10A NCAC 09 .0304 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/4/2025 Number Present: 46 Completed Date: 9/4/2025 Age: From 5 To 10 Total Minutes: 165 Time In: 01:32 PM Time Out: 04:17 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Ms. Elder was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight (98) percent as of today prior to this visit. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space. The last annual compliance visit was conducted on 2/13/25. The last fire drill was practiced on 8/29/25. The last lockdown drill was practiced on 8/12/25. The Emergency Medical Care plan was posted and current. The program’s Emergency Preparedness and Response Plan was last updated on 8/20/25. Lead water testing was completed on 5/30/24 without hazards. Lead paint and asbestos testing was completed on 3/27/25 and exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. I greeted staff members. After arrival, I contacted Ms. Delaney via phone and request to meet via TEAMS to review the staff files. Four (4) existing staff files were monitored for criminal background letters, First Aid/CPR certificates and BSAC certificates. Two (2) new staff files were monitored in full. Three (3) emergency medications were monitored. The action plans and the permission forms were all current. Twelve (12) children in group #1 arrived in the gym and placed their personal belongings in the baskets. Following a discussion, they played a freeze game and then participated in free play with marble towers, pretend shops, and other materials. Seventeen (17) children in group #2 arrived in the gym, washed their hands in the bathroom, and had snacks in the cafeteria. BBQ Jack Links, sunflower kernels, whole-grain Chili Lime crackers, applesauce, veggie blend juice, and milk were served as snacks today. Games, magnetic tiles, K’nex, Legos, books, markers, origami, and other materials were available for the children to use during free play in the cafeteria. Seventeen (17) children in group #3 played on the playground. Some sat on the bench and talked, others swung on the swings, and several dug in the dirt, pouring water into the holes they created. According to the program coordinator, digging in the dirt has been the children’s fixation this week. Interaction and supervision were adequate. We discussed updating the restrictions on the current permit based on the new HB412/SL 2025-36. The restriction “Playground area does not meet Child Care Playground safety standards” and “Children prohibited in the kitchen for any purpose” will be removed upon processing today’s visit summary. Room 309 and 311 were only used during summer months. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The vehicles that transport children for YMCA programs were monitored on 6/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratio information sheet was not posted in the cafeteria. .0713(a)(10), (c) & (f)(3); .2818(e) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. An alternate person was not identified on the EMC plan. .0802(a)(1)(A-B); 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Upon limited review of existing staff members, one (1) staff member whose CBC letter was dated on 5/3/23 did not have a first aid certificate in the file for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Upon limited review of existing staff members, one (1) staff member whose CBC letter was dated on 5/3/23 did not have a CPR certificate in the file for review. .1102(d) Technical assistance was provided as follows: 319: Staff/Child ratio information sheet Staff/child ratios applicable to a classroom must be posted in each classroom. Refer to 10A NCAC 09 .0713(a)(10). To comply, please print the staff/child ratio sheet on our website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms and post it in the cafeteria. In your compliance letter, please state the date you posted the staff/child ratio in the cafeteria. 837: Emergency Medical Care (EMC) plan The EMC plan must name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. Refer to 10A NCAC 09 .0802(a)(1)(A-B). To comply, please identify an alternate person for each task on the EMC plan that requires one. In your compliance statement, please state the date an alternate person for each task were identified on the EMC plan. 1048/1049: First Aid/CPR All staff members must renew First Aid/CPR certification without a lapse. The training certificates must be maintained in the staff files. To comply, locate the training certificate for a staff member who obtained the CBC letter on 5/3/23, and maintained it in the staff file. If the certificate is not located, the staff member must renew the certificate. In your compliance letter, please state the completion date of CPR/First aid as well as when it was filed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 9/18/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: QIRS information at Provider Meeting: A provider meeting for Buncombe County Child Care programs on 9/15/25 at 12:30 pm at PARC building at Eliada Homes. New Permit (License): New Permit without restrictions on the kitchen access and playground safety rules will be processed. Upon receiving the license, please post it on the bulletin board in the gym without delays. ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. No staff members were listed on the roster. Please add all staff members as soon as possible. You are required to add/remove/change the roster within five (5) days of the change. Please log onto the ABCMS account using your business NCID and update the roster. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0713 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/4/2025 Number Present: 46 Completed Date: 9/4/2025 Age: From 5 To 10 Total Minutes: 165 Time In: 01:32 PM Time Out: 04:17 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Ms. Elder was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight (98) percent as of today prior to this visit. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space. The last annual compliance visit was conducted on 2/13/25. The last fire drill was practiced on 8/29/25. The last lockdown drill was practiced on 8/12/25. The Emergency Medical Care plan was posted and current. The program’s Emergency Preparedness and Response Plan was last updated on 8/20/25. Lead water testing was completed on 5/30/24 without hazards. Lead paint and asbestos testing was completed on 3/27/25 and exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. I greeted staff members. After arrival, I contacted Ms. Delaney via phone and request to meet via TEAMS to review the staff files. Four (4) existing staff files were monitored for criminal background letters, First Aid/CPR certificates and BSAC certificates. Two (2) new staff files were monitored in full. Three (3) emergency medications were monitored. The action plans and the permission forms were all current. Twelve (12) children in group #1 arrived in the gym and placed their personal belongings in the baskets. Following a discussion, they played a freeze game and then participated in free play with marble towers, pretend shops, and other materials. Seventeen (17) children in group #2 arrived in the gym, washed their hands in the bathroom, and had snacks in the cafeteria. BBQ Jack Links, sunflower kernels, whole-grain Chili Lime crackers, applesauce, veggie blend juice, and milk were served as snacks today. Games, magnetic tiles, K’nex, Legos, books, markers, origami, and other materials were available for the children to use during free play in the cafeteria. Seventeen (17) children in group #3 played on the playground. Some sat on the bench and talked, others swung on the swings, and several dug in the dirt, pouring water into the holes they created. According to the program coordinator, digging in the dirt has been the children’s fixation this week. Interaction and supervision were adequate. We discussed updating the restrictions on the current permit based on the new HB412/SL 2025-36. The restriction “Playground area does not meet Child Care Playground safety standards” and “Children prohibited in the kitchen for any purpose” will be removed upon processing today’s visit summary. Room 309 and 311 were only used during summer months. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The vehicles that transport children for YMCA programs were monitored on 6/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratio information sheet was not posted in the cafeteria. .0713(a)(10), (c) & (f)(3); .2818(e) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. An alternate person was not identified on the EMC plan. .0802(a)(1)(A-B); 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Upon limited review of existing staff members, one (1) staff member whose CBC letter was dated on 5/3/23 did not have a first aid certificate in the file for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Upon limited review of existing staff members, one (1) staff member whose CBC letter was dated on 5/3/23 did not have a CPR certificate in the file for review. .1102(d) Technical assistance was provided as follows: 319: Staff/Child ratio information sheet Staff/child ratios applicable to a classroom must be posted in each classroom. Refer to 10A NCAC 09 .0713(a)(10). To comply, please print the staff/child ratio sheet on our website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms and post it in the cafeteria. In your compliance letter, please state the date you posted the staff/child ratio in the cafeteria. 837: Emergency Medical Care (EMC) plan The EMC plan must name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. Refer to 10A NCAC 09 .0802(a)(1)(A-B). To comply, please identify an alternate person for each task on the EMC plan that requires one. In your compliance statement, please state the date an alternate person for each task were identified on the EMC plan. 1048/1049: First Aid/CPR All staff members must renew First Aid/CPR certification without a lapse. The training certificates must be maintained in the staff files. To comply, locate the training certificate for a staff member who obtained the CBC letter on 5/3/23, and maintained it in the staff file. If the certificate is not located, the staff member must renew the certificate. In your compliance letter, please state the completion date of CPR/First aid as well as when it was filed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 9/18/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: QIRS information at Provider Meeting: A provider meeting for Buncombe County Child Care programs on 9/15/25 at 12:30 pm at PARC building at Eliada Homes. New Permit (License): New Permit without restrictions on the kitchen access and playground safety rules will be processed. Upon receiving the license, please post it on the bulletin board in the gym without delays. ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. No staff members were listed on the roster. Please add all staff members as soon as possible. You are required to add/remove/change the roster within five (5) days of the change. Please log onto the ABCMS account using your business NCID and update the roster. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/4/2025 Number Present: 46 Completed Date: 9/4/2025 Age: From 5 To 10 Total Minutes: 165 Time In: 01:32 PM Time Out: 04:17 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Ms. Elder was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight (98) percent as of today prior to this visit. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space. The last annual compliance visit was conducted on 2/13/25. The last fire drill was practiced on 8/29/25. The last lockdown drill was practiced on 8/12/25. The Emergency Medical Care plan was posted and current. The program’s Emergency Preparedness and Response Plan was last updated on 8/20/25. Lead water testing was completed on 5/30/24 without hazards. Lead paint and asbestos testing was completed on 3/27/25 and exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. I greeted staff members. After arrival, I contacted Ms. Delaney via phone and request to meet via TEAMS to review the staff files. Four (4) existing staff files were monitored for criminal background letters, First Aid/CPR certificates and BSAC certificates. Two (2) new staff files were monitored in full. Three (3) emergency medications were monitored. The action plans and the permission forms were all current. Twelve (12) children in group #1 arrived in the gym and placed their personal belongings in the baskets. Following a discussion, they played a freeze game and then participated in free play with marble towers, pretend shops, and other materials. Seventeen (17) children in group #2 arrived in the gym, washed their hands in the bathroom, and had snacks in the cafeteria. BBQ Jack Links, sunflower kernels, whole-grain Chili Lime crackers, applesauce, veggie blend juice, and milk were served as snacks today. Games, magnetic tiles, K’nex, Legos, books, markers, origami, and other materials were available for the children to use during free play in the cafeteria. Seventeen (17) children in group #3 played on the playground. Some sat on the bench and talked, others swung on the swings, and several dug in the dirt, pouring water into the holes they created. According to the program coordinator, digging in the dirt has been the children’s fixation this week. Interaction and supervision were adequate. We discussed updating the restrictions on the current permit based on the new HB412/SL 2025-36. The restriction “Playground area does not meet Child Care Playground safety standards” and “Children prohibited in the kitchen for any purpose” will be removed upon processing today’s visit summary. Room 309 and 311 were only used during summer months. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The vehicles that transport children for YMCA programs were monitored on 6/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratio information sheet was not posted in the cafeteria. .0713(a)(10), (c) & (f)(3); .2818(e) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. An alternate person was not identified on the EMC plan. .0802(a)(1)(A-B); 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Upon limited review of existing staff members, one (1) staff member whose CBC letter was dated on 5/3/23 did not have a first aid certificate in the file for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Upon limited review of existing staff members, one (1) staff member whose CBC letter was dated on 5/3/23 did not have a CPR certificate in the file for review. .1102(d) Technical assistance was provided as follows: 319: Staff/Child ratio information sheet Staff/child ratios applicable to a classroom must be posted in each classroom. Refer to 10A NCAC 09 .0713(a)(10). To comply, please print the staff/child ratio sheet on our website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms and post it in the cafeteria. In your compliance letter, please state the date you posted the staff/child ratio in the cafeteria. 837: Emergency Medical Care (EMC) plan The EMC plan must name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. Refer to 10A NCAC 09 .0802(a)(1)(A-B). To comply, please identify an alternate person for each task on the EMC plan that requires one. In your compliance statement, please state the date an alternate person for each task were identified on the EMC plan. 1048/1049: First Aid/CPR All staff members must renew First Aid/CPR certification without a lapse. The training certificates must be maintained in the staff files. To comply, locate the training certificate for a staff member who obtained the CBC letter on 5/3/23, and maintained it in the staff file. If the certificate is not located, the staff member must renew the certificate. In your compliance letter, please state the completion date of CPR/First aid as well as when it was filed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 9/18/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: QIRS information at Provider Meeting: A provider meeting for Buncombe County Child Care programs on 9/15/25 at 12:30 pm at PARC building at Eliada Homes. New Permit (License): New Permit without restrictions on the kitchen access and playground safety rules will be processed. Upon receiving the license, please post it on the bulletin board in the gym without delays. ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. No staff members were listed on the roster. Please add all staff members as soon as possible. You are required to add/remove/change the roster within five (5) days of the change. Please log onto the ABCMS account using your business NCID and update the roster. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/4/2025 Number Present: 46 Completed Date: 9/4/2025 Age: From 5 To 10 Total Minutes: 165 Time In: 01:32 PM Time Out: 04:17 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Ms. Elder was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight (98) percent as of today prior to this visit. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space. The last annual compliance visit was conducted on 2/13/25. The last fire drill was practiced on 8/29/25. The last lockdown drill was practiced on 8/12/25. The Emergency Medical Care plan was posted and current. The program’s Emergency Preparedness and Response Plan was last updated on 8/20/25. Lead water testing was completed on 5/30/24 without hazards. Lead paint and asbestos testing was completed on 3/27/25 and exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. I greeted staff members. After arrival, I contacted Ms. Delaney via phone and request to meet via TEAMS to review the staff files. Four (4) existing staff files were monitored for criminal background letters, First Aid/CPR certificates and BSAC certificates. Two (2) new staff files were monitored in full. Three (3) emergency medications were monitored. The action plans and the permission forms were all current. Twelve (12) children in group #1 arrived in the gym and placed their personal belongings in the baskets. Following a discussion, they played a freeze game and then participated in free play with marble towers, pretend shops, and other materials. Seventeen (17) children in group #2 arrived in the gym, washed their hands in the bathroom, and had snacks in the cafeteria. BBQ Jack Links, sunflower kernels, whole-grain Chili Lime crackers, applesauce, veggie blend juice, and milk were served as snacks today. Games, magnetic tiles, K’nex, Legos, books, markers, origami, and other materials were available for the children to use during free play in the cafeteria. Seventeen (17) children in group #3 played on the playground. Some sat on the bench and talked, others swung on the swings, and several dug in the dirt, pouring water into the holes they created. According to the program coordinator, digging in the dirt has been the children’s fixation this week. Interaction and supervision were adequate. We discussed updating the restrictions on the current permit based on the new HB412/SL 2025-36. The restriction “Playground area does not meet Child Care Playground safety standards” and “Children prohibited in the kitchen for any purpose” will be removed upon processing today’s visit summary. Room 309 and 311 were only used during summer months. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The vehicles that transport children for YMCA programs were monitored on 6/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratio information sheet was not posted in the cafeteria. .0713(a)(10), (c) & (f)(3); .2818(e) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. An alternate person was not identified on the EMC plan. .0802(a)(1)(A-B); 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Upon limited review of existing staff members, one (1) staff member whose CBC letter was dated on 5/3/23 did not have a first aid certificate in the file for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Upon limited review of existing staff members, one (1) staff member whose CBC letter was dated on 5/3/23 did not have a CPR certificate in the file for review. .1102(d) Technical assistance was provided as follows: 319: Staff/Child ratio information sheet Staff/child ratios applicable to a classroom must be posted in each classroom. Refer to 10A NCAC 09 .0713(a)(10). To comply, please print the staff/child ratio sheet on our website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms and post it in the cafeteria. In your compliance letter, please state the date you posted the staff/child ratio in the cafeteria. 837: Emergency Medical Care (EMC) plan The EMC plan must name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. Refer to 10A NCAC 09 .0802(a)(1)(A-B). To comply, please identify an alternate person for each task on the EMC plan that requires one. In your compliance statement, please state the date an alternate person for each task were identified on the EMC plan. 1048/1049: First Aid/CPR All staff members must renew First Aid/CPR certification without a lapse. The training certificates must be maintained in the staff files. To comply, locate the training certificate for a staff member who obtained the CBC letter on 5/3/23, and maintained it in the staff file. If the certificate is not located, the staff member must renew the certificate. In your compliance letter, please state the completion date of CPR/First aid as well as when it was filed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 9/18/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: QIRS information at Provider Meeting: A provider meeting for Buncombe County Child Care programs on 9/15/25 at 12:30 pm at PARC building at Eliada Homes. New Permit (License): New Permit without restrictions on the kitchen access and playground safety rules will be processed. Upon receiving the license, please post it on the bulletin board in the gym without delays. ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. No staff members were listed on the roster. Please add all staff members as soon as possible. You are required to add/remove/change the roster within five (5) days of the change. Please log onto the ABCMS account using your business NCID and update the roster. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/4/2025 Number Present: 46 Completed Date: 9/4/2025 Age: From 5 To 10 Total Minutes: 165 Time In: 01:32 PM Time Out: 04:17 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Ms. Elder was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight (98) percent as of today prior to this visit. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space. The last annual compliance visit was conducted on 2/13/25. The last fire drill was practiced on 8/29/25. The last lockdown drill was practiced on 8/12/25. The Emergency Medical Care plan was posted and current. The program’s Emergency Preparedness and Response Plan was last updated on 8/20/25. Lead water testing was completed on 5/30/24 without hazards. Lead paint and asbestos testing was completed on 3/27/25 and exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. I greeted staff members. After arrival, I contacted Ms. Delaney via phone and request to meet via TEAMS to review the staff files. Four (4) existing staff files were monitored for criminal background letters, First Aid/CPR certificates and BSAC certificates. Two (2) new staff files were monitored in full. Three (3) emergency medications were monitored. The action plans and the permission forms were all current. Twelve (12) children in group #1 arrived in the gym and placed their personal belongings in the baskets. Following a discussion, they played a freeze game and then participated in free play with marble towers, pretend shops, and other materials. Seventeen (17) children in group #2 arrived in the gym, washed their hands in the bathroom, and had snacks in the cafeteria. BBQ Jack Links, sunflower kernels, whole-grain Chili Lime crackers, applesauce, veggie blend juice, and milk were served as snacks today. Games, magnetic tiles, K’nex, Legos, books, markers, origami, and other materials were available for the children to use during free play in the cafeteria. Seventeen (17) children in group #3 played on the playground. Some sat on the bench and talked, others swung on the swings, and several dug in the dirt, pouring water into the holes they created. According to the program coordinator, digging in the dirt has been the children’s fixation this week. Interaction and supervision were adequate. We discussed updating the restrictions on the current permit based on the new HB412/SL 2025-36. The restriction “Playground area does not meet Child Care Playground safety standards” and “Children prohibited in the kitchen for any purpose” will be removed upon processing today’s visit summary. Room 309 and 311 were only used during summer months. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The vehicles that transport children for YMCA programs were monitored on 6/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratio information sheet was not posted in the cafeteria. .0713(a)(10), (c) & (f)(3); .2818(e) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. An alternate person was not identified on the EMC plan. .0802(a)(1)(A-B); 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Upon limited review of existing staff members, one (1) staff member whose CBC letter was dated on 5/3/23 did not have a first aid certificate in the file for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Upon limited review of existing staff members, one (1) staff member whose CBC letter was dated on 5/3/23 did not have a CPR certificate in the file for review. .1102(d) Technical assistance was provided as follows: 319: Staff/Child ratio information sheet Staff/child ratios applicable to a classroom must be posted in each classroom. Refer to 10A NCAC 09 .0713(a)(10). To comply, please print the staff/child ratio sheet on our website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms and post it in the cafeteria. In your compliance letter, please state the date you posted the staff/child ratio in the cafeteria. 837: Emergency Medical Care (EMC) plan The EMC plan must name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. Refer to 10A NCAC 09 .0802(a)(1)(A-B). To comply, please identify an alternate person for each task on the EMC plan that requires one. In your compliance statement, please state the date an alternate person for each task were identified on the EMC plan. 1048/1049: First Aid/CPR All staff members must renew First Aid/CPR certification without a lapse. The training certificates must be maintained in the staff files. To comply, locate the training certificate for a staff member who obtained the CBC letter on 5/3/23, and maintained it in the staff file. If the certificate is not located, the staff member must renew the certificate. In your compliance letter, please state the completion date of CPR/First aid as well as when it was filed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 9/18/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: QIRS information at Provider Meeting: A provider meeting for Buncombe County Child Care programs on 9/15/25 at 12:30 pm at PARC building at Eliada Homes. New Permit (License): New Permit without restrictions on the kitchen access and playground safety rules will be processed. Upon receiving the license, please post it on the bulletin board in the gym without delays. ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. No staff members were listed on the roster. Please add all staff members as soon as possible. You are required to add/remove/change the roster within five (5) days of the change. Please log onto the ABCMS account using your business NCID and update the roster. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/4/2025 Number Present: 46 Completed Date: 9/4/2025 Age: From 5 To 10 Total Minutes: 165 Time In: 01:32 PM Time Out: 04:17 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Ms. Elder was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-eight (98) percent as of today prior to this visit. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space. The last annual compliance visit was conducted on 2/13/25. The last fire drill was practiced on 8/29/25. The last lockdown drill was practiced on 8/12/25. The Emergency Medical Care plan was posted and current. The program’s Emergency Preparedness and Response Plan was last updated on 8/20/25. Lead water testing was completed on 5/30/24 without hazards. Lead paint and asbestos testing was completed on 3/27/25 and exempt from further testing. Upon arrival, I announced my presence and the purpose of the visit. I greeted staff members. After arrival, I contacted Ms. Delaney via phone and request to meet via TEAMS to review the staff files. Four (4) existing staff files were monitored for criminal background letters, First Aid/CPR certificates and BSAC certificates. Two (2) new staff files were monitored in full. Three (3) emergency medications were monitored. The action plans and the permission forms were all current. Twelve (12) children in group #1 arrived in the gym and placed their personal belongings in the baskets. Following a discussion, they played a freeze game and then participated in free play with marble towers, pretend shops, and other materials. Seventeen (17) children in group #2 arrived in the gym, washed their hands in the bathroom, and had snacks in the cafeteria. BBQ Jack Links, sunflower kernels, whole-grain Chili Lime crackers, applesauce, veggie blend juice, and milk were served as snacks today. Games, magnetic tiles, K’nex, Legos, books, markers, origami, and other materials were available for the children to use during free play in the cafeteria. Seventeen (17) children in group #3 played on the playground. Some sat on the bench and talked, others swung on the swings, and several dug in the dirt, pouring water into the holes they created. According to the program coordinator, digging in the dirt has been the children’s fixation this week. Interaction and supervision were adequate. We discussed updating the restrictions on the current permit based on the new HB412/SL 2025-36. The restriction “Playground area does not meet Child Care Playground safety standards” and “Children prohibited in the kitchen for any purpose” will be removed upon processing today’s visit summary. Room 309 and 311 were only used during summer months. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The vehicles that transport children for YMCA programs were monitored on 6/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 319 Staff/child ratios applicable to a classroom, were not posted in each classroom. Staff/child ratio information sheet was not posted in the cafeteria. .0713(a)(10), (c) & (f)(3); .2818(e) 837 The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. An alternate person was not identified on the EMC plan. .0802(a)(1)(A-B); 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Upon limited review of existing staff members, one (1) staff member whose CBC letter was dated on 5/3/23 did not have a first aid certificate in the file for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Upon limited review of existing staff members, one (1) staff member whose CBC letter was dated on 5/3/23 did not have a CPR certificate in the file for review. .1102(d) Technical assistance was provided as follows: 319: Staff/Child ratio information sheet Staff/child ratios applicable to a classroom must be posted in each classroom. Refer to 10A NCAC 09 .0713(a)(10). To comply, please print the staff/child ratio sheet on our website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms and post it in the cafeteria. In your compliance letter, please state the date you posted the staff/child ratio in the cafeteria. 837: Emergency Medical Care (EMC) plan The EMC plan must name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care. Refer to 10A NCAC 09 .0802(a)(1)(A-B). To comply, please identify an alternate person for each task on the EMC plan that requires one. In your compliance statement, please state the date an alternate person for each task were identified on the EMC plan. 1048/1049: First Aid/CPR All staff members must renew First Aid/CPR certification without a lapse. The training certificates must be maintained in the staff files. To comply, locate the training certificate for a staff member who obtained the CBC letter on 5/3/23, and maintained it in the staff file. If the certificate is not located, the staff member must renew the certificate. In your compliance letter, please state the completion date of CPR/First aid as well as when it was filed. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 9/18/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: QIRS information at Provider Meeting: A provider meeting for Buncombe County Child Care programs on 9/15/25 at 12:30 pm at PARC building at Eliada Homes. New Permit (License): New Permit without restrictions on the kitchen access and playground safety rules will be processed. Upon receiving the license, please post it on the bulletin board in the gym without delays. ABCMS roster: I reviewed the program roster on the ABCMS system prior to this visit. No staff members were listed on the roster. Please add all staff members as soon as possible. You are required to add/remove/change the roster within five (5) days of the change. Please log onto the ABCMS account using your business NCID and update the roster. 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. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/13/2025 Number Present: 31 Completed Date: 2/13/2025 Age: From 5 To 11 Total Minutes: 140 Time In: 02:00 PM Time Out: 04:20 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 completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Ms. Elder was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit Corporation, The Young Men’s Christian Association of Western North Carolina, Inc. is current/active as of February 10. 2025. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground area does not meet Child Care Playground safety standards. Children are prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 2/21/24. The last fire drills were practiced on 11/26/24 and 1/17/24. The last lockdown drill was practiced on 11/26/24. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 1/29/25 with 1/29/25 demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. Prior to site monitoring, I met with Ms. Burke on TEAMS to review the program’s Staff and Training Worksheet, staff files and children’s files. All the children gathered in the gym. The children in group #1 transitioned to cafeteria. After washing their hands in the bathroom by the cafeteria, the children had snacks. They had BBQ Jack Links, sunflower kernels, WG Chili Lime Crackers, apple sauce and veggie juice blend. All the items were accurately listed on the menu. In the cafeteria, all doors to the kitchen were locked. The children in group #2 transitioned to the cafeteria shortly after group #1. After snack time, the group came back to the gym and had reading time. The children in group #3 remained in the gym and had a discussion. After discussion, they transitioned to gross motor activity – dodgeball like game. There was a total of six (6) emergency medications at this program. Medical authorizations and action plans for three (3) inhalers for three (3) separate children and three (3) epi-pens for two (2) children were current. The medications were maintained in backpacks, and the backpacks were on the staff members at all times. The playground was inspected. On the playground, swings, monkey bars, climbers, see-saws, hanging bars, and basketball court were available to the children. No safety hazards were observed during the visit. One (1) new staff member’s file, one (1) existing staff member’s file, and five (5) children’s files were monitored. Ms. Elder was not listed on the Staff and Training Worksheet, but her file was reviewed at a different site. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA vehicles were inspected on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per drill record, a fire drill was logged or 11/26/24 and 1/17/24 (typo for 1/17/25). Per Ms. Elder, a fire drill in December was not conducted. .0604(t); .0302(d)(5) Technical assistance was provided as follows: 805: Fire drills Fire drills shall be practiced monthly, and the drill record must be complete. Based on the drill record, fire drills were conducted on 11/26/24 and 1/17/24 (typo for 1/17/25), but December drill was not logged. All drills shall be logged by the person who conducted the drill on-site. Moving forward, you shall conduct a fire drill monthly. If there is one school-day, a fire drill must be conducted for the month. YMCA program also maintains the record of drills on the computer. However, according to the definition of record of dills include signature of the person who conducted the drill. Therefore, all drills should be logged by the person who conducted the drill on site. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place/lockdown drill: Please conduct a shelter-in-place or a lockdown drill in February. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/13/2025 Number Present: 31 Completed Date: 2/13/2025 Age: From 5 To 11 Total Minutes: 140 Time In: 02:00 PM Time Out: 04:20 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 completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Ms. Elder was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit Corporation, The Young Men’s Christian Association of Western North Carolina, Inc. is current/active as of February 10. 2025. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground area does not meet Child Care Playground safety standards. Children are prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 2/21/24. The last fire drills were practiced on 11/26/24 and 1/17/24. The last lockdown drill was practiced on 11/26/24. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 1/29/25 with 1/29/25 demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. Prior to site monitoring, I met with Ms. Burke on TEAMS to review the program’s Staff and Training Worksheet, staff files and children’s files. All the children gathered in the gym. The children in group #1 transitioned to cafeteria. After washing their hands in the bathroom by the cafeteria, the children had snacks. They had BBQ Jack Links, sunflower kernels, WG Chili Lime Crackers, apple sauce and veggie juice blend. All the items were accurately listed on the menu. In the cafeteria, all doors to the kitchen were locked. The children in group #2 transitioned to the cafeteria shortly after group #1. After snack time, the group came back to the gym and had reading time. The children in group #3 remained in the gym and had a discussion. After discussion, they transitioned to gross motor activity – dodgeball like game. There was a total of six (6) emergency medications at this program. Medical authorizations and action plans for three (3) inhalers for three (3) separate children and three (3) epi-pens for two (2) children were current. The medications were maintained in backpacks, and the backpacks were on the staff members at all times. The playground was inspected. On the playground, swings, monkey bars, climbers, see-saws, hanging bars, and basketball court were available to the children. No safety hazards were observed during the visit. One (1) new staff member’s file, one (1) existing staff member’s file, and five (5) children’s files were monitored. Ms. Elder was not listed on the Staff and Training Worksheet, but her file was reviewed at a different site. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA vehicles were inspected on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per drill record, a fire drill was logged or 11/26/24 and 1/17/24 (typo for 1/17/25). Per Ms. Elder, a fire drill in December was not conducted. .0604(t); .0302(d)(5) Technical assistance was provided as follows: 805: Fire drills Fire drills shall be practiced monthly, and the drill record must be complete. Based on the drill record, fire drills were conducted on 11/26/24 and 1/17/24 (typo for 1/17/25), but December drill was not logged. All drills shall be logged by the person who conducted the drill on-site. Moving forward, you shall conduct a fire drill monthly. If there is one school-day, a fire drill must be conducted for the month. YMCA program also maintains the record of drills on the computer. However, according to the definition of record of dills include signature of the person who conducted the drill. Therefore, all drills should be logged by the person who conducted the drill on site. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place/lockdown drill: Please conduct a shelter-in-place or a lockdown drill in February. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/13/2025 Number Present: 31 Completed Date: 2/13/2025 Age: From 5 To 11 Total Minutes: 140 Time In: 02:00 PM Time Out: 04:20 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 completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Ms. Elder was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit Corporation, The Young Men’s Christian Association of Western North Carolina, Inc. is current/active as of February 10. 2025. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground area does not meet Child Care Playground safety standards. Children are prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 2/21/24. The last fire drills were practiced on 11/26/24 and 1/17/24. The last lockdown drill was practiced on 11/26/24. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 1/29/25 with 1/29/25 demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. Prior to site monitoring, I met with Ms. Burke on TEAMS to review the program’s Staff and Training Worksheet, staff files and children’s files. All the children gathered in the gym. The children in group #1 transitioned to cafeteria. After washing their hands in the bathroom by the cafeteria, the children had snacks. They had BBQ Jack Links, sunflower kernels, WG Chili Lime Crackers, apple sauce and veggie juice blend. All the items were accurately listed on the menu. In the cafeteria, all doors to the kitchen were locked. The children in group #2 transitioned to the cafeteria shortly after group #1. After snack time, the group came back to the gym and had reading time. The children in group #3 remained in the gym and had a discussion. After discussion, they transitioned to gross motor activity – dodgeball like game. There was a total of six (6) emergency medications at this program. Medical authorizations and action plans for three (3) inhalers for three (3) separate children and three (3) epi-pens for two (2) children were current. The medications were maintained in backpacks, and the backpacks were on the staff members at all times. The playground was inspected. On the playground, swings, monkey bars, climbers, see-saws, hanging bars, and basketball court were available to the children. No safety hazards were observed during the visit. One (1) new staff member’s file, one (1) existing staff member’s file, and five (5) children’s files were monitored. Ms. Elder was not listed on the Staff and Training Worksheet, but her file was reviewed at a different site. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA vehicles were inspected on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per drill record, a fire drill was logged or 11/26/24 and 1/17/24 (typo for 1/17/25). Per Ms. Elder, a fire drill in December was not conducted. .0604(t); .0302(d)(5) Technical assistance was provided as follows: 805: Fire drills Fire drills shall be practiced monthly, and the drill record must be complete. Based on the drill record, fire drills were conducted on 11/26/24 and 1/17/24 (typo for 1/17/25), but December drill was not logged. All drills shall be logged by the person who conducted the drill on-site. Moving forward, you shall conduct a fire drill monthly. If there is one school-day, a fire drill must be conducted for the month. YMCA program also maintains the record of drills on the computer. However, according to the definition of record of dills include signature of the person who conducted the drill. Therefore, all drills should be logged by the person who conducted the drill on site. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place/lockdown drill: Please conduct a shelter-in-place or a lockdown drill in February. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/13/2025 Number Present: 31 Completed Date: 2/13/2025 Age: From 5 To 11 Total Minutes: 140 Time In: 02:00 PM Time Out: 04:20 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 completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Ms. Elder was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit Corporation, The Young Men’s Christian Association of Western North Carolina, Inc. is current/active as of February 10. 2025. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground area does not meet Child Care Playground safety standards. Children are prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 2/21/24. The last fire drills were practiced on 11/26/24 and 1/17/24. The last lockdown drill was practiced on 11/26/24. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 1/29/25 with 1/29/25 demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. Prior to site monitoring, I met with Ms. Burke on TEAMS to review the program’s Staff and Training Worksheet, staff files and children’s files. All the children gathered in the gym. The children in group #1 transitioned to cafeteria. After washing their hands in the bathroom by the cafeteria, the children had snacks. They had BBQ Jack Links, sunflower kernels, WG Chili Lime Crackers, apple sauce and veggie juice blend. All the items were accurately listed on the menu. In the cafeteria, all doors to the kitchen were locked. The children in group #2 transitioned to the cafeteria shortly after group #1. After snack time, the group came back to the gym and had reading time. The children in group #3 remained in the gym and had a discussion. After discussion, they transitioned to gross motor activity – dodgeball like game. There was a total of six (6) emergency medications at this program. Medical authorizations and action plans for three (3) inhalers for three (3) separate children and three (3) epi-pens for two (2) children were current. The medications were maintained in backpacks, and the backpacks were on the staff members at all times. The playground was inspected. On the playground, swings, monkey bars, climbers, see-saws, hanging bars, and basketball court were available to the children. No safety hazards were observed during the visit. One (1) new staff member’s file, one (1) existing staff member’s file, and five (5) children’s files were monitored. Ms. Elder was not listed on the Staff and Training Worksheet, but her file was reviewed at a different site. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA vehicles were inspected on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per drill record, a fire drill was logged or 11/26/24 and 1/17/24 (typo for 1/17/25). Per Ms. Elder, a fire drill in December was not conducted. .0604(t); .0302(d)(5) Technical assistance was provided as follows: 805: Fire drills Fire drills shall be practiced monthly, and the drill record must be complete. Based on the drill record, fire drills were conducted on 11/26/24 and 1/17/24 (typo for 1/17/25), but December drill was not logged. All drills shall be logged by the person who conducted the drill on-site. Moving forward, you shall conduct a fire drill monthly. If there is one school-day, a fire drill must be conducted for the month. YMCA program also maintains the record of drills on the computer. However, according to the definition of record of dills include signature of the person who conducted the drill. Therefore, all drills should be logged by the person who conducted the drill on site. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place/lockdown drill: Please conduct a shelter-in-place or a lockdown drill in February. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/13/2025 Number Present: 31 Completed Date: 2/13/2025 Age: From 5 To 11 Total Minutes: 140 Time In: 02:00 PM Time Out: 04:20 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 completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Ms. Elder was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit Corporation, The Young Men’s Christian Association of Western North Carolina, Inc. is current/active as of February 10. 2025. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground area does not meet Child Care Playground safety standards. Children are prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 2/21/24. The last fire drills were practiced on 11/26/24 and 1/17/24. The last lockdown drill was practiced on 11/26/24. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 1/29/25 with 1/29/25 demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. Prior to site monitoring, I met with Ms. Burke on TEAMS to review the program’s Staff and Training Worksheet, staff files and children’s files. All the children gathered in the gym. The children in group #1 transitioned to cafeteria. After washing their hands in the bathroom by the cafeteria, the children had snacks. They had BBQ Jack Links, sunflower kernels, WG Chili Lime Crackers, apple sauce and veggie juice blend. All the items were accurately listed on the menu. In the cafeteria, all doors to the kitchen were locked. The children in group #2 transitioned to the cafeteria shortly after group #1. After snack time, the group came back to the gym and had reading time. The children in group #3 remained in the gym and had a discussion. After discussion, they transitioned to gross motor activity – dodgeball like game. There was a total of six (6) emergency medications at this program. Medical authorizations and action plans for three (3) inhalers for three (3) separate children and three (3) epi-pens for two (2) children were current. The medications were maintained in backpacks, and the backpacks were on the staff members at all times. The playground was inspected. On the playground, swings, monkey bars, climbers, see-saws, hanging bars, and basketball court were available to the children. No safety hazards were observed during the visit. One (1) new staff member’s file, one (1) existing staff member’s file, and five (5) children’s files were monitored. Ms. Elder was not listed on the Staff and Training Worksheet, but her file was reviewed at a different site. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA vehicles were inspected on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per drill record, a fire drill was logged or 11/26/24 and 1/17/24 (typo for 1/17/25). Per Ms. Elder, a fire drill in December was not conducted. .0604(t); .0302(d)(5) Technical assistance was provided as follows: 805: Fire drills Fire drills shall be practiced monthly, and the drill record must be complete. Based on the drill record, fire drills were conducted on 11/26/24 and 1/17/24 (typo for 1/17/25), but December drill was not logged. All drills shall be logged by the person who conducted the drill on-site. Moving forward, you shall conduct a fire drill monthly. If there is one school-day, a fire drill must be conducted for the month. YMCA program also maintains the record of drills on the computer. However, according to the definition of record of dills include signature of the person who conducted the drill. Therefore, all drills should be logged by the person who conducted the drill on site. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place/lockdown drill: Please conduct a shelter-in-place or a lockdown drill in February. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/13/2025 Number Present: 31 Completed Date: 2/13/2025 Age: From 5 To 11 Total Minutes: 140 Time In: 02:00 PM Time Out: 04:20 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 completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Ms. Elder was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-five (85) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-profit Corporation, The Young Men’s Christian Association of Western North Carolina, Inc. is current/active as of February 10. 2025. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground area does not meet Child Care Playground safety standards. Children are prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 2/21/24. The last fire drills were practiced on 11/26/24 and 1/17/24. The last lockdown drill was practiced on 11/26/24. The last fire inspection was approved on 1/30/25. The last sanitation inspection was conducted on 1/29/25 with 1/29/25 demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. Prior to site monitoring, I met with Ms. Burke on TEAMS to review the program’s Staff and Training Worksheet, staff files and children’s files. All the children gathered in the gym. The children in group #1 transitioned to cafeteria. After washing their hands in the bathroom by the cafeteria, the children had snacks. They had BBQ Jack Links, sunflower kernels, WG Chili Lime Crackers, apple sauce and veggie juice blend. All the items were accurately listed on the menu. In the cafeteria, all doors to the kitchen were locked. The children in group #2 transitioned to the cafeteria shortly after group #1. After snack time, the group came back to the gym and had reading time. The children in group #3 remained in the gym and had a discussion. After discussion, they transitioned to gross motor activity – dodgeball like game. There was a total of six (6) emergency medications at this program. Medical authorizations and action plans for three (3) inhalers for three (3) separate children and three (3) epi-pens for two (2) children were current. The medications were maintained in backpacks, and the backpacks were on the staff members at all times. The playground was inspected. On the playground, swings, monkey bars, climbers, see-saws, hanging bars, and basketball court were available to the children. No safety hazards were observed during the visit. One (1) new staff member’s file, one (1) existing staff member’s file, and five (5) children’s files were monitored. Ms. Elder was not listed on the Staff and Training Worksheet, but her file was reviewed at a different site. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA vehicles were inspected on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Per drill record, a fire drill was logged or 11/26/24 and 1/17/24 (typo for 1/17/25). Per Ms. Elder, a fire drill in December was not conducted. .0604(t); .0302(d)(5) Technical assistance was provided as follows: 805: Fire drills Fire drills shall be practiced monthly, and the drill record must be complete. Based on the drill record, fire drills were conducted on 11/26/24 and 1/17/24 (typo for 1/17/25), but December drill was not logged. All drills shall be logged by the person who conducted the drill on-site. Moving forward, you shall conduct a fire drill monthly. If there is one school-day, a fire drill must be conducted for the month. YMCA program also maintains the record of drills on the computer. However, according to the definition of record of dills include signature of the person who conducted the drill. Therefore, all drills should be logged by the person who conducted the drill on site. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/2/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place/lockdown drill: Please conduct a shelter-in-place or a lockdown drill in February. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/16/2024 Number Present: 42 Completed Date: 9/16/2024 Age: From 5 To 10 Total Minutes: 131 Time In: 02:19 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Director of Operations. Ms. Elder was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percent as of today prior to this visit. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground area does not meet child care playground safety standards. Children prohibited in the kitchen area for any purpose. The last annual compliance visit was conducted on 2/21/24. The last fire drill was practiced on 8/29/24. The last lockdown drill was practiced on 8/30/24. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 1/30/24 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children from group #1 and #3 washed their hands and had snacks in the cafeteria. They had WOW butter, sunflower kernels, apple cinnamon grahams, apple sauce, veggie blend juice and milk. The items matched the menu posted. After snack, the group transitioned to the playground. The children in group #2 gathered in the gym. The group had discussion and reading time. They took bathroom/water break during the reading time. On the playground, the children engaged in various gross motor activities including swings, slide structure, climbers and balls. There are total of five (5) emergency medications maintained at the facility. Action plan, medication authorization form and medication expiration dates were monitored. No new staff members were present. All existing staff files were monitored for criminal background letters, BSAC certificates and CPR/First Aid certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportations were monitored on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The action plan for Albuterol for a child in group #1 was not in file. .0801(b) Technical assistance was provided as follows: #1835: Action plan Action plan can be filled out either by the parent or a physician. It is required for all emergency medications. I recommend both action plans and authorization form to be maintained with the medication(s) at all times. The action plan shall be used as a guidance to follow in case of medical emergencies. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/30/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/16/2024 Number Present: 42 Completed Date: 9/16/2024 Age: From 5 To 10 Total Minutes: 131 Time In: 02:19 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Director of Operations. Ms. Elder was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percent as of today prior to this visit. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground area does not meet child care playground safety standards. Children prohibited in the kitchen area for any purpose. The last annual compliance visit was conducted on 2/21/24. The last fire drill was practiced on 8/29/24. The last lockdown drill was practiced on 8/30/24. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 1/30/24 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children from group #1 and #3 washed their hands and had snacks in the cafeteria. They had WOW butter, sunflower kernels, apple cinnamon grahams, apple sauce, veggie blend juice and milk. The items matched the menu posted. After snack, the group transitioned to the playground. The children in group #2 gathered in the gym. The group had discussion and reading time. They took bathroom/water break during the reading time. On the playground, the children engaged in various gross motor activities including swings, slide structure, climbers and balls. There are total of five (5) emergency medications maintained at the facility. Action plan, medication authorization form and medication expiration dates were monitored. No new staff members were present. All existing staff files were monitored for criminal background letters, BSAC certificates and CPR/First Aid certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportations were monitored on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The action plan for Albuterol for a child in group #1 was not in file. .0801(b) Technical assistance was provided as follows: #1835: Action plan Action plan can be filled out either by the parent or a physician. It is required for all emergency medications. I recommend both action plans and authorization form to be maintained with the medication(s) at all times. The action plan shall be used as a guidance to follow in case of medical emergencies. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/30/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/16/2024 Number Present: 42 Completed Date: 9/16/2024 Age: From 5 To 10 Total Minutes: 131 Time In: 02:19 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Director of Operations. Ms. Elder was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percent as of today prior to this visit. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground area does not meet child care playground safety standards. Children prohibited in the kitchen area for any purpose. The last annual compliance visit was conducted on 2/21/24. The last fire drill was practiced on 8/29/24. The last lockdown drill was practiced on 8/30/24. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 1/30/24 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children from group #1 and #3 washed their hands and had snacks in the cafeteria. They had WOW butter, sunflower kernels, apple cinnamon grahams, apple sauce, veggie blend juice and milk. The items matched the menu posted. After snack, the group transitioned to the playground. The children in group #2 gathered in the gym. The group had discussion and reading time. They took bathroom/water break during the reading time. On the playground, the children engaged in various gross motor activities including swings, slide structure, climbers and balls. There are total of five (5) emergency medications maintained at the facility. Action plan, medication authorization form and medication expiration dates were monitored. No new staff members were present. All existing staff files were monitored for criminal background letters, BSAC certificates and CPR/First Aid certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportations were monitored on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The action plan for Albuterol for a child in group #1 was not in file. .0801(b) Technical assistance was provided as follows: #1835: Action plan Action plan can be filled out either by the parent or a physician. It is required for all emergency medications. I recommend both action plans and authorization form to be maintained with the medication(s) at all times. The action plan shall be used as a guidance to follow in case of medical emergencies. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/30/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/16/2024 Number Present: 42 Completed Date: 9/16/2024 Age: From 5 To 10 Total Minutes: 131 Time In: 02:19 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Director of Operations. Ms. Elder was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percent as of today prior to this visit. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground area does not meet child care playground safety standards. Children prohibited in the kitchen area for any purpose. The last annual compliance visit was conducted on 2/21/24. The last fire drill was practiced on 8/29/24. The last lockdown drill was practiced on 8/30/24. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 1/30/24 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children from group #1 and #3 washed their hands and had snacks in the cafeteria. They had WOW butter, sunflower kernels, apple cinnamon grahams, apple sauce, veggie blend juice and milk. The items matched the menu posted. After snack, the group transitioned to the playground. The children in group #2 gathered in the gym. The group had discussion and reading time. They took bathroom/water break during the reading time. On the playground, the children engaged in various gross motor activities including swings, slide structure, climbers and balls. There are total of five (5) emergency medications maintained at the facility. Action plan, medication authorization form and medication expiration dates were monitored. No new staff members were present. All existing staff files were monitored for criminal background letters, BSAC certificates and CPR/First Aid certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportations were monitored on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The action plan for Albuterol for a child in group #1 was not in file. .0801(b) Technical assistance was provided as follows: #1835: Action plan Action plan can be filled out either by the parent or a physician. It is required for all emergency medications. I recommend both action plans and authorization form to be maintained with the medication(s) at all times. The action plan shall be used as a guidance to follow in case of medical emergencies. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/30/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/16/2024 Number Present: 42 Completed Date: 9/16/2024 Age: From 5 To 10 Total Minutes: 131 Time In: 02:19 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lily Elder, Program Director, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Director of Operations. Ms. Elder was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percent as of today prior to this visit. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground area does not meet child care playground safety standards. Children prohibited in the kitchen area for any purpose. The last annual compliance visit was conducted on 2/21/24. The last fire drill was practiced on 8/29/24. The last lockdown drill was practiced on 8/30/24. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 1/30/24 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. The children from group #1 and #3 washed their hands and had snacks in the cafeteria. They had WOW butter, sunflower kernels, apple cinnamon grahams, apple sauce, veggie blend juice and milk. The items matched the menu posted. After snack, the group transitioned to the playground. The children in group #2 gathered in the gym. The group had discussion and reading time. They took bathroom/water break during the reading time. On the playground, the children engaged in various gross motor activities including swings, slide structure, climbers and balls. There are total of five (5) emergency medications maintained at the facility. Action plan, medication authorization form and medication expiration dates were monitored. No new staff members were present. All existing staff files were monitored for criminal background letters, BSAC certificates and CPR/First Aid certificates. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportations were monitored on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The action plan for Albuterol for a child in group #1 was not in file. .0801(b) Technical assistance was provided as follows: #1835: Action plan Action plan can be filled out either by the parent or a physician. It is required for all emergency medications. I recommend both action plans and authorization form to be maintained with the medication(s) at all times. The action plan shall be used as a guidance to follow in case of medical emergencies. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/30/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 43 Completed Date: 2/21/2024 Age: From 5 To 10 Total Minutes: 232 Time In: 02:08 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Ashley Queen,, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Nick Erwin, Program Director, was available during today’s visit but had to leave for a meeting before the visit was completed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. I met with Delany Burke, Senior Operation Director via TEAM to review children’s files and staff files. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percentage as of 2/20/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of Western North Carolina, is current/active as of 2/20/24. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios, meets enhanced space, playground area does not meet child care playground safety standards. Children are prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 2/9/24. The last shelter-in-place drill was practiced on 10/30/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 1/30/24 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Children in group #1 and #3 gathered in cafeteria and played in outside. The children in group #2 gathered in the gym and played with materials, such as books, magnetic tiles, doll house, pretend ice cream shop, Legos and other materials. On the playground, the children engaged in gross motor activity, using swings, climber and bars. Some children played football in the field on the playground. Snack was served during the visit. Today’s snacks were WOW butter, apple sauce, apple cinnamon graham crackers, sunflower kernels, veggie blend juice and milk. The items were listed on the menu correctly. Medications were monitored. Five (5) emergency medications are maintained by the program. A child is on Epi-pen. No permission form or action plan was stored with the medication. The forms were found in the child’s file and sent to me via text. The child’s action plan was dated 9/8/23 and the medication administration permission is dated 9/11/23. A child is on an inhaler. The action plan is dated 3/11/23, and the permission was signed on 6/12/23. A child is on an inhaler and epi-pen. The epi-pen was not in its original box. The action plan for the inhaler is dated 8/3/23 and the permission form is dated 8/1/23. Action plan for epi-pen is dated 8/24/23 and the permission form is dated 8/1/23. One child is on an inhaler. The action plan and the permission form were stored with the medication. However, the action plan expired on 1/20/24 and the permission form was originally signed on 1/20/23 and expired on 7/20/23. The medication was stored without its original box, and the medication expired in April 2023. This medication was administered to the child on 2/6/24 and 2/7/24 according to the medication log. Due to details of medical information of the enrolled children not being understood by the staff members, I have reviewed ready-to-go file and other pertinent information. In the ready-to-file, there are the facility’s EPR plan, summary of each child’s emergency information and notes regarding medical information were maintained. The children’s application can be accessed via tablet and phone. However, no action plans were easily accessible by the staff members. Two (2) new staff files and one (1) existing staff file were monitored. Five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. The permission form for an inhaler for RM expired on 1/20/24 and the action plan also expired on 7/20/23. The administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. An inhaler for RM expired in April 2024 but was administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler for RM and an Epi-pen for MP were not in its original box. No pharmacy labels were attached to the medication, either. .0803(2)(a) 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. The inhaler for RM expired on April 2023 but was not returned to the parent or disposed. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the drill log, the last shelter-in-place/lockdown drill was conducted on 10/30/23. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. No medical action plans for the children were included in the Ready to Go file. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for an inhaler for RM expired on 1/20/24 and was not renewed prior to its expiration date. .0801(b) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. The staff member hired on 10/16/23 did not complete BSAC training prior to 1/16/24 or the certificate was not maintained in the staff file. .2510(j) Technical assistance was provided as follows: 842: Administering of medication No medication shall be administered without valid permission form filled out by the parent of the child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; 843: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (d) after its expiration date; 844: Pharmacy label and original medication container All medication shall be stored with its original container and pharmacy label (for prescription) to avoid medical error. The label shall be checked upon administering the medication to ensure that the medication is for the right child, right drug, right dosage, right route and right time. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 849: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1811: Shelter-in-place/Lockdown drill A Shelter-in-place or a lockdown drill is required every three (3) months. A drill was conducted on 10/30/23 according to the log. The drill was supposed to be conducted in January. The drill shall be logged upon the completion of the drill for accuracy of information. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1823: ready-to-go file Ready-to-go-file is the informational file that contains all emergency information upon emergency evacuation. In the file, EPR plan, contact information for each child, application for each child and action plans for all emergency medical conditions, incident report form, area map and emergency telephone numbers shall be included. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 1835: Medical Action Plan Medical action plan shall be maintained annually. Please ask the parent or the child’s physician to renew the action plan for the child whose action plan expired on 1/20/24. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. 1921: BSAC training: BSAC training shall be completed within three (3) months of employment. Also, the training certificate shall be maintained in the staff file for review. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/6/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. Shelter-in-place/lockdown drill: Please complete the drill immediately. Reminder: KG's action's plan for an inhaler will expire on 3/11/24. Please ask the parent to renew the action as well as the permission form. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0102 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 43 Completed Date: 2/21/2024 Age: From 5 To 10 Total Minutes: 232 Time In: 02:08 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Ashley Queen,, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Nick Erwin, Program Director, was available during today’s visit but had to leave for a meeting before the visit was completed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. I met with Delany Burke, Senior Operation Director via TEAM to review children’s files and staff files. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percentage as of 2/20/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of Western North Carolina, is current/active as of 2/20/24. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios, meets enhanced space, playground area does not meet child care playground safety standards. Children are prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 2/9/24. The last shelter-in-place drill was practiced on 10/30/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 1/30/24 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Children in group #1 and #3 gathered in cafeteria and played in outside. The children in group #2 gathered in the gym and played with materials, such as books, magnetic tiles, doll house, pretend ice cream shop, Legos and other materials. On the playground, the children engaged in gross motor activity, using swings, climber and bars. Some children played football in the field on the playground. Snack was served during the visit. Today’s snacks were WOW butter, apple sauce, apple cinnamon graham crackers, sunflower kernels, veggie blend juice and milk. The items were listed on the menu correctly. Medications were monitored. Five (5) emergency medications are maintained by the program. A child is on Epi-pen. No permission form or action plan was stored with the medication. The forms were found in the child’s file and sent to me via text. The child’s action plan was dated 9/8/23 and the medication administration permission is dated 9/11/23. A child is on an inhaler. The action plan is dated 3/11/23, and the permission was signed on 6/12/23. A child is on an inhaler and epi-pen. The epi-pen was not in its original box. The action plan for the inhaler is dated 8/3/23 and the permission form is dated 8/1/23. Action plan for epi-pen is dated 8/24/23 and the permission form is dated 8/1/23. One child is on an inhaler. The action plan and the permission form were stored with the medication. However, the action plan expired on 1/20/24 and the permission form was originally signed on 1/20/23 and expired on 7/20/23. The medication was stored without its original box, and the medication expired in April 2023. This medication was administered to the child on 2/6/24 and 2/7/24 according to the medication log. Due to details of medical information of the enrolled children not being understood by the staff members, I have reviewed ready-to-go file and other pertinent information. In the ready-to-file, there are the facility’s EPR plan, summary of each child’s emergency information and notes regarding medical information were maintained. The children’s application can be accessed via tablet and phone. However, no action plans were easily accessible by the staff members. Two (2) new staff files and one (1) existing staff file were monitored. Five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. The permission form for an inhaler for RM expired on 1/20/24 and the action plan also expired on 7/20/23. The administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. An inhaler for RM expired in April 2024 but was administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler for RM and an Epi-pen for MP were not in its original box. No pharmacy labels were attached to the medication, either. .0803(2)(a) 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. The inhaler for RM expired on April 2023 but was not returned to the parent or disposed. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the drill log, the last shelter-in-place/lockdown drill was conducted on 10/30/23. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. No medical action plans for the children were included in the Ready to Go file. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for an inhaler for RM expired on 1/20/24 and was not renewed prior to its expiration date. .0801(b) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. The staff member hired on 10/16/23 did not complete BSAC training prior to 1/16/24 or the certificate was not maintained in the staff file. .2510(j) Technical assistance was provided as follows: 842: Administering of medication No medication shall be administered without valid permission form filled out by the parent of the child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; 843: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (d) after its expiration date; 844: Pharmacy label and original medication container All medication shall be stored with its original container and pharmacy label (for prescription) to avoid medical error. The label shall be checked upon administering the medication to ensure that the medication is for the right child, right drug, right dosage, right route and right time. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 849: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1811: Shelter-in-place/Lockdown drill A Shelter-in-place or a lockdown drill is required every three (3) months. A drill was conducted on 10/30/23 according to the log. The drill was supposed to be conducted in January. The drill shall be logged upon the completion of the drill for accuracy of information. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1823: ready-to-go file Ready-to-go-file is the informational file that contains all emergency information upon emergency evacuation. In the file, EPR plan, contact information for each child, application for each child and action plans for all emergency medical conditions, incident report form, area map and emergency telephone numbers shall be included. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 1835: Medical Action Plan Medical action plan shall be maintained annually. Please ask the parent or the child’s physician to renew the action plan for the child whose action plan expired on 1/20/24. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. 1921: BSAC training: BSAC training shall be completed within three (3) months of employment. Also, the training certificate shall be maintained in the staff file for review. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/6/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. Shelter-in-place/lockdown drill: Please complete the drill immediately. Reminder: KG's action's plan for an inhaler will expire on 3/11/24. Please ask the parent to renew the action as well as the permission form. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 43 Completed Date: 2/21/2024 Age: From 5 To 10 Total Minutes: 232 Time In: 02:08 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Ashley Queen,, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Nick Erwin, Program Director, was available during today’s visit but had to leave for a meeting before the visit was completed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. I met with Delany Burke, Senior Operation Director via TEAM to review children’s files and staff files. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percentage as of 2/20/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of Western North Carolina, is current/active as of 2/20/24. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios, meets enhanced space, playground area does not meet child care playground safety standards. Children are prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 2/9/24. The last shelter-in-place drill was practiced on 10/30/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 1/30/24 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Children in group #1 and #3 gathered in cafeteria and played in outside. The children in group #2 gathered in the gym and played with materials, such as books, magnetic tiles, doll house, pretend ice cream shop, Legos and other materials. On the playground, the children engaged in gross motor activity, using swings, climber and bars. Some children played football in the field on the playground. Snack was served during the visit. Today’s snacks were WOW butter, apple sauce, apple cinnamon graham crackers, sunflower kernels, veggie blend juice and milk. The items were listed on the menu correctly. Medications were monitored. Five (5) emergency medications are maintained by the program. A child is on Epi-pen. No permission form or action plan was stored with the medication. The forms were found in the child’s file and sent to me via text. The child’s action plan was dated 9/8/23 and the medication administration permission is dated 9/11/23. A child is on an inhaler. The action plan is dated 3/11/23, and the permission was signed on 6/12/23. A child is on an inhaler and epi-pen. The epi-pen was not in its original box. The action plan for the inhaler is dated 8/3/23 and the permission form is dated 8/1/23. Action plan for epi-pen is dated 8/24/23 and the permission form is dated 8/1/23. One child is on an inhaler. The action plan and the permission form were stored with the medication. However, the action plan expired on 1/20/24 and the permission form was originally signed on 1/20/23 and expired on 7/20/23. The medication was stored without its original box, and the medication expired in April 2023. This medication was administered to the child on 2/6/24 and 2/7/24 according to the medication log. Due to details of medical information of the enrolled children not being understood by the staff members, I have reviewed ready-to-go file and other pertinent information. In the ready-to-file, there are the facility’s EPR plan, summary of each child’s emergency information and notes regarding medical information were maintained. The children’s application can be accessed via tablet and phone. However, no action plans were easily accessible by the staff members. Two (2) new staff files and one (1) existing staff file were monitored. Five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. The permission form for an inhaler for RM expired on 1/20/24 and the action plan also expired on 7/20/23. The administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. An inhaler for RM expired in April 2024 but was administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler for RM and an Epi-pen for MP were not in its original box. No pharmacy labels were attached to the medication, either. .0803(2)(a) 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. The inhaler for RM expired on April 2023 but was not returned to the parent or disposed. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the drill log, the last shelter-in-place/lockdown drill was conducted on 10/30/23. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. No medical action plans for the children were included in the Ready to Go file. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for an inhaler for RM expired on 1/20/24 and was not renewed prior to its expiration date. .0801(b) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. The staff member hired on 10/16/23 did not complete BSAC training prior to 1/16/24 or the certificate was not maintained in the staff file. .2510(j) Technical assistance was provided as follows: 842: Administering of medication No medication shall be administered without valid permission form filled out by the parent of the child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; 843: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (d) after its expiration date; 844: Pharmacy label and original medication container All medication shall be stored with its original container and pharmacy label (for prescription) to avoid medical error. The label shall be checked upon administering the medication to ensure that the medication is for the right child, right drug, right dosage, right route and right time. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 849: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1811: Shelter-in-place/Lockdown drill A Shelter-in-place or a lockdown drill is required every three (3) months. A drill was conducted on 10/30/23 according to the log. The drill was supposed to be conducted in January. The drill shall be logged upon the completion of the drill for accuracy of information. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1823: ready-to-go file Ready-to-go-file is the informational file that contains all emergency information upon emergency evacuation. In the file, EPR plan, contact information for each child, application for each child and action plans for all emergency medical conditions, incident report form, area map and emergency telephone numbers shall be included. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 1835: Medical Action Plan Medical action plan shall be maintained annually. Please ask the parent or the child’s physician to renew the action plan for the child whose action plan expired on 1/20/24. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. 1921: BSAC training: BSAC training shall be completed within three (3) months of employment. Also, the training certificate shall be maintained in the staff file for review. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/6/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. Shelter-in-place/lockdown drill: Please complete the drill immediately. Reminder: KG's action's plan for an inhaler will expire on 3/11/24. Please ask the parent to renew the action as well as the permission form. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 43 Completed Date: 2/21/2024 Age: From 5 To 10 Total Minutes: 232 Time In: 02:08 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Ashley Queen,, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Nick Erwin, Program Director, was available during today’s visit but had to leave for a meeting before the visit was completed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. I met with Delany Burke, Senior Operation Director via TEAM to review children’s files and staff files. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percentage as of 2/20/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of Western North Carolina, is current/active as of 2/20/24. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios, meets enhanced space, playground area does not meet child care playground safety standards. Children are prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 2/9/24. The last shelter-in-place drill was practiced on 10/30/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 1/30/24 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Children in group #1 and #3 gathered in cafeteria and played in outside. The children in group #2 gathered in the gym and played with materials, such as books, magnetic tiles, doll house, pretend ice cream shop, Legos and other materials. On the playground, the children engaged in gross motor activity, using swings, climber and bars. Some children played football in the field on the playground. Snack was served during the visit. Today’s snacks were WOW butter, apple sauce, apple cinnamon graham crackers, sunflower kernels, veggie blend juice and milk. The items were listed on the menu correctly. Medications were monitored. Five (5) emergency medications are maintained by the program. A child is on Epi-pen. No permission form or action plan was stored with the medication. The forms were found in the child’s file and sent to me via text. The child’s action plan was dated 9/8/23 and the medication administration permission is dated 9/11/23. A child is on an inhaler. The action plan is dated 3/11/23, and the permission was signed on 6/12/23. A child is on an inhaler and epi-pen. The epi-pen was not in its original box. The action plan for the inhaler is dated 8/3/23 and the permission form is dated 8/1/23. Action plan for epi-pen is dated 8/24/23 and the permission form is dated 8/1/23. One child is on an inhaler. The action plan and the permission form were stored with the medication. However, the action plan expired on 1/20/24 and the permission form was originally signed on 1/20/23 and expired on 7/20/23. The medication was stored without its original box, and the medication expired in April 2023. This medication was administered to the child on 2/6/24 and 2/7/24 according to the medication log. Due to details of medical information of the enrolled children not being understood by the staff members, I have reviewed ready-to-go file and other pertinent information. In the ready-to-file, there are the facility’s EPR plan, summary of each child’s emergency information and notes regarding medical information were maintained. The children’s application can be accessed via tablet and phone. However, no action plans were easily accessible by the staff members. Two (2) new staff files and one (1) existing staff file were monitored. Five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. The permission form for an inhaler for RM expired on 1/20/24 and the action plan also expired on 7/20/23. The administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. An inhaler for RM expired in April 2024 but was administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler for RM and an Epi-pen for MP were not in its original box. No pharmacy labels were attached to the medication, either. .0803(2)(a) 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. The inhaler for RM expired on April 2023 but was not returned to the parent or disposed. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the drill log, the last shelter-in-place/lockdown drill was conducted on 10/30/23. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. No medical action plans for the children were included in the Ready to Go file. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for an inhaler for RM expired on 1/20/24 and was not renewed prior to its expiration date. .0801(b) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. The staff member hired on 10/16/23 did not complete BSAC training prior to 1/16/24 or the certificate was not maintained in the staff file. .2510(j) Technical assistance was provided as follows: 842: Administering of medication No medication shall be administered without valid permission form filled out by the parent of the child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; 843: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (d) after its expiration date; 844: Pharmacy label and original medication container All medication shall be stored with its original container and pharmacy label (for prescription) to avoid medical error. The label shall be checked upon administering the medication to ensure that the medication is for the right child, right drug, right dosage, right route and right time. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 849: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1811: Shelter-in-place/Lockdown drill A Shelter-in-place or a lockdown drill is required every three (3) months. A drill was conducted on 10/30/23 according to the log. The drill was supposed to be conducted in January. The drill shall be logged upon the completion of the drill for accuracy of information. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1823: ready-to-go file Ready-to-go-file is the informational file that contains all emergency information upon emergency evacuation. In the file, EPR plan, contact information for each child, application for each child and action plans for all emergency medical conditions, incident report form, area map and emergency telephone numbers shall be included. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 1835: Medical Action Plan Medical action plan shall be maintained annually. Please ask the parent or the child’s physician to renew the action plan for the child whose action plan expired on 1/20/24. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. 1921: BSAC training: BSAC training shall be completed within three (3) months of employment. Also, the training certificate shall be maintained in the staff file for review. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/6/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. Shelter-in-place/lockdown drill: Please complete the drill immediately. Reminder: KG's action's plan for an inhaler will expire on 3/11/24. Please ask the parent to renew the action as well as the permission form. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 43 Completed Date: 2/21/2024 Age: From 5 To 10 Total Minutes: 232 Time In: 02:08 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Ashley Queen,, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Nick Erwin, Program Director, was available during today’s visit but had to leave for a meeting before the visit was completed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. I met with Delany Burke, Senior Operation Director via TEAM to review children’s files and staff files. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percentage as of 2/20/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of Western North Carolina, is current/active as of 2/20/24. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios, meets enhanced space, playground area does not meet child care playground safety standards. Children are prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 2/9/24. The last shelter-in-place drill was practiced on 10/30/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 1/30/24 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Children in group #1 and #3 gathered in cafeteria and played in outside. The children in group #2 gathered in the gym and played with materials, such as books, magnetic tiles, doll house, pretend ice cream shop, Legos and other materials. On the playground, the children engaged in gross motor activity, using swings, climber and bars. Some children played football in the field on the playground. Snack was served during the visit. Today’s snacks were WOW butter, apple sauce, apple cinnamon graham crackers, sunflower kernels, veggie blend juice and milk. The items were listed on the menu correctly. Medications were monitored. Five (5) emergency medications are maintained by the program. A child is on Epi-pen. No permission form or action plan was stored with the medication. The forms were found in the child’s file and sent to me via text. The child’s action plan was dated 9/8/23 and the medication administration permission is dated 9/11/23. A child is on an inhaler. The action plan is dated 3/11/23, and the permission was signed on 6/12/23. A child is on an inhaler and epi-pen. The epi-pen was not in its original box. The action plan for the inhaler is dated 8/3/23 and the permission form is dated 8/1/23. Action plan for epi-pen is dated 8/24/23 and the permission form is dated 8/1/23. One child is on an inhaler. The action plan and the permission form were stored with the medication. However, the action plan expired on 1/20/24 and the permission form was originally signed on 1/20/23 and expired on 7/20/23. The medication was stored without its original box, and the medication expired in April 2023. This medication was administered to the child on 2/6/24 and 2/7/24 according to the medication log. Due to details of medical information of the enrolled children not being understood by the staff members, I have reviewed ready-to-go file and other pertinent information. In the ready-to-file, there are the facility’s EPR plan, summary of each child’s emergency information and notes regarding medical information were maintained. The children’s application can be accessed via tablet and phone. However, no action plans were easily accessible by the staff members. Two (2) new staff files and one (1) existing staff file were monitored. Five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. The permission form for an inhaler for RM expired on 1/20/24 and the action plan also expired on 7/20/23. The administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. An inhaler for RM expired in April 2024 but was administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler for RM and an Epi-pen for MP were not in its original box. No pharmacy labels were attached to the medication, either. .0803(2)(a) 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. The inhaler for RM expired on April 2023 but was not returned to the parent or disposed. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the drill log, the last shelter-in-place/lockdown drill was conducted on 10/30/23. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. No medical action plans for the children were included in the Ready to Go file. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for an inhaler for RM expired on 1/20/24 and was not renewed prior to its expiration date. .0801(b) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. The staff member hired on 10/16/23 did not complete BSAC training prior to 1/16/24 or the certificate was not maintained in the staff file. .2510(j) Technical assistance was provided as follows: 842: Administering of medication No medication shall be administered without valid permission form filled out by the parent of the child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; 843: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (d) after its expiration date; 844: Pharmacy label and original medication container All medication shall be stored with its original container and pharmacy label (for prescription) to avoid medical error. The label shall be checked upon administering the medication to ensure that the medication is for the right child, right drug, right dosage, right route and right time. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 849: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1811: Shelter-in-place/Lockdown drill A Shelter-in-place or a lockdown drill is required every three (3) months. A drill was conducted on 10/30/23 according to the log. The drill was supposed to be conducted in January. The drill shall be logged upon the completion of the drill for accuracy of information. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1823: ready-to-go file Ready-to-go-file is the informational file that contains all emergency information upon emergency evacuation. In the file, EPR plan, contact information for each child, application for each child and action plans for all emergency medical conditions, incident report form, area map and emergency telephone numbers shall be included. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 1835: Medical Action Plan Medical action plan shall be maintained annually. Please ask the parent or the child’s physician to renew the action plan for the child whose action plan expired on 1/20/24. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. 1921: BSAC training: BSAC training shall be completed within three (3) months of employment. Also, the training certificate shall be maintained in the staff file for review. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/6/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. Shelter-in-place/lockdown drill: Please complete the drill immediately. Reminder: KG's action's plan for an inhaler will expire on 3/11/24. Please ask the parent to renew the action as well as the permission form. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0607 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 43 Completed Date: 2/21/2024 Age: From 5 To 10 Total Minutes: 232 Time In: 02:08 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Ashley Queen,, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Nick Erwin, Program Director, was available during today’s visit but had to leave for a meeting before the visit was completed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. I met with Delany Burke, Senior Operation Director via TEAM to review children’s files and staff files. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percentage as of 2/20/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of Western North Carolina, is current/active as of 2/20/24. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios, meets enhanced space, playground area does not meet child care playground safety standards. Children are prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 2/9/24. The last shelter-in-place drill was practiced on 10/30/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 1/30/24 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Children in group #1 and #3 gathered in cafeteria and played in outside. The children in group #2 gathered in the gym and played with materials, such as books, magnetic tiles, doll house, pretend ice cream shop, Legos and other materials. On the playground, the children engaged in gross motor activity, using swings, climber and bars. Some children played football in the field on the playground. Snack was served during the visit. Today’s snacks were WOW butter, apple sauce, apple cinnamon graham crackers, sunflower kernels, veggie blend juice and milk. The items were listed on the menu correctly. Medications were monitored. Five (5) emergency medications are maintained by the program. A child is on Epi-pen. No permission form or action plan was stored with the medication. The forms were found in the child’s file and sent to me via text. The child’s action plan was dated 9/8/23 and the medication administration permission is dated 9/11/23. A child is on an inhaler. The action plan is dated 3/11/23, and the permission was signed on 6/12/23. A child is on an inhaler and epi-pen. The epi-pen was not in its original box. The action plan for the inhaler is dated 8/3/23 and the permission form is dated 8/1/23. Action plan for epi-pen is dated 8/24/23 and the permission form is dated 8/1/23. One child is on an inhaler. The action plan and the permission form were stored with the medication. However, the action plan expired on 1/20/24 and the permission form was originally signed on 1/20/23 and expired on 7/20/23. The medication was stored without its original box, and the medication expired in April 2023. This medication was administered to the child on 2/6/24 and 2/7/24 according to the medication log. Due to details of medical information of the enrolled children not being understood by the staff members, I have reviewed ready-to-go file and other pertinent information. In the ready-to-file, there are the facility’s EPR plan, summary of each child’s emergency information and notes regarding medical information were maintained. The children’s application can be accessed via tablet and phone. However, no action plans were easily accessible by the staff members. Two (2) new staff files and one (1) existing staff file were monitored. Five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. The permission form for an inhaler for RM expired on 1/20/24 and the action plan also expired on 7/20/23. The administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. An inhaler for RM expired in April 2024 but was administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler for RM and an Epi-pen for MP were not in its original box. No pharmacy labels were attached to the medication, either. .0803(2)(a) 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. The inhaler for RM expired on April 2023 but was not returned to the parent or disposed. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the drill log, the last shelter-in-place/lockdown drill was conducted on 10/30/23. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. No medical action plans for the children were included in the Ready to Go file. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for an inhaler for RM expired on 1/20/24 and was not renewed prior to its expiration date. .0801(b) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. The staff member hired on 10/16/23 did not complete BSAC training prior to 1/16/24 or the certificate was not maintained in the staff file. .2510(j) Technical assistance was provided as follows: 842: Administering of medication No medication shall be administered without valid permission form filled out by the parent of the child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; 843: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (d) after its expiration date; 844: Pharmacy label and original medication container All medication shall be stored with its original container and pharmacy label (for prescription) to avoid medical error. The label shall be checked upon administering the medication to ensure that the medication is for the right child, right drug, right dosage, right route and right time. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 849: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1811: Shelter-in-place/Lockdown drill A Shelter-in-place or a lockdown drill is required every three (3) months. A drill was conducted on 10/30/23 according to the log. The drill was supposed to be conducted in January. The drill shall be logged upon the completion of the drill for accuracy of information. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1823: ready-to-go file Ready-to-go-file is the informational file that contains all emergency information upon emergency evacuation. In the file, EPR plan, contact information for each child, application for each child and action plans for all emergency medical conditions, incident report form, area map and emergency telephone numbers shall be included. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 1835: Medical Action Plan Medical action plan shall be maintained annually. Please ask the parent or the child’s physician to renew the action plan for the child whose action plan expired on 1/20/24. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. 1921: BSAC training: BSAC training shall be completed within three (3) months of employment. Also, the training certificate shall be maintained in the staff file for review. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/6/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. Shelter-in-place/lockdown drill: Please complete the drill immediately. Reminder: KG's action's plan for an inhaler will expire on 3/11/24. Please ask the parent to renew the action as well as the permission form. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 43 Completed Date: 2/21/2024 Age: From 5 To 10 Total Minutes: 232 Time In: 02:08 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Ashley Queen,, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Nick Erwin, Program Director, was available during today’s visit but had to leave for a meeting before the visit was completed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. I met with Delany Burke, Senior Operation Director via TEAM to review children’s files and staff files. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percentage as of 2/20/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of Western North Carolina, is current/active as of 2/20/24. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios, meets enhanced space, playground area does not meet child care playground safety standards. Children are prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 2/9/24. The last shelter-in-place drill was practiced on 10/30/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 1/30/24 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Children in group #1 and #3 gathered in cafeteria and played in outside. The children in group #2 gathered in the gym and played with materials, such as books, magnetic tiles, doll house, pretend ice cream shop, Legos and other materials. On the playground, the children engaged in gross motor activity, using swings, climber and bars. Some children played football in the field on the playground. Snack was served during the visit. Today’s snacks were WOW butter, apple sauce, apple cinnamon graham crackers, sunflower kernels, veggie blend juice and milk. The items were listed on the menu correctly. Medications were monitored. Five (5) emergency medications are maintained by the program. A child is on Epi-pen. No permission form or action plan was stored with the medication. The forms were found in the child’s file and sent to me via text. The child’s action plan was dated 9/8/23 and the medication administration permission is dated 9/11/23. A child is on an inhaler. The action plan is dated 3/11/23, and the permission was signed on 6/12/23. A child is on an inhaler and epi-pen. The epi-pen was not in its original box. The action plan for the inhaler is dated 8/3/23 and the permission form is dated 8/1/23. Action plan for epi-pen is dated 8/24/23 and the permission form is dated 8/1/23. One child is on an inhaler. The action plan and the permission form were stored with the medication. However, the action plan expired on 1/20/24 and the permission form was originally signed on 1/20/23 and expired on 7/20/23. The medication was stored without its original box, and the medication expired in April 2023. This medication was administered to the child on 2/6/24 and 2/7/24 according to the medication log. Due to details of medical information of the enrolled children not being understood by the staff members, I have reviewed ready-to-go file and other pertinent information. In the ready-to-file, there are the facility’s EPR plan, summary of each child’s emergency information and notes regarding medical information were maintained. The children’s application can be accessed via tablet and phone. However, no action plans were easily accessible by the staff members. Two (2) new staff files and one (1) existing staff file were monitored. Five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. The permission form for an inhaler for RM expired on 1/20/24 and the action plan also expired on 7/20/23. The administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. An inhaler for RM expired in April 2024 but was administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler for RM and an Epi-pen for MP were not in its original box. No pharmacy labels were attached to the medication, either. .0803(2)(a) 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. The inhaler for RM expired on April 2023 but was not returned to the parent or disposed. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the drill log, the last shelter-in-place/lockdown drill was conducted on 10/30/23. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. No medical action plans for the children were included in the Ready to Go file. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for an inhaler for RM expired on 1/20/24 and was not renewed prior to its expiration date. .0801(b) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. The staff member hired on 10/16/23 did not complete BSAC training prior to 1/16/24 or the certificate was not maintained in the staff file. .2510(j) Technical assistance was provided as follows: 842: Administering of medication No medication shall be administered without valid permission form filled out by the parent of the child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; 843: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (d) after its expiration date; 844: Pharmacy label and original medication container All medication shall be stored with its original container and pharmacy label (for prescription) to avoid medical error. The label shall be checked upon administering the medication to ensure that the medication is for the right child, right drug, right dosage, right route and right time. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 849: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1811: Shelter-in-place/Lockdown drill A Shelter-in-place or a lockdown drill is required every three (3) months. A drill was conducted on 10/30/23 according to the log. The drill was supposed to be conducted in January. The drill shall be logged upon the completion of the drill for accuracy of information. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1823: ready-to-go file Ready-to-go-file is the informational file that contains all emergency information upon emergency evacuation. In the file, EPR plan, contact information for each child, application for each child and action plans for all emergency medical conditions, incident report form, area map and emergency telephone numbers shall be included. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 1835: Medical Action Plan Medical action plan shall be maintained annually. Please ask the parent or the child’s physician to renew the action plan for the child whose action plan expired on 1/20/24. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. 1921: BSAC training: BSAC training shall be completed within three (3) months of employment. Also, the training certificate shall be maintained in the staff file for review. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/6/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. Shelter-in-place/lockdown drill: Please complete the drill immediately. Reminder: KG's action's plan for an inhaler will expire on 3/11/24. Please ask the parent to renew the action as well as the permission form. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 43 Completed Date: 2/21/2024 Age: From 5 To 10 Total Minutes: 232 Time In: 02:08 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Ashley Queen,, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Nick Erwin, Program Director, was available during today’s visit but had to leave for a meeting before the visit was completed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. I met with Delany Burke, Senior Operation Director via TEAM to review children’s files and staff files. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percentage as of 2/20/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of Western North Carolina, is current/active as of 2/20/24. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios, meets enhanced space, playground area does not meet child care playground safety standards. Children are prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 2/9/24. The last shelter-in-place drill was practiced on 10/30/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 1/30/24 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Children in group #1 and #3 gathered in cafeteria and played in outside. The children in group #2 gathered in the gym and played with materials, such as books, magnetic tiles, doll house, pretend ice cream shop, Legos and other materials. On the playground, the children engaged in gross motor activity, using swings, climber and bars. Some children played football in the field on the playground. Snack was served during the visit. Today’s snacks were WOW butter, apple sauce, apple cinnamon graham crackers, sunflower kernels, veggie blend juice and milk. The items were listed on the menu correctly. Medications were monitored. Five (5) emergency medications are maintained by the program. A child is on Epi-pen. No permission form or action plan was stored with the medication. The forms were found in the child’s file and sent to me via text. The child’s action plan was dated 9/8/23 and the medication administration permission is dated 9/11/23. A child is on an inhaler. The action plan is dated 3/11/23, and the permission was signed on 6/12/23. A child is on an inhaler and epi-pen. The epi-pen was not in its original box. The action plan for the inhaler is dated 8/3/23 and the permission form is dated 8/1/23. Action plan for epi-pen is dated 8/24/23 and the permission form is dated 8/1/23. One child is on an inhaler. The action plan and the permission form were stored with the medication. However, the action plan expired on 1/20/24 and the permission form was originally signed on 1/20/23 and expired on 7/20/23. The medication was stored without its original box, and the medication expired in April 2023. This medication was administered to the child on 2/6/24 and 2/7/24 according to the medication log. Due to details of medical information of the enrolled children not being understood by the staff members, I have reviewed ready-to-go file and other pertinent information. In the ready-to-file, there are the facility’s EPR plan, summary of each child’s emergency information and notes regarding medical information were maintained. The children’s application can be accessed via tablet and phone. However, no action plans were easily accessible by the staff members. Two (2) new staff files and one (1) existing staff file were monitored. Five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. The permission form for an inhaler for RM expired on 1/20/24 and the action plan also expired on 7/20/23. The administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. An inhaler for RM expired in April 2024 but was administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler for RM and an Epi-pen for MP were not in its original box. No pharmacy labels were attached to the medication, either. .0803(2)(a) 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. The inhaler for RM expired on April 2023 but was not returned to the parent or disposed. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the drill log, the last shelter-in-place/lockdown drill was conducted on 10/30/23. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. No medical action plans for the children were included in the Ready to Go file. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for an inhaler for RM expired on 1/20/24 and was not renewed prior to its expiration date. .0801(b) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. The staff member hired on 10/16/23 did not complete BSAC training prior to 1/16/24 or the certificate was not maintained in the staff file. .2510(j) Technical assistance was provided as follows: 842: Administering of medication No medication shall be administered without valid permission form filled out by the parent of the child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; 843: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (d) after its expiration date; 844: Pharmacy label and original medication container All medication shall be stored with its original container and pharmacy label (for prescription) to avoid medical error. The label shall be checked upon administering the medication to ensure that the medication is for the right child, right drug, right dosage, right route and right time. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 849: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1811: Shelter-in-place/Lockdown drill A Shelter-in-place or a lockdown drill is required every three (3) months. A drill was conducted on 10/30/23 according to the log. The drill was supposed to be conducted in January. The drill shall be logged upon the completion of the drill for accuracy of information. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1823: ready-to-go file Ready-to-go-file is the informational file that contains all emergency information upon emergency evacuation. In the file, EPR plan, contact information for each child, application for each child and action plans for all emergency medical conditions, incident report form, area map and emergency telephone numbers shall be included. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 1835: Medical Action Plan Medical action plan shall be maintained annually. Please ask the parent or the child’s physician to renew the action plan for the child whose action plan expired on 1/20/24. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. 1921: BSAC training: BSAC training shall be completed within three (3) months of employment. Also, the training certificate shall be maintained in the staff file for review. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/6/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. Shelter-in-place/lockdown drill: Please complete the drill immediately. Reminder: KG's action's plan for an inhaler will expire on 3/11/24. Please ask the parent to renew the action as well as the permission form. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 43 Completed Date: 2/21/2024 Age: From 5 To 10 Total Minutes: 232 Time In: 02:08 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Ashley Queen,, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Nick Erwin, Program Director, was available during today’s visit but had to leave for a meeting before the visit was completed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. I met with Delany Burke, Senior Operation Director via TEAM to review children’s files and staff files. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percentage as of 2/20/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of Western North Carolina, is current/active as of 2/20/24. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios, meets enhanced space, playground area does not meet child care playground safety standards. Children are prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 2/9/24. The last shelter-in-place drill was practiced on 10/30/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 1/30/24 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Children in group #1 and #3 gathered in cafeteria and played in outside. The children in group #2 gathered in the gym and played with materials, such as books, magnetic tiles, doll house, pretend ice cream shop, Legos and other materials. On the playground, the children engaged in gross motor activity, using swings, climber and bars. Some children played football in the field on the playground. Snack was served during the visit. Today’s snacks were WOW butter, apple sauce, apple cinnamon graham crackers, sunflower kernels, veggie blend juice and milk. The items were listed on the menu correctly. Medications were monitored. Five (5) emergency medications are maintained by the program. A child is on Epi-pen. No permission form or action plan was stored with the medication. The forms were found in the child’s file and sent to me via text. The child’s action plan was dated 9/8/23 and the medication administration permission is dated 9/11/23. A child is on an inhaler. The action plan is dated 3/11/23, and the permission was signed on 6/12/23. A child is on an inhaler and epi-pen. The epi-pen was not in its original box. The action plan for the inhaler is dated 8/3/23 and the permission form is dated 8/1/23. Action plan for epi-pen is dated 8/24/23 and the permission form is dated 8/1/23. One child is on an inhaler. The action plan and the permission form were stored with the medication. However, the action plan expired on 1/20/24 and the permission form was originally signed on 1/20/23 and expired on 7/20/23. The medication was stored without its original box, and the medication expired in April 2023. This medication was administered to the child on 2/6/24 and 2/7/24 according to the medication log. Due to details of medical information of the enrolled children not being understood by the staff members, I have reviewed ready-to-go file and other pertinent information. In the ready-to-file, there are the facility’s EPR plan, summary of each child’s emergency information and notes regarding medical information were maintained. The children’s application can be accessed via tablet and phone. However, no action plans were easily accessible by the staff members. Two (2) new staff files and one (1) existing staff file were monitored. Five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. The permission form for an inhaler for RM expired on 1/20/24 and the action plan also expired on 7/20/23. The administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. An inhaler for RM expired in April 2024 but was administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler for RM and an Epi-pen for MP were not in its original box. No pharmacy labels were attached to the medication, either. .0803(2)(a) 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. The inhaler for RM expired on April 2023 but was not returned to the parent or disposed. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the drill log, the last shelter-in-place/lockdown drill was conducted on 10/30/23. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. No medical action plans for the children were included in the Ready to Go file. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for an inhaler for RM expired on 1/20/24 and was not renewed prior to its expiration date. .0801(b) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. The staff member hired on 10/16/23 did not complete BSAC training prior to 1/16/24 or the certificate was not maintained in the staff file. .2510(j) Technical assistance was provided as follows: 842: Administering of medication No medication shall be administered without valid permission form filled out by the parent of the child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; 843: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (d) after its expiration date; 844: Pharmacy label and original medication container All medication shall be stored with its original container and pharmacy label (for prescription) to avoid medical error. The label shall be checked upon administering the medication to ensure that the medication is for the right child, right drug, right dosage, right route and right time. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 849: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1811: Shelter-in-place/Lockdown drill A Shelter-in-place or a lockdown drill is required every three (3) months. A drill was conducted on 10/30/23 according to the log. The drill was supposed to be conducted in January. The drill shall be logged upon the completion of the drill for accuracy of information. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1823: ready-to-go file Ready-to-go-file is the informational file that contains all emergency information upon emergency evacuation. In the file, EPR plan, contact information for each child, application for each child and action plans for all emergency medical conditions, incident report form, area map and emergency telephone numbers shall be included. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 1835: Medical Action Plan Medical action plan shall be maintained annually. Please ask the parent or the child’s physician to renew the action plan for the child whose action plan expired on 1/20/24. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. 1921: BSAC training: BSAC training shall be completed within three (3) months of employment. Also, the training certificate shall be maintained in the staff file for review. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/6/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. Shelter-in-place/lockdown drill: Please complete the drill immediately. Reminder: KG's action's plan for an inhaler will expire on 3/11/24. Please ask the parent to renew the action as well as the permission form. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 43 Completed Date: 2/21/2024 Age: From 5 To 10 Total Minutes: 232 Time In: 02:08 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Ashley Queen,, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Nick Erwin, Program Director, was available during today’s visit but had to leave for a meeting before the visit was completed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. I met with Delany Burke, Senior Operation Director via TEAM to review children’s files and staff files. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percentage as of 2/20/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of Western North Carolina, is current/active as of 2/20/24. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios, meets enhanced space, playground area does not meet child care playground safety standards. Children are prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 2/9/24. The last shelter-in-place drill was practiced on 10/30/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 1/30/24 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Children in group #1 and #3 gathered in cafeteria and played in outside. The children in group #2 gathered in the gym and played with materials, such as books, magnetic tiles, doll house, pretend ice cream shop, Legos and other materials. On the playground, the children engaged in gross motor activity, using swings, climber and bars. Some children played football in the field on the playground. Snack was served during the visit. Today’s snacks were WOW butter, apple sauce, apple cinnamon graham crackers, sunflower kernels, veggie blend juice and milk. The items were listed on the menu correctly. Medications were monitored. Five (5) emergency medications are maintained by the program. A child is on Epi-pen. No permission form or action plan was stored with the medication. The forms were found in the child’s file and sent to me via text. The child’s action plan was dated 9/8/23 and the medication administration permission is dated 9/11/23. A child is on an inhaler. The action plan is dated 3/11/23, and the permission was signed on 6/12/23. A child is on an inhaler and epi-pen. The epi-pen was not in its original box. The action plan for the inhaler is dated 8/3/23 and the permission form is dated 8/1/23. Action plan for epi-pen is dated 8/24/23 and the permission form is dated 8/1/23. One child is on an inhaler. The action plan and the permission form were stored with the medication. However, the action plan expired on 1/20/24 and the permission form was originally signed on 1/20/23 and expired on 7/20/23. The medication was stored without its original box, and the medication expired in April 2023. This medication was administered to the child on 2/6/24 and 2/7/24 according to the medication log. Due to details of medical information of the enrolled children not being understood by the staff members, I have reviewed ready-to-go file and other pertinent information. In the ready-to-file, there are the facility’s EPR plan, summary of each child’s emergency information and notes regarding medical information were maintained. The children’s application can be accessed via tablet and phone. However, no action plans were easily accessible by the staff members. Two (2) new staff files and one (1) existing staff file were monitored. Five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. The permission form for an inhaler for RM expired on 1/20/24 and the action plan also expired on 7/20/23. The administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. An inhaler for RM expired in April 2024 but was administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler for RM and an Epi-pen for MP were not in its original box. No pharmacy labels were attached to the medication, either. .0803(2)(a) 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. The inhaler for RM expired on April 2023 but was not returned to the parent or disposed. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the drill log, the last shelter-in-place/lockdown drill was conducted on 10/30/23. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. No medical action plans for the children were included in the Ready to Go file. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for an inhaler for RM expired on 1/20/24 and was not renewed prior to its expiration date. .0801(b) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. The staff member hired on 10/16/23 did not complete BSAC training prior to 1/16/24 or the certificate was not maintained in the staff file. .2510(j) Technical assistance was provided as follows: 842: Administering of medication No medication shall be administered without valid permission form filled out by the parent of the child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; 843: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (d) after its expiration date; 844: Pharmacy label and original medication container All medication shall be stored with its original container and pharmacy label (for prescription) to avoid medical error. The label shall be checked upon administering the medication to ensure that the medication is for the right child, right drug, right dosage, right route and right time. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 849: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1811: Shelter-in-place/Lockdown drill A Shelter-in-place or a lockdown drill is required every three (3) months. A drill was conducted on 10/30/23 according to the log. The drill was supposed to be conducted in January. The drill shall be logged upon the completion of the drill for accuracy of information. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1823: ready-to-go file Ready-to-go-file is the informational file that contains all emergency information upon emergency evacuation. In the file, EPR plan, contact information for each child, application for each child and action plans for all emergency medical conditions, incident report form, area map and emergency telephone numbers shall be included. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 1835: Medical Action Plan Medical action plan shall be maintained annually. Please ask the parent or the child’s physician to renew the action plan for the child whose action plan expired on 1/20/24. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. 1921: BSAC training: BSAC training shall be completed within three (3) months of employment. Also, the training certificate shall be maintained in the staff file for review. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/6/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. Shelter-in-place/lockdown drill: Please complete the drill immediately. Reminder: KG's action's plan for an inhaler will expire on 3/11/24. Please ask the parent to renew the action as well as the permission form. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2510 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 43 Completed Date: 2/21/2024 Age: From 5 To 10 Total Minutes: 232 Time In: 02:08 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Ashley Queen,, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Nick Erwin, Program Director, was available during today’s visit but had to leave for a meeting before the visit was completed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. I met with Delany Burke, Senior Operation Director via TEAM to review children’s files and staff files. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percentage as of 2/20/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of Western North Carolina, is current/active as of 2/20/24. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios, meets enhanced space, playground area does not meet child care playground safety standards. Children are prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 2/9/24. The last shelter-in-place drill was practiced on 10/30/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 1/30/24 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Children in group #1 and #3 gathered in cafeteria and played in outside. The children in group #2 gathered in the gym and played with materials, such as books, magnetic tiles, doll house, pretend ice cream shop, Legos and other materials. On the playground, the children engaged in gross motor activity, using swings, climber and bars. Some children played football in the field on the playground. Snack was served during the visit. Today’s snacks were WOW butter, apple sauce, apple cinnamon graham crackers, sunflower kernels, veggie blend juice and milk. The items were listed on the menu correctly. Medications were monitored. Five (5) emergency medications are maintained by the program. A child is on Epi-pen. No permission form or action plan was stored with the medication. The forms were found in the child’s file and sent to me via text. The child’s action plan was dated 9/8/23 and the medication administration permission is dated 9/11/23. A child is on an inhaler. The action plan is dated 3/11/23, and the permission was signed on 6/12/23. A child is on an inhaler and epi-pen. The epi-pen was not in its original box. The action plan for the inhaler is dated 8/3/23 and the permission form is dated 8/1/23. Action plan for epi-pen is dated 8/24/23 and the permission form is dated 8/1/23. One child is on an inhaler. The action plan and the permission form were stored with the medication. However, the action plan expired on 1/20/24 and the permission form was originally signed on 1/20/23 and expired on 7/20/23. The medication was stored without its original box, and the medication expired in April 2023. This medication was administered to the child on 2/6/24 and 2/7/24 according to the medication log. Due to details of medical information of the enrolled children not being understood by the staff members, I have reviewed ready-to-go file and other pertinent information. In the ready-to-file, there are the facility’s EPR plan, summary of each child’s emergency information and notes regarding medical information were maintained. The children’s application can be accessed via tablet and phone. However, no action plans were easily accessible by the staff members. Two (2) new staff files and one (1) existing staff file were monitored. Five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. The permission form for an inhaler for RM expired on 1/20/24 and the action plan also expired on 7/20/23. The administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. An inhaler for RM expired in April 2024 but was administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler for RM and an Epi-pen for MP were not in its original box. No pharmacy labels were attached to the medication, either. .0803(2)(a) 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. The inhaler for RM expired on April 2023 but was not returned to the parent or disposed. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the drill log, the last shelter-in-place/lockdown drill was conducted on 10/30/23. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. No medical action plans for the children were included in the Ready to Go file. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for an inhaler for RM expired on 1/20/24 and was not renewed prior to its expiration date. .0801(b) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. The staff member hired on 10/16/23 did not complete BSAC training prior to 1/16/24 or the certificate was not maintained in the staff file. .2510(j) Technical assistance was provided as follows: 842: Administering of medication No medication shall be administered without valid permission form filled out by the parent of the child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; 843: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (d) after its expiration date; 844: Pharmacy label and original medication container All medication shall be stored with its original container and pharmacy label (for prescription) to avoid medical error. The label shall be checked upon administering the medication to ensure that the medication is for the right child, right drug, right dosage, right route and right time. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 849: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1811: Shelter-in-place/Lockdown drill A Shelter-in-place or a lockdown drill is required every three (3) months. A drill was conducted on 10/30/23 according to the log. The drill was supposed to be conducted in January. The drill shall be logged upon the completion of the drill for accuracy of information. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1823: ready-to-go file Ready-to-go-file is the informational file that contains all emergency information upon emergency evacuation. In the file, EPR plan, contact information for each child, application for each child and action plans for all emergency medical conditions, incident report form, area map and emergency telephone numbers shall be included. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 1835: Medical Action Plan Medical action plan shall be maintained annually. Please ask the parent or the child’s physician to renew the action plan for the child whose action plan expired on 1/20/24. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. 1921: BSAC training: BSAC training shall be completed within three (3) months of employment. Also, the training certificate shall be maintained in the staff file for review. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/6/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. Shelter-in-place/lockdown drill: Please complete the drill immediately. Reminder: KG's action's plan for an inhaler will expire on 3/11/24. Please ask the parent to renew the action as well as the permission form. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 43 Completed Date: 2/21/2024 Age: From 5 To 10 Total Minutes: 232 Time In: 02:08 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Ashley Queen,, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Nick Erwin, Program Director, was available during today’s visit but had to leave for a meeting before the visit was completed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. I met with Delany Burke, Senior Operation Director via TEAM to review children’s files and staff files. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percentage as of 2/20/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of Western North Carolina, is current/active as of 2/20/24. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios, meets enhanced space, playground area does not meet child care playground safety standards. Children are prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 2/9/24. The last shelter-in-place drill was practiced on 10/30/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 1/30/24 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Children in group #1 and #3 gathered in cafeteria and played in outside. The children in group #2 gathered in the gym and played with materials, such as books, magnetic tiles, doll house, pretend ice cream shop, Legos and other materials. On the playground, the children engaged in gross motor activity, using swings, climber and bars. Some children played football in the field on the playground. Snack was served during the visit. Today’s snacks were WOW butter, apple sauce, apple cinnamon graham crackers, sunflower kernels, veggie blend juice and milk. The items were listed on the menu correctly. Medications were monitored. Five (5) emergency medications are maintained by the program. A child is on Epi-pen. No permission form or action plan was stored with the medication. The forms were found in the child’s file and sent to me via text. The child’s action plan was dated 9/8/23 and the medication administration permission is dated 9/11/23. A child is on an inhaler. The action plan is dated 3/11/23, and the permission was signed on 6/12/23. A child is on an inhaler and epi-pen. The epi-pen was not in its original box. The action plan for the inhaler is dated 8/3/23 and the permission form is dated 8/1/23. Action plan for epi-pen is dated 8/24/23 and the permission form is dated 8/1/23. One child is on an inhaler. The action plan and the permission form were stored with the medication. However, the action plan expired on 1/20/24 and the permission form was originally signed on 1/20/23 and expired on 7/20/23. The medication was stored without its original box, and the medication expired in April 2023. This medication was administered to the child on 2/6/24 and 2/7/24 according to the medication log. Due to details of medical information of the enrolled children not being understood by the staff members, I have reviewed ready-to-go file and other pertinent information. In the ready-to-file, there are the facility’s EPR plan, summary of each child’s emergency information and notes regarding medical information were maintained. The children’s application can be accessed via tablet and phone. However, no action plans were easily accessible by the staff members. Two (2) new staff files and one (1) existing staff file were monitored. Five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. The permission form for an inhaler for RM expired on 1/20/24 and the action plan also expired on 7/20/23. The administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. An inhaler for RM expired in April 2024 but was administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler for RM and an Epi-pen for MP were not in its original box. No pharmacy labels were attached to the medication, either. .0803(2)(a) 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. The inhaler for RM expired on April 2023 but was not returned to the parent or disposed. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the drill log, the last shelter-in-place/lockdown drill was conducted on 10/30/23. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. No medical action plans for the children were included in the Ready to Go file. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for an inhaler for RM expired on 1/20/24 and was not renewed prior to its expiration date. .0801(b) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. The staff member hired on 10/16/23 did not complete BSAC training prior to 1/16/24 or the certificate was not maintained in the staff file. .2510(j) Technical assistance was provided as follows: 842: Administering of medication No medication shall be administered without valid permission form filled out by the parent of the child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; 843: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (d) after its expiration date; 844: Pharmacy label and original medication container All medication shall be stored with its original container and pharmacy label (for prescription) to avoid medical error. The label shall be checked upon administering the medication to ensure that the medication is for the right child, right drug, right dosage, right route and right time. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 849: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1811: Shelter-in-place/Lockdown drill A Shelter-in-place or a lockdown drill is required every three (3) months. A drill was conducted on 10/30/23 according to the log. The drill was supposed to be conducted in January. The drill shall be logged upon the completion of the drill for accuracy of information. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1823: ready-to-go file Ready-to-go-file is the informational file that contains all emergency information upon emergency evacuation. In the file, EPR plan, contact information for each child, application for each child and action plans for all emergency medical conditions, incident report form, area map and emergency telephone numbers shall be included. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 1835: Medical Action Plan Medical action plan shall be maintained annually. Please ask the parent or the child’s physician to renew the action plan for the child whose action plan expired on 1/20/24. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. 1921: BSAC training: BSAC training shall be completed within three (3) months of employment. Also, the training certificate shall be maintained in the staff file for review. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/6/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. Shelter-in-place/lockdown drill: Please complete the drill immediately. Reminder: KG's action's plan for an inhaler will expire on 3/11/24. Please ask the parent to renew the action as well as the permission form. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 2/21/2024 Number Present: 43 Completed Date: 2/21/2024 Age: From 5 To 10 Total Minutes: 232 Time In: 02:08 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Ashley Queen,, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Nick Erwin, Program Director, was available during today’s visit but had to leave for a meeting before the visit was completed. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. I met with Delany Burke, Senior Operation Director via TEAM to review children’s files and staff files. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six (86) percentage as of 2/20/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of Western North Carolina, is current/active as of 2/20/24. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios, meets enhanced space, playground area does not meet child care playground safety standards. Children are prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 2/9/24. The last shelter-in-place drill was practiced on 10/30/23. The last fire inspection was approved on 1/31/24. The last sanitation inspection was conducted on 1/30/24 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and is current. Upon arrival, I announced my presence and the purpose of the visit. Children in group #1 and #3 gathered in cafeteria and played in outside. The children in group #2 gathered in the gym and played with materials, such as books, magnetic tiles, doll house, pretend ice cream shop, Legos and other materials. On the playground, the children engaged in gross motor activity, using swings, climber and bars. Some children played football in the field on the playground. Snack was served during the visit. Today’s snacks were WOW butter, apple sauce, apple cinnamon graham crackers, sunflower kernels, veggie blend juice and milk. The items were listed on the menu correctly. Medications were monitored. Five (5) emergency medications are maintained by the program. A child is on Epi-pen. No permission form or action plan was stored with the medication. The forms were found in the child’s file and sent to me via text. The child’s action plan was dated 9/8/23 and the medication administration permission is dated 9/11/23. A child is on an inhaler. The action plan is dated 3/11/23, and the permission was signed on 6/12/23. A child is on an inhaler and epi-pen. The epi-pen was not in its original box. The action plan for the inhaler is dated 8/3/23 and the permission form is dated 8/1/23. Action plan for epi-pen is dated 8/24/23 and the permission form is dated 8/1/23. One child is on an inhaler. The action plan and the permission form were stored with the medication. However, the action plan expired on 1/20/24 and the permission form was originally signed on 1/20/23 and expired on 7/20/23. The medication was stored without its original box, and the medication expired in April 2023. This medication was administered to the child on 2/6/24 and 2/7/24 according to the medication log. Due to details of medical information of the enrolled children not being understood by the staff members, I have reviewed ready-to-go file and other pertinent information. In the ready-to-file, there are the facility’s EPR plan, summary of each child’s emergency information and notes regarding medical information were maintained. The children’s application can be accessed via tablet and phone. However, no action plans were easily accessible by the staff members. Two (2) new staff files and one (1) existing staff file were monitored. Five (5) children’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit. Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. The permission form for an inhaler for RM expired on 1/20/24 and the action plan also expired on 7/20/23. The administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(a & b) 843 A drug or medicine was administered after its expiration date. An inhaler for RM expired in April 2024 but was administered on 2/6/24 and 2/7/24 per medication log. 10A NCAC 09 .0803(1)(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An inhaler for RM and an Epi-pen for MP were not in its original box. No pharmacy labels were attached to the medication, either. .0803(2)(a) 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. The inhaler for RM expired on April 2023 but was not returned to the parent or disposed. .0803(12) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. According to the drill log, the last shelter-in-place/lockdown drill was conducted on 10/30/23. .0604(u);.0302(d)(8) 1823 The EPR Plan did not include the location of the Ready to Go File and or the required information. No medical action plans for the children were included in the Ready to Go file. .0607(d)(10) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. The medical action plan for an inhaler for RM expired on 1/20/24 and was not renewed prior to its expiration date. .0801(b) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. The staff member hired on 10/16/23 did not complete BSAC training prior to 1/16/24 or the certificate was not maintained in the staff file. .2510(j) Technical assistance was provided as follows: 842: Administering of medication No medication shall be administered without valid permission form filled out by the parent of the child. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (a) without written authorization from the child's parent; (b) without written instructions from the child's parent, physician or other health professional; 843: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (1) No prescription or over-the-counter medication and no topical, non-medical ointment, repellent, lotion, cream, fluoridated toothpaste, or powder shall be administered to any child: (d) after its expiration date; 844: Pharmacy label and original medication container All medication shall be stored with its original container and pharmacy label (for prescription) to avoid medical error. The label shall be checked upon administering the medication to ensure that the medication is for the right child, right drug, right dosage, right route and right time. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 849: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (12) Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. 1811: Shelter-in-place/Lockdown drill A Shelter-in-place or a lockdown drill is required every three (3) months. A drill was conducted on 10/30/23 according to the log. The drill was supposed to be conducted in January. The drill shall be logged upon the completion of the drill for accuracy of information. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). 1823: ready-to-go file Ready-to-go-file is the informational file that contains all emergency information upon emergency evacuation. In the file, EPR plan, contact information for each child, application for each child and action plans for all emergency medical conditions, incident report form, area map and emergency telephone numbers shall be included. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. 1835: Medical Action Plan Medical action plan shall be maintained annually. Please ask the parent or the child’s physician to renew the action plan for the child whose action plan expired on 1/20/24. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov. 1921: BSAC training: BSAC training shall be completed within three (3) months of employment. Also, the training certificate shall be maintained in the staff file for review. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 3/6/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2). Your prep-year will be July 2024 through June 2025, and the assessment year will be July 2025 through June 2026. I will contact you in July 2024 to discuss the details. Shelter-in-place/lockdown drill: Please complete the drill immediately. Reminder: KG's action's plan for an inhaler will expire on 3/11/24. Please ask the parent to renew the action as well as the permission form. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 41 Completed Date: 9/26/2023 Age: From 5 To 10 Total Minutes: 150 Time In: 02:45 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. Today, Nick Erwin, Program Director was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eight-nine (89) percentage as of 9/25/23. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground area does not meet Child Care Playground safety standards. Children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 6/6/23. The last shelter-in-place drill was practiced on 6/8/23. The last fire inspection was approved on 1/26/23. The last sanitation inspection was conducted on 1/30/23with zero (0) demerit for a superior classification. The Emergency Medical Care plan was not posted. Upon arrival, I announced my presence and the purpose of the visit. The children in group #1 gathered in the cafeteria. After putting up their backpacks, the children used the bathroom and washed their hands before having snacks. Today’s snacks were veggie crackers, chicken tender bites, veggie blend juice, sunflower kernels, blue raspberry/apple sauce and milk. The menu was not posted. The children in group #2 washed their hands upon arrival and played on the playground. The children used play structures with balance stations, net climbers, monkey bars, etc. The children in group #2 used the bathroom before transitioning to cafeteria to have snacks. After the snack, the children in group #2 played a cooperative game in the gym. The children in group #3 also washed their hands upon arrival and played on the playground. Children enjoyed swings, spinning structure and exercise bars. Interaction and supervision were adequate. There are three (3) children on medication at this program. The epi pen for a child in group #1 and a child in group #2 were not stored in the original box with pharmacy labels. Permission form for epi-pen for the child in group #2 was not with the medication. Action plans for the epi-pen for the child in group #2 and an inhaler for the child in group #3 were not kept with the medication or available for review on site. There are no new staff members at this facility. Two (2) staff members have valid Criminal Background letters, First Aid/CPR certificate and BSAC training. One (1) of the staff members has not renewed his/her CPR/FA certificate since May, 2023. ABCMS system was checked during the visit, and all staff members are currently qualified to work at Child Care facilities. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted at the facility. 10A NCAC 09 .0901(b) 832 There was no written emergency medical care (EMC) plan. The facility did not have Emergency Medical Care plan. 10A NCAC 09 .0802(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An epi-pen for a child in group#1, two (2) epi-pens for a child in group #2 were not in its original box with pharmacy labels. .0803(2)(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member hired on 11/28/18 has not renewed First Aid certificate since May, 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member hired on 11/28/18 has not renewed CPR certificate since May 2023. .1102(d) Technical assistance was provided as follows: 526: menu Menu shall be current and posted. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 832: Emergency Medical Care (EMC) Plan An Emergency Medical Care Plan is required to be posted. 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. 844: Medication in original box Medications shall be stored in its original box with pharmacy labels. If obtaining the original box is not possible, a pharmacy print-out still must be on the medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 1048: First Aid 1049: CPR All staff shall have valid CPR/First aid certificate within ninety (90) days of employment and renew the certificate before its expiration date. (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/10/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2), which means that your prep-year will be July 2024 to June 2025 and the assessment year will be July 2025- June 2026. I will contact you in July 2024 to share details of Rated License Assessment, and we will discuss your plans. Lockdown/Shelter-in-place drill: Per current guidelines, each facility shall conduct a lockdown or/shelter-in-place within ten (10) days of first day of school. Per the rule stated below, certain formation is required upon recording monthly emergency drills. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov Medical Action Plan: It is important for each staff member to know exactly what to do with each medication in case of medical emergency. Please have action plans and medication permission forms maintain with the medication or somewhere easily accessible. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 41 Completed Date: 9/26/2023 Age: From 5 To 10 Total Minutes: 150 Time In: 02:45 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. Today, Nick Erwin, Program Director was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eight-nine (89) percentage as of 9/25/23. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground area does not meet Child Care Playground safety standards. Children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 6/6/23. The last shelter-in-place drill was practiced on 6/8/23. The last fire inspection was approved on 1/26/23. The last sanitation inspection was conducted on 1/30/23with zero (0) demerit for a superior classification. The Emergency Medical Care plan was not posted. Upon arrival, I announced my presence and the purpose of the visit. The children in group #1 gathered in the cafeteria. After putting up their backpacks, the children used the bathroom and washed their hands before having snacks. Today’s snacks were veggie crackers, chicken tender bites, veggie blend juice, sunflower kernels, blue raspberry/apple sauce and milk. The menu was not posted. The children in group #2 washed their hands upon arrival and played on the playground. The children used play structures with balance stations, net climbers, monkey bars, etc. The children in group #2 used the bathroom before transitioning to cafeteria to have snacks. After the snack, the children in group #2 played a cooperative game in the gym. The children in group #3 also washed their hands upon arrival and played on the playground. Children enjoyed swings, spinning structure and exercise bars. Interaction and supervision were adequate. There are three (3) children on medication at this program. The epi pen for a child in group #1 and a child in group #2 were not stored in the original box with pharmacy labels. Permission form for epi-pen for the child in group #2 was not with the medication. Action plans for the epi-pen for the child in group #2 and an inhaler for the child in group #3 were not kept with the medication or available for review on site. There are no new staff members at this facility. Two (2) staff members have valid Criminal Background letters, First Aid/CPR certificate and BSAC training. One (1) of the staff members has not renewed his/her CPR/FA certificate since May, 2023. ABCMS system was checked during the visit, and all staff members are currently qualified to work at Child Care facilities. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted at the facility. 10A NCAC 09 .0901(b) 832 There was no written emergency medical care (EMC) plan. The facility did not have Emergency Medical Care plan. 10A NCAC 09 .0802(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An epi-pen for a child in group#1, two (2) epi-pens for a child in group #2 were not in its original box with pharmacy labels. .0803(2)(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member hired on 11/28/18 has not renewed First Aid certificate since May, 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member hired on 11/28/18 has not renewed CPR certificate since May 2023. .1102(d) Technical assistance was provided as follows: 526: menu Menu shall be current and posted. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 832: Emergency Medical Care (EMC) Plan An Emergency Medical Care Plan is required to be posted. 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. 844: Medication in original box Medications shall be stored in its original box with pharmacy labels. If obtaining the original box is not possible, a pharmacy print-out still must be on the medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 1048: First Aid 1049: CPR All staff shall have valid CPR/First aid certificate within ninety (90) days of employment and renew the certificate before its expiration date. (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/10/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2), which means that your prep-year will be July 2024 to June 2025 and the assessment year will be July 2025- June 2026. I will contact you in July 2024 to share details of Rated License Assessment, and we will discuss your plans. Lockdown/Shelter-in-place drill: Per current guidelines, each facility shall conduct a lockdown or/shelter-in-place within ten (10) days of first day of school. Per the rule stated below, certain formation is required upon recording monthly emergency drills. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov Medical Action Plan: It is important for each staff member to know exactly what to do with each medication in case of medical emergency. Please have action plans and medication permission forms maintain with the medication or somewhere easily accessible. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 41 Completed Date: 9/26/2023 Age: From 5 To 10 Total Minutes: 150 Time In: 02:45 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. Today, Nick Erwin, Program Director was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eight-nine (89) percentage as of 9/25/23. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground area does not meet Child Care Playground safety standards. Children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 6/6/23. The last shelter-in-place drill was practiced on 6/8/23. The last fire inspection was approved on 1/26/23. The last sanitation inspection was conducted on 1/30/23with zero (0) demerit for a superior classification. The Emergency Medical Care plan was not posted. Upon arrival, I announced my presence and the purpose of the visit. The children in group #1 gathered in the cafeteria. After putting up their backpacks, the children used the bathroom and washed their hands before having snacks. Today’s snacks were veggie crackers, chicken tender bites, veggie blend juice, sunflower kernels, blue raspberry/apple sauce and milk. The menu was not posted. The children in group #2 washed their hands upon arrival and played on the playground. The children used play structures with balance stations, net climbers, monkey bars, etc. The children in group #2 used the bathroom before transitioning to cafeteria to have snacks. After the snack, the children in group #2 played a cooperative game in the gym. The children in group #3 also washed their hands upon arrival and played on the playground. Children enjoyed swings, spinning structure and exercise bars. Interaction and supervision were adequate. There are three (3) children on medication at this program. The epi pen for a child in group #1 and a child in group #2 were not stored in the original box with pharmacy labels. Permission form for epi-pen for the child in group #2 was not with the medication. Action plans for the epi-pen for the child in group #2 and an inhaler for the child in group #3 were not kept with the medication or available for review on site. There are no new staff members at this facility. Two (2) staff members have valid Criminal Background letters, First Aid/CPR certificate and BSAC training. One (1) of the staff members has not renewed his/her CPR/FA certificate since May, 2023. ABCMS system was checked during the visit, and all staff members are currently qualified to work at Child Care facilities. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted at the facility. 10A NCAC 09 .0901(b) 832 There was no written emergency medical care (EMC) plan. The facility did not have Emergency Medical Care plan. 10A NCAC 09 .0802(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An epi-pen for a child in group#1, two (2) epi-pens for a child in group #2 were not in its original box with pharmacy labels. .0803(2)(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member hired on 11/28/18 has not renewed First Aid certificate since May, 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member hired on 11/28/18 has not renewed CPR certificate since May 2023. .1102(d) Technical assistance was provided as follows: 526: menu Menu shall be current and posted. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 832: Emergency Medical Care (EMC) Plan An Emergency Medical Care Plan is required to be posted. 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. 844: Medication in original box Medications shall be stored in its original box with pharmacy labels. If obtaining the original box is not possible, a pharmacy print-out still must be on the medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 1048: First Aid 1049: CPR All staff shall have valid CPR/First aid certificate within ninety (90) days of employment and renew the certificate before its expiration date. (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/10/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2), which means that your prep-year will be July 2024 to June 2025 and the assessment year will be July 2025- June 2026. I will contact you in July 2024 to share details of Rated License Assessment, and we will discuss your plans. Lockdown/Shelter-in-place drill: Per current guidelines, each facility shall conduct a lockdown or/shelter-in-place within ten (10) days of first day of school. Per the rule stated below, certain formation is required upon recording monthly emergency drills. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov Medical Action Plan: It is important for each staff member to know exactly what to do with each medication in case of medical emergency. Please have action plans and medication permission forms maintain with the medication or somewhere easily accessible. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 41 Completed Date: 9/26/2023 Age: From 5 To 10 Total Minutes: 150 Time In: 02:45 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. Today, Nick Erwin, Program Director was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eight-nine (89) percentage as of 9/25/23. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground area does not meet Child Care Playground safety standards. Children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 6/6/23. The last shelter-in-place drill was practiced on 6/8/23. The last fire inspection was approved on 1/26/23. The last sanitation inspection was conducted on 1/30/23with zero (0) demerit for a superior classification. The Emergency Medical Care plan was not posted. Upon arrival, I announced my presence and the purpose of the visit. The children in group #1 gathered in the cafeteria. After putting up their backpacks, the children used the bathroom and washed their hands before having snacks. Today’s snacks were veggie crackers, chicken tender bites, veggie blend juice, sunflower kernels, blue raspberry/apple sauce and milk. The menu was not posted. The children in group #2 washed their hands upon arrival and played on the playground. The children used play structures with balance stations, net climbers, monkey bars, etc. The children in group #2 used the bathroom before transitioning to cafeteria to have snacks. After the snack, the children in group #2 played a cooperative game in the gym. The children in group #3 also washed their hands upon arrival and played on the playground. Children enjoyed swings, spinning structure and exercise bars. Interaction and supervision were adequate. There are three (3) children on medication at this program. The epi pen for a child in group #1 and a child in group #2 were not stored in the original box with pharmacy labels. Permission form for epi-pen for the child in group #2 was not with the medication. Action plans for the epi-pen for the child in group #2 and an inhaler for the child in group #3 were not kept with the medication or available for review on site. There are no new staff members at this facility. Two (2) staff members have valid Criminal Background letters, First Aid/CPR certificate and BSAC training. One (1) of the staff members has not renewed his/her CPR/FA certificate since May, 2023. ABCMS system was checked during the visit, and all staff members are currently qualified to work at Child Care facilities. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted at the facility. 10A NCAC 09 .0901(b) 832 There was no written emergency medical care (EMC) plan. The facility did not have Emergency Medical Care plan. 10A NCAC 09 .0802(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An epi-pen for a child in group#1, two (2) epi-pens for a child in group #2 were not in its original box with pharmacy labels. .0803(2)(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member hired on 11/28/18 has not renewed First Aid certificate since May, 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member hired on 11/28/18 has not renewed CPR certificate since May 2023. .1102(d) Technical assistance was provided as follows: 526: menu Menu shall be current and posted. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 832: Emergency Medical Care (EMC) Plan An Emergency Medical Care Plan is required to be posted. 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. 844: Medication in original box Medications shall be stored in its original box with pharmacy labels. If obtaining the original box is not possible, a pharmacy print-out still must be on the medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 1048: First Aid 1049: CPR All staff shall have valid CPR/First aid certificate within ninety (90) days of employment and renew the certificate before its expiration date. (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/10/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2), which means that your prep-year will be July 2024 to June 2025 and the assessment year will be July 2025- June 2026. I will contact you in July 2024 to share details of Rated License Assessment, and we will discuss your plans. Lockdown/Shelter-in-place drill: Per current guidelines, each facility shall conduct a lockdown or/shelter-in-place within ten (10) days of first day of school. Per the rule stated below, certain formation is required upon recording monthly emergency drills. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov Medical Action Plan: It is important for each staff member to know exactly what to do with each medication in case of medical emergency. Please have action plans and medication permission forms maintain with the medication or somewhere easily accessible. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 41 Completed Date: 9/26/2023 Age: From 5 To 10 Total Minutes: 150 Time In: 02:45 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. Today, Nick Erwin, Program Director was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eight-nine (89) percentage as of 9/25/23. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground area does not meet Child Care Playground safety standards. Children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 6/6/23. The last shelter-in-place drill was practiced on 6/8/23. The last fire inspection was approved on 1/26/23. The last sanitation inspection was conducted on 1/30/23with zero (0) demerit for a superior classification. The Emergency Medical Care plan was not posted. Upon arrival, I announced my presence and the purpose of the visit. The children in group #1 gathered in the cafeteria. After putting up their backpacks, the children used the bathroom and washed their hands before having snacks. Today’s snacks were veggie crackers, chicken tender bites, veggie blend juice, sunflower kernels, blue raspberry/apple sauce and milk. The menu was not posted. The children in group #2 washed their hands upon arrival and played on the playground. The children used play structures with balance stations, net climbers, monkey bars, etc. The children in group #2 used the bathroom before transitioning to cafeteria to have snacks. After the snack, the children in group #2 played a cooperative game in the gym. The children in group #3 also washed their hands upon arrival and played on the playground. Children enjoyed swings, spinning structure and exercise bars. Interaction and supervision were adequate. There are three (3) children on medication at this program. The epi pen for a child in group #1 and a child in group #2 were not stored in the original box with pharmacy labels. Permission form for epi-pen for the child in group #2 was not with the medication. Action plans for the epi-pen for the child in group #2 and an inhaler for the child in group #3 were not kept with the medication or available for review on site. There are no new staff members at this facility. Two (2) staff members have valid Criminal Background letters, First Aid/CPR certificate and BSAC training. One (1) of the staff members has not renewed his/her CPR/FA certificate since May, 2023. ABCMS system was checked during the visit, and all staff members are currently qualified to work at Child Care facilities. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted at the facility. 10A NCAC 09 .0901(b) 832 There was no written emergency medical care (EMC) plan. The facility did not have Emergency Medical Care plan. 10A NCAC 09 .0802(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An epi-pen for a child in group#1, two (2) epi-pens for a child in group #2 were not in its original box with pharmacy labels. .0803(2)(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member hired on 11/28/18 has not renewed First Aid certificate since May, 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member hired on 11/28/18 has not renewed CPR certificate since May 2023. .1102(d) Technical assistance was provided as follows: 526: menu Menu shall be current and posted. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 832: Emergency Medical Care (EMC) Plan An Emergency Medical Care Plan is required to be posted. 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. 844: Medication in original box Medications shall be stored in its original box with pharmacy labels. If obtaining the original box is not possible, a pharmacy print-out still must be on the medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 1048: First Aid 1049: CPR All staff shall have valid CPR/First aid certificate within ninety (90) days of employment and renew the certificate before its expiration date. (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/10/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2), which means that your prep-year will be July 2024 to June 2025 and the assessment year will be July 2025- June 2026. I will contact you in July 2024 to share details of Rated License Assessment, and we will discuss your plans. Lockdown/Shelter-in-place drill: Per current guidelines, each facility shall conduct a lockdown or/shelter-in-place within ten (10) days of first day of school. Per the rule stated below, certain formation is required upon recording monthly emergency drills. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov Medical Action Plan: It is important for each staff member to know exactly what to do with each medication in case of medical emergency. Please have action plans and medication permission forms maintain with the medication or somewhere easily accessible. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 41 Completed Date: 9/26/2023 Age: From 5 To 10 Total Minutes: 150 Time In: 02:45 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. Today, Nick Erwin, Program Director was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eight-nine (89) percentage as of 9/25/23. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground area does not meet Child Care Playground safety standards. Children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 6/6/23. The last shelter-in-place drill was practiced on 6/8/23. The last fire inspection was approved on 1/26/23. The last sanitation inspection was conducted on 1/30/23with zero (0) demerit for a superior classification. The Emergency Medical Care plan was not posted. Upon arrival, I announced my presence and the purpose of the visit. The children in group #1 gathered in the cafeteria. After putting up their backpacks, the children used the bathroom and washed their hands before having snacks. Today’s snacks were veggie crackers, chicken tender bites, veggie blend juice, sunflower kernels, blue raspberry/apple sauce and milk. The menu was not posted. The children in group #2 washed their hands upon arrival and played on the playground. The children used play structures with balance stations, net climbers, monkey bars, etc. The children in group #2 used the bathroom before transitioning to cafeteria to have snacks. After the snack, the children in group #2 played a cooperative game in the gym. The children in group #3 also washed their hands upon arrival and played on the playground. Children enjoyed swings, spinning structure and exercise bars. Interaction and supervision were adequate. There are three (3) children on medication at this program. The epi pen for a child in group #1 and a child in group #2 were not stored in the original box with pharmacy labels. Permission form for epi-pen for the child in group #2 was not with the medication. Action plans for the epi-pen for the child in group #2 and an inhaler for the child in group #3 were not kept with the medication or available for review on site. There are no new staff members at this facility. Two (2) staff members have valid Criminal Background letters, First Aid/CPR certificate and BSAC training. One (1) of the staff members has not renewed his/her CPR/FA certificate since May, 2023. ABCMS system was checked during the visit, and all staff members are currently qualified to work at Child Care facilities. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted at the facility. 10A NCAC 09 .0901(b) 832 There was no written emergency medical care (EMC) plan. The facility did not have Emergency Medical Care plan. 10A NCAC 09 .0802(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An epi-pen for a child in group#1, two (2) epi-pens for a child in group #2 were not in its original box with pharmacy labels. .0803(2)(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member hired on 11/28/18 has not renewed First Aid certificate since May, 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member hired on 11/28/18 has not renewed CPR certificate since May 2023. .1102(d) Technical assistance was provided as follows: 526: menu Menu shall be current and posted. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 832: Emergency Medical Care (EMC) Plan An Emergency Medical Care Plan is required to be posted. 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. 844: Medication in original box Medications shall be stored in its original box with pharmacy labels. If obtaining the original box is not possible, a pharmacy print-out still must be on the medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 1048: First Aid 1049: CPR All staff shall have valid CPR/First aid certificate within ninety (90) days of employment and renew the certificate before its expiration date. (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/10/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2), which means that your prep-year will be July 2024 to June 2025 and the assessment year will be July 2025- June 2026. I will contact you in July 2024 to share details of Rated License Assessment, and we will discuss your plans. Lockdown/Shelter-in-place drill: Per current guidelines, each facility shall conduct a lockdown or/shelter-in-place within ten (10) days of first day of school. Per the rule stated below, certain formation is required upon recording monthly emergency drills. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov Medical Action Plan: It is important for each staff member to know exactly what to do with each medication in case of medical emergency. Please have action plans and medication permission forms maintain with the medication or somewhere easily accessible. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 41 Completed Date: 9/26/2023 Age: From 5 To 10 Total Minutes: 150 Time In: 02:45 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. Today, Nick Erwin, Program Director was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eight-nine (89) percentage as of 9/25/23. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground area does not meet Child Care Playground safety standards. Children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 6/6/23. The last shelter-in-place drill was practiced on 6/8/23. The last fire inspection was approved on 1/26/23. The last sanitation inspection was conducted on 1/30/23with zero (0) demerit for a superior classification. The Emergency Medical Care plan was not posted. Upon arrival, I announced my presence and the purpose of the visit. The children in group #1 gathered in the cafeteria. After putting up their backpacks, the children used the bathroom and washed their hands before having snacks. Today’s snacks were veggie crackers, chicken tender bites, veggie blend juice, sunflower kernels, blue raspberry/apple sauce and milk. The menu was not posted. The children in group #2 washed their hands upon arrival and played on the playground. The children used play structures with balance stations, net climbers, monkey bars, etc. The children in group #2 used the bathroom before transitioning to cafeteria to have snacks. After the snack, the children in group #2 played a cooperative game in the gym. The children in group #3 also washed their hands upon arrival and played on the playground. Children enjoyed swings, spinning structure and exercise bars. Interaction and supervision were adequate. There are three (3) children on medication at this program. The epi pen for a child in group #1 and a child in group #2 were not stored in the original box with pharmacy labels. Permission form for epi-pen for the child in group #2 was not with the medication. Action plans for the epi-pen for the child in group #2 and an inhaler for the child in group #3 were not kept with the medication or available for review on site. There are no new staff members at this facility. Two (2) staff members have valid Criminal Background letters, First Aid/CPR certificate and BSAC training. One (1) of the staff members has not renewed his/her CPR/FA certificate since May, 2023. ABCMS system was checked during the visit, and all staff members are currently qualified to work at Child Care facilities. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted at the facility. 10A NCAC 09 .0901(b) 832 There was no written emergency medical care (EMC) plan. The facility did not have Emergency Medical Care plan. 10A NCAC 09 .0802(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An epi-pen for a child in group#1, two (2) epi-pens for a child in group #2 were not in its original box with pharmacy labels. .0803(2)(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member hired on 11/28/18 has not renewed First Aid certificate since May, 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member hired on 11/28/18 has not renewed CPR certificate since May 2023. .1102(d) Technical assistance was provided as follows: 526: menu Menu shall be current and posted. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 832: Emergency Medical Care (EMC) Plan An Emergency Medical Care Plan is required to be posted. 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. 844: Medication in original box Medications shall be stored in its original box with pharmacy labels. If obtaining the original box is not possible, a pharmacy print-out still must be on the medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 1048: First Aid 1049: CPR All staff shall have valid CPR/First aid certificate within ninety (90) days of employment and renew the certificate before its expiration date. (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/10/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2), which means that your prep-year will be July 2024 to June 2025 and the assessment year will be July 2025- June 2026. I will contact you in July 2024 to share details of Rated License Assessment, and we will discuss your plans. Lockdown/Shelter-in-place drill: Per current guidelines, each facility shall conduct a lockdown or/shelter-in-place within ten (10) days of first day of school. Per the rule stated below, certain formation is required upon recording monthly emergency drills. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov Medical Action Plan: It is important for each staff member to know exactly what to do with each medication in case of medical emergency. Please have action plans and medication permission forms maintain with the medication or somewhere easily accessible. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 41 Completed Date: 9/26/2023 Age: From 5 To 10 Total Minutes: 150 Time In: 02:45 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. Today, Nick Erwin, Program Director was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eight-nine (89) percentage as of 9/25/23. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground area does not meet Child Care Playground safety standards. Children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 6/6/23. The last shelter-in-place drill was practiced on 6/8/23. The last fire inspection was approved on 1/26/23. The last sanitation inspection was conducted on 1/30/23with zero (0) demerit for a superior classification. The Emergency Medical Care plan was not posted. Upon arrival, I announced my presence and the purpose of the visit. The children in group #1 gathered in the cafeteria. After putting up their backpacks, the children used the bathroom and washed their hands before having snacks. Today’s snacks were veggie crackers, chicken tender bites, veggie blend juice, sunflower kernels, blue raspberry/apple sauce and milk. The menu was not posted. The children in group #2 washed their hands upon arrival and played on the playground. The children used play structures with balance stations, net climbers, monkey bars, etc. The children in group #2 used the bathroom before transitioning to cafeteria to have snacks. After the snack, the children in group #2 played a cooperative game in the gym. The children in group #3 also washed their hands upon arrival and played on the playground. Children enjoyed swings, spinning structure and exercise bars. Interaction and supervision were adequate. There are three (3) children on medication at this program. The epi pen for a child in group #1 and a child in group #2 were not stored in the original box with pharmacy labels. Permission form for epi-pen for the child in group #2 was not with the medication. Action plans for the epi-pen for the child in group #2 and an inhaler for the child in group #3 were not kept with the medication or available for review on site. There are no new staff members at this facility. Two (2) staff members have valid Criminal Background letters, First Aid/CPR certificate and BSAC training. One (1) of the staff members has not renewed his/her CPR/FA certificate since May, 2023. ABCMS system was checked during the visit, and all staff members are currently qualified to work at Child Care facilities. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted at the facility. 10A NCAC 09 .0901(b) 832 There was no written emergency medical care (EMC) plan. The facility did not have Emergency Medical Care plan. 10A NCAC 09 .0802(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An epi-pen for a child in group#1, two (2) epi-pens for a child in group #2 were not in its original box with pharmacy labels. .0803(2)(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member hired on 11/28/18 has not renewed First Aid certificate since May, 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member hired on 11/28/18 has not renewed CPR certificate since May 2023. .1102(d) Technical assistance was provided as follows: 526: menu Menu shall be current and posted. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 832: Emergency Medical Care (EMC) Plan An Emergency Medical Care Plan is required to be posted. 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. 844: Medication in original box Medications shall be stored in its original box with pharmacy labels. If obtaining the original box is not possible, a pharmacy print-out still must be on the medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 1048: First Aid 1049: CPR All staff shall have valid CPR/First aid certificate within ninety (90) days of employment and renew the certificate before its expiration date. (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/10/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2), which means that your prep-year will be July 2024 to June 2025 and the assessment year will be July 2025- June 2026. I will contact you in July 2024 to share details of Rated License Assessment, and we will discuss your plans. Lockdown/Shelter-in-place drill: Per current guidelines, each facility shall conduct a lockdown or/shelter-in-place within ten (10) days of first day of school. Per the rule stated below, certain formation is required upon recording monthly emergency drills. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov Medical Action Plan: It is important for each staff member to know exactly what to do with each medication in case of medical emergency. Please have action plans and medication permission forms maintain with the medication or somewhere easily accessible. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 41 Completed Date: 9/26/2023 Age: From 5 To 10 Total Minutes: 150 Time In: 02:45 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. Today, Nick Erwin, Program Director was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eight-nine (89) percentage as of 9/25/23. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground area does not meet Child Care Playground safety standards. Children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 6/6/23. The last shelter-in-place drill was practiced on 6/8/23. The last fire inspection was approved on 1/26/23. The last sanitation inspection was conducted on 1/30/23with zero (0) demerit for a superior classification. The Emergency Medical Care plan was not posted. Upon arrival, I announced my presence and the purpose of the visit. The children in group #1 gathered in the cafeteria. After putting up their backpacks, the children used the bathroom and washed their hands before having snacks. Today’s snacks were veggie crackers, chicken tender bites, veggie blend juice, sunflower kernels, blue raspberry/apple sauce and milk. The menu was not posted. The children in group #2 washed their hands upon arrival and played on the playground. The children used play structures with balance stations, net climbers, monkey bars, etc. The children in group #2 used the bathroom before transitioning to cafeteria to have snacks. After the snack, the children in group #2 played a cooperative game in the gym. The children in group #3 also washed their hands upon arrival and played on the playground. Children enjoyed swings, spinning structure and exercise bars. Interaction and supervision were adequate. There are three (3) children on medication at this program. The epi pen for a child in group #1 and a child in group #2 were not stored in the original box with pharmacy labels. Permission form for epi-pen for the child in group #2 was not with the medication. Action plans for the epi-pen for the child in group #2 and an inhaler for the child in group #3 were not kept with the medication or available for review on site. There are no new staff members at this facility. Two (2) staff members have valid Criminal Background letters, First Aid/CPR certificate and BSAC training. One (1) of the staff members has not renewed his/her CPR/FA certificate since May, 2023. ABCMS system was checked during the visit, and all staff members are currently qualified to work at Child Care facilities. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted at the facility. 10A NCAC 09 .0901(b) 832 There was no written emergency medical care (EMC) plan. The facility did not have Emergency Medical Care plan. 10A NCAC 09 .0802(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An epi-pen for a child in group#1, two (2) epi-pens for a child in group #2 were not in its original box with pharmacy labels. .0803(2)(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member hired on 11/28/18 has not renewed First Aid certificate since May, 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member hired on 11/28/18 has not renewed CPR certificate since May 2023. .1102(d) Technical assistance was provided as follows: 526: menu Menu shall be current and posted. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 832: Emergency Medical Care (EMC) Plan An Emergency Medical Care Plan is required to be posted. 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. 844: Medication in original box Medications shall be stored in its original box with pharmacy labels. If obtaining the original box is not possible, a pharmacy print-out still must be on the medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 1048: First Aid 1049: CPR All staff shall have valid CPR/First aid certificate within ninety (90) days of employment and renew the certificate before its expiration date. (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/10/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2), which means that your prep-year will be July 2024 to June 2025 and the assessment year will be July 2025- June 2026. I will contact you in July 2024 to share details of Rated License Assessment, and we will discuss your plans. Lockdown/Shelter-in-place drill: Per current guidelines, each facility shall conduct a lockdown or/shelter-in-place within ten (10) days of first day of school. Per the rule stated below, certain formation is required upon recording monthly emergency drills. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov Medical Action Plan: It is important for each staff member to know exactly what to do with each medication in case of medical emergency. Please have action plans and medication permission forms maintain with the medication or somewhere easily accessible. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA HOMINY VALLEY AFTERSCHOOL Facility ID: 11000673 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/26/2023 Number Present: 41 Completed Date: 9/26/2023 Age: From 5 To 10 Total Minutes: 150 Time In: 02:45 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Nick Erwin, Program Director, during the visit. An electronic signed copy of the visit summary was printed and left on-site with you. Today, Nick Erwin, Program Director was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eight-nine (89) percentage as of 9/25/23. Permit type – four-star center license issued on 5/12/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced ratios and space, playground area does not meet Child Care Playground safety standards. Children prohibited in the kitchen for any purpose. The last annual compliance visit was conducted on 3/2/23. The last fire drill was practiced on 6/6/23. The last shelter-in-place drill was practiced on 6/8/23. The last fire inspection was approved on 1/26/23. The last sanitation inspection was conducted on 1/30/23with zero (0) demerit for a superior classification. The Emergency Medical Care plan was not posted. Upon arrival, I announced my presence and the purpose of the visit. The children in group #1 gathered in the cafeteria. After putting up their backpacks, the children used the bathroom and washed their hands before having snacks. Today’s snacks were veggie crackers, chicken tender bites, veggie blend juice, sunflower kernels, blue raspberry/apple sauce and milk. The menu was not posted. The children in group #2 washed their hands upon arrival and played on the playground. The children used play structures with balance stations, net climbers, monkey bars, etc. The children in group #2 used the bathroom before transitioning to cafeteria to have snacks. After the snack, the children in group #2 played a cooperative game in the gym. The children in group #3 also washed their hands upon arrival and played on the playground. Children enjoyed swings, spinning structure and exercise bars. Interaction and supervision were adequate. There are three (3) children on medication at this program. The epi pen for a child in group #1 and a child in group #2 were not stored in the original box with pharmacy labels. Permission form for epi-pen for the child in group #2 was not with the medication. Action plans for the epi-pen for the child in group #2 and an inhaler for the child in group #3 were not kept with the medication or available for review on site. There are no new staff members at this facility. Two (2) staff members have valid Criminal Background letters, First Aid/CPR certificate and BSAC training. One (1) of the staff members has not renewed his/her CPR/FA certificate since May, 2023. ABCMS system was checked during the visit, and all staff members are currently qualified to work at Child Care facilities. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. The following violations were documented during today’s visit: Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. The menu was not posted at the facility. 10A NCAC 09 .0901(b) 832 There was no written emergency medical care (EMC) plan. The facility did not have Emergency Medical Care plan. 10A NCAC 09 .0802(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. An epi-pen for a child in group#1, two (2) epi-pens for a child in group #2 were not in its original box with pharmacy labels. .0803(2)(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The staff member hired on 11/28/18 has not renewed First Aid certificate since May, 2023. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The staff member hired on 11/28/18 has not renewed CPR certificate since May 2023. .1102(d) Technical assistance was provided as follows: 526: menu Menu shall be current and posted. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (b) When food is prepared by or provided by the center, menus for nutritious meals and snacks shall be planned at least one week in advance. At least one dated copy of the current week's menu shall be posted where it can be seen by parents and food preparation staff when food is prepared or provided by the center. A variety of food shall be included in meals and snacks. Any substitution shall be of comparable food value and shall be recorded on the menu prior to the meal or snack being served. 832: Emergency Medical Care (EMC) Plan An Emergency Medical Care Plan is required to be posted. 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. 844: Medication in original box Medications shall be stored in its original box with pharmacy labels. If obtaining the original box is not possible, a pharmacy print-out still must be on the medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; 1048: First Aid 1049: CPR All staff shall have valid CPR/First aid certificate within ninety (90) days of employment and renew the certificate before its expiration date. (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website at http://ncchildcare.nc.gov Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/10/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Cohort: YMCA Hominy Valley Afterschool is in cohort two (2), which means that your prep-year will be July 2024 to June 2025 and the assessment year will be July 2025- June 2026. I will contact you in July 2024 to share details of Rated License Assessment, and we will discuss your plans. Lockdown/Shelter-in-place drill: Per current guidelines, each facility shall conduct a lockdown or/shelter-in-place within ten (10) days of first day of school. Per the rule stated below, certain formation is required upon recording monthly emergency drills. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (5) records of monthly fire drills documenting the date and time of each drill, the length of time taken to evacuate the building, and the signature of the person who conducted the drill as required by NC Fire Code 405.5; A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov Medical Action Plan: It is important for each staff member to know exactly what to do with each medication in case of medical emergency. Please have action plans and medication permission forms maintain with the medication or somewhere easily accessible. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times