10A NCAC 09 .0304 · Violation

Name of Operation: YMCA PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 25 Completed Date: 9/11/2025 Age: From 5 To 10 Total Minutes: 157 Time In: 01:23 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mariah Harper, Program Coordinator, during the visit. Bridget Owen, Child Care Consultant, accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Harper was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/19/25. The last fire drill was practiced on 8/28/25. The last lockdown drill was practiced on 8/26/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/6/24 without hazards. Lead paint risk assessment was conducted on 3/27/25. The areas used by the program were approved. No records of asbestos testing were found. Restriction change: The restriction “playground does not meet child care safety requirement” was removed. You will receive new license in mail. Please immediately post the new license upon receiving it. Upon arrival, we announced our presence and the purpose of the visit. Ms. Harper was present. Ms. Burke was not available to meet via TEAM to review the staff files. Therefore, she submitted a copy of each staff member’s criminal background letter, CPR/First Aid certificate and BSAC certificate. No new staff member was present. One (1) staff member started recently, but his/her/their file was monitored at another YMCA site recently. All existing staff members have valid certificates and letters. Before the seventeen (17) children arrived off the bus, there were already eight (8) children present. Once the group was combined, the children were divided between two (2) staff members - one (1) program coordinator responsible for eleven (11) children and the other, a group leader, for fourteen (14). The children engaged in a variety of activities: six(6) played a lively game of duck-duck goose, while others explored magnetic tiles, marble works, a puppet show, and a dollhouse. Additionally, a dance party was set up in one area, providing a fun space for movement and interaction. This variety of activities ensured that every child had an opportunity to participate and enjoy their time. Snacks were served in cafeteria. BBQ Jack links, sunflower kernels, WG pizza crackers, apple sauce, veggie blend juice and milk were served. Playgrounds were monitored, and multiple safety concerns were identified: Ramp and Handrails: The handrail leading to the playground ramp had chipped paint, with several rusty areas visible. Swings: Chains and posts for the swings showed significant rust. Metal Structures: The metal gym structure, including bars and monkey bars, had rust in several areas. Small Slide Structure: The red posts had chipped paint, and the coating on the nearby red bench was peeling. Far Slide Structure: The rubber coating at the base of the slide (located furthest from the swings) was peeling, exposing rusted spots. Chipped paint was also noted on the handrail, monkey bars, and climber. Additionally, a portion of the wooden border was rotted. Large Slide Structure (multiple slides): The blue posts had chipped and peeling paint. Rubber coating on the step bases was peeling or detached, creating tripping hazards. Rust was observed throughout the structure. The playground equipment showed widespread signs of wear, including rust, peeling paint, and deteriorating coatings. Some conditions (such as detached rubber coatings and rotted wood) present tripping and injury hazards and require prompt maintenance and repair. No medications were maintained for this program currently. 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 transportations were monitored on 6/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Ramp and Handrails: The handrail leading to the playground ramp had chipped paint, with several rusty areas visible. Swings: Chains and posts for the swings showed significant rust. Metal Structures: The metal gym structure, including bars and monkey bars, had rust in several areas. Small Slide Structure: The red posts had chipped paint, and the coating on the nearby red bench was peeling. Far Slide Structure: The rubber coating at the base of the slide (located furthest from the swings) was peeling, exposing rusted spots. Chipped paint was also noted on the handrail, monkey bars, and climber. Additionally, a portion of the wooden border was rotted. Large Slide Structure (multiple slides): The blue posts had chipped and peeling paint. Rubber coating on the step bases was peeling or detached, creating tripping hazards. Rust was observed throughout the structure. .0601(c) Technical assistance was provided as follows: 601: Safe environment Equipment and furnishings were not sturdy, stable and free of hazards. Refer to 10A NCAC 09 .0601(c). The safety concerns for the playground are listed above. Rusted areas may be addressed by spray painting, applying rubberized paint, or installing plastic covers. Peeling bases can be re-glued, and rust can be sealed with protective paint. Rotted wooden borders should be replaced with new wood. If repairs cannot be completed in a timely manner, an alternate play space should be considered. To comply, please complete the repair or choose alternate space. In your compliance letter, please state how you achieved compliance and the date you completed it. 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 9/25/25. 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: Safety on the Playground The equipment and furniture on the playgrounds are aged and show wear and tear. Please discuss the need for maintenance with the school. I suggest using portable equipment until all repairs are completed. However, there was a sewage or water tank located in the middle of the field. Although the tank had a metal cover, the cover could be lifted, and there was no fencing around it. Children must not have access to this tank, and staff members must closely supervise to ensure children do not approach it. There is ample space, such as the walking track behind the swings, that may be used for alternate activities. Until an agreement is reached with the school regarding playground equipment repairs, staff should utilize safe alternative areas and portable play materials to ensure children’s safety during outdoor activities. 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 was required to be completed by May 31, 2025. If you have not enrolled in asbestos enrollment survey, please do so as soon as possible. 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. No staff members were listed on the roster as of today. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: YMCA PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 25 Completed Date: 9/11/2025 Age: From 5 To 10 Total Minutes: 157 Time In: 01:23 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mariah Harper, Program Coordinator, during the visit. Bridget Owen, Child Care Consultant, accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Harper was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/19/25. The last fire drill was practiced on 8/28/25. The last lockdown drill was practiced on 8/26/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/6/24 without hazards. Lead paint risk assessment was conducted on 3/27/25. The areas used by the program were approved. No records of asbestos testing were found. Restriction change: The restriction “playground does not meet child care safety requirement” was removed. You will receive new license in mail. Please immediately post the new license upon receiving it. Upon arrival, we announced our presence and the purpose of the visit. Ms. Harper was present. Ms. Burke was not available to meet via TEAM to review the staff files. Therefore, she submitted a copy of each staff member’s criminal background letter, CPR/First Aid certificate and BSAC certificate. No new staff member was present. One (1) staff member started recently, but his/her/their file was monitored at another YMCA site recently. All existing staff members have valid certificates and letters. Before the seventeen (17) children arrived off the bus, there were already eight (8) children present. Once the group was combined, the children were divided between two (2) staff members - one (1) program coordinator responsible for eleven (11) children and the other, a group leader, for fourteen (14). The children engaged in a variety of activities: six(6) played a lively game of duck-duck goose, while others explored magnetic tiles, marble works, a puppet show, and a dollhouse. Additionally, a dance party was set up in one area, providing a fun space for movement and interaction. This variety of activities ensured that every child had an opportunity to participate and enjoy their time. Snacks were served in cafeteria. BBQ Jack links, sunflower kernels, WG pizza crackers, apple sauce, veggie blend juice and milk were served. Playgrounds were monitored, and multiple safety concerns were identified: Ramp and Handrails: The handrail leading to the playground ramp had chipped paint, with several rusty areas visible. Swings: Chains and posts for the swings showed significant rust. Metal Structures: The metal gym structure, including bars and monkey bars, had rust in several areas. Small Slide Structure: The red posts had chipped paint, and the coating on the nearby red bench was peeling. Far Slide Structure: The rubber coating at the base of the slide (located furthest from the swings) was peeling, exposing rusted spots. Chipped paint was also noted on the handrail, monkey bars, and climber. Additionally, a portion of the wooden border was rotted. Large Slide Structure (multiple slides): The blue posts had chipped and peeling paint. Rubber coating on the step bases was peeling or detached, creating tripping hazards. Rust was observed throughout the structure. The playground equipment showed widespread signs of wear, including rust, peeling paint, and deteriorating coatings. Some conditions (such as detached rubber coatings and rotted wood) present tripping and injury hazards and require prompt maintenance and repair. No medications were maintained for this program currently. 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 transportations were monitored on 6/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Ramp and Handrails: The handrail leading to the playground ramp had chipped paint, with several rusty areas visible. Swings: Chains and posts for the swings showed significant rust. Metal Structures: The metal gym structure, including bars and monkey bars, had rust in several areas. Small Slide Structure: The red posts had chipped paint, and the coating on the nearby red bench was peeling. Far Slide Structure: The rubber coating at the base of the slide (located furthest from the swings) was peeling, exposing rusted spots. Chipped paint was also noted on the handrail, monkey bars, and climber. Additionally, a portion of the wooden border was rotted. Large Slide Structure (multiple slides): The blue posts had chipped and peeling paint. Rubber coating on the step bases was peeling or detached, creating tripping hazards. Rust was observed throughout the structure. .0601(c) Technical assistance was provided as follows: 601: Safe environment Equipment and furnishings were not sturdy, stable and free of hazards. Refer to 10A NCAC 09 .0601(c). The safety concerns for the playground are listed above. Rusted areas may be addressed by spray painting, applying rubberized paint, or installing plastic covers. Peeling bases can be re-glued, and rust can be sealed with protective paint. Rotted wooden borders should be replaced with new wood. If repairs cannot be completed in a timely manner, an alternate play space should be considered. To comply, please complete the repair or choose alternate space. In your compliance letter, please state how you achieved compliance and the date you completed it. 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 9/25/25. 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: Safety on the Playground The equipment and furniture on the playgrounds are aged and show wear and tear. Please discuss the need for maintenance with the school. I suggest using portable equipment until all repairs are completed. However, there was a sewage or water tank located in the middle of the field. Although the tank had a metal cover, the cover could be lifted, and there was no fencing around it. Children must not have access to this tank, and staff members must closely supervise to ensure children do not approach it. There is ample space, such as the walking track behind the swings, that may be used for alternate activities. Until an agreement is reached with the school regarding playground equipment repairs, staff should utilize safe alternative areas and portable play materials to ensure children’s safety during outdoor activities. 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 was required to be completed by May 31, 2025. If you have not enrolled in asbestos enrollment survey, please do so as soon as possible. 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. No staff members were listed on the roster as of today. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 25 Completed Date: 9/11/2025 Age: From 5 To 10 Total Minutes: 157 Time In: 01:23 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mariah Harper, Program Coordinator, during the visit. Bridget Owen, Child Care Consultant, accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Harper was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/19/25. The last fire drill was practiced on 8/28/25. The last lockdown drill was practiced on 8/26/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/6/24 without hazards. Lead paint risk assessment was conducted on 3/27/25. The areas used by the program were approved. No records of asbestos testing were found. Restriction change: The restriction “playground does not meet child care safety requirement” was removed. You will receive new license in mail. Please immediately post the new license upon receiving it. Upon arrival, we announced our presence and the purpose of the visit. Ms. Harper was present. Ms. Burke was not available to meet via TEAM to review the staff files. Therefore, she submitted a copy of each staff member’s criminal background letter, CPR/First Aid certificate and BSAC certificate. No new staff member was present. One (1) staff member started recently, but his/her/their file was monitored at another YMCA site recently. All existing staff members have valid certificates and letters. Before the seventeen (17) children arrived off the bus, there were already eight (8) children present. Once the group was combined, the children were divided between two (2) staff members - one (1) program coordinator responsible for eleven (11) children and the other, a group leader, for fourteen (14). The children engaged in a variety of activities: six(6) played a lively game of duck-duck goose, while others explored magnetic tiles, marble works, a puppet show, and a dollhouse. Additionally, a dance party was set up in one area, providing a fun space for movement and interaction. This variety of activities ensured that every child had an opportunity to participate and enjoy their time. Snacks were served in cafeteria. BBQ Jack links, sunflower kernels, WG pizza crackers, apple sauce, veggie blend juice and milk were served. Playgrounds were monitored, and multiple safety concerns were identified: Ramp and Handrails: The handrail leading to the playground ramp had chipped paint, with several rusty areas visible. Swings: Chains and posts for the swings showed significant rust. Metal Structures: The metal gym structure, including bars and monkey bars, had rust in several areas. Small Slide Structure: The red posts had chipped paint, and the coating on the nearby red bench was peeling. Far Slide Structure: The rubber coating at the base of the slide (located furthest from the swings) was peeling, exposing rusted spots. Chipped paint was also noted on the handrail, monkey bars, and climber. Additionally, a portion of the wooden border was rotted. Large Slide Structure (multiple slides): The blue posts had chipped and peeling paint. Rubber coating on the step bases was peeling or detached, creating tripping hazards. Rust was observed throughout the structure. The playground equipment showed widespread signs of wear, including rust, peeling paint, and deteriorating coatings. Some conditions (such as detached rubber coatings and rotted wood) present tripping and injury hazards and require prompt maintenance and repair. No medications were maintained for this program currently. 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 transportations were monitored on 6/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Ramp and Handrails: The handrail leading to the playground ramp had chipped paint, with several rusty areas visible. Swings: Chains and posts for the swings showed significant rust. Metal Structures: The metal gym structure, including bars and monkey bars, had rust in several areas. Small Slide Structure: The red posts had chipped paint, and the coating on the nearby red bench was peeling. Far Slide Structure: The rubber coating at the base of the slide (located furthest from the swings) was peeling, exposing rusted spots. Chipped paint was also noted on the handrail, monkey bars, and climber. Additionally, a portion of the wooden border was rotted. Large Slide Structure (multiple slides): The blue posts had chipped and peeling paint. Rubber coating on the step bases was peeling or detached, creating tripping hazards. Rust was observed throughout the structure. .0601(c) Technical assistance was provided as follows: 601: Safe environment Equipment and furnishings were not sturdy, stable and free of hazards. Refer to 10A NCAC 09 .0601(c). The safety concerns for the playground are listed above. Rusted areas may be addressed by spray painting, applying rubberized paint, or installing plastic covers. Peeling bases can be re-glued, and rust can be sealed with protective paint. Rotted wooden borders should be replaced with new wood. If repairs cannot be completed in a timely manner, an alternate play space should be considered. To comply, please complete the repair or choose alternate space. In your compliance letter, please state how you achieved compliance and the date you completed it. 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 9/25/25. 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: Safety on the Playground The equipment and furniture on the playgrounds are aged and show wear and tear. Please discuss the need for maintenance with the school. I suggest using portable equipment until all repairs are completed. However, there was a sewage or water tank located in the middle of the field. Although the tank had a metal cover, the cover could be lifted, and there was no fencing around it. Children must not have access to this tank, and staff members must closely supervise to ensure children do not approach it. There is ample space, such as the walking track behind the swings, that may be used for alternate activities. Until an agreement is reached with the school regarding playground equipment repairs, staff should utilize safe alternative areas and portable play materials to ensure children’s safety during outdoor activities. 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 was required to be completed by May 31, 2025. If you have not enrolled in asbestos enrollment survey, please do so as soon as possible. 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. No staff members were listed on the roster as of today. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 25 Completed Date: 9/11/2025 Age: From 5 To 10 Total Minutes: 157 Time In: 01:23 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mariah Harper, Program Coordinator, during the visit. Bridget Owen, Child Care Consultant, accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Harper was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/19/25. The last fire drill was practiced on 8/28/25. The last lockdown drill was practiced on 8/26/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/6/24 without hazards. Lead paint risk assessment was conducted on 3/27/25. The areas used by the program were approved. No records of asbestos testing were found. Restriction change: The restriction “playground does not meet child care safety requirement” was removed. You will receive new license in mail. Please immediately post the new license upon receiving it. Upon arrival, we announced our presence and the purpose of the visit. Ms. Harper was present. Ms. Burke was not available to meet via TEAM to review the staff files. Therefore, she submitted a copy of each staff member’s criminal background letter, CPR/First Aid certificate and BSAC certificate. No new staff member was present. One (1) staff member started recently, but his/her/their file was monitored at another YMCA site recently. All existing staff members have valid certificates and letters. Before the seventeen (17) children arrived off the bus, there were already eight (8) children present. Once the group was combined, the children were divided between two (2) staff members - one (1) program coordinator responsible for eleven (11) children and the other, a group leader, for fourteen (14). The children engaged in a variety of activities: six(6) played a lively game of duck-duck goose, while others explored magnetic tiles, marble works, a puppet show, and a dollhouse. Additionally, a dance party was set up in one area, providing a fun space for movement and interaction. This variety of activities ensured that every child had an opportunity to participate and enjoy their time. Snacks were served in cafeteria. BBQ Jack links, sunflower kernels, WG pizza crackers, apple sauce, veggie blend juice and milk were served. Playgrounds were monitored, and multiple safety concerns were identified: Ramp and Handrails: The handrail leading to the playground ramp had chipped paint, with several rusty areas visible. Swings: Chains and posts for the swings showed significant rust. Metal Structures: The metal gym structure, including bars and monkey bars, had rust in several areas. Small Slide Structure: The red posts had chipped paint, and the coating on the nearby red bench was peeling. Far Slide Structure: The rubber coating at the base of the slide (located furthest from the swings) was peeling, exposing rusted spots. Chipped paint was also noted on the handrail, monkey bars, and climber. Additionally, a portion of the wooden border was rotted. Large Slide Structure (multiple slides): The blue posts had chipped and peeling paint. Rubber coating on the step bases was peeling or detached, creating tripping hazards. Rust was observed throughout the structure. The playground equipment showed widespread signs of wear, including rust, peeling paint, and deteriorating coatings. Some conditions (such as detached rubber coatings and rotted wood) present tripping and injury hazards and require prompt maintenance and repair. No medications were maintained for this program currently. 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 transportations were monitored on 6/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Ramp and Handrails: The handrail leading to the playground ramp had chipped paint, with several rusty areas visible. Swings: Chains and posts for the swings showed significant rust. Metal Structures: The metal gym structure, including bars and monkey bars, had rust in several areas. Small Slide Structure: The red posts had chipped paint, and the coating on the nearby red bench was peeling. Far Slide Structure: The rubber coating at the base of the slide (located furthest from the swings) was peeling, exposing rusted spots. Chipped paint was also noted on the handrail, monkey bars, and climber. Additionally, a portion of the wooden border was rotted. Large Slide Structure (multiple slides): The blue posts had chipped and peeling paint. Rubber coating on the step bases was peeling or detached, creating tripping hazards. Rust was observed throughout the structure. .0601(c) Technical assistance was provided as follows: 601: Safe environment Equipment and furnishings were not sturdy, stable and free of hazards. Refer to 10A NCAC 09 .0601(c). The safety concerns for the playground are listed above. Rusted areas may be addressed by spray painting, applying rubberized paint, or installing plastic covers. Peeling bases can be re-glued, and rust can be sealed with protective paint. Rotted wooden borders should be replaced with new wood. If repairs cannot be completed in a timely manner, an alternate play space should be considered. To comply, please complete the repair or choose alternate space. In your compliance letter, please state how you achieved compliance and the date you completed it. 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 9/25/25. 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: Safety on the Playground The equipment and furniture on the playgrounds are aged and show wear and tear. Please discuss the need for maintenance with the school. I suggest using portable equipment until all repairs are completed. However, there was a sewage or water tank located in the middle of the field. Although the tank had a metal cover, the cover could be lifted, and there was no fencing around it. Children must not have access to this tank, and staff members must closely supervise to ensure children do not approach it. There is ample space, such as the walking track behind the swings, that may be used for alternate activities. Until an agreement is reached with the school regarding playground equipment repairs, staff should utilize safe alternative areas and portable play materials to ensure children’s safety during outdoor activities. 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 was required to be completed by May 31, 2025. If you have not enrolled in asbestos enrollment survey, please do so as soon as possible. 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. No staff members were listed on the roster as of today. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: YMCA PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 25 Completed Date: 9/11/2025 Age: From 5 To 10 Total Minutes: 157 Time In: 01:23 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mariah Harper, Program Coordinator, during the visit. Bridget Owen, Child Care Consultant, accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Harper was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/19/25. The last fire drill was practiced on 8/28/25. The last lockdown drill was practiced on 8/26/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/6/24 without hazards. Lead paint risk assessment was conducted on 3/27/25. The areas used by the program were approved. No records of asbestos testing were found. Restriction change: The restriction “playground does not meet child care safety requirement” was removed. You will receive new license in mail. Please immediately post the new license upon receiving it. Upon arrival, we announced our presence and the purpose of the visit. Ms. Harper was present. Ms. Burke was not available to meet via TEAM to review the staff files. Therefore, she submitted a copy of each staff member’s criminal background letter, CPR/First Aid certificate and BSAC certificate. No new staff member was present. One (1) staff member started recently, but his/her/their file was monitored at another YMCA site recently. All existing staff members have valid certificates and letters. Before the seventeen (17) children arrived off the bus, there were already eight (8) children present. Once the group was combined, the children were divided between two (2) staff members - one (1) program coordinator responsible for eleven (11) children and the other, a group leader, for fourteen (14). The children engaged in a variety of activities: six(6) played a lively game of duck-duck goose, while others explored magnetic tiles, marble works, a puppet show, and a dollhouse. Additionally, a dance party was set up in one area, providing a fun space for movement and interaction. This variety of activities ensured that every child had an opportunity to participate and enjoy their time. Snacks were served in cafeteria. BBQ Jack links, sunflower kernels, WG pizza crackers, apple sauce, veggie blend juice and milk were served. Playgrounds were monitored, and multiple safety concerns were identified: Ramp and Handrails: The handrail leading to the playground ramp had chipped paint, with several rusty areas visible. Swings: Chains and posts for the swings showed significant rust. Metal Structures: The metal gym structure, including bars and monkey bars, had rust in several areas. Small Slide Structure: The red posts had chipped paint, and the coating on the nearby red bench was peeling. Far Slide Structure: The rubber coating at the base of the slide (located furthest from the swings) was peeling, exposing rusted spots. Chipped paint was also noted on the handrail, monkey bars, and climber. Additionally, a portion of the wooden border was rotted. Large Slide Structure (multiple slides): The blue posts had chipped and peeling paint. Rubber coating on the step bases was peeling or detached, creating tripping hazards. Rust was observed throughout the structure. The playground equipment showed widespread signs of wear, including rust, peeling paint, and deteriorating coatings. Some conditions (such as detached rubber coatings and rotted wood) present tripping and injury hazards and require prompt maintenance and repair. No medications were maintained for this program currently. 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 transportations were monitored on 6/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Ramp and Handrails: The handrail leading to the playground ramp had chipped paint, with several rusty areas visible. Swings: Chains and posts for the swings showed significant rust. Metal Structures: The metal gym structure, including bars and monkey bars, had rust in several areas. Small Slide Structure: The red posts had chipped paint, and the coating on the nearby red bench was peeling. Far Slide Structure: The rubber coating at the base of the slide (located furthest from the swings) was peeling, exposing rusted spots. Chipped paint was also noted on the handrail, monkey bars, and climber. Additionally, a portion of the wooden border was rotted. Large Slide Structure (multiple slides): The blue posts had chipped and peeling paint. Rubber coating on the step bases was peeling or detached, creating tripping hazards. Rust was observed throughout the structure. .0601(c) Technical assistance was provided as follows: 601: Safe environment Equipment and furnishings were not sturdy, stable and free of hazards. Refer to 10A NCAC 09 .0601(c). The safety concerns for the playground are listed above. Rusted areas may be addressed by spray painting, applying rubberized paint, or installing plastic covers. Peeling bases can be re-glued, and rust can be sealed with protective paint. Rotted wooden borders should be replaced with new wood. If repairs cannot be completed in a timely manner, an alternate play space should be considered. To comply, please complete the repair or choose alternate space. In your compliance letter, please state how you achieved compliance and the date you completed it. 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 9/25/25. 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: Safety on the Playground The equipment and furniture on the playgrounds are aged and show wear and tear. Please discuss the need for maintenance with the school. I suggest using portable equipment until all repairs are completed. However, there was a sewage or water tank located in the middle of the field. Although the tank had a metal cover, the cover could be lifted, and there was no fencing around it. Children must not have access to this tank, and staff members must closely supervise to ensure children do not approach it. There is ample space, such as the walking track behind the swings, that may be used for alternate activities. Until an agreement is reached with the school regarding playground equipment repairs, staff should utilize safe alternative areas and portable play materials to ensure children’s safety during outdoor activities. 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 was required to be completed by May 31, 2025. If you have not enrolled in asbestos enrollment survey, please do so as soon as possible. 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. No staff members were listed on the roster as of today. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: YMCA PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 25 Completed Date: 9/11/2025 Age: From 5 To 10 Total Minutes: 157 Time In: 01:23 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mariah Harper, Program Coordinator, during the visit. Bridget Owen, Child Care Consultant, accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Harper was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/19/25. The last fire drill was practiced on 8/28/25. The last lockdown drill was practiced on 8/26/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/6/24 without hazards. Lead paint risk assessment was conducted on 3/27/25. The areas used by the program were approved. No records of asbestos testing were found. Restriction change: The restriction “playground does not meet child care safety requirement” was removed. You will receive new license in mail. Please immediately post the new license upon receiving it. Upon arrival, we announced our presence and the purpose of the visit. Ms. Harper was present. Ms. Burke was not available to meet via TEAM to review the staff files. Therefore, she submitted a copy of each staff member’s criminal background letter, CPR/First Aid certificate and BSAC certificate. No new staff member was present. One (1) staff member started recently, but his/her/their file was monitored at another YMCA site recently. All existing staff members have valid certificates and letters. Before the seventeen (17) children arrived off the bus, there were already eight (8) children present. Once the group was combined, the children were divided between two (2) staff members - one (1) program coordinator responsible for eleven (11) children and the other, a group leader, for fourteen (14). The children engaged in a variety of activities: six(6) played a lively game of duck-duck goose, while others explored magnetic tiles, marble works, a puppet show, and a dollhouse. Additionally, a dance party was set up in one area, providing a fun space for movement and interaction. This variety of activities ensured that every child had an opportunity to participate and enjoy their time. Snacks were served in cafeteria. BBQ Jack links, sunflower kernels, WG pizza crackers, apple sauce, veggie blend juice and milk were served. Playgrounds were monitored, and multiple safety concerns were identified: Ramp and Handrails: The handrail leading to the playground ramp had chipped paint, with several rusty areas visible. Swings: Chains and posts for the swings showed significant rust. Metal Structures: The metal gym structure, including bars and monkey bars, had rust in several areas. Small Slide Structure: The red posts had chipped paint, and the coating on the nearby red bench was peeling. Far Slide Structure: The rubber coating at the base of the slide (located furthest from the swings) was peeling, exposing rusted spots. Chipped paint was also noted on the handrail, monkey bars, and climber. Additionally, a portion of the wooden border was rotted. Large Slide Structure (multiple slides): The blue posts had chipped and peeling paint. Rubber coating on the step bases was peeling or detached, creating tripping hazards. Rust was observed throughout the structure. The playground equipment showed widespread signs of wear, including rust, peeling paint, and deteriorating coatings. Some conditions (such as detached rubber coatings and rotted wood) present tripping and injury hazards and require prompt maintenance and repair. No medications were maintained for this program currently. 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 transportations were monitored on 6/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Ramp and Handrails: The handrail leading to the playground ramp had chipped paint, with several rusty areas visible. Swings: Chains and posts for the swings showed significant rust. Metal Structures: The metal gym structure, including bars and monkey bars, had rust in several areas. Small Slide Structure: The red posts had chipped paint, and the coating on the nearby red bench was peeling. Far Slide Structure: The rubber coating at the base of the slide (located furthest from the swings) was peeling, exposing rusted spots. Chipped paint was also noted on the handrail, monkey bars, and climber. Additionally, a portion of the wooden border was rotted. Large Slide Structure (multiple slides): The blue posts had chipped and peeling paint. Rubber coating on the step bases was peeling or detached, creating tripping hazards. Rust was observed throughout the structure. .0601(c) Technical assistance was provided as follows: 601: Safe environment Equipment and furnishings were not sturdy, stable and free of hazards. Refer to 10A NCAC 09 .0601(c). The safety concerns for the playground are listed above. Rusted areas may be addressed by spray painting, applying rubberized paint, or installing plastic covers. Peeling bases can be re-glued, and rust can be sealed with protective paint. Rotted wooden borders should be replaced with new wood. If repairs cannot be completed in a timely manner, an alternate play space should be considered. To comply, please complete the repair or choose alternate space. In your compliance letter, please state how you achieved compliance and the date you completed it. 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 9/25/25. 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: Safety on the Playground The equipment and furniture on the playgrounds are aged and show wear and tear. Please discuss the need for maintenance with the school. I suggest using portable equipment until all repairs are completed. However, there was a sewage or water tank located in the middle of the field. Although the tank had a metal cover, the cover could be lifted, and there was no fencing around it. Children must not have access to this tank, and staff members must closely supervise to ensure children do not approach it. There is ample space, such as the walking track behind the swings, that may be used for alternate activities. Until an agreement is reached with the school regarding playground equipment repairs, staff should utilize safe alternative areas and portable play materials to ensure children’s safety during outdoor activities. 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 was required to be completed by May 31, 2025. If you have not enrolled in asbestos enrollment survey, please do so as soon as possible. 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. No staff members were listed on the roster as of today. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/11/2025 Number Present: 25 Completed Date: 9/11/2025 Age: From 5 To 10 Total Minutes: 157 Time In: 01:23 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Mariah Harper, Program Coordinator, during the visit. Bridget Owen, Child Care Consultant, accompanied me to this visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Harper was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 3/19/25. The last fire drill was practiced on 8/28/25. The last lockdown drill was practiced on 8/26/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 5/6/24 without hazards. Lead paint risk assessment was conducted on 3/27/25. The areas used by the program were approved. No records of asbestos testing were found. Restriction change: The restriction “playground does not meet child care safety requirement” was removed. You will receive new license in mail. Please immediately post the new license upon receiving it. Upon arrival, we announced our presence and the purpose of the visit. Ms. Harper was present. Ms. Burke was not available to meet via TEAM to review the staff files. Therefore, she submitted a copy of each staff member’s criminal background letter, CPR/First Aid certificate and BSAC certificate. No new staff member was present. One (1) staff member started recently, but his/her/their file was monitored at another YMCA site recently. All existing staff members have valid certificates and letters. Before the seventeen (17) children arrived off the bus, there were already eight (8) children present. Once the group was combined, the children were divided between two (2) staff members - one (1) program coordinator responsible for eleven (11) children and the other, a group leader, for fourteen (14). The children engaged in a variety of activities: six(6) played a lively game of duck-duck goose, while others explored magnetic tiles, marble works, a puppet show, and a dollhouse. Additionally, a dance party was set up in one area, providing a fun space for movement and interaction. This variety of activities ensured that every child had an opportunity to participate and enjoy their time. Snacks were served in cafeteria. BBQ Jack links, sunflower kernels, WG pizza crackers, apple sauce, veggie blend juice and milk were served. Playgrounds were monitored, and multiple safety concerns were identified: Ramp and Handrails: The handrail leading to the playground ramp had chipped paint, with several rusty areas visible. Swings: Chains and posts for the swings showed significant rust. Metal Structures: The metal gym structure, including bars and monkey bars, had rust in several areas. Small Slide Structure: The red posts had chipped paint, and the coating on the nearby red bench was peeling. Far Slide Structure: The rubber coating at the base of the slide (located furthest from the swings) was peeling, exposing rusted spots. Chipped paint was also noted on the handrail, monkey bars, and climber. Additionally, a portion of the wooden border was rotted. Large Slide Structure (multiple slides): The blue posts had chipped and peeling paint. Rubber coating on the step bases was peeling or detached, creating tripping hazards. Rust was observed throughout the structure. The playground equipment showed widespread signs of wear, including rust, peeling paint, and deteriorating coatings. Some conditions (such as detached rubber coatings and rotted wood) present tripping and injury hazards and require prompt maintenance and repair. No medications were maintained for this program currently. 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 transportations were monitored on 6/4/25. The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Ramp and Handrails: The handrail leading to the playground ramp had chipped paint, with several rusty areas visible. Swings: Chains and posts for the swings showed significant rust. Metal Structures: The metal gym structure, including bars and monkey bars, had rust in several areas. Small Slide Structure: The red posts had chipped paint, and the coating on the nearby red bench was peeling. Far Slide Structure: The rubber coating at the base of the slide (located furthest from the swings) was peeling, exposing rusted spots. Chipped paint was also noted on the handrail, monkey bars, and climber. Additionally, a portion of the wooden border was rotted. Large Slide Structure (multiple slides): The blue posts had chipped and peeling paint. Rubber coating on the step bases was peeling or detached, creating tripping hazards. Rust was observed throughout the structure. .0601(c) Technical assistance was provided as follows: 601: Safe environment Equipment and furnishings were not sturdy, stable and free of hazards. Refer to 10A NCAC 09 .0601(c). The safety concerns for the playground are listed above. Rusted areas may be addressed by spray painting, applying rubberized paint, or installing plastic covers. Peeling bases can be re-glued, and rust can be sealed with protective paint. Rotted wooden borders should be replaced with new wood. If repairs cannot be completed in a timely manner, an alternate play space should be considered. To comply, please complete the repair or choose alternate space. In your compliance letter, please state how you achieved compliance and the date you completed it. 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 9/25/25. 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: Safety on the Playground The equipment and furniture on the playgrounds are aged and show wear and tear. Please discuss the need for maintenance with the school. I suggest using portable equipment until all repairs are completed. However, there was a sewage or water tank located in the middle of the field. Although the tank had a metal cover, the cover could be lifted, and there was no fencing around it. Children must not have access to this tank, and staff members must closely supervise to ensure children do not approach it. There is ample space, such as the walking track behind the swings, that may be used for alternate activities. Until an agreement is reached with the school regarding playground equipment repairs, staff should utilize safe alternative areas and portable play materials to ensure children’s safety during outdoor activities. 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 was required to be completed by May 31, 2025. If you have not enrolled in asbestos enrollment survey, please do so as soon as possible. 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. No staff members were listed on the roster as of today. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: YMCA PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/26/2025 Number Present: 22 Completed Date: 3/26/2025 Age: From 5 To 10 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance during a Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mariah Harper, Program Coordinator, during the visit. A singed copy of the visit summary was to Delaney Burke, Senior Operations Director. Ms. Haper was available to ask and answer questions during the visit. The following items were monitored. Supervision Staff Child Ratios CPR First Aid Special Training Storage of Hazardous Substances Adequate/Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. Permit type – Three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground does not meet child care safety standards. Upon arrival, I announced my presence and the purpose of the visit. Twenty-two (22) children arrived at different times. At 2:30 pm, one (1) child was present. Three (3) additional children arrived after 3pm and eighteen (18) children arrived by bus from Candler Elementary School at 3:40 pm. The group of children were divided into two (1) groups with eleven (11) children in each group with one (1) staff member. Until 3:40 pm, four (4) children engaged in free play in the gym with jump ropes, hopping, dancing with scarves and basket balls. After 3:40 pm, the children in group #1 headed to the cafeteria. After 10 minutes, the children in group #2 headed to the cafeteria. The children used the bathroom on the way to cafeteria and washed their hands. The tables in cafeteria were cleaned and sanitized before 3:40pm. Today, 1% milk, WOW butter, sunflower kernels, tortilla, jelly packet, apple sauce and veggie juice blend were served. Items were accurately listed on the menu. No hazardous products were accessible to children. No medications were maintained at this program. Playgrounds were inspected. There are a playground with slides, bars and a climber. Additionally, there are three (3) slide structures which are located in the grass field. One (1) of the structures have two (2) slides – one straight (1) slide and one (1) spiral slides on the same structure. There was a hole approximately 6 ¾ inch diameter on the landing area of the spiral slide. Caution tape is on the slide to block access. Per Ms. Harper, the children are supervised not to use the structure. There are some openings on the S hooks on the slide. Lily Elder, Program Director met with me via TEAMS and reviewed the staff files with me prior to this visit. No staff files were reviewed due to no new staff member hired at this facility since the annual compliance visit conducted on 3/5/25. Three (3) Staff members have current CPR/First Aid, BSAC certificates and criminal background letter. . Ms. Burke’s correct expiration date for her criminal background letter is 1/25/27. The ABCMS system was reviewed prior to this visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were cited during today's visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The 5t swing from the left side has approximately one (1) inch opening. It is wide enough for the chains for the swings to slip out. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: 807: Safe Environment “S” Hook: Open S hooks are risk for entanglement. Additionally, the S hook on the 2nd swing from left has openings large enough for the chains to slip off. This can cause potentially serious injuries. The S hooks for the 5th swing from the right and the 3rd swings from left also have opening of approximately ½ inch. It is recommended that all hooks, such as S-hooks and C-hooks, should be closed. A hook is considered closed if there is no gap or space greater than 0.04 inches, about the thickness of a dime. The S hooks openings must be narrowed by pressing the metals together. Please refer to 10A NCAC 09 .0601. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance • Signature of administrator I must receive your compliance statement by 4/09/25. 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. Rated License Assessment: Minimal required times for daily access to various areas or materials are as follows: For programs operating 3 hours or more at least 30 minutes of access to materials is required. For programs that operate less than 3 hours, a minimum of 20 minutes of access is required. Consider making materials accessible to the children who arrived late as well since majority of the children come from Candler Elementary School. 14. Safety practice • Safety rules are taught to children. • staff members should conduct daily inspections to eliminate safety hazards on facilities, playgrounds and equipment. • emergency number should be posted near the phone. • emergency procedures should be posted. • First aid supplied should be well-stocked. 17: Meal/snacks • staff members should sit with children during snacks when possible. • Children’s allergies an other food restrictions must be posted and the appropriate substitutions must be served. 18. Personal Hygiene • Hand hygiene is practiced upon arrival, before/after eating, after messy activities and outdoor play, after toileting, etc. • Staff shall check bathrooms for cleanliness and supplies periodically. • Teach children not to share personal items, such as combs, food and drink. • Staff member also wash hands upon arrival, before/after handling food, after outdoor play, etc. Handwashing: In certain situations, when a sink with running water is not accessible for the group to use, hand sanitizing products may be used in lieu of handwashing. For example, hand sanitizer may be used while staff is supervising children outdoors, if hands are washed upon returning indoors. The following requirements must be met: the waterless wash or wipe must be used according to manufacturer guidelines (i.e., labeled as safe for use by children, used only with adult supervision, allowed to dry properly), and the waterless wash must be stored out of reach of children. Please note that this substitution is only acceptable in certain circumstances and that the requirements for adequate handwashing still apply for routine care activities and general classroom use. 20. Music and Movement • Music and movement activities shall be accessible for free choice, including listening to music, dancing and playing with music instruments. • Various types of musical experience are accessible. The examples are classical, pop music, different language, musical instruments and different cultures. 22. Dramatic play/theatre • Examples of materials include dress-up clothes, costumes, props, puppets. • Variety of dramatic play materials for both boys and girls that support many roles and situations shall be available. Examples of roles/situation include work, adventure, fantasy, theatrical productions. • Staff shall extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic roles. 23. Language/reading activities • Examples of materials include print materials, such as books, dictionaries, encyclopedia, audio materials and games. • Many appropriate books and language games are accessible daily. • There shall be no graphic description of violence or prejudice in books. • Age-appropriate stories are read or told at least weekly. • Children are encouraged to use reading/writing in practical situations, such as write letters to friends, read instructions for games, retrieve information online, etc.) For groups of less than 15 children at least 20 age-appropriate books and for groups of 15 or more children, an extra book for each additional child At least three language games for both older and younger school-age children, if enrolled. At least six language games for groups of 15 or more children. 24. Math/reasoning activities • Examples of materials include puzzles, number games, dominoes, Veritec, board game, such as Chutes and Ladders. • For grade 1 and up, chess, checkers, Veritec, backgammon, domonoes, this category. • Variety of age-appropriate math/reasoning game and/or activities are accessible for free choice daily. At least three math/reasoning games or activities for both older and younger school age children, if enrolled. At least six math/reasoning games or actvites for groups of 15 or more children. • Staff encourage children to practice math/reasoning skills in daily activities. Staff shall link math and numbers to practical life events in the children’s daily schedule. Use opportunities, such as meal time, counting number of children, transition times, use timer for taking turns, keeping scores in ball games, taking attendance by children, taking about times using clock, etc. 25. Science/nature activities • Equipment examples include aquarium, terrarium, measuring tools, magnifying glasses, magnets, scales, microscope. • Materials examples include natural objects, living things, realistic books, posters, pictures, and science games. • Special activities for extended opportunity to observe nature is offered at least twice a year. Examples are watching caterpillars turn into butterflies, planting and caring for a garden. At least three science/nature games or complete activities for both older and younger school age children, if enrolled. At least six science/nature games or activities for groups of 15 or more children. 26 Cultural Awareness • At least four easily visible examples of different types of diversity must be present, other than gender. Examples are multi-cultural books, pictures of various countries and race, books in more than one language bilingual community, dolls or block accessory people of different races, ages. • In addition to cultural diversity, such as pictures and books depicting males and females in non-traditional roles are visible. • Staff must display non-biased approach to activities. For example, girls are encouraged to participate in carpentry, and boys encouraged to participate in cooking. 28 Staff-Child interactions • Staff respond to children in a warm, supportive manner. Staff show respect for children. • For 7 pt level, staff shall support children take the lead in selecting and initiating activities. 29 staff-child communication • Staff communicates with children frequently. • Children ask why, how and what if questions. • For 7 pts level, staff shall make effort to talk with each child and expand on ideas presented by children. 30 Staff supervision of children • Supervision shall be provided to all children and the adjustment shall be made for younger and more challenging children to supervise them more closely. • Staff shall provide help and encouragement to children as needed. • Staff shall show appreciation of children’s effort and accomplishments. 36 Schedule • Flexibility is possible within the schedule • Both Staff-initiated and child-initiated activities shall be available. • Gross motor activities for all children outdoor shall be available daily (weather permitted). The space required for this indicator must be provided daily outdoors for at least 30 minutes for programs operating 3+ hours unless severe weather prevents children from going outdoors. Provisions must also be made indoors for the same amount of time on those days when children cannot play outdoors. Gross motor play: overall access to stationary gross motor equipment throughout the week; equipment must offer at least 5 play possibilities (monkey bars, slide, tunnel, balance beam, playing basketball, etc.). Children must have access to some stationary equipment daily, weather permitting, and must have access to stationary gross motor equipment that provides a variety of play opportunities over the course of the week. The portable equipment must be accessible daily and stimulate 5 different skills. On days when children do not go outside, these materials must be provided indoors. Portable gross motor equipment is provided that stimulates at least 5 different skills overall for the observed group, with some choice in materials. Daily sign-in/out: The sign-out process must include a record of the identity of the person who picked the child up from the facility (e.g., a name or signature, individual code rather than family code if electronic system is used). Requirements must be met by any adult who is responsible for children when departing from the program. Soft furnishing: The area(s) for the children to relax should be accessible. Furnishings for at least three children is required for 5 pts. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: YMCA PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/26/2025 Number Present: 22 Completed Date: 3/26/2025 Age: From 5 To 10 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance during a Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mariah Harper, Program Coordinator, during the visit. A singed copy of the visit summary was to Delaney Burke, Senior Operations Director. Ms. Haper was available to ask and answer questions during the visit. The following items were monitored. Supervision Staff Child Ratios CPR First Aid Special Training Storage of Hazardous Substances Adequate/Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. Permit type – Three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground does not meet child care safety standards. Upon arrival, I announced my presence and the purpose of the visit. Twenty-two (22) children arrived at different times. At 2:30 pm, one (1) child was present. Three (3) additional children arrived after 3pm and eighteen (18) children arrived by bus from Candler Elementary School at 3:40 pm. The group of children were divided into two (1) groups with eleven (11) children in each group with one (1) staff member. Until 3:40 pm, four (4) children engaged in free play in the gym with jump ropes, hopping, dancing with scarves and basket balls. After 3:40 pm, the children in group #1 headed to the cafeteria. After 10 minutes, the children in group #2 headed to the cafeteria. The children used the bathroom on the way to cafeteria and washed their hands. The tables in cafeteria were cleaned and sanitized before 3:40pm. Today, 1% milk, WOW butter, sunflower kernels, tortilla, jelly packet, apple sauce and veggie juice blend were served. Items were accurately listed on the menu. No hazardous products were accessible to children. No medications were maintained at this program. Playgrounds were inspected. There are a playground with slides, bars and a climber. Additionally, there are three (3) slide structures which are located in the grass field. One (1) of the structures have two (2) slides – one straight (1) slide and one (1) spiral slides on the same structure. There was a hole approximately 6 ¾ inch diameter on the landing area of the spiral slide. Caution tape is on the slide to block access. Per Ms. Harper, the children are supervised not to use the structure. There are some openings on the S hooks on the slide. Lily Elder, Program Director met with me via TEAMS and reviewed the staff files with me prior to this visit. No staff files were reviewed due to no new staff member hired at this facility since the annual compliance visit conducted on 3/5/25. Three (3) Staff members have current CPR/First Aid, BSAC certificates and criminal background letter. . Ms. Burke’s correct expiration date for her criminal background letter is 1/25/27. The ABCMS system was reviewed prior to this visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were cited during today's visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The 5t swing from the left side has approximately one (1) inch opening. It is wide enough for the chains for the swings to slip out. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: 807: Safe Environment “S” Hook: Open S hooks are risk for entanglement. Additionally, the S hook on the 2nd swing from left has openings large enough for the chains to slip off. This can cause potentially serious injuries. The S hooks for the 5th swing from the right and the 3rd swings from left also have opening of approximately ½ inch. It is recommended that all hooks, such as S-hooks and C-hooks, should be closed. A hook is considered closed if there is no gap or space greater than 0.04 inches, about the thickness of a dime. The S hooks openings must be narrowed by pressing the metals together. Please refer to 10A NCAC 09 .0601. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance • Signature of administrator I must receive your compliance statement by 4/09/25. 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. Rated License Assessment: Minimal required times for daily access to various areas or materials are as follows: For programs operating 3 hours or more at least 30 minutes of access to materials is required. For programs that operate less than 3 hours, a minimum of 20 minutes of access is required. Consider making materials accessible to the children who arrived late as well since majority of the children come from Candler Elementary School. 14. Safety practice • Safety rules are taught to children. • staff members should conduct daily inspections to eliminate safety hazards on facilities, playgrounds and equipment. • emergency number should be posted near the phone. • emergency procedures should be posted. • First aid supplied should be well-stocked. 17: Meal/snacks • staff members should sit with children during snacks when possible. • Children’s allergies an other food restrictions must be posted and the appropriate substitutions must be served. 18. Personal Hygiene • Hand hygiene is practiced upon arrival, before/after eating, after messy activities and outdoor play, after toileting, etc. • Staff shall check bathrooms for cleanliness and supplies periodically. • Teach children not to share personal items, such as combs, food and drink. • Staff member also wash hands upon arrival, before/after handling food, after outdoor play, etc. Handwashing: In certain situations, when a sink with running water is not accessible for the group to use, hand sanitizing products may be used in lieu of handwashing. For example, hand sanitizer may be used while staff is supervising children outdoors, if hands are washed upon returning indoors. The following requirements must be met: the waterless wash or wipe must be used according to manufacturer guidelines (i.e., labeled as safe for use by children, used only with adult supervision, allowed to dry properly), and the waterless wash must be stored out of reach of children. Please note that this substitution is only acceptable in certain circumstances and that the requirements for adequate handwashing still apply for routine care activities and general classroom use. 20. Music and Movement • Music and movement activities shall be accessible for free choice, including listening to music, dancing and playing with music instruments. • Various types of musical experience are accessible. The examples are classical, pop music, different language, musical instruments and different cultures. 22. Dramatic play/theatre • Examples of materials include dress-up clothes, costumes, props, puppets. • Variety of dramatic play materials for both boys and girls that support many roles and situations shall be available. Examples of roles/situation include work, adventure, fantasy, theatrical productions. • Staff shall extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic roles. 23. Language/reading activities • Examples of materials include print materials, such as books, dictionaries, encyclopedia, audio materials and games. • Many appropriate books and language games are accessible daily. • There shall be no graphic description of violence or prejudice in books. • Age-appropriate stories are read or told at least weekly. • Children are encouraged to use reading/writing in practical situations, such as write letters to friends, read instructions for games, retrieve information online, etc.) For groups of less than 15 children at least 20 age-appropriate books and for groups of 15 or more children, an extra book for each additional child At least three language games for both older and younger school-age children, if enrolled. At least six language games for groups of 15 or more children. 24. Math/reasoning activities • Examples of materials include puzzles, number games, dominoes, Veritec, board game, such as Chutes and Ladders. • For grade 1 and up, chess, checkers, Veritec, backgammon, domonoes, this category. • Variety of age-appropriate math/reasoning game and/or activities are accessible for free choice daily. At least three math/reasoning games or activities for both older and younger school age children, if enrolled. At least six math/reasoning games or actvites for groups of 15 or more children. • Staff encourage children to practice math/reasoning skills in daily activities. Staff shall link math and numbers to practical life events in the children’s daily schedule. Use opportunities, such as meal time, counting number of children, transition times, use timer for taking turns, keeping scores in ball games, taking attendance by children, taking about times using clock, etc. 25. Science/nature activities • Equipment examples include aquarium, terrarium, measuring tools, magnifying glasses, magnets, scales, microscope. • Materials examples include natural objects, living things, realistic books, posters, pictures, and science games. • Special activities for extended opportunity to observe nature is offered at least twice a year. Examples are watching caterpillars turn into butterflies, planting and caring for a garden. At least three science/nature games or complete activities for both older and younger school age children, if enrolled. At least six science/nature games or activities for groups of 15 or more children. 26 Cultural Awareness • At least four easily visible examples of different types of diversity must be present, other than gender. Examples are multi-cultural books, pictures of various countries and race, books in more than one language bilingual community, dolls or block accessory people of different races, ages. • In addition to cultural diversity, such as pictures and books depicting males and females in non-traditional roles are visible. • Staff must display non-biased approach to activities. For example, girls are encouraged to participate in carpentry, and boys encouraged to participate in cooking. 28 Staff-Child interactions • Staff respond to children in a warm, supportive manner. Staff show respect for children. • For 7 pt level, staff shall support children take the lead in selecting and initiating activities. 29 staff-child communication • Staff communicates with children frequently. • Children ask why, how and what if questions. • For 7 pts level, staff shall make effort to talk with each child and expand on ideas presented by children. 30 Staff supervision of children • Supervision shall be provided to all children and the adjustment shall be made for younger and more challenging children to supervise them more closely. • Staff shall provide help and encouragement to children as needed. • Staff shall show appreciation of children’s effort and accomplishments. 36 Schedule • Flexibility is possible within the schedule • Both Staff-initiated and child-initiated activities shall be available. • Gross motor activities for all children outdoor shall be available daily (weather permitted). The space required for this indicator must be provided daily outdoors for at least 30 minutes for programs operating 3+ hours unless severe weather prevents children from going outdoors. Provisions must also be made indoors for the same amount of time on those days when children cannot play outdoors. Gross motor play: overall access to stationary gross motor equipment throughout the week; equipment must offer at least 5 play possibilities (monkey bars, slide, tunnel, balance beam, playing basketball, etc.). Children must have access to some stationary equipment daily, weather permitting, and must have access to stationary gross motor equipment that provides a variety of play opportunities over the course of the week. The portable equipment must be accessible daily and stimulate 5 different skills. On days when children do not go outside, these materials must be provided indoors. Portable gross motor equipment is provided that stimulates at least 5 different skills overall for the observed group, with some choice in materials. Daily sign-in/out: The sign-out process must include a record of the identity of the person who picked the child up from the facility (e.g., a name or signature, individual code rather than family code if electronic system is used). Requirements must be met by any adult who is responsible for children when departing from the program. Soft furnishing: The area(s) for the children to relax should be accessible. Furnishings for at least three children is required for 5 pts. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/26/2025 Number Present: 22 Completed Date: 3/26/2025 Age: From 5 To 10 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance during a Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mariah Harper, Program Coordinator, during the visit. A singed copy of the visit summary was to Delaney Burke, Senior Operations Director. Ms. Haper was available to ask and answer questions during the visit. The following items were monitored. Supervision Staff Child Ratios CPR First Aid Special Training Storage of Hazardous Substances Adequate/Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. Permit type – Three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground does not meet child care safety standards. Upon arrival, I announced my presence and the purpose of the visit. Twenty-two (22) children arrived at different times. At 2:30 pm, one (1) child was present. Three (3) additional children arrived after 3pm and eighteen (18) children arrived by bus from Candler Elementary School at 3:40 pm. The group of children were divided into two (1) groups with eleven (11) children in each group with one (1) staff member. Until 3:40 pm, four (4) children engaged in free play in the gym with jump ropes, hopping, dancing with scarves and basket balls. After 3:40 pm, the children in group #1 headed to the cafeteria. After 10 minutes, the children in group #2 headed to the cafeteria. The children used the bathroom on the way to cafeteria and washed their hands. The tables in cafeteria were cleaned and sanitized before 3:40pm. Today, 1% milk, WOW butter, sunflower kernels, tortilla, jelly packet, apple sauce and veggie juice blend were served. Items were accurately listed on the menu. No hazardous products were accessible to children. No medications were maintained at this program. Playgrounds were inspected. There are a playground with slides, bars and a climber. Additionally, there are three (3) slide structures which are located in the grass field. One (1) of the structures have two (2) slides – one straight (1) slide and one (1) spiral slides on the same structure. There was a hole approximately 6 ¾ inch diameter on the landing area of the spiral slide. Caution tape is on the slide to block access. Per Ms. Harper, the children are supervised not to use the structure. There are some openings on the S hooks on the slide. Lily Elder, Program Director met with me via TEAMS and reviewed the staff files with me prior to this visit. No staff files were reviewed due to no new staff member hired at this facility since the annual compliance visit conducted on 3/5/25. Three (3) Staff members have current CPR/First Aid, BSAC certificates and criminal background letter. . Ms. Burke’s correct expiration date for her criminal background letter is 1/25/27. The ABCMS system was reviewed prior to this visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were cited during today's visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The 5t swing from the left side has approximately one (1) inch opening. It is wide enough for the chains for the swings to slip out. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: 807: Safe Environment “S” Hook: Open S hooks are risk for entanglement. Additionally, the S hook on the 2nd swing from left has openings large enough for the chains to slip off. This can cause potentially serious injuries. The S hooks for the 5th swing from the right and the 3rd swings from left also have opening of approximately ½ inch. It is recommended that all hooks, such as S-hooks and C-hooks, should be closed. A hook is considered closed if there is no gap or space greater than 0.04 inches, about the thickness of a dime. The S hooks openings must be narrowed by pressing the metals together. Please refer to 10A NCAC 09 .0601. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance • Signature of administrator I must receive your compliance statement by 4/09/25. 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. Rated License Assessment: Minimal required times for daily access to various areas or materials are as follows: For programs operating 3 hours or more at least 30 minutes of access to materials is required. For programs that operate less than 3 hours, a minimum of 20 minutes of access is required. Consider making materials accessible to the children who arrived late as well since majority of the children come from Candler Elementary School. 14. Safety practice • Safety rules are taught to children. • staff members should conduct daily inspections to eliminate safety hazards on facilities, playgrounds and equipment. • emergency number should be posted near the phone. • emergency procedures should be posted. • First aid supplied should be well-stocked. 17: Meal/snacks • staff members should sit with children during snacks when possible. • Children’s allergies an other food restrictions must be posted and the appropriate substitutions must be served. 18. Personal Hygiene • Hand hygiene is practiced upon arrival, before/after eating, after messy activities and outdoor play, after toileting, etc. • Staff shall check bathrooms for cleanliness and supplies periodically. • Teach children not to share personal items, such as combs, food and drink. • Staff member also wash hands upon arrival, before/after handling food, after outdoor play, etc. Handwashing: In certain situations, when a sink with running water is not accessible for the group to use, hand sanitizing products may be used in lieu of handwashing. For example, hand sanitizer may be used while staff is supervising children outdoors, if hands are washed upon returning indoors. The following requirements must be met: the waterless wash or wipe must be used according to manufacturer guidelines (i.e., labeled as safe for use by children, used only with adult supervision, allowed to dry properly), and the waterless wash must be stored out of reach of children. Please note that this substitution is only acceptable in certain circumstances and that the requirements for adequate handwashing still apply for routine care activities and general classroom use. 20. Music and Movement • Music and movement activities shall be accessible for free choice, including listening to music, dancing and playing with music instruments. • Various types of musical experience are accessible. The examples are classical, pop music, different language, musical instruments and different cultures. 22. Dramatic play/theatre • Examples of materials include dress-up clothes, costumes, props, puppets. • Variety of dramatic play materials for both boys and girls that support many roles and situations shall be available. Examples of roles/situation include work, adventure, fantasy, theatrical productions. • Staff shall extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic roles. 23. Language/reading activities • Examples of materials include print materials, such as books, dictionaries, encyclopedia, audio materials and games. • Many appropriate books and language games are accessible daily. • There shall be no graphic description of violence or prejudice in books. • Age-appropriate stories are read or told at least weekly. • Children are encouraged to use reading/writing in practical situations, such as write letters to friends, read instructions for games, retrieve information online, etc.) For groups of less than 15 children at least 20 age-appropriate books and for groups of 15 or more children, an extra book for each additional child At least three language games for both older and younger school-age children, if enrolled. At least six language games for groups of 15 or more children. 24. Math/reasoning activities • Examples of materials include puzzles, number games, dominoes, Veritec, board game, such as Chutes and Ladders. • For grade 1 and up, chess, checkers, Veritec, backgammon, domonoes, this category. • Variety of age-appropriate math/reasoning game and/or activities are accessible for free choice daily. At least three math/reasoning games or activities for both older and younger school age children, if enrolled. At least six math/reasoning games or actvites for groups of 15 or more children. • Staff encourage children to practice math/reasoning skills in daily activities. Staff shall link math and numbers to practical life events in the children’s daily schedule. Use opportunities, such as meal time, counting number of children, transition times, use timer for taking turns, keeping scores in ball games, taking attendance by children, taking about times using clock, etc. 25. Science/nature activities • Equipment examples include aquarium, terrarium, measuring tools, magnifying glasses, magnets, scales, microscope. • Materials examples include natural objects, living things, realistic books, posters, pictures, and science games. • Special activities for extended opportunity to observe nature is offered at least twice a year. Examples are watching caterpillars turn into butterflies, planting and caring for a garden. At least three science/nature games or complete activities for both older and younger school age children, if enrolled. At least six science/nature games or activities for groups of 15 or more children. 26 Cultural Awareness • At least four easily visible examples of different types of diversity must be present, other than gender. Examples are multi-cultural books, pictures of various countries and race, books in more than one language bilingual community, dolls or block accessory people of different races, ages. • In addition to cultural diversity, such as pictures and books depicting males and females in non-traditional roles are visible. • Staff must display non-biased approach to activities. For example, girls are encouraged to participate in carpentry, and boys encouraged to participate in cooking. 28 Staff-Child interactions • Staff respond to children in a warm, supportive manner. Staff show respect for children. • For 7 pt level, staff shall support children take the lead in selecting and initiating activities. 29 staff-child communication • Staff communicates with children frequently. • Children ask why, how and what if questions. • For 7 pts level, staff shall make effort to talk with each child and expand on ideas presented by children. 30 Staff supervision of children • Supervision shall be provided to all children and the adjustment shall be made for younger and more challenging children to supervise them more closely. • Staff shall provide help and encouragement to children as needed. • Staff shall show appreciation of children’s effort and accomplishments. 36 Schedule • Flexibility is possible within the schedule • Both Staff-initiated and child-initiated activities shall be available. • Gross motor activities for all children outdoor shall be available daily (weather permitted). The space required for this indicator must be provided daily outdoors for at least 30 minutes for programs operating 3+ hours unless severe weather prevents children from going outdoors. Provisions must also be made indoors for the same amount of time on those days when children cannot play outdoors. Gross motor play: overall access to stationary gross motor equipment throughout the week; equipment must offer at least 5 play possibilities (monkey bars, slide, tunnel, balance beam, playing basketball, etc.). Children must have access to some stationary equipment daily, weather permitting, and must have access to stationary gross motor equipment that provides a variety of play opportunities over the course of the week. The portable equipment must be accessible daily and stimulate 5 different skills. On days when children do not go outside, these materials must be provided indoors. Portable gross motor equipment is provided that stimulates at least 5 different skills overall for the observed group, with some choice in materials. Daily sign-in/out: The sign-out process must include a record of the identity of the person who picked the child up from the facility (e.g., a name or signature, individual code rather than family code if electronic system is used). Requirements must be met by any adult who is responsible for children when departing from the program. Soft furnishing: The area(s) for the children to relax should be accessible. Furnishings for at least three children is required for 5 pts. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 3/26/2025 Number Present: 22 Completed Date: 3/26/2025 Age: From 5 To 10 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Rated License Assessment Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance during a Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Mariah Harper, Program Coordinator, during the visit. A singed copy of the visit summary was to Delaney Burke, Senior Operations Director. Ms. Haper was available to ask and answer questions during the visit. The following items were monitored. Supervision Staff Child Ratios CPR First Aid Special Training Storage of Hazardous Substances Adequate/Approved Space Program Records License Posted Permit Restrictions The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. Permit type – Three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meets reduced ratios, playground does not meet child care safety standards. Upon arrival, I announced my presence and the purpose of the visit. Twenty-two (22) children arrived at different times. At 2:30 pm, one (1) child was present. Three (3) additional children arrived after 3pm and eighteen (18) children arrived by bus from Candler Elementary School at 3:40 pm. The group of children were divided into two (1) groups with eleven (11) children in each group with one (1) staff member. Until 3:40 pm, four (4) children engaged in free play in the gym with jump ropes, hopping, dancing with scarves and basket balls. After 3:40 pm, the children in group #1 headed to the cafeteria. After 10 minutes, the children in group #2 headed to the cafeteria. The children used the bathroom on the way to cafeteria and washed their hands. The tables in cafeteria were cleaned and sanitized before 3:40pm. Today, 1% milk, WOW butter, sunflower kernels, tortilla, jelly packet, apple sauce and veggie juice blend were served. Items were accurately listed on the menu. No hazardous products were accessible to children. No medications were maintained at this program. Playgrounds were inspected. There are a playground with slides, bars and a climber. Additionally, there are three (3) slide structures which are located in the grass field. One (1) of the structures have two (2) slides – one straight (1) slide and one (1) spiral slides on the same structure. There was a hole approximately 6 ¾ inch diameter on the landing area of the spiral slide. Caution tape is on the slide to block access. Per Ms. Harper, the children are supervised not to use the structure. There are some openings on the S hooks on the slide. Lily Elder, Program Director met with me via TEAMS and reviewed the staff files with me prior to this visit. No staff files were reviewed due to no new staff member hired at this facility since the annual compliance visit conducted on 3/5/25. Three (3) Staff members have current CPR/First Aid, BSAC certificates and criminal background letter. . Ms. Burke’s correct expiration date for her criminal background letter is 1/25/27. The ABCMS system was reviewed prior to this visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were cited during today's visit: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. The 5t swing from the left side has approximately one (1) inch opening. It is wide enough for the chains for the swings to slip out. 10A NCAC 09 .0601(a) Technical assistance was provided as follows: 807: Safe Environment “S” Hook: Open S hooks are risk for entanglement. Additionally, the S hook on the 2nd swing from left has openings large enough for the chains to slip off. This can cause potentially serious injuries. The S hooks for the 5th swing from the right and the 3rd swings from left also have opening of approximately ½ inch. It is recommended that all hooks, such as S-hooks and C-hooks, should be closed. A hook is considered closed if there is no gap or space greater than 0.04 inches, about the thickness of a dime. The S hooks openings must be narrowed by pressing the metals together. Please refer to 10A NCAC 09 .0601. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance • Signature of administrator I must receive your compliance statement by 4/09/25. 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. Rated License Assessment: Minimal required times for daily access to various areas or materials are as follows: For programs operating 3 hours or more at least 30 minutes of access to materials is required. For programs that operate less than 3 hours, a minimum of 20 minutes of access is required. Consider making materials accessible to the children who arrived late as well since majority of the children come from Candler Elementary School. 14. Safety practice • Safety rules are taught to children. • staff members should conduct daily inspections to eliminate safety hazards on facilities, playgrounds and equipment. • emergency number should be posted near the phone. • emergency procedures should be posted. • First aid supplied should be well-stocked. 17: Meal/snacks • staff members should sit with children during snacks when possible. • Children’s allergies an other food restrictions must be posted and the appropriate substitutions must be served. 18. Personal Hygiene • Hand hygiene is practiced upon arrival, before/after eating, after messy activities and outdoor play, after toileting, etc. • Staff shall check bathrooms for cleanliness and supplies periodically. • Teach children not to share personal items, such as combs, food and drink. • Staff member also wash hands upon arrival, before/after handling food, after outdoor play, etc. Handwashing: In certain situations, when a sink with running water is not accessible for the group to use, hand sanitizing products may be used in lieu of handwashing. For example, hand sanitizer may be used while staff is supervising children outdoors, if hands are washed upon returning indoors. The following requirements must be met: the waterless wash or wipe must be used according to manufacturer guidelines (i.e., labeled as safe for use by children, used only with adult supervision, allowed to dry properly), and the waterless wash must be stored out of reach of children. Please note that this substitution is only acceptable in certain circumstances and that the requirements for adequate handwashing still apply for routine care activities and general classroom use. 20. Music and Movement • Music and movement activities shall be accessible for free choice, including listening to music, dancing and playing with music instruments. • Various types of musical experience are accessible. The examples are classical, pop music, different language, musical instruments and different cultures. 22. Dramatic play/theatre • Examples of materials include dress-up clothes, costumes, props, puppets. • Variety of dramatic play materials for both boys and girls that support many roles and situations shall be available. Examples of roles/situation include work, adventure, fantasy, theatrical productions. • Staff shall extend dramatic play by offering suggestions, finding appropriate space and assisting development of dramatic roles. 23. Language/reading activities • Examples of materials include print materials, such as books, dictionaries, encyclopedia, audio materials and games. • Many appropriate books and language games are accessible daily. • There shall be no graphic description of violence or prejudice in books. • Age-appropriate stories are read or told at least weekly. • Children are encouraged to use reading/writing in practical situations, such as write letters to friends, read instructions for games, retrieve information online, etc.) For groups of less than 15 children at least 20 age-appropriate books and for groups of 15 or more children, an extra book for each additional child At least three language games for both older and younger school-age children, if enrolled. At least six language games for groups of 15 or more children. 24. Math/reasoning activities • Examples of materials include puzzles, number games, dominoes, Veritec, board game, such as Chutes and Ladders. • For grade 1 and up, chess, checkers, Veritec, backgammon, domonoes, this category. • Variety of age-appropriate math/reasoning game and/or activities are accessible for free choice daily. At least three math/reasoning games or activities for both older and younger school age children, if enrolled. At least six math/reasoning games or actvites for groups of 15 or more children. • Staff encourage children to practice math/reasoning skills in daily activities. Staff shall link math and numbers to practical life events in the children’s daily schedule. Use opportunities, such as meal time, counting number of children, transition times, use timer for taking turns, keeping scores in ball games, taking attendance by children, taking about times using clock, etc. 25. Science/nature activities • Equipment examples include aquarium, terrarium, measuring tools, magnifying glasses, magnets, scales, microscope. • Materials examples include natural objects, living things, realistic books, posters, pictures, and science games. • Special activities for extended opportunity to observe nature is offered at least twice a year. Examples are watching caterpillars turn into butterflies, planting and caring for a garden. At least three science/nature games or complete activities for both older and younger school age children, if enrolled. At least six science/nature games or activities for groups of 15 or more children. 26 Cultural Awareness • At least four easily visible examples of different types of diversity must be present, other than gender. Examples are multi-cultural books, pictures of various countries and race, books in more than one language bilingual community, dolls or block accessory people of different races, ages. • In addition to cultural diversity, such as pictures and books depicting males and females in non-traditional roles are visible. • Staff must display non-biased approach to activities. For example, girls are encouraged to participate in carpentry, and boys encouraged to participate in cooking. 28 Staff-Child interactions • Staff respond to children in a warm, supportive manner. Staff show respect for children. • For 7 pt level, staff shall support children take the lead in selecting and initiating activities. 29 staff-child communication • Staff communicates with children frequently. • Children ask why, how and what if questions. • For 7 pts level, staff shall make effort to talk with each child and expand on ideas presented by children. 30 Staff supervision of children • Supervision shall be provided to all children and the adjustment shall be made for younger and more challenging children to supervise them more closely. • Staff shall provide help and encouragement to children as needed. • Staff shall show appreciation of children’s effort and accomplishments. 36 Schedule • Flexibility is possible within the schedule • Both Staff-initiated and child-initiated activities shall be available. • Gross motor activities for all children outdoor shall be available daily (weather permitted). The space required for this indicator must be provided daily outdoors for at least 30 minutes for programs operating 3+ hours unless severe weather prevents children from going outdoors. Provisions must also be made indoors for the same amount of time on those days when children cannot play outdoors. Gross motor play: overall access to stationary gross motor equipment throughout the week; equipment must offer at least 5 play possibilities (monkey bars, slide, tunnel, balance beam, playing basketball, etc.). Children must have access to some stationary equipment daily, weather permitting, and must have access to stationary gross motor equipment that provides a variety of play opportunities over the course of the week. The portable equipment must be accessible daily and stimulate 5 different skills. On days when children do not go outside, these materials must be provided indoors. Portable gross motor equipment is provided that stimulates at least 5 different skills overall for the observed group, with some choice in materials. Daily sign-in/out: The sign-out process must include a record of the identity of the person who picked the child up from the facility (e.g., a name or signature, individual code rather than family code if electronic system is used). Requirements must be met by any adult who is responsible for children when departing from the program. Soft furnishing: The area(s) for the children to relax should be accessible. Furnishings for at least three children is required for 5 pts. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/23/2024 Number Present: 22 Completed Date: 9/23/2024 Age: From 5 To 10 Total Minutes: 164 Time In: 02:19 PM Time Out: 05:03 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 Mariah Harper, Program Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Ms. Harper 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-eight (88) percent as of 9/23/24 prior to this visit. Permit type – three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios, playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/8/24. The last fire drill was practiced on 8/30/24. The last shelter-in-place drill has not been conducted this school year. The last fire inspection was approved on 9/19/24. The last sanitation inspection was conducted on 3/8/24 with four (4) 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. There were seven (7) children present at the time of my arrival. The children participated in discussions/group time with a group leader. The group transitioned to space #3 and engaged in fall art activities. Around 3:30 pm, additional fifteen (15) children arrived. The children from both groups washed their hands in the bathroom and transitioned to the cafeteria. The children had WOW butter, sunflower kernels, apple cinnamon grahams, apple sauce, veggie juice blend and milk or snack. Two (2) staff files were monitored via Team meeting with Ms. Burke. No medications are currently maintained at this facility. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The transportation was monitored on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The left door to the kitchen area by the microwave in the cafeteria was not locked. In the kitchen area, a bottle of Oasis 146 Multi-Quat Sanitizer and Eco Lab Peroxide Multi-Surface Cleaner was stored on the floor level. Oasis Sanitizer is required to be stored in a locked storage due to its corrosive agent. .2820(b) Technical assistance was provided as follows: # 840: Hazardous products: All hazardous products shall be in accessible to the children. Some of the products required to be stored in a locked storage. In the cafeteria, there are a few chemicals that required to be stored in a locked storage. Please make sure that the two (2) doors to the kitchen area is always locked during program hours. 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 10/7/24. 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: Shelter-in-place/lockdown drill: Shelter-in-place/lockdown drill is required every three (3) months. Due to summer closing, program are advised to conduct a shelter-in-place and/or a lockdown drill as soon as the school starts in August/September. 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 PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/23/2024 Number Present: 22 Completed Date: 9/23/2024 Age: From 5 To 10 Total Minutes: 164 Time In: 02:19 PM Time Out: 05:03 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 Mariah Harper, Program Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Ms. Harper 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-eight (88) percent as of 9/23/24 prior to this visit. Permit type – three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios, playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/8/24. The last fire drill was practiced on 8/30/24. The last shelter-in-place drill has not been conducted this school year. The last fire inspection was approved on 9/19/24. The last sanitation inspection was conducted on 3/8/24 with four (4) 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. There were seven (7) children present at the time of my arrival. The children participated in discussions/group time with a group leader. The group transitioned to space #3 and engaged in fall art activities. Around 3:30 pm, additional fifteen (15) children arrived. The children from both groups washed their hands in the bathroom and transitioned to the cafeteria. The children had WOW butter, sunflower kernels, apple cinnamon grahams, apple sauce, veggie juice blend and milk or snack. Two (2) staff files were monitored via Team meeting with Ms. Burke. No medications are currently maintained at this facility. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The transportation was monitored on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The left door to the kitchen area by the microwave in the cafeteria was not locked. In the kitchen area, a bottle of Oasis 146 Multi-Quat Sanitizer and Eco Lab Peroxide Multi-Surface Cleaner was stored on the floor level. Oasis Sanitizer is required to be stored in a locked storage due to its corrosive agent. .2820(b) Technical assistance was provided as follows: # 840: Hazardous products: All hazardous products shall be in accessible to the children. Some of the products required to be stored in a locked storage. In the cafeteria, there are a few chemicals that required to be stored in a locked storage. Please make sure that the two (2) doors to the kitchen area is always locked during program hours. 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 10/7/24. 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: Shelter-in-place/lockdown drill: Shelter-in-place/lockdown drill is required every three (3) months. Due to summer closing, program are advised to conduct a shelter-in-place and/or a lockdown drill as soon as the school starts in August/September. 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 PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/23/2024 Number Present: 22 Completed Date: 9/23/2024 Age: From 5 To 10 Total Minutes: 164 Time In: 02:19 PM Time Out: 05:03 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 Mariah Harper, Program Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Ms. Harper 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-eight (88) percent as of 9/23/24 prior to this visit. Permit type – three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios, playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/8/24. The last fire drill was practiced on 8/30/24. The last shelter-in-place drill has not been conducted this school year. The last fire inspection was approved on 9/19/24. The last sanitation inspection was conducted on 3/8/24 with four (4) 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. There were seven (7) children present at the time of my arrival. The children participated in discussions/group time with a group leader. The group transitioned to space #3 and engaged in fall art activities. Around 3:30 pm, additional fifteen (15) children arrived. The children from both groups washed their hands in the bathroom and transitioned to the cafeteria. The children had WOW butter, sunflower kernels, apple cinnamon grahams, apple sauce, veggie juice blend and milk or snack. Two (2) staff files were monitored via Team meeting with Ms. Burke. No medications are currently maintained at this facility. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The transportation was monitored on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The left door to the kitchen area by the microwave in the cafeteria was not locked. In the kitchen area, a bottle of Oasis 146 Multi-Quat Sanitizer and Eco Lab Peroxide Multi-Surface Cleaner was stored on the floor level. Oasis Sanitizer is required to be stored in a locked storage due to its corrosive agent. .2820(b) Technical assistance was provided as follows: # 840: Hazardous products: All hazardous products shall be in accessible to the children. Some of the products required to be stored in a locked storage. In the cafeteria, there are a few chemicals that required to be stored in a locked storage. Please make sure that the two (2) doors to the kitchen area is always locked during program hours. 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 10/7/24. 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: Shelter-in-place/lockdown drill: Shelter-in-place/lockdown drill is required every three (3) months. Due to summer closing, program are advised to conduct a shelter-in-place and/or a lockdown drill as soon as the school starts in August/September. 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 PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/23/2024 Number Present: 22 Completed Date: 9/23/2024 Age: From 5 To 10 Total Minutes: 164 Time In: 02:19 PM Time Out: 05:03 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 Mariah Harper, Program Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Ms. Harper 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-eight (88) percent as of 9/23/24 prior to this visit. Permit type – three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios, playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/8/24. The last fire drill was practiced on 8/30/24. The last shelter-in-place drill has not been conducted this school year. The last fire inspection was approved on 9/19/24. The last sanitation inspection was conducted on 3/8/24 with four (4) 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. There were seven (7) children present at the time of my arrival. The children participated in discussions/group time with a group leader. The group transitioned to space #3 and engaged in fall art activities. Around 3:30 pm, additional fifteen (15) children arrived. The children from both groups washed their hands in the bathroom and transitioned to the cafeteria. The children had WOW butter, sunflower kernels, apple cinnamon grahams, apple sauce, veggie juice blend and milk or snack. Two (2) staff files were monitored via Team meeting with Ms. Burke. No medications are currently maintained at this facility. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The transportation was monitored on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The left door to the kitchen area by the microwave in the cafeteria was not locked. In the kitchen area, a bottle of Oasis 146 Multi-Quat Sanitizer and Eco Lab Peroxide Multi-Surface Cleaner was stored on the floor level. Oasis Sanitizer is required to be stored in a locked storage due to its corrosive agent. .2820(b) Technical assistance was provided as follows: # 840: Hazardous products: All hazardous products shall be in accessible to the children. Some of the products required to be stored in a locked storage. In the cafeteria, there are a few chemicals that required to be stored in a locked storage. Please make sure that the two (2) doors to the kitchen area is always locked during program hours. 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 10/7/24. 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: Shelter-in-place/lockdown drill: Shelter-in-place/lockdown drill is required every three (3) months. Due to summer closing, program are advised to conduct a shelter-in-place and/or a lockdown drill as soon as the school starts in August/September. 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 PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 9/23/2024 Number Present: 22 Completed Date: 9/23/2024 Age: From 5 To 10 Total Minutes: 164 Time In: 02:19 PM Time Out: 05:03 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 Mariah Harper, Program Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Ms. Harper 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-eight (88) percent as of 9/23/24 prior to this visit. Permit type – three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios, playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/8/24. The last fire drill was practiced on 8/30/24. The last shelter-in-place drill has not been conducted this school year. The last fire inspection was approved on 9/19/24. The last sanitation inspection was conducted on 3/8/24 with four (4) 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. There were seven (7) children present at the time of my arrival. The children participated in discussions/group time with a group leader. The group transitioned to space #3 and engaged in fall art activities. Around 3:30 pm, additional fifteen (15) children arrived. The children from both groups washed their hands in the bathroom and transitioned to the cafeteria. The children had WOW butter, sunflower kernels, apple cinnamon grahams, apple sauce, veggie juice blend and milk or snack. Two (2) staff files were monitored via Team meeting with Ms. Burke. No medications are currently maintained at this facility. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. The transportation was monitored on 6/4/24. The following violations were documented during today’s visit: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. The left door to the kitchen area by the microwave in the cafeteria was not locked. In the kitchen area, a bottle of Oasis 146 Multi-Quat Sanitizer and Eco Lab Peroxide Multi-Surface Cleaner was stored on the floor level. Oasis Sanitizer is required to be stored in a locked storage due to its corrosive agent. .2820(b) Technical assistance was provided as follows: # 840: Hazardous products: All hazardous products shall be in accessible to the children. Some of the products required to be stored in a locked storage. In the cafeteria, there are a few chemicals that required to be stored in a locked storage. Please make sure that the two (2) doors to the kitchen area is always locked during program hours. 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 10/7/24. 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: Shelter-in-place/lockdown drill: Shelter-in-place/lockdown drill is required every three (3) months. Due to summer closing, program are advised to conduct a shelter-in-place and/or a lockdown drill as soon as the school starts in August/September. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/4/2024 Number Present: 0 Completed Date: 6/4/2024 Age: From 0 To 0 Total Minutes: 90 Time In: 09:45 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance on transportation vehicles used by YMCA afterschool programs. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Delaney Burke, Senior Operations Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Burke was available during the visit. The following buses were monitored at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804: 1) B-1 2) B-2 3) B-4 4) B-5 5) B-7: Not in use 6) B-11 7) M-1: out of commission 8) M-7 9) M-9 : Out of commission 10) M-12 11) M-14: Out of service, mechanic is working on repair 12) M-15: Out of commission due to broken window 13) Unlabeled-1: Old Nutrition Bus, Out of commission, no longer used 14) Unlabeled-2: It will be labeled as (new) M-1 bus All working buses {B-1, B-2, B-4, B-5, B-11, M-7, M-12, Unlabeled-2 (New M-1)} have valid insurance from West Bend Mutual Insurance expiring on 10/1/24. All working vehicles have valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. Seats were monitored for tears. In B-1, the 6th seat from the back on the driver’s side has a tear. In B-2, the 5th seat from the back and the 3rd seat from the back on the driver’s side has a tear. On M-12, the 2nd seat from the back on the driver’s side has a hole on the back of the seat, 3rd seat from the bac on the driver’s side has tears and the 3rd seat from the back on the right side of the bus also has tears. The tires on all buses are in good shape. The staff members have access to the children’s emergency information and records online. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In B-1, the 6th seat from the back on the driver’s side has a tear. In B-2, the 5th seat from the back and the 3rd seat from the back on the driver’s side has a tear. On M-12, the 2nd seat from the back on the driver’s side has a hole on the back of the seat, 3rd seat from the bac on the driver’s side has tears and the 3rd seat from the back on the right side of the bus also has tears. G.S. 110-91(6); .0601(b) Technical assistance was provided as follows: 721: Equipment in good repair All equipment shall be in good repair. Please place duck tape or to cover the tears and holes on the seat. In B-1, the 6th seat from the back on the driver’s side has a tear. In B-2, the 5th seat from the back and the 3rd seat from the back on the driver’s side has a tear. On M-12, the 2nd seat from the back on the driver’s side has a hole on the back of the seat, 3rd seat from the bac on the driver’s side has tears and the 3rd seat from the back on the right side of the bus also has tears. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/18/24. 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. 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 .0601 · Violation

Name of Operation: YMCA PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/4/2024 Number Present: 0 Completed Date: 6/4/2024 Age: From 0 To 0 Total Minutes: 90 Time In: 09:45 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance on transportation vehicles used by YMCA afterschool programs. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Delaney Burke, Senior Operations Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Burke was available during the visit. The following buses were monitored at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804: 1) B-1 2) B-2 3) B-4 4) B-5 5) B-7: Not in use 6) B-11 7) M-1: out of commission 8) M-7 9) M-9 : Out of commission 10) M-12 11) M-14: Out of service, mechanic is working on repair 12) M-15: Out of commission due to broken window 13) Unlabeled-1: Old Nutrition Bus, Out of commission, no longer used 14) Unlabeled-2: It will be labeled as (new) M-1 bus All working buses {B-1, B-2, B-4, B-5, B-11, M-7, M-12, Unlabeled-2 (New M-1)} have valid insurance from West Bend Mutual Insurance expiring on 10/1/24. All working vehicles have valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. Seats were monitored for tears. In B-1, the 6th seat from the back on the driver’s side has a tear. In B-2, the 5th seat from the back and the 3rd seat from the back on the driver’s side has a tear. On M-12, the 2nd seat from the back on the driver’s side has a hole on the back of the seat, 3rd seat from the bac on the driver’s side has tears and the 3rd seat from the back on the right side of the bus also has tears. The tires on all buses are in good shape. The staff members have access to the children’s emergency information and records online. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In B-1, the 6th seat from the back on the driver’s side has a tear. In B-2, the 5th seat from the back and the 3rd seat from the back on the driver’s side has a tear. On M-12, the 2nd seat from the back on the driver’s side has a hole on the back of the seat, 3rd seat from the bac on the driver’s side has tears and the 3rd seat from the back on the right side of the bus also has tears. G.S. 110-91(6); .0601(b) Technical assistance was provided as follows: 721: Equipment in good repair All equipment shall be in good repair. Please place duck tape or to cover the tears and holes on the seat. In B-1, the 6th seat from the back on the driver’s side has a tear. In B-2, the 5th seat from the back and the 3rd seat from the back on the driver’s side has a tear. On M-12, the 2nd seat from the back on the driver’s side has a hole on the back of the seat, 3rd seat from the bac on the driver’s side has tears and the 3rd seat from the back on the right side of the bus also has tears. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/18/24. 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. 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 PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/4/2024 Number Present: 0 Completed Date: 6/4/2024 Age: From 0 To 0 Total Minutes: 90 Time In: 09:45 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance on transportation vehicles used by YMCA afterschool programs. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Delaney Burke, Senior Operations Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Burke was available during the visit. The following buses were monitored at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804: 1) B-1 2) B-2 3) B-4 4) B-5 5) B-7: Not in use 6) B-11 7) M-1: out of commission 8) M-7 9) M-9 : Out of commission 10) M-12 11) M-14: Out of service, mechanic is working on repair 12) M-15: Out of commission due to broken window 13) Unlabeled-1: Old Nutrition Bus, Out of commission, no longer used 14) Unlabeled-2: It will be labeled as (new) M-1 bus All working buses {B-1, B-2, B-4, B-5, B-11, M-7, M-12, Unlabeled-2 (New M-1)} have valid insurance from West Bend Mutual Insurance expiring on 10/1/24. All working vehicles have valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. Seats were monitored for tears. In B-1, the 6th seat from the back on the driver’s side has a tear. In B-2, the 5th seat from the back and the 3rd seat from the back on the driver’s side has a tear. On M-12, the 2nd seat from the back on the driver’s side has a hole on the back of the seat, 3rd seat from the bac on the driver’s side has tears and the 3rd seat from the back on the right side of the bus also has tears. The tires on all buses are in good shape. The staff members have access to the children’s emergency information and records online. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In B-1, the 6th seat from the back on the driver’s side has a tear. In B-2, the 5th seat from the back and the 3rd seat from the back on the driver’s side has a tear. On M-12, the 2nd seat from the back on the driver’s side has a hole on the back of the seat, 3rd seat from the bac on the driver’s side has tears and the 3rd seat from the back on the right side of the bus also has tears. G.S. 110-91(6); .0601(b) Technical assistance was provided as follows: 721: Equipment in good repair All equipment shall be in good repair. Please place duck tape or to cover the tears and holes on the seat. In B-1, the 6th seat from the back on the driver’s side has a tear. In B-2, the 5th seat from the back and the 3rd seat from the back on the driver’s side has a tear. On M-12, the 2nd seat from the back on the driver’s side has a hole on the back of the seat, 3rd seat from the bac on the driver’s side has tears and the 3rd seat from the back on the right side of the bus also has tears. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/18/24. 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. 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 PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/4/2024 Number Present: 0 Completed Date: 6/4/2024 Age: From 0 To 0 Total Minutes: 90 Time In: 09:45 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance on transportation vehicles used by YMCA afterschool programs. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Delaney Burke, Senior Operations Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Burke was available during the visit. The following buses were monitored at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804: 1) B-1 2) B-2 3) B-4 4) B-5 5) B-7: Not in use 6) B-11 7) M-1: out of commission 8) M-7 9) M-9 : Out of commission 10) M-12 11) M-14: Out of service, mechanic is working on repair 12) M-15: Out of commission due to broken window 13) Unlabeled-1: Old Nutrition Bus, Out of commission, no longer used 14) Unlabeled-2: It will be labeled as (new) M-1 bus All working buses {B-1, B-2, B-4, B-5, B-11, M-7, M-12, Unlabeled-2 (New M-1)} have valid insurance from West Bend Mutual Insurance expiring on 10/1/24. All working vehicles have valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. Seats were monitored for tears. In B-1, the 6th seat from the back on the driver’s side has a tear. In B-2, the 5th seat from the back and the 3rd seat from the back on the driver’s side has a tear. On M-12, the 2nd seat from the back on the driver’s side has a hole on the back of the seat, 3rd seat from the bac on the driver’s side has tears and the 3rd seat from the back on the right side of the bus also has tears. The tires on all buses are in good shape. The staff members have access to the children’s emergency information and records online. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In B-1, the 6th seat from the back on the driver’s side has a tear. In B-2, the 5th seat from the back and the 3rd seat from the back on the driver’s side has a tear. On M-12, the 2nd seat from the back on the driver’s side has a hole on the back of the seat, 3rd seat from the bac on the driver’s side has tears and the 3rd seat from the back on the right side of the bus also has tears. G.S. 110-91(6); .0601(b) Technical assistance was provided as follows: 721: Equipment in good repair All equipment shall be in good repair. Please place duck tape or to cover the tears and holes on the seat. In B-1, the 6th seat from the back on the driver’s side has a tear. In B-2, the 5th seat from the back and the 3rd seat from the back on the driver’s side has a tear. On M-12, the 2nd seat from the back on the driver’s side has a hole on the back of the seat, 3rd seat from the bac on the driver’s side has tears and the 3rd seat from the back on the right side of the bus also has tears. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/18/24. 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. 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 PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/4/2024 Number Present: 0 Completed Date: 6/4/2024 Age: From 0 To 0 Total Minutes: 90 Time In: 09:45 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance on transportation vehicles used by YMCA afterschool programs. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Delaney Burke, Senior Operations Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Burke was available during the visit. The following buses were monitored at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804: 1) B-1 2) B-2 3) B-4 4) B-5 5) B-7: Not in use 6) B-11 7) M-1: out of commission 8) M-7 9) M-9 : Out of commission 10) M-12 11) M-14: Out of service, mechanic is working on repair 12) M-15: Out of commission due to broken window 13) Unlabeled-1: Old Nutrition Bus, Out of commission, no longer used 14) Unlabeled-2: It will be labeled as (new) M-1 bus All working buses {B-1, B-2, B-4, B-5, B-11, M-7, M-12, Unlabeled-2 (New M-1)} have valid insurance from West Bend Mutual Insurance expiring on 10/1/24. All working vehicles have valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. Seats were monitored for tears. In B-1, the 6th seat from the back on the driver’s side has a tear. In B-2, the 5th seat from the back and the 3rd seat from the back on the driver’s side has a tear. On M-12, the 2nd seat from the back on the driver’s side has a hole on the back of the seat, 3rd seat from the bac on the driver’s side has tears and the 3rd seat from the back on the right side of the bus also has tears. The tires on all buses are in good shape. The staff members have access to the children’s emergency information and records online. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In B-1, the 6th seat from the back on the driver’s side has a tear. In B-2, the 5th seat from the back and the 3rd seat from the back on the driver’s side has a tear. On M-12, the 2nd seat from the back on the driver’s side has a hole on the back of the seat, 3rd seat from the bac on the driver’s side has tears and the 3rd seat from the back on the right side of the bus also has tears. G.S. 110-91(6); .0601(b) Technical assistance was provided as follows: 721: Equipment in good repair All equipment shall be in good repair. Please place duck tape or to cover the tears and holes on the seat. In B-1, the 6th seat from the back on the driver’s side has a tear. In B-2, the 5th seat from the back and the 3rd seat from the back on the driver’s side has a tear. On M-12, the 2nd seat from the back on the driver’s side has a hole on the back of the seat, 3rd seat from the bac on the driver’s side has tears and the 3rd seat from the back on the right side of the bus also has tears. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/18/24. 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. 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

G.S. 110-91 · Violation

Name of Operation: YMCA PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/4/2024 Number Present: 0 Completed Date: 6/4/2024 Age: From 0 To 0 Total Minutes: 90 Time In: 09:45 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance on transportation vehicles used by YMCA afterschool programs. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Delaney Burke, Senior Operations Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Burke was available during the visit. The following buses were monitored at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804: 1) B-1 2) B-2 3) B-4 4) B-5 5) B-7: Not in use 6) B-11 7) M-1: out of commission 8) M-7 9) M-9 : Out of commission 10) M-12 11) M-14: Out of service, mechanic is working on repair 12) M-15: Out of commission due to broken window 13) Unlabeled-1: Old Nutrition Bus, Out of commission, no longer used 14) Unlabeled-2: It will be labeled as (new) M-1 bus All working buses {B-1, B-2, B-4, B-5, B-11, M-7, M-12, Unlabeled-2 (New M-1)} have valid insurance from West Bend Mutual Insurance expiring on 10/1/24. All working vehicles have valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. Seats were monitored for tears. In B-1, the 6th seat from the back on the driver’s side has a tear. In B-2, the 5th seat from the back and the 3rd seat from the back on the driver’s side has a tear. On M-12, the 2nd seat from the back on the driver’s side has a hole on the back of the seat, 3rd seat from the bac on the driver’s side has tears and the 3rd seat from the back on the right side of the bus also has tears. The tires on all buses are in good shape. The staff members have access to the children’s emergency information and records online. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In B-1, the 6th seat from the back on the driver’s side has a tear. In B-2, the 5th seat from the back and the 3rd seat from the back on the driver’s side has a tear. On M-12, the 2nd seat from the back on the driver’s side has a hole on the back of the seat, 3rd seat from the bac on the driver’s side has tears and the 3rd seat from the back on the right side of the bus also has tears. G.S. 110-91(6); .0601(b) Technical assistance was provided as follows: 721: Equipment in good repair All equipment shall be in good repair. Please place duck tape or to cover the tears and holes on the seat. In B-1, the 6th seat from the back on the driver’s side has a tear. In B-2, the 5th seat from the back and the 3rd seat from the back on the driver’s side has a tear. On M-12, the 2nd seat from the back on the driver’s side has a hole on the back of the seat, 3rd seat from the bac on the driver’s side has tears and the 3rd seat from the back on the right side of the bus also has tears. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/18/24. 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. 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 PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/4/2024 Number Present: 0 Completed Date: 6/4/2024 Age: From 0 To 0 Total Minutes: 90 Time In: 09:45 AM Time Out: 11:15 AM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance on transportation vehicles used by YMCA afterschool programs. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Delaney Burke, Senior Operations Director, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Burke was available during the visit. The following buses were monitored at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804: 1) B-1 2) B-2 3) B-4 4) B-5 5) B-7: Not in use 6) B-11 7) M-1: out of commission 8) M-7 9) M-9 : Out of commission 10) M-12 11) M-14: Out of service, mechanic is working on repair 12) M-15: Out of commission due to broken window 13) Unlabeled-1: Old Nutrition Bus, Out of commission, no longer used 14) Unlabeled-2: It will be labeled as (new) M-1 bus All working buses {B-1, B-2, B-4, B-5, B-11, M-7, M-12, Unlabeled-2 (New M-1)} have valid insurance from West Bend Mutual Insurance expiring on 10/1/24. All working vehicles have valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. Seats were monitored for tears. In B-1, the 6th seat from the back on the driver’s side has a tear. In B-2, the 5th seat from the back and the 3rd seat from the back on the driver’s side has a tear. On M-12, the 2nd seat from the back on the driver’s side has a hole on the back of the seat, 3rd seat from the bac on the driver’s side has tears and the 3rd seat from the back on the right side of the bus also has tears. The tires on all buses are in good shape. The staff members have access to the children’s emergency information and records online. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. In B-1, the 6th seat from the back on the driver’s side has a tear. In B-2, the 5th seat from the back and the 3rd seat from the back on the driver’s side has a tear. On M-12, the 2nd seat from the back on the driver’s side has a hole on the back of the seat, 3rd seat from the bac on the driver’s side has tears and the 3rd seat from the back on the right side of the bus also has tears. G.S. 110-91(6); .0601(b) Technical assistance was provided as follows: 721: Equipment in good repair All equipment shall be in good repair. Please place duck tape or to cover the tears and holes on the seat. In B-1, the 6th seat from the back on the driver’s side has a tear. In B-2, the 5th seat from the back and the 3rd seat from the back on the driver’s side has a tear. On M-12, the 2nd seat from the back on the driver’s side has a hole on the back of the seat, 3rd seat from the bac on the driver’s side has tears and the 3rd seat from the back on the right side of the bus also has tears. 10A NCAC 09 .0601 SAFE ENVIRONMENT (b) All equipment and furnishings shall be in good repair. All commercially manufactured equipment and furnishings shall be assembled and installed according to procedures specified by the manufacturer. For equipment and furnishings purchased after September 1, 2017, that include instructions from the manufacturer, those manufacturer's instructions shall be kept on file at the center, unless they are available electronically for review. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/18/24. 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. 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 .0601 · Violation

Name of Operation: YMCA PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 17 Completed Date: 4/8/2024 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: 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 Cassie Whitehead, Program Coordinator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Whitehead was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today. 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 4/2/24. Permit type – Three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/13/23. The last fire drill was practiced on 3/29/24. The last shelter-in-place drill was practiced on 2/27/24. The last fire inspection was approved on 1/31/23. The last sanitation inspection was conducted on 5/18/23 with three (3) 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. The group of nine (9) children engaged in free play with Legos, magnetic tiles, games and other manipulative toys. Four (4) children left before 3 pm. At 3:38 pm, a group of eight (8) children from another school arrived and joined the program. Total of thirteen (13) children played on the playground. The playground was inspected. The swings have S hooks at the bottom of the chain. The openings ranged from ¼ of an inch to ½ of an inch. Metal bars by the gazebo are rusted in places. Amy Deter, Senior Director of Operations, met with me on TEAM and review one (1) existing staff file, one (1) new staff file and three (3) children’s files. No medications are maintained at this facility. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. The S hooks on the bottom of the chains for the swings have 1/4 inch to 1/2 inch openings. The swing seat and the chain can be separated with 1/2 inch openings. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. The metal structures located by the gazebo are rusted in places. 10A NCAC 09 .0601(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire form for staff member hired on 7/26/21 expired on 2/24/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency information form for staff member hired on 7/26/21 expired on 2/24/24. .0701(a) Technical assistance was provided as follows: 705: equipment The rust on the metal structures by the gazebo has to be painted over or removed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 807: safe environment S hooks on the swings shall be closed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. 1034 and 1035: Health Questionnaire and Emergency information form Both forms must be renewed annually. Please create new forms for the staff member hired on 7/26/21. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. The form is due on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Health Questionnaire, a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children is required for all staff, including the director. The form is due annually following the initial medical statement. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/22/24. 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 information: YMCA Pisgah Afterschool is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 through June 2025. I will contact you in July 2024 to discuss when you need to submit the application. 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 .0304 · Violation

Name of Operation: YMCA PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 17 Completed Date: 4/8/2024 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: 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 Cassie Whitehead, Program Coordinator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Whitehead was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today. 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 4/2/24. Permit type – Three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/13/23. The last fire drill was practiced on 3/29/24. The last shelter-in-place drill was practiced on 2/27/24. The last fire inspection was approved on 1/31/23. The last sanitation inspection was conducted on 5/18/23 with three (3) 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. The group of nine (9) children engaged in free play with Legos, magnetic tiles, games and other manipulative toys. Four (4) children left before 3 pm. At 3:38 pm, a group of eight (8) children from another school arrived and joined the program. Total of thirteen (13) children played on the playground. The playground was inspected. The swings have S hooks at the bottom of the chain. The openings ranged from ¼ of an inch to ½ of an inch. Metal bars by the gazebo are rusted in places. Amy Deter, Senior Director of Operations, met with me on TEAM and review one (1) existing staff file, one (1) new staff file and three (3) children’s files. No medications are maintained at this facility. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. The S hooks on the bottom of the chains for the swings have 1/4 inch to 1/2 inch openings. The swing seat and the chain can be separated with 1/2 inch openings. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. The metal structures located by the gazebo are rusted in places. 10A NCAC 09 .0601(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire form for staff member hired on 7/26/21 expired on 2/24/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency information form for staff member hired on 7/26/21 expired on 2/24/24. .0701(a) Technical assistance was provided as follows: 705: equipment The rust on the metal structures by the gazebo has to be painted over or removed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 807: safe environment S hooks on the swings shall be closed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. 1034 and 1035: Health Questionnaire and Emergency information form Both forms must be renewed annually. Please create new forms for the staff member hired on 7/26/21. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. The form is due on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Health Questionnaire, a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children is required for all staff, including the director. The form is due annually following the initial medical statement. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/22/24. 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 information: YMCA Pisgah Afterschool is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 through June 2025. I will contact you in July 2024 to discuss when you need to submit the application. 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 .0601 · Violation

Name of Operation: YMCA PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 17 Completed Date: 4/8/2024 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: 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 Cassie Whitehead, Program Coordinator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Whitehead was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today. 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 4/2/24. Permit type – Three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/13/23. The last fire drill was practiced on 3/29/24. The last shelter-in-place drill was practiced on 2/27/24. The last fire inspection was approved on 1/31/23. The last sanitation inspection was conducted on 5/18/23 with three (3) 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. The group of nine (9) children engaged in free play with Legos, magnetic tiles, games and other manipulative toys. Four (4) children left before 3 pm. At 3:38 pm, a group of eight (8) children from another school arrived and joined the program. Total of thirteen (13) children played on the playground. The playground was inspected. The swings have S hooks at the bottom of the chain. The openings ranged from ¼ of an inch to ½ of an inch. Metal bars by the gazebo are rusted in places. Amy Deter, Senior Director of Operations, met with me on TEAM and review one (1) existing staff file, one (1) new staff file and three (3) children’s files. No medications are maintained at this facility. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. The S hooks on the bottom of the chains for the swings have 1/4 inch to 1/2 inch openings. The swing seat and the chain can be separated with 1/2 inch openings. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. The metal structures located by the gazebo are rusted in places. 10A NCAC 09 .0601(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire form for staff member hired on 7/26/21 expired on 2/24/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency information form for staff member hired on 7/26/21 expired on 2/24/24. .0701(a) Technical assistance was provided as follows: 705: equipment The rust on the metal structures by the gazebo has to be painted over or removed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 807: safe environment S hooks on the swings shall be closed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. 1034 and 1035: Health Questionnaire and Emergency information form Both forms must be renewed annually. Please create new forms for the staff member hired on 7/26/21. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. The form is due on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Health Questionnaire, a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children is required for all staff, including the director. The form is due annually following the initial medical statement. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/22/24. 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 information: YMCA Pisgah Afterschool is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 through June 2025. I will contact you in July 2024 to discuss when you need to submit the application. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: YMCA PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 17 Completed Date: 4/8/2024 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: 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 Cassie Whitehead, Program Coordinator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Whitehead was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today. 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 4/2/24. Permit type – Three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/13/23. The last fire drill was practiced on 3/29/24. The last shelter-in-place drill was practiced on 2/27/24. The last fire inspection was approved on 1/31/23. The last sanitation inspection was conducted on 5/18/23 with three (3) 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. The group of nine (9) children engaged in free play with Legos, magnetic tiles, games and other manipulative toys. Four (4) children left before 3 pm. At 3:38 pm, a group of eight (8) children from another school arrived and joined the program. Total of thirteen (13) children played on the playground. The playground was inspected. The swings have S hooks at the bottom of the chain. The openings ranged from ¼ of an inch to ½ of an inch. Metal bars by the gazebo are rusted in places. Amy Deter, Senior Director of Operations, met with me on TEAM and review one (1) existing staff file, one (1) new staff file and three (3) children’s files. No medications are maintained at this facility. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. The S hooks on the bottom of the chains for the swings have 1/4 inch to 1/2 inch openings. The swing seat and the chain can be separated with 1/2 inch openings. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. The metal structures located by the gazebo are rusted in places. 10A NCAC 09 .0601(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire form for staff member hired on 7/26/21 expired on 2/24/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency information form for staff member hired on 7/26/21 expired on 2/24/24. .0701(a) Technical assistance was provided as follows: 705: equipment The rust on the metal structures by the gazebo has to be painted over or removed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 807: safe environment S hooks on the swings shall be closed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. 1034 and 1035: Health Questionnaire and Emergency information form Both forms must be renewed annually. Please create new forms for the staff member hired on 7/26/21. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. The form is due on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Health Questionnaire, a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children is required for all staff, including the director. The form is due annually following the initial medical statement. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/22/24. 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 information: YMCA Pisgah Afterschool is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 through June 2025. I will contact you in July 2024 to discuss when you need to submit the application. 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 PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 17 Completed Date: 4/8/2024 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: 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 Cassie Whitehead, Program Coordinator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Whitehead was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today. 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 4/2/24. Permit type – Three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/13/23. The last fire drill was practiced on 3/29/24. The last shelter-in-place drill was practiced on 2/27/24. The last fire inspection was approved on 1/31/23. The last sanitation inspection was conducted on 5/18/23 with three (3) 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. The group of nine (9) children engaged in free play with Legos, magnetic tiles, games and other manipulative toys. Four (4) children left before 3 pm. At 3:38 pm, a group of eight (8) children from another school arrived and joined the program. Total of thirteen (13) children played on the playground. The playground was inspected. The swings have S hooks at the bottom of the chain. The openings ranged from ¼ of an inch to ½ of an inch. Metal bars by the gazebo are rusted in places. Amy Deter, Senior Director of Operations, met with me on TEAM and review one (1) existing staff file, one (1) new staff file and three (3) children’s files. No medications are maintained at this facility. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. The S hooks on the bottom of the chains for the swings have 1/4 inch to 1/2 inch openings. The swing seat and the chain can be separated with 1/2 inch openings. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. The metal structures located by the gazebo are rusted in places. 10A NCAC 09 .0601(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire form for staff member hired on 7/26/21 expired on 2/24/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency information form for staff member hired on 7/26/21 expired on 2/24/24. .0701(a) Technical assistance was provided as follows: 705: equipment The rust on the metal structures by the gazebo has to be painted over or removed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 807: safe environment S hooks on the swings shall be closed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. 1034 and 1035: Health Questionnaire and Emergency information form Both forms must be renewed annually. Please create new forms for the staff member hired on 7/26/21. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. The form is due on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Health Questionnaire, a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children is required for all staff, including the director. The form is due annually following the initial medical statement. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/22/24. 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 information: YMCA Pisgah Afterschool is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 through June 2025. I will contact you in July 2024 to discuss when you need to submit the application. 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 PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 17 Completed Date: 4/8/2024 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: 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 Cassie Whitehead, Program Coordinator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Whitehead was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today. 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 4/2/24. Permit type – Three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/13/23. The last fire drill was practiced on 3/29/24. The last shelter-in-place drill was practiced on 2/27/24. The last fire inspection was approved on 1/31/23. The last sanitation inspection was conducted on 5/18/23 with three (3) 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. The group of nine (9) children engaged in free play with Legos, magnetic tiles, games and other manipulative toys. Four (4) children left before 3 pm. At 3:38 pm, a group of eight (8) children from another school arrived and joined the program. Total of thirteen (13) children played on the playground. The playground was inspected. The swings have S hooks at the bottom of the chain. The openings ranged from ¼ of an inch to ½ of an inch. Metal bars by the gazebo are rusted in places. Amy Deter, Senior Director of Operations, met with me on TEAM and review one (1) existing staff file, one (1) new staff file and three (3) children’s files. No medications are maintained at this facility. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. The S hooks on the bottom of the chains for the swings have 1/4 inch to 1/2 inch openings. The swing seat and the chain can be separated with 1/2 inch openings. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. The metal structures located by the gazebo are rusted in places. 10A NCAC 09 .0601(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire form for staff member hired on 7/26/21 expired on 2/24/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency information form for staff member hired on 7/26/21 expired on 2/24/24. .0701(a) Technical assistance was provided as follows: 705: equipment The rust on the metal structures by the gazebo has to be painted over or removed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 807: safe environment S hooks on the swings shall be closed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. 1034 and 1035: Health Questionnaire and Emergency information form Both forms must be renewed annually. Please create new forms for the staff member hired on 7/26/21. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. The form is due on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Health Questionnaire, a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children is required for all staff, including the director. The form is due annually following the initial medical statement. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/22/24. 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 information: YMCA Pisgah Afterschool is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 through June 2025. I will contact you in July 2024 to discuss when you need to submit the application. 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 PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 17 Completed Date: 4/8/2024 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: 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 Cassie Whitehead, Program Coordinator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Whitehead was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today. 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 4/2/24. Permit type – Three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/13/23. The last fire drill was practiced on 3/29/24. The last shelter-in-place drill was practiced on 2/27/24. The last fire inspection was approved on 1/31/23. The last sanitation inspection was conducted on 5/18/23 with three (3) 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. The group of nine (9) children engaged in free play with Legos, magnetic tiles, games and other manipulative toys. Four (4) children left before 3 pm. At 3:38 pm, a group of eight (8) children from another school arrived and joined the program. Total of thirteen (13) children played on the playground. The playground was inspected. The swings have S hooks at the bottom of the chain. The openings ranged from ¼ of an inch to ½ of an inch. Metal bars by the gazebo are rusted in places. Amy Deter, Senior Director of Operations, met with me on TEAM and review one (1) existing staff file, one (1) new staff file and three (3) children’s files. No medications are maintained at this facility. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. The S hooks on the bottom of the chains for the swings have 1/4 inch to 1/2 inch openings. The swing seat and the chain can be separated with 1/2 inch openings. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. The metal structures located by the gazebo are rusted in places. 10A NCAC 09 .0601(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire form for staff member hired on 7/26/21 expired on 2/24/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency information form for staff member hired on 7/26/21 expired on 2/24/24. .0701(a) Technical assistance was provided as follows: 705: equipment The rust on the metal structures by the gazebo has to be painted over or removed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 807: safe environment S hooks on the swings shall be closed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. 1034 and 1035: Health Questionnaire and Emergency information form Both forms must be renewed annually. Please create new forms for the staff member hired on 7/26/21. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. The form is due on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Health Questionnaire, a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children is required for all staff, including the director. The form is due annually following the initial medical statement. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/22/24. 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 information: YMCA Pisgah Afterschool is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 through June 2025. I will contact you in July 2024 to discuss when you need to submit the application. 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 PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/8/2024 Number Present: 17 Completed Date: 4/8/2024 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: 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 Cassie Whitehead, Program Coordinator during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Ms. Whitehead was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today. 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 4/2/24. Permit type – Three-star center license issued on 8/3/22. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/13/23. The last fire drill was practiced on 3/29/24. The last shelter-in-place drill was practiced on 2/27/24. The last fire inspection was approved on 1/31/23. The last sanitation inspection was conducted on 5/18/23 with three (3) 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. The group of nine (9) children engaged in free play with Legos, magnetic tiles, games and other manipulative toys. Four (4) children left before 3 pm. At 3:38 pm, a group of eight (8) children from another school arrived and joined the program. Total of thirteen (13) children played on the playground. The playground was inspected. The swings have S hooks at the bottom of the chain. The openings ranged from ¼ of an inch to ½ of an inch. Metal bars by the gazebo are rusted in places. Amy Deter, Senior Director of Operations, met with me on TEAM and review one (1) existing staff file, one (1) new staff file and three (3) children’s files. No medications are maintained at this facility. Supervision and interactions were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ YMCA transportation monitoring was conducted on 4/27/23 at Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. 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 705 Equipment and furnishings were not sturdy, stable and free of hazards. The S hooks on the bottom of the chains for the swings have 1/4 inch to 1/2 inch openings. The swing seat and the chain can be separated with 1/2 inch openings. .0601(c) 807 A safe indoor and outdoor environment was not provided for the children. The metal structures located by the gazebo are rusted in places. 10A NCAC 09 .0601(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire form for staff member hired on 7/26/21 expired on 2/24/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency information form for staff member hired on 7/26/21 expired on 2/24/24. .0701(a) Technical assistance was provided as follows: 705: equipment The rust on the metal structures by the gazebo has to be painted over or removed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (c) Equipment and furnishings shall be sturdy, stable, and free of hazards that may injure children including sharp edges, lead based or peeling paint, rust, loose nails, splinters, protrusions (excluding nuts and bolts on sides of fences), and pinch and crush points. 807: safe environment S hooks on the swings shall be closed. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. 1034 and 1035: Health Questionnaire and Emergency information form Both forms must be renewed annually. Please create new forms for the staff member hired on 7/26/21. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers. The form is due on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Health Questionnaire, a statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children is required for all staff, including the director. The form is due annually following the initial medical statement. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/22/24. 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 information: YMCA Pisgah Afterschool is in cohort one (1). Your prep-year is current, and the assessment year will be July 2024 through June 2025. I will contact you in July 2024 to discuss when you need to submit the application. 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 .0102 · Violation

Name of Operation: YMCA PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 19 Completed Date: 10/11/2023 Age: From 5 To 10 Total Minutes: 120 Time In: 02:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Cassie Whitehead, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Cassie Whitehead, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percentage as of 10/6/23. Permit type – Three-star center license issued on 8/3/2022. Special Services/Restrictions – daytime care, school age only, meet enhanced space and reduced ratios, playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/13/23. The last fire drill was practiced on 9/21/23. The last shelter-in-place drill was practiced on 6/9/23. The last fire inspection was approved on 1/31/23. The last sanitation inspection was conducted on 5/18/23 with three (3) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announce my presence and the purpose of the visit. Initially, nine (9) children were present. The children used space #3 art room and engaged in coloring, games, beads, and string. The group transitioned to the gym, where the children played games, magnetic tiles, car tracks, marble tower, toy vehicles, games, pretend food stores, etc. At 3:20 pm, five (5) additional children arrived. At 3:41 pm, five (5) more children arrived. The total number of children was nineteen (19). Snacks were provided during the visit in the cafeteria. Today’s menu was WOW butter, sunflower kernels, tortilla, jelly packet, apple sauce, veggie juice blend and milk. No hazardous products were accessible to children in cafeteria. The playground was monitored. There are climbers, metal bars, slide structures and swings available to children. No hazards were observed on the playground. Supervision and interaction with children were adequate. Space#5 library/media center, #6 computer lab are no longer used the program. The spaces are removed from the licensing space. One (1) new staff member’s file was monitored in full, and one (1) existing staff member’s file was reviewed partially. Both staff members’ criminal background letters and CPR/FA certification are in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The staff member hired on 4/14/23 did not have an emergency information form in file. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place/lockdown drill was completed on 6/9/23. .0604(u);.0302(d)(8) 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 4/14/23 has not completed BSAC training. .2510(j) Technical assistance was provided as follows: 1035: Emergency Information An emergency information form is required prior to or on the first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency information form is a form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. It is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1811: Shelter-in-place/lockdown drill A shelter-in-place/lockdown drill is required every three (3) months. 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). 1921: BSAC training BSAC training shall be completed within three (3) months of employment. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/25/23. 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 Pisgah Afterschool is in cohort one (1). Your prep year is current through June 2024, and the assessment year will be July 2024 to June 2025. Please update alternate person on Emergency Medical Care (EMC) plan. Reminder: Staff member, CW needs to renew First aid/CPR within October, 2023. 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 PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 19 Completed Date: 10/11/2023 Age: From 5 To 10 Total Minutes: 120 Time In: 02:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Cassie Whitehead, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Cassie Whitehead, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percentage as of 10/6/23. Permit type – Three-star center license issued on 8/3/2022. Special Services/Restrictions – daytime care, school age only, meet enhanced space and reduced ratios, playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/13/23. The last fire drill was practiced on 9/21/23. The last shelter-in-place drill was practiced on 6/9/23. The last fire inspection was approved on 1/31/23. The last sanitation inspection was conducted on 5/18/23 with three (3) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announce my presence and the purpose of the visit. Initially, nine (9) children were present. The children used space #3 art room and engaged in coloring, games, beads, and string. The group transitioned to the gym, where the children played games, magnetic tiles, car tracks, marble tower, toy vehicles, games, pretend food stores, etc. At 3:20 pm, five (5) additional children arrived. At 3:41 pm, five (5) more children arrived. The total number of children was nineteen (19). Snacks were provided during the visit in the cafeteria. Today’s menu was WOW butter, sunflower kernels, tortilla, jelly packet, apple sauce, veggie juice blend and milk. No hazardous products were accessible to children in cafeteria. The playground was monitored. There are climbers, metal bars, slide structures and swings available to children. No hazards were observed on the playground. Supervision and interaction with children were adequate. Space#5 library/media center, #6 computer lab are no longer used the program. The spaces are removed from the licensing space. One (1) new staff member’s file was monitored in full, and one (1) existing staff member’s file was reviewed partially. Both staff members’ criminal background letters and CPR/FA certification are in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The staff member hired on 4/14/23 did not have an emergency information form in file. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place/lockdown drill was completed on 6/9/23. .0604(u);.0302(d)(8) 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 4/14/23 has not completed BSAC training. .2510(j) Technical assistance was provided as follows: 1035: Emergency Information An emergency information form is required prior to or on the first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency information form is a form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. It is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1811: Shelter-in-place/lockdown drill A shelter-in-place/lockdown drill is required every three (3) months. 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). 1921: BSAC training BSAC training shall be completed within three (3) months of employment. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/25/23. 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 Pisgah Afterschool is in cohort one (1). Your prep year is current through June 2024, and the assessment year will be July 2024 to June 2025. Please update alternate person on Emergency Medical Care (EMC) plan. Reminder: Staff member, CW needs to renew First aid/CPR within October, 2023. 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 PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 19 Completed Date: 10/11/2023 Age: From 5 To 10 Total Minutes: 120 Time In: 02:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Cassie Whitehead, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Cassie Whitehead, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percentage as of 10/6/23. Permit type – Three-star center license issued on 8/3/2022. Special Services/Restrictions – daytime care, school age only, meet enhanced space and reduced ratios, playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/13/23. The last fire drill was practiced on 9/21/23. The last shelter-in-place drill was practiced on 6/9/23. The last fire inspection was approved on 1/31/23. The last sanitation inspection was conducted on 5/18/23 with three (3) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announce my presence and the purpose of the visit. Initially, nine (9) children were present. The children used space #3 art room and engaged in coloring, games, beads, and string. The group transitioned to the gym, where the children played games, magnetic tiles, car tracks, marble tower, toy vehicles, games, pretend food stores, etc. At 3:20 pm, five (5) additional children arrived. At 3:41 pm, five (5) more children arrived. The total number of children was nineteen (19). Snacks were provided during the visit in the cafeteria. Today’s menu was WOW butter, sunflower kernels, tortilla, jelly packet, apple sauce, veggie juice blend and milk. No hazardous products were accessible to children in cafeteria. The playground was monitored. There are climbers, metal bars, slide structures and swings available to children. No hazards were observed on the playground. Supervision and interaction with children were adequate. Space#5 library/media center, #6 computer lab are no longer used the program. The spaces are removed from the licensing space. One (1) new staff member’s file was monitored in full, and one (1) existing staff member’s file was reviewed partially. Both staff members’ criminal background letters and CPR/FA certification are in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The staff member hired on 4/14/23 did not have an emergency information form in file. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place/lockdown drill was completed on 6/9/23. .0604(u);.0302(d)(8) 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 4/14/23 has not completed BSAC training. .2510(j) Technical assistance was provided as follows: 1035: Emergency Information An emergency information form is required prior to or on the first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency information form is a form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. It is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1811: Shelter-in-place/lockdown drill A shelter-in-place/lockdown drill is required every three (3) months. 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). 1921: BSAC training BSAC training shall be completed within three (3) months of employment. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/25/23. 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 Pisgah Afterschool is in cohort one (1). Your prep year is current through June 2024, and the assessment year will be July 2024 to June 2025. Please update alternate person on Emergency Medical Care (EMC) plan. Reminder: Staff member, CW needs to renew First aid/CPR within October, 2023. 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 PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 19 Completed Date: 10/11/2023 Age: From 5 To 10 Total Minutes: 120 Time In: 02:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Cassie Whitehead, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Cassie Whitehead, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percentage as of 10/6/23. Permit type – Three-star center license issued on 8/3/2022. Special Services/Restrictions – daytime care, school age only, meet enhanced space and reduced ratios, playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/13/23. The last fire drill was practiced on 9/21/23. The last shelter-in-place drill was practiced on 6/9/23. The last fire inspection was approved on 1/31/23. The last sanitation inspection was conducted on 5/18/23 with three (3) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announce my presence and the purpose of the visit. Initially, nine (9) children were present. The children used space #3 art room and engaged in coloring, games, beads, and string. The group transitioned to the gym, where the children played games, magnetic tiles, car tracks, marble tower, toy vehicles, games, pretend food stores, etc. At 3:20 pm, five (5) additional children arrived. At 3:41 pm, five (5) more children arrived. The total number of children was nineteen (19). Snacks were provided during the visit in the cafeteria. Today’s menu was WOW butter, sunflower kernels, tortilla, jelly packet, apple sauce, veggie juice blend and milk. No hazardous products were accessible to children in cafeteria. The playground was monitored. There are climbers, metal bars, slide structures and swings available to children. No hazards were observed on the playground. Supervision and interaction with children were adequate. Space#5 library/media center, #6 computer lab are no longer used the program. The spaces are removed from the licensing space. One (1) new staff member’s file was monitored in full, and one (1) existing staff member’s file was reviewed partially. Both staff members’ criminal background letters and CPR/FA certification are in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The staff member hired on 4/14/23 did not have an emergency information form in file. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place/lockdown drill was completed on 6/9/23. .0604(u);.0302(d)(8) 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 4/14/23 has not completed BSAC training. .2510(j) Technical assistance was provided as follows: 1035: Emergency Information An emergency information form is required prior to or on the first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency information form is a form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. It is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1811: Shelter-in-place/lockdown drill A shelter-in-place/lockdown drill is required every three (3) months. 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). 1921: BSAC training BSAC training shall be completed within three (3) months of employment. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/25/23. 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 Pisgah Afterschool is in cohort one (1). Your prep year is current through June 2024, and the assessment year will be July 2024 to June 2025. Please update alternate person on Emergency Medical Care (EMC) plan. Reminder: Staff member, CW needs to renew First aid/CPR within October, 2023. If you have any questions or concerns regarding the Stabilization, Expansion and Access Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: YMCA PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 19 Completed Date: 10/11/2023 Age: From 5 To 10 Total Minutes: 120 Time In: 02:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Cassie Whitehead, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Cassie Whitehead, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percentage as of 10/6/23. Permit type – Three-star center license issued on 8/3/2022. Special Services/Restrictions – daytime care, school age only, meet enhanced space and reduced ratios, playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/13/23. The last fire drill was practiced on 9/21/23. The last shelter-in-place drill was practiced on 6/9/23. The last fire inspection was approved on 1/31/23. The last sanitation inspection was conducted on 5/18/23 with three (3) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announce my presence and the purpose of the visit. Initially, nine (9) children were present. The children used space #3 art room and engaged in coloring, games, beads, and string. The group transitioned to the gym, where the children played games, magnetic tiles, car tracks, marble tower, toy vehicles, games, pretend food stores, etc. At 3:20 pm, five (5) additional children arrived. At 3:41 pm, five (5) more children arrived. The total number of children was nineteen (19). Snacks were provided during the visit in the cafeteria. Today’s menu was WOW butter, sunflower kernels, tortilla, jelly packet, apple sauce, veggie juice blend and milk. No hazardous products were accessible to children in cafeteria. The playground was monitored. There are climbers, metal bars, slide structures and swings available to children. No hazards were observed on the playground. Supervision and interaction with children were adequate. Space#5 library/media center, #6 computer lab are no longer used the program. The spaces are removed from the licensing space. One (1) new staff member’s file was monitored in full, and one (1) existing staff member’s file was reviewed partially. Both staff members’ criminal background letters and CPR/FA certification are in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The staff member hired on 4/14/23 did not have an emergency information form in file. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place/lockdown drill was completed on 6/9/23. .0604(u);.0302(d)(8) 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 4/14/23 has not completed BSAC training. .2510(j) Technical assistance was provided as follows: 1035: Emergency Information An emergency information form is required prior to or on the first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency information form is a form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. It is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1811: Shelter-in-place/lockdown drill A shelter-in-place/lockdown drill is required every three (3) months. 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). 1921: BSAC training BSAC training shall be completed within three (3) months of employment. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/25/23. 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 Pisgah Afterschool is in cohort one (1). Your prep year is current through June 2024, and the assessment year will be July 2024 to June 2025. Please update alternate person on Emergency Medical Care (EMC) plan. Reminder: Staff member, CW needs to renew First aid/CPR within October, 2023. 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 PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 19 Completed Date: 10/11/2023 Age: From 5 To 10 Total Minutes: 120 Time In: 02:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Cassie Whitehead, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Cassie Whitehead, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percentage as of 10/6/23. Permit type – Three-star center license issued on 8/3/2022. Special Services/Restrictions – daytime care, school age only, meet enhanced space and reduced ratios, playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/13/23. The last fire drill was practiced on 9/21/23. The last shelter-in-place drill was practiced on 6/9/23. The last fire inspection was approved on 1/31/23. The last sanitation inspection was conducted on 5/18/23 with three (3) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announce my presence and the purpose of the visit. Initially, nine (9) children were present. The children used space #3 art room and engaged in coloring, games, beads, and string. The group transitioned to the gym, where the children played games, magnetic tiles, car tracks, marble tower, toy vehicles, games, pretend food stores, etc. At 3:20 pm, five (5) additional children arrived. At 3:41 pm, five (5) more children arrived. The total number of children was nineteen (19). Snacks were provided during the visit in the cafeteria. Today’s menu was WOW butter, sunflower kernels, tortilla, jelly packet, apple sauce, veggie juice blend and milk. No hazardous products were accessible to children in cafeteria. The playground was monitored. There are climbers, metal bars, slide structures and swings available to children. No hazards were observed on the playground. Supervision and interaction with children were adequate. Space#5 library/media center, #6 computer lab are no longer used the program. The spaces are removed from the licensing space. One (1) new staff member’s file was monitored in full, and one (1) existing staff member’s file was reviewed partially. Both staff members’ criminal background letters and CPR/FA certification are in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The staff member hired on 4/14/23 did not have an emergency information form in file. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place/lockdown drill was completed on 6/9/23. .0604(u);.0302(d)(8) 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 4/14/23 has not completed BSAC training. .2510(j) Technical assistance was provided as follows: 1035: Emergency Information An emergency information form is required prior to or on the first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency information form is a form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. It is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1811: Shelter-in-place/lockdown drill A shelter-in-place/lockdown drill is required every three (3) months. 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). 1921: BSAC training BSAC training shall be completed within three (3) months of employment. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/25/23. 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 Pisgah Afterschool is in cohort one (1). Your prep year is current through June 2024, and the assessment year will be July 2024 to June 2025. Please update alternate person on Emergency Medical Care (EMC) plan. Reminder: Staff member, CW needs to renew First aid/CPR within October, 2023. 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 PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 19 Completed Date: 10/11/2023 Age: From 5 To 10 Total Minutes: 120 Time In: 02:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Cassie Whitehead, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Cassie Whitehead, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percentage as of 10/6/23. Permit type – Three-star center license issued on 8/3/2022. Special Services/Restrictions – daytime care, school age only, meet enhanced space and reduced ratios, playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/13/23. The last fire drill was practiced on 9/21/23. The last shelter-in-place drill was practiced on 6/9/23. The last fire inspection was approved on 1/31/23. The last sanitation inspection was conducted on 5/18/23 with three (3) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announce my presence and the purpose of the visit. Initially, nine (9) children were present. The children used space #3 art room and engaged in coloring, games, beads, and string. The group transitioned to the gym, where the children played games, magnetic tiles, car tracks, marble tower, toy vehicles, games, pretend food stores, etc. At 3:20 pm, five (5) additional children arrived. At 3:41 pm, five (5) more children arrived. The total number of children was nineteen (19). Snacks were provided during the visit in the cafeteria. Today’s menu was WOW butter, sunflower kernels, tortilla, jelly packet, apple sauce, veggie juice blend and milk. No hazardous products were accessible to children in cafeteria. The playground was monitored. There are climbers, metal bars, slide structures and swings available to children. No hazards were observed on the playground. Supervision and interaction with children were adequate. Space#5 library/media center, #6 computer lab are no longer used the program. The spaces are removed from the licensing space. One (1) new staff member’s file was monitored in full, and one (1) existing staff member’s file was reviewed partially. Both staff members’ criminal background letters and CPR/FA certification are in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The staff member hired on 4/14/23 did not have an emergency information form in file. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place/lockdown drill was completed on 6/9/23. .0604(u);.0302(d)(8) 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 4/14/23 has not completed BSAC training. .2510(j) Technical assistance was provided as follows: 1035: Emergency Information An emergency information form is required prior to or on the first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency information form is a form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. It is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1811: Shelter-in-place/lockdown drill A shelter-in-place/lockdown drill is required every three (3) months. 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). 1921: BSAC training BSAC training shall be completed within three (3) months of employment. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/25/23. 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 Pisgah Afterschool is in cohort one (1). Your prep year is current through June 2024, and the assessment year will be July 2024 to June 2025. Please update alternate person on Emergency Medical Care (EMC) plan. Reminder: Staff member, CW needs to renew First aid/CPR within October, 2023. 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 PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 19 Completed Date: 10/11/2023 Age: From 5 To 10 Total Minutes: 120 Time In: 02:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Cassie Whitehead, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Cassie Whitehead, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percentage as of 10/6/23. Permit type – Three-star center license issued on 8/3/2022. Special Services/Restrictions – daytime care, school age only, meet enhanced space and reduced ratios, playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/13/23. The last fire drill was practiced on 9/21/23. The last shelter-in-place drill was practiced on 6/9/23. The last fire inspection was approved on 1/31/23. The last sanitation inspection was conducted on 5/18/23 with three (3) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announce my presence and the purpose of the visit. Initially, nine (9) children were present. The children used space #3 art room and engaged in coloring, games, beads, and string. The group transitioned to the gym, where the children played games, magnetic tiles, car tracks, marble tower, toy vehicles, games, pretend food stores, etc. At 3:20 pm, five (5) additional children arrived. At 3:41 pm, five (5) more children arrived. The total number of children was nineteen (19). Snacks were provided during the visit in the cafeteria. Today’s menu was WOW butter, sunflower kernels, tortilla, jelly packet, apple sauce, veggie juice blend and milk. No hazardous products were accessible to children in cafeteria. The playground was monitored. There are climbers, metal bars, slide structures and swings available to children. No hazards were observed on the playground. Supervision and interaction with children were adequate. Space#5 library/media center, #6 computer lab are no longer used the program. The spaces are removed from the licensing space. One (1) new staff member’s file was monitored in full, and one (1) existing staff member’s file was reviewed partially. Both staff members’ criminal background letters and CPR/FA certification are in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The staff member hired on 4/14/23 did not have an emergency information form in file. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place/lockdown drill was completed on 6/9/23. .0604(u);.0302(d)(8) 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 4/14/23 has not completed BSAC training. .2510(j) Technical assistance was provided as follows: 1035: Emergency Information An emergency information form is required prior to or on the first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency information form is a form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. It is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1811: Shelter-in-place/lockdown drill A shelter-in-place/lockdown drill is required every three (3) months. 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). 1921: BSAC training BSAC training shall be completed within three (3) months of employment. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/25/23. 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 Pisgah Afterschool is in cohort one (1). Your prep year is current through June 2024, and the assessment year will be July 2024 to June 2025. Please update alternate person on Emergency Medical Care (EMC) plan. Reminder: Staff member, CW needs to renew First aid/CPR within October, 2023. 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 PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 19 Completed Date: 10/11/2023 Age: From 5 To 10 Total Minutes: 120 Time In: 02:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Cassie Whitehead, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Cassie Whitehead, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percentage as of 10/6/23. Permit type – Three-star center license issued on 8/3/2022. Special Services/Restrictions – daytime care, school age only, meet enhanced space and reduced ratios, playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/13/23. The last fire drill was practiced on 9/21/23. The last shelter-in-place drill was practiced on 6/9/23. The last fire inspection was approved on 1/31/23. The last sanitation inspection was conducted on 5/18/23 with three (3) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announce my presence and the purpose of the visit. Initially, nine (9) children were present. The children used space #3 art room and engaged in coloring, games, beads, and string. The group transitioned to the gym, where the children played games, magnetic tiles, car tracks, marble tower, toy vehicles, games, pretend food stores, etc. At 3:20 pm, five (5) additional children arrived. At 3:41 pm, five (5) more children arrived. The total number of children was nineteen (19). Snacks were provided during the visit in the cafeteria. Today’s menu was WOW butter, sunflower kernels, tortilla, jelly packet, apple sauce, veggie juice blend and milk. No hazardous products were accessible to children in cafeteria. The playground was monitored. There are climbers, metal bars, slide structures and swings available to children. No hazards were observed on the playground. Supervision and interaction with children were adequate. Space#5 library/media center, #6 computer lab are no longer used the program. The spaces are removed from the licensing space. One (1) new staff member’s file was monitored in full, and one (1) existing staff member’s file was reviewed partially. Both staff members’ criminal background letters and CPR/FA certification are in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The staff member hired on 4/14/23 did not have an emergency information form in file. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place/lockdown drill was completed on 6/9/23. .0604(u);.0302(d)(8) 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 4/14/23 has not completed BSAC training. .2510(j) Technical assistance was provided as follows: 1035: Emergency Information An emergency information form is required prior to or on the first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency information form is a form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. It is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1811: Shelter-in-place/lockdown drill A shelter-in-place/lockdown drill is required every three (3) months. 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). 1921: BSAC training BSAC training shall be completed within three (3) months of employment. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/25/23. 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 Pisgah Afterschool is in cohort one (1). Your prep year is current through June 2024, and the assessment year will be July 2024 to June 2025. Please update alternate person on Emergency Medical Care (EMC) plan. Reminder: Staff member, CW needs to renew First aid/CPR within October, 2023. 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 PISGAH AFTERSCHOOL Facility ID: 11000677 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/11/2023 Number Present: 19 Completed Date: 10/11/2023 Age: From 5 To 10 Total Minutes: 120 Time In: 02:30 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Cassie Whitehead, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Today, Cassie Whitehead, Program Coordinator, was available during today’s visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percentage as of 10/6/23. Permit type – Three-star center license issued on 8/3/2022. Special Services/Restrictions – daytime care, school age only, meet enhanced space and reduced ratios, playground does not meet child care safety standards. The last annual compliance visit was conducted on 4/13/23. The last fire drill was practiced on 9/21/23. The last shelter-in-place drill was practiced on 6/9/23. The last fire inspection was approved on 1/31/23. The last sanitation inspection was conducted on 5/18/23 with three (3) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announce my presence and the purpose of the visit. Initially, nine (9) children were present. The children used space #3 art room and engaged in coloring, games, beads, and string. The group transitioned to the gym, where the children played games, magnetic tiles, car tracks, marble tower, toy vehicles, games, pretend food stores, etc. At 3:20 pm, five (5) additional children arrived. At 3:41 pm, five (5) more children arrived. The total number of children was nineteen (19). Snacks were provided during the visit in the cafeteria. Today’s menu was WOW butter, sunflower kernels, tortilla, jelly packet, apple sauce, veggie juice blend and milk. No hazardous products were accessible to children in cafeteria. The playground was monitored. There are climbers, metal bars, slide structures and swings available to children. No hazards were observed on the playground. Supervision and interaction with children were adequate. Space#5 library/media center, #6 computer lab are no longer used the program. The spaces are removed from the licensing space. One (1) new staff member’s file was monitored in full, and one (1) existing staff member’s file was reviewed partially. Both staff members’ criminal background letters and CPR/FA certification are in file. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ 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 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The staff member hired on 4/14/23 did not have an emergency information form in file. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter-in-place/lockdown drill was completed on 6/9/23. .0604(u);.0302(d)(8) 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 4/14/23 has not completed BSAC training. .2510(j) Technical assistance was provided as follows: 1035: Emergency Information An emergency information form is required prior to or on the first day of employment. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Emergency information form is a form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. It is required for child care providers, including the director, uncompensated providers, substitute providers, and volunteers on or before the first day of work. The emergency information shall be updated as changes occur and at least annually. 1811: Shelter-in-place/lockdown drill A shelter-in-place/lockdown drill is required every three (3) months. 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). 1921: BSAC training BSAC training shall be completed within three (3) months of employment. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/25/23. 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 Pisgah Afterschool is in cohort one (1). Your prep year is current through June 2024, and the assessment year will be July 2024 to June 2025. Please update alternate person on Emergency Medical Care (EMC) plan. Reminder: Staff member, CW needs to renew First aid/CPR within October, 2023. 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