance visit conducted on 4/10/2023. I reviewed the items that were due to be updated by today’s visit to ensure compliance was met. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. Liquid white out was observed on the table as you enter the gym on the left. The Program Coordinator corrected this during the visit. .2820(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Staff member TB was observed consuming Pepsi while outside observing the children. The staff member moved the drink to the emergency back while outside. .0901(i) 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. Technical Assistance for Correction Plan: Item #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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Liquid white out was observed on the table as you enter the gym on the left. The Program Coordinator corrected this during the visit. I suggested using the correction tape instead of liquid white out or only using it in the office space that is locked when the children are in care. Item #1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. - Staff member TB was observed consuming Pepsi while outside observing the children. The staff member moved the drink to the emergency back while outside. I suggested putting the drink away and consuming it out of the presence of students. Consultation: Today, we discussed the following: -We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 22 Completed Date: 11/8/2023 Age: From 5 To 12 Total Minutes: 100 Time In: 02:40 PM Time Out: 04:20 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 your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Gage Buckner, Program Coordinator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Gage Buckner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The program currently operates with a Five (5) Star Rated License effective March 12, 2019. The permit restrictions were in compliance including first shift, school-age only, meets enhanced space, playground does not meet child care playground safety standards, and meeting reduced ratios. Gage Buckner, Program Coordinator, on-site and available during the visit. The program’s annual compliance visit was conducted on 4/10/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions When I arrived, I was greeted by the Program Coordinator, Gage Buckner. I observed the students putting their belongings away in individual baskets and using the restroom. The staff were actively supervising the students. Once all of the students used the restroom, the students divided up into their groups. Group one (1), ages five to eight years old met at the right side of the gym to take attendance and review the plan for today. Group two (2), ages eight to twelve years old met at the left side of the gym to take attendance and discuss the Fall Family Night. After both groups concluded their group meeting, the groups transitioned outdoors for gross motor play. Outside, the students ran or walked the track, played ball with soccer or footballs, climbed on the climber, and played basketball. Staff were engaged in play with the children while actively supervising the children. Snack today was wow butter, sunflower kernels, WG tortillas, jelly pack, applesauce, and juice. The last fire drill was practiced on 10/25/2023. The last emergency drill, lockdown drill, was practiced on 9/29/2023. The last fire inspection was approved on 9/8/2023. The program’s most recent sanitation inspection was completed on 1/11/2023, with ten (10) demerits. The Emergency Medical Care Plan is posted and current. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There have been no new staff hired since the annual compliance visit conducted on 4/10/2023. I reviewed the items that were due to be updated by today’s visit to ensure compliance was met. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. Liquid white out was observed on the table as you enter the gym on the left. The Program Coordinator corrected this during the visit. .2820(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Staff member TB was observed consuming Pepsi while outside observing the children. The staff member moved the drink to the emergency back while outside. .0901(i) 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. Technical Assistance for Correction Plan: Item #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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Liquid white out was observed on the table as you enter the gym on the left. The Program Coordinator corrected this during the visit. I suggested using the correction tape instead of liquid white out or only using it in the office space that is locked when the children are in care. Item #1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. - Staff member TB was observed consuming Pepsi while outside observing the children. The staff member moved the drink to the emergency back while outside. I suggested putting the drink away and consuming it out of the presence of students. Consultation: Today, we discussed the following: -We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 22 Completed Date: 11/8/2023 Age: From 5 To 12 Total Minutes: 100 Time In: 02:40 PM Time Out: 04:20 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 your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Gage Buckner, Program Coordinator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Gage Buckner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The program currently operates with a Five (5) Star Rated License effective March 12, 2019. The permit restrictions were in compliance including first shift, school-age only, meets enhanced space, playground does not meet child care playground safety standards, and meeting reduced ratios. Gage Buckner, Program Coordinator, on-site and available during the visit. The program’s annual compliance visit was conducted on 4/10/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions When I arrived, I was greeted by the Program Coordinator, Gage Buckner. I observed the students putting their belongings away in individual baskets and using the restroom. The staff were actively supervising the students. Once all of the students used the restroom, the students divided up into their groups. Group one (1), ages five to eight years old met at the right side of the gym to take attendance and review the plan for today. Group two (2), ages eight to twelve years old met at the left side of the gym to take attendance and discuss the Fall Family Night. After both groups concluded their group meeting, the groups transitioned outdoors for gross motor play. Outside, the students ran or walked the track, played ball with soccer or footballs, climbed on the climber, and played basketball. Staff were engaged in play with the children while actively supervising the children. Snack today was wow butter, sunflower kernels, WG tortillas, jelly pack, applesauce, and juice. The last fire drill was practiced on 10/25/2023. The last emergency drill, lockdown drill, was practiced on 9/29/2023. The last fire inspection was approved on 9/8/2023. The program’s most recent sanitation inspection was completed on 1/11/2023, with ten (10) demerits. The Emergency Medical Care Plan is posted and current. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There have been no new staff hired since the annual compliance visit conducted on 4/10/2023. I reviewed the items that were due to be updated by today’s visit to ensure compliance was met. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. Liquid white out was observed on the table as you enter the gym on the left. The Program Coordinator corrected this during the visit. .2820(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Staff member TB was observed consuming Pepsi while outside observing the children. The staff member moved the drink to the emergency back while outside. .0901(i) 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. Technical Assistance for Correction Plan: Item #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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Liquid white out was observed on the table as you enter the gym on the left. The Program Coordinator corrected this during the visit. I suggested using the correction tape instead of liquid white out or only using it in the office space that is locked when the children are in care. Item #1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. - Staff member TB was observed consuming Pepsi while outside observing the children. The staff member moved the drink to the emergency back while outside. I suggested putting the drink away and consuming it out of the presence of students. Consultation: Today, we discussed the following: -We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 22 Completed Date: 11/8/2023 Age: From 5 To 12 Total Minutes: 100 Time In: 02:40 PM Time Out: 04:20 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 your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Gage Buckner, Program Coordinator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Gage Buckner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The program currently operates with a Five (5) Star Rated License effective March 12, 2019. The permit restrictions were in compliance including first shift, school-age only, meets enhanced space, playground does not meet child care playground safety standards, and meeting reduced ratios. Gage Buckner, Program Coordinator, on-site and available during the visit. The program’s annual compliance visit was conducted on 4/10/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions When I arrived, I was greeted by the Program Coordinator, Gage Buckner. I observed the students putting their belongings away in individual baskets and using the restroom. The staff were actively supervising the students. Once all of the students used the restroom, the students divided up into their groups. Group one (1), ages five to eight years old met at the right side of the gym to take attendance and review the plan for today. Group two (2), ages eight to twelve years old met at the left side of the gym to take attendance and discuss the Fall Family Night. After both groups concluded their group meeting, the groups transitioned outdoors for gross motor play. Outside, the students ran or walked the track, played ball with soccer or footballs, climbed on the climber, and played basketball. Staff were engaged in play with the children while actively supervising the children. Snack today was wow butter, sunflower kernels, WG tortillas, jelly pack, applesauce, and juice. The last fire drill was practiced on 10/25/2023. The last emergency drill, lockdown drill, was practiced on 9/29/2023. The last fire inspection was approved on 9/8/2023. The program’s most recent sanitation inspection was completed on 1/11/2023, with ten (10) demerits. The Emergency Medical Care Plan is posted and current. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There have been no new staff hired since the annual compliance visit conducted on 4/10/2023. I reviewed the items that were due to be updated by today’s visit to ensure compliance was met. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. Liquid white out was observed on the table as you enter the gym on the left. The Program Coordinator corrected this during the visit. .2820(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Staff member TB was observed consuming Pepsi while outside observing the children. The staff member moved the drink to the emergency back while outside. .0901(i) 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. Technical Assistance for Correction Plan: Item #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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Liquid white out was observed on the table as you enter the gym on the left. The Program Coordinator corrected this during the visit. I suggested using the correction tape instead of liquid white out or only using it in the office space that is locked when the children are in care. Item #1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. - Staff member TB was observed consuming Pepsi while outside observing the children. The staff member moved the drink to the emergency back while outside. I suggested putting the drink away and consuming it out of the presence of students. Consultation: Today, we discussed the following: -We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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 BLACK MOUNTAIN AFTERSCHOOL Facility ID: 11000785 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/8/2023 Number Present: 22 Completed Date: 11/8/2023 Age: From 5 To 12 Total Minutes: 100 Time In: 02:40 PM Time Out: 04:20 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 your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Gage Buckner, Program Coordinator. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Gage Buckner, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. The program currently operates with a Five (5) Star Rated License effective March 12, 2019. The permit restrictions were in compliance including first shift, school-age only, meets enhanced space, playground does not meet child care playground safety standards, and meeting reduced ratios. Gage Buckner, Program Coordinator, on-site and available during the visit. The program’s annual compliance visit was conducted on 4/10/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions When I arrived, I was greeted by the Program Coordinator, Gage Buckner. I observed the students putting their belongings away in individual baskets and using the restroom. The staff were actively supervising the students. Once all of the students used the restroom, the students divided up into their groups. Group one (1), ages five to eight years old met at the right side of the gym to take attendance and review the plan for today. Group two (2), ages eight to twelve years old met at the left side of the gym to take attendance and discuss the Fall Family Night. After both groups concluded their group meeting, the groups transitioned outdoors for gross motor play. Outside, the students ran or walked the track, played ball with soccer or footballs, climbed on the climber, and played basketball. Staff were engaged in play with the children while actively supervising the children. Snack today was wow butter, sunflower kernels, WG tortillas, jelly pack, applesauce, and juice. The last fire drill was practiced on 10/25/2023. The last emergency drill, lockdown drill, was practiced on 9/29/2023. The last fire inspection was approved on 9/8/2023. The program’s most recent sanitation inspection was completed on 1/11/2023, with ten (10) demerits. The Emergency Medical Care Plan is posted and current. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There have been no new staff hired since the annual compliance visit conducted on 4/10/2023. I reviewed the items that were due to be updated by today’s visit to ensure compliance was met. The following violations of child care requirements were observed today: Violation Number Comment Rule 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. Liquid white out was observed on the table as you enter the gym on the left. The Program Coordinator corrected this during the visit. .2820(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. Staff member TB was observed consuming Pepsi while outside observing the children. The staff member moved the drink to the emergency back while outside. .0901(i) 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. Technical Assistance for Correction Plan: Item #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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Liquid white out was observed on the table as you enter the gym on the left. The Program Coordinator corrected this during the visit. I suggested using the correction tape instead of liquid white out or only using it in the office space that is locked when the children are in care. Item #1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. - Staff member TB was observed consuming Pepsi while outside observing the children. The staff member moved the drink to the emergency back while outside. I suggested putting the drink away and consuming it out of the presence of students. Consultation: Today, we discussed the following: -We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. 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 karla.terry@dhhs.nc.gov or 828-200-9952, 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