10A NCAC 09 .0604 · Violation

Name of Operation: MORRISON FAMILY YMCA Facility ID: 60003524 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/14/2024 Number Present: 9 Completed Date: 10/14/2024 Age: From 0 To 4 Total Minutes: 270 Time In: 10:15 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during an Annual Compliance Visit. The April 2024 Iitem Number Listing and Annual Compliance Monitoring Checklist were used during today’s visit. The facility currently has a One Star License with an effective date of March 11, 2022. The last Annual Compliance visit was conducted on October 19, 2023. The compliance history was 90% prior to today’s visit. The NC Secretary of State website was reviewed on October 14, 2024. The YMCA of Greater Charlotte is listed as active-current. Upon arrival I was directed to the child care facility area and greeted by Mary Beth Taraska, Senior Program Director, Youth Services. Ms. Taraska showed me the program board and explained the Director. Asena Konuralp, Director would arrive shortly to assist me with the compliance visit. While waiting, I was able to monitor the program board and observed all items posted in compliance. I was able to observe staff interacting with the infants and toddlers. When Ms. Konuralp arrived, she and Ms. Taraska asked about market rates for staff wages and tuition. I shared that Child Care Resources and the NCDDEE website have resources available to check market rates for tuition. I suggested researching wage information through the TEACH and WAGES programs. I also shared information regarding reaching for the stars. Please see the Technical Assistance section for additional resources. I shared I will email a resource guide to assist with future planning. Ms. Konuralp escorted me with the office and then accompanied on a walkthrough of the indoor and outdoor spaces. Toddlers enrolled in space #1B were playing with puzzles in a teacher directed activity. I observed a plastic wrapper on the cots accessible to children. The backpacks are stor4ed on a low coat rack. Ms. Asena assisted me in looking through them. We observed clothing stored in a plastic grocery bag accessible to the children. Both plastic bags were removed immediately. The lesson plan was not posted for this week however it was brought and added while I was in the infant room. Infants in Space 1A were observed playing on the floor and in a stationary walker. One child was crying and inconsolable. Several staff members attended to her needs and responded to her during the time I was monitoring compliance in the classroom. Staff tones were nurturing and caring. I observed the items required to be posted and found the lesson plan dated for the week of October 7th. Ms. Asena changed it to the correct week immediately. One cabinet was observed not closed properly, I was able to open it easily. Dish soap was stored in the cabinet accessible to children. Ms. Asena locked the cabinet immediately. Emergency medications and diaper creams were monitored and found in compliance. A toddler cup was observed without a name and date in the outdoor bag. The teacher told me it was used for the toddler when they went outside. She removed the cup immediately. I monitored two refrigerators in Space 1A and found one thermometer read 50 degrees and a second one read 48 degrees. Ms. Asena turned the refrigerator thermostat down and will check to see if that would bring to the required temperature. Two children are under 15 months and their feeding schedules were posted. One infant is enrolled, visual safe sleep checks are conducted and documented when the infant sleeps. I observed three play areas outside. Each had adequate shade and resilient surfacing. The stationary equipment was in compliance. Two riding toys were observed in poor repair, one was on the infant play area and the other on the toddler play area. They were removed and thrown away. One wooden toy car with small wheels was observed on the infant play area and removed immediately. The childcare facility shares the playground area with the unlicensed child watch. Ms. Asena inspects the areas regularly in order to maintain licensing compliance. I reviewed all program records today. The last sanitation inspection was completed on January 23, 2024 with a Superior classification. The last fire inspection was conducted October 31, 2023, and your facility was approved for daytime care only. You stated that a recent inspection has been conducted with violations not associated with the licensed area. The fire drill emergency drill log was reviewed and found meeting compliance. The last fire drill was conducted September 26, 2024. The shelter I place emergency drill log was reviewed. The last shelter in pace drill was conducted July 9, 2024. A shelter in place drill was due by October 9, 2024. I reviewed monthly playground inspections, the incident log, daily schedule, daily arrival and departure documentation and information required to be posted, all were found meeting compliance. A sample of children’s records were reviewed and found meeting compliance. I reviewed the current staff and training worksheets and found meeting compliance. One staff member will need to renew the CBC Qualifying Letter by November 13, 2024, and 5 staff members will need to complete health and safety trainings in December, 2024. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 1B a current lesson plan was not posted. In Space 1A an outdated lesson plan was posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 1A an unlabeled and undated sippy cup of water was in the outdoor bag. 15A NCAC 18A .2804(d) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 1A a refrigerator had two thermometers reading 50 degrees and 48 degrees. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. Several riding toy were faded and dirty on the infant and the toddler playgrounds. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 7, one electrical outlet did not have a safety plug. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. in Space 1A dish soap was accessible by children in an unlocked cabinet under the sink. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1B a plastic bag and wrapper were observed accessible to children. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place drill was conducted July 9, 2024. .0604(u);.0302(d)(8) Compliance Statement: 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. On or before October 28, 2024, 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 considered 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 may be completed. Mail or email the information to: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 or an administrative action may be recommended. 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. Technical Assistance: Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. We discussed contacting Moodle support to troubleshoot printing your health and safety certificate. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. Wages and Tuition Market Rate Information: As we discussed, I will email you resources to assist you with wage, tuition and additional planning for growth. Star Rated License: If you are interested in applying for a star rated information or resources to train your staff in setting up quality classrooms you can access trainings and information as follows: Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: ratio. Open / not marked corrected.

G.S. 110-91 · Violation

Name of Operation: MORRISON FAMILY YMCA Facility ID: 60003524 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/14/2024 Number Present: 9 Completed Date: 10/14/2024 Age: From 0 To 4 Total Minutes: 270 Time In: 10:15 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during an Annual Compliance Visit. The April 2024 Iitem Number Listing and Annual Compliance Monitoring Checklist were used during today’s visit. The facility currently has a One Star License with an effective date of March 11, 2022. The last Annual Compliance visit was conducted on October 19, 2023. The compliance history was 90% prior to today’s visit. The NC Secretary of State website was reviewed on October 14, 2024. The YMCA of Greater Charlotte is listed as active-current. Upon arrival I was directed to the child care facility area and greeted by Mary Beth Taraska, Senior Program Director, Youth Services. Ms. Taraska showed me the program board and explained the Director. Asena Konuralp, Director would arrive shortly to assist me with the compliance visit. While waiting, I was able to monitor the program board and observed all items posted in compliance. I was able to observe staff interacting with the infants and toddlers. When Ms. Konuralp arrived, she and Ms. Taraska asked about market rates for staff wages and tuition. I shared that Child Care Resources and the NCDDEE website have resources available to check market rates for tuition. I suggested researching wage information through the TEACH and WAGES programs. I also shared information regarding reaching for the stars. Please see the Technical Assistance section for additional resources. I shared I will email a resource guide to assist with future planning. Ms. Konuralp escorted me with the office and then accompanied on a walkthrough of the indoor and outdoor spaces. Toddlers enrolled in space #1B were playing with puzzles in a teacher directed activity. I observed a plastic wrapper on the cots accessible to children. The backpacks are stor4ed on a low coat rack. Ms. Asena assisted me in looking through them. We observed clothing stored in a plastic grocery bag accessible to the children. Both plastic bags were removed immediately. The lesson plan was not posted for this week however it was brought and added while I was in the infant room. Infants in Space 1A were observed playing on the floor and in a stationary walker. One child was crying and inconsolable. Several staff members attended to her needs and responded to her during the time I was monitoring compliance in the classroom. Staff tones were nurturing and caring. I observed the items required to be posted and found the lesson plan dated for the week of October 7th. Ms. Asena changed it to the correct week immediately. One cabinet was observed not closed properly, I was able to open it easily. Dish soap was stored in the cabinet accessible to children. Ms. Asena locked the cabinet immediately. Emergency medications and diaper creams were monitored and found in compliance. A toddler cup was observed without a name and date in the outdoor bag. The teacher told me it was used for the toddler when they went outside. She removed the cup immediately. I monitored two refrigerators in Space 1A and found one thermometer read 50 degrees and a second one read 48 degrees. Ms. Asena turned the refrigerator thermostat down and will check to see if that would bring to the required temperature. Two children are under 15 months and their feeding schedules were posted. One infant is enrolled, visual safe sleep checks are conducted and documented when the infant sleeps. I observed three play areas outside. Each had adequate shade and resilient surfacing. The stationary equipment was in compliance. Two riding toys were observed in poor repair, one was on the infant play area and the other on the toddler play area. They were removed and thrown away. One wooden toy car with small wheels was observed on the infant play area and removed immediately. The childcare facility shares the playground area with the unlicensed child watch. Ms. Asena inspects the areas regularly in order to maintain licensing compliance. I reviewed all program records today. The last sanitation inspection was completed on January 23, 2024 with a Superior classification. The last fire inspection was conducted October 31, 2023, and your facility was approved for daytime care only. You stated that a recent inspection has been conducted with violations not associated with the licensed area. The fire drill emergency drill log was reviewed and found meeting compliance. The last fire drill was conducted September 26, 2024. The shelter I place emergency drill log was reviewed. The last shelter in pace drill was conducted July 9, 2024. A shelter in place drill was due by October 9, 2024. I reviewed monthly playground inspections, the incident log, daily schedule, daily arrival and departure documentation and information required to be posted, all were found meeting compliance. A sample of children’s records were reviewed and found meeting compliance. I reviewed the current staff and training worksheets and found meeting compliance. One staff member will need to renew the CBC Qualifying Letter by November 13, 2024, and 5 staff members will need to complete health and safety trainings in December, 2024. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 1B a current lesson plan was not posted. In Space 1A an outdated lesson plan was posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 1A an unlabeled and undated sippy cup of water was in the outdoor bag. 15A NCAC 18A .2804(d) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 1A a refrigerator had two thermometers reading 50 degrees and 48 degrees. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. Several riding toy were faded and dirty on the infant and the toddler playgrounds. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 7, one electrical outlet did not have a safety plug. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. in Space 1A dish soap was accessible by children in an unlocked cabinet under the sink. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1B a plastic bag and wrapper were observed accessible to children. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place drill was conducted July 9, 2024. .0604(u);.0302(d)(8) Compliance Statement: 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. On or before October 28, 2024, 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 considered 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 may be completed. Mail or email the information to: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 or an administrative action may be recommended. 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. Technical Assistance: Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. We discussed contacting Moodle support to troubleshoot printing your health and safety certificate. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. Wages and Tuition Market Rate Information: As we discussed, I will email you resources to assist you with wage, tuition and additional planning for growth. Star Rated License: If you are interested in applying for a star rated information or resources to train your staff in setting up quality classrooms you can access trainings and information as follows: Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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

GS 110-91 · Violation

Name of Operation: MORRISON FAMILY YMCA Facility ID: 60003524 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/14/2024 Number Present: 9 Completed Date: 10/14/2024 Age: From 0 To 4 Total Minutes: 270 Time In: 10:15 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during an Annual Compliance Visit. The April 2024 Iitem Number Listing and Annual Compliance Monitoring Checklist were used during today’s visit. The facility currently has a One Star License with an effective date of March 11, 2022. The last Annual Compliance visit was conducted on October 19, 2023. The compliance history was 90% prior to today’s visit. The NC Secretary of State website was reviewed on October 14, 2024. The YMCA of Greater Charlotte is listed as active-current. Upon arrival I was directed to the child care facility area and greeted by Mary Beth Taraska, Senior Program Director, Youth Services. Ms. Taraska showed me the program board and explained the Director. Asena Konuralp, Director would arrive shortly to assist me with the compliance visit. While waiting, I was able to monitor the program board and observed all items posted in compliance. I was able to observe staff interacting with the infants and toddlers. When Ms. Konuralp arrived, she and Ms. Taraska asked about market rates for staff wages and tuition. I shared that Child Care Resources and the NCDDEE website have resources available to check market rates for tuition. I suggested researching wage information through the TEACH and WAGES programs. I also shared information regarding reaching for the stars. Please see the Technical Assistance section for additional resources. I shared I will email a resource guide to assist with future planning. Ms. Konuralp escorted me with the office and then accompanied on a walkthrough of the indoor and outdoor spaces. Toddlers enrolled in space #1B were playing with puzzles in a teacher directed activity. I observed a plastic wrapper on the cots accessible to children. The backpacks are stor4ed on a low coat rack. Ms. Asena assisted me in looking through them. We observed clothing stored in a plastic grocery bag accessible to the children. Both plastic bags were removed immediately. The lesson plan was not posted for this week however it was brought and added while I was in the infant room. Infants in Space 1A were observed playing on the floor and in a stationary walker. One child was crying and inconsolable. Several staff members attended to her needs and responded to her during the time I was monitoring compliance in the classroom. Staff tones were nurturing and caring. I observed the items required to be posted and found the lesson plan dated for the week of October 7th. Ms. Asena changed it to the correct week immediately. One cabinet was observed not closed properly, I was able to open it easily. Dish soap was stored in the cabinet accessible to children. Ms. Asena locked the cabinet immediately. Emergency medications and diaper creams were monitored and found in compliance. A toddler cup was observed without a name and date in the outdoor bag. The teacher told me it was used for the toddler when they went outside. She removed the cup immediately. I monitored two refrigerators in Space 1A and found one thermometer read 50 degrees and a second one read 48 degrees. Ms. Asena turned the refrigerator thermostat down and will check to see if that would bring to the required temperature. Two children are under 15 months and their feeding schedules were posted. One infant is enrolled, visual safe sleep checks are conducted and documented when the infant sleeps. I observed three play areas outside. Each had adequate shade and resilient surfacing. The stationary equipment was in compliance. Two riding toys were observed in poor repair, one was on the infant play area and the other on the toddler play area. They were removed and thrown away. One wooden toy car with small wheels was observed on the infant play area and removed immediately. The childcare facility shares the playground area with the unlicensed child watch. Ms. Asena inspects the areas regularly in order to maintain licensing compliance. I reviewed all program records today. The last sanitation inspection was completed on January 23, 2024 with a Superior classification. The last fire inspection was conducted October 31, 2023, and your facility was approved for daytime care only. You stated that a recent inspection has been conducted with violations not associated with the licensed area. The fire drill emergency drill log was reviewed and found meeting compliance. The last fire drill was conducted September 26, 2024. The shelter I place emergency drill log was reviewed. The last shelter in pace drill was conducted July 9, 2024. A shelter in place drill was due by October 9, 2024. I reviewed monthly playground inspections, the incident log, daily schedule, daily arrival and departure documentation and information required to be posted, all were found meeting compliance. A sample of children’s records were reviewed and found meeting compliance. I reviewed the current staff and training worksheets and found meeting compliance. One staff member will need to renew the CBC Qualifying Letter by November 13, 2024, and 5 staff members will need to complete health and safety trainings in December, 2024. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 1B a current lesson plan was not posted. In Space 1A an outdated lesson plan was posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 1A an unlabeled and undated sippy cup of water was in the outdoor bag. 15A NCAC 18A .2804(d) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 1A a refrigerator had two thermometers reading 50 degrees and 48 degrees. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. Several riding toy were faded and dirty on the infant and the toddler playgrounds. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 7, one electrical outlet did not have a safety plug. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. in Space 1A dish soap was accessible by children in an unlocked cabinet under the sink. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1B a plastic bag and wrapper were observed accessible to children. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place drill was conducted July 9, 2024. .0604(u);.0302(d)(8) Compliance Statement: 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. On or before October 28, 2024, 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 considered 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 may be completed. Mail or email the information to: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 or an administrative action may be recommended. 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. Technical Assistance: Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. We discussed contacting Moodle support to troubleshoot printing your health and safety certificate. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. Wages and Tuition Market Rate Information: As we discussed, I will email you resources to assist you with wage, tuition and additional planning for growth. Star Rated License: If you are interested in applying for a star rated information or resources to train your staff in setting up quality classrooms you can access trainings and information as follows: Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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: MORRISON FAMILY YMCA Facility ID: 60003524 Consultant: LISA EDDINS-SMITH Operation Type: Center Case Number: Visit Date: 10/14/2024 Number Present: 9 Completed Date: 10/14/2024 Age: From 0 To 4 Total Minutes: 270 Time In: 10:15 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today's visit was to monitor compliance during an Annual Compliance Visit. The April 2024 Iitem Number Listing and Annual Compliance Monitoring Checklist were used during today’s visit. The facility currently has a One Star License with an effective date of March 11, 2022. The last Annual Compliance visit was conducted on October 19, 2023. The compliance history was 90% prior to today’s visit. The NC Secretary of State website was reviewed on October 14, 2024. The YMCA of Greater Charlotte is listed as active-current. Upon arrival I was directed to the child care facility area and greeted by Mary Beth Taraska, Senior Program Director, Youth Services. Ms. Taraska showed me the program board and explained the Director. Asena Konuralp, Director would arrive shortly to assist me with the compliance visit. While waiting, I was able to monitor the program board and observed all items posted in compliance. I was able to observe staff interacting with the infants and toddlers. When Ms. Konuralp arrived, she and Ms. Taraska asked about market rates for staff wages and tuition. I shared that Child Care Resources and the NCDDEE website have resources available to check market rates for tuition. I suggested researching wage information through the TEACH and WAGES programs. I also shared information regarding reaching for the stars. Please see the Technical Assistance section for additional resources. I shared I will email a resource guide to assist with future planning. Ms. Konuralp escorted me with the office and then accompanied on a walkthrough of the indoor and outdoor spaces. Toddlers enrolled in space #1B were playing with puzzles in a teacher directed activity. I observed a plastic wrapper on the cots accessible to children. The backpacks are stor4ed on a low coat rack. Ms. Asena assisted me in looking through them. We observed clothing stored in a plastic grocery bag accessible to the children. Both plastic bags were removed immediately. The lesson plan was not posted for this week however it was brought and added while I was in the infant room. Infants in Space 1A were observed playing on the floor and in a stationary walker. One child was crying and inconsolable. Several staff members attended to her needs and responded to her during the time I was monitoring compliance in the classroom. Staff tones were nurturing and caring. I observed the items required to be posted and found the lesson plan dated for the week of October 7th. Ms. Asena changed it to the correct week immediately. One cabinet was observed not closed properly, I was able to open it easily. Dish soap was stored in the cabinet accessible to children. Ms. Asena locked the cabinet immediately. Emergency medications and diaper creams were monitored and found in compliance. A toddler cup was observed without a name and date in the outdoor bag. The teacher told me it was used for the toddler when they went outside. She removed the cup immediately. I monitored two refrigerators in Space 1A and found one thermometer read 50 degrees and a second one read 48 degrees. Ms. Asena turned the refrigerator thermostat down and will check to see if that would bring to the required temperature. Two children are under 15 months and their feeding schedules were posted. One infant is enrolled, visual safe sleep checks are conducted and documented when the infant sleeps. I observed three play areas outside. Each had adequate shade and resilient surfacing. The stationary equipment was in compliance. Two riding toys were observed in poor repair, one was on the infant play area and the other on the toddler play area. They were removed and thrown away. One wooden toy car with small wheels was observed on the infant play area and removed immediately. The childcare facility shares the playground area with the unlicensed child watch. Ms. Asena inspects the areas regularly in order to maintain licensing compliance. I reviewed all program records today. The last sanitation inspection was completed on January 23, 2024 with a Superior classification. The last fire inspection was conducted October 31, 2023, and your facility was approved for daytime care only. You stated that a recent inspection has been conducted with violations not associated with the licensed area. The fire drill emergency drill log was reviewed and found meeting compliance. The last fire drill was conducted September 26, 2024. The shelter I place emergency drill log was reviewed. The last shelter in pace drill was conducted July 9, 2024. A shelter in place drill was due by October 9, 2024. I reviewed monthly playground inspections, the incident log, daily schedule, daily arrival and departure documentation and information required to be posted, all were found meeting compliance. A sample of children’s records were reviewed and found meeting compliance. I reviewed the current staff and training worksheets and found meeting compliance. One staff member will need to renew the CBC Qualifying Letter by November 13, 2024, and 5 staff members will need to complete health and safety trainings in December, 2024. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. In Space 1B a current lesson plan was not posted. In Space 1A an outdated lesson plan was posted. GS 110-91(12); .0508(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In Space 1A an unlabeled and undated sippy cup of water was in the outdoor bag. 15A NCAC 18A .2804(d) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. In Space 1A a refrigerator had two thermometers reading 50 degrees and 48 degrees. 15A NCAC 18A .2806(j)(2) 721 All equipment and furnishings were not in good repair. Several riding toy were faded and dirty on the infant and the toddler playgrounds. G.S. 110-91(6); .0601(b) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In Space 7, one electrical outlet did not have a safety plug. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. in Space 1A dish soap was accessible by children in an unlocked cabinet under the sink. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In Space 1B a plastic bag and wrapper were observed accessible to children. .0604(q) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last shelter in place drill was conducted July 9, 2024. .0604(u);.0302(d)(8) Compliance Statement: 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. On or before October 28, 2024, 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 considered 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 may be completed. Mail or email the information to: Lisa Eddins-Smith, Child Care Consultant 8801 Crosstimbers Drive Charlotte. NC 28215 Lisa.Eddins-Smith@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. 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 or an administrative action may be recommended. 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. Technical Assistance: Reminders: Continue to review emails from the Division of Child Development and Early Education (DCDEE) and from your assigned child care consultant. DCDEE Website: I encourage you to utilize the DCDEE website, https://ncchildcare.ncdhhs.gov/, on a regular basis. All the laws, rules and regulations, item number listing, sanitation requirements, and provider documents can be found on the website. Additionally, there are many resources such as DCDEE Moodle where you can complete health and safety trainings free of charge. The What’s New tab provides current information that is sent out through blast emails. We discussed contacting Moodle support to troubleshoot printing your health and safety certificate. ABCMS (Criminal Background System): North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle, https://www.dcdee.moodle.nc.gov/ —a video tutorial followed by a few questions. Wages and Tuition Market Rate Information: As we discussed, I will email you resources to assist you with wage, tuition and additional planning for growth. Star Rated License: If you are interested in applying for a star rated information or resources to train your staff in setting up quality classrooms you can access trainings and information as follows: Get Ready for the 3’s / QRIS: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website, https://www.ncrlap.org/ for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Until February 1, 2025, NCRLAP will use the Revised editions for official environment rating scale assessments for a NC Star Rated License (for new licensees or upon request.) At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Thank you for your time today. If you have questions or concerns, please contact me at Lisa.Eddins-Smith@dhhs.nc.gov or 980-748-6270. 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 .0509 · Violation

Name of Operation: MORRISON FAMILY YMCA Facility ID: 60003524 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 10/19/2023 Number Present: 6 Completed Date: 10/19/2023 Age: From 0 To 3 Total Minutes: 280 Time In: 09:30 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the annual compliance visit. The facility currently has a One Star License with an effective date of March 11, 2022. The last Annual Compliance visit was conducted on October 26, 2022. The compliance history, prior to today’s visit, was 93%. A checklist was used to monitor the facility. Upon my arrival I met with Asena Konuralp, program coordinator/director. The last sanitation inspection was completed on February 1, 2023 with a Superior classification. The last fire inspection was conducted on November 9, 2022 and your facility was approved for daytime care only. You stated you have contacted the fire inspector informing them you were ready for the annual fire inspection. The emergency drill log was reviewed and found meeting compliance. I reviewed monthly playground inspections, the incident log, classroom activity plans, daily schedule, daily arrival and departure documentation and information required to be posted, all were found meeting compliance. The NC Secretary of State website was reviewed on October 19, 2023 prior to the visit and the corporation name has changed. My supervisor, Michele Sullivan, will follow up with the corporate contact to obtain updated paperwork. You visited each indoor and outdoor space with me. Children enrolled in space #1B were playing freely in centers, two children were observed with pretend fire hats on and playing in the block center. Two other children were observed playing with pretend animals on the carpet by the block area. I observed glitter and googly eyes on the shelf, material used for art activities, and both items state do not use with children under 3 years of age. Space 1B has one child three years of age and the rest of the children enrolled are two years of age. These items were removed during the visit. Children in Space 1A where children 12 months and under were observed with a staff bottle feeding a child and the other child was in an interactive saucer, with staff encouraging the child to grasp items. Children’s individual needs were being met. While outdoors we discussed the chain linked fencing between play areas that is four feet, the top of the fencing is not flush with the rail and is considered a protrusion as it sticks up above the rail. Each family provides all meals, snacks, drinks and bottles for children to have while in care. Each infant under 15 months had a current feeding schedule on file and all children have a signed opt out form on file. I observed one child being bottle fed during the visit. One infant’s bottles were not labeled and dated, staff labeled them during the visit once I pointed out they did not have the child’s name or date listed on the bottle and food. A sample of children’s records were reviewed. Some document acknowledgement forms parents sign and date for the discipline policy, shaken baby syndrome policy, Summary of the NC Child Care Law, safe sleep policy, center operational policies, and notification of smoking and tobacco restrictions did not list the child’s enrollment date. I reviewed the current staff and training worksheets against the staff files today and found staff files meeting compliance. The following violations were documented today. Violation Number Comment Rule 432 The center did not have developmentally appropriate equipment and materials accessible daily. Space 1B serving two and three year old children had glitter and googly eyes to use for art activities, both items state do not use with children under 3 years of age. GS 110-91(12);10A NCAC 09 .0509(1) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles stored in the refrigerator in Space 1A were not labeled and dated. 15A NCAC 18A .2804(d) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Fencing between play areas is 4 feet and is a chain link fence with the top rail lower than the top of the chain link fencing, leaving a protrusion. GS 110-91(6); .0605((i) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One Epi Pen observed in Space 1B did not have the pharmacy labeled container on site. .0803(2)(a) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child's file reviewed today, has a signature page stating the parent reviewed and received the center's discipline policy, however the signature page does not list the child's enrollment date. .1804(b) 9995 A violation was found for which there is no item number. Child Care Rule 0803(11) was not meeting compliance today. A child's current medical action plan states to provide Benadryl for mild symptoms. You stated the parent said you didn't need that medication and took that medication home, but you did not get anything in writing from the parent stating it was not to be administered on site. Compliance Statement: 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before November 2, 2023, 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. Please submit the compliance statement to me: Andrea Anderson PO Box 49335 Charlotte, NC, 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 Technical Assistance was provided on the following: Developmentally Appropriate Material - You removed the glitter and googly eyes from Space 1B during the visit. We discussed making sure you follow manufacturer guidelines and age range on all material and equipment used in the licensed child care space. We discussed glitter and googly eyes are considered choking hazards for children under 3 years of age and can be an eye irritant. Bottle Storage: You stated you required parents to label and date all bottles and food. I explained that the licensed facility is required to maintain requirement, the parent wouldn't get the violation the facility will if the rule is not maintained. The teacher stated the parent usually doesn't come in the classroom at drop off, is greeted at the door and the food and bottles/drinks are all brought from home and you remind them to label and date all food and drinks. I suggested keeping an index card note posted at the door for your staff to ask questions as children arrive. For example the infant teacher would ask: How was the evening, when did the infant/child last eat, is all food and bottles/drinks/sippy cups brought from home labeled and dated properly. Medication: I reviewed 10A NCAC 09 .0803(11) A parent may withdraw written authorization for the administration of medications at any time in writing. A parent of a child that has a current medical action plan with Benadryl to be given for mild symptoms took the Benadryl home and stated it was no longer needed while the child was in your care, but you do not have anything in writing. I reviewed the rule with you and we discussed discussing this requirement with the parent of the child and if she doesn't want the medication on file get a signed, dated written statement from her and place on file. You have requested an updated Medical Action plan as well. Fencing between the play areas: We discussed the chain linked fencing that is 4 feet high in between the play areas. I provided suggestions on how to correct the violation, either by raising the top bar/rail to be flush with the top of the chain link fencing or cover the top of the fencing with a durable gutter guard, cut down on side that can cover the top of the fencing where the chain link fencing protrudes over the rail. Enrollment Document Signature Page: You have one document the parent signs listing all the licensing documents you discuss with parents upon enrollment. The new version you are using does not list the child's enrollment date and two documents listed on the form must have the enrollment date listed, the discipline policy and the Prevention of Shaken Baby Syndrome Abusive Head Trauma policy. You stated you would add the enrollment date on the document to use moving forward and you would review each current child's file and add the enrollment date to the document acknowledgment form. Website: We looked at the DCDEE website today, I showed you where the General Statutes (laws) and Child Care Requirements (rules) are located on the website. I encourage you to utilize the website not only for documents, but for resources and staying current with information and requirements. Reminder: You will need to submit the annual fire inspection to me within 7 days of receipt. Please contact me anytime you have questions, concerns or need clarification, I have listed my contact information above. 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 .0803 · Violation

Name of Operation: MORRISON FAMILY YMCA Facility ID: 60003524 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 10/19/2023 Number Present: 6 Completed Date: 10/19/2023 Age: From 0 To 3 Total Minutes: 280 Time In: 09:30 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the annual compliance visit. The facility currently has a One Star License with an effective date of March 11, 2022. The last Annual Compliance visit was conducted on October 26, 2022. The compliance history, prior to today’s visit, was 93%. A checklist was used to monitor the facility. Upon my arrival I met with Asena Konuralp, program coordinator/director. The last sanitation inspection was completed on February 1, 2023 with a Superior classification. The last fire inspection was conducted on November 9, 2022 and your facility was approved for daytime care only. You stated you have contacted the fire inspector informing them you were ready for the annual fire inspection. The emergency drill log was reviewed and found meeting compliance. I reviewed monthly playground inspections, the incident log, classroom activity plans, daily schedule, daily arrival and departure documentation and information required to be posted, all were found meeting compliance. The NC Secretary of State website was reviewed on October 19, 2023 prior to the visit and the corporation name has changed. My supervisor, Michele Sullivan, will follow up with the corporate contact to obtain updated paperwork. You visited each indoor and outdoor space with me. Children enrolled in space #1B were playing freely in centers, two children were observed with pretend fire hats on and playing in the block center. Two other children were observed playing with pretend animals on the carpet by the block area. I observed glitter and googly eyes on the shelf, material used for art activities, and both items state do not use with children under 3 years of age. Space 1B has one child three years of age and the rest of the children enrolled are two years of age. These items were removed during the visit. Children in Space 1A where children 12 months and under were observed with a staff bottle feeding a child and the other child was in an interactive saucer, with staff encouraging the child to grasp items. Children’s individual needs were being met. While outdoors we discussed the chain linked fencing between play areas that is four feet, the top of the fencing is not flush with the rail and is considered a protrusion as it sticks up above the rail. Each family provides all meals, snacks, drinks and bottles for children to have while in care. Each infant under 15 months had a current feeding schedule on file and all children have a signed opt out form on file. I observed one child being bottle fed during the visit. One infant’s bottles were not labeled and dated, staff labeled them during the visit once I pointed out they did not have the child’s name or date listed on the bottle and food. A sample of children’s records were reviewed. Some document acknowledgement forms parents sign and date for the discipline policy, shaken baby syndrome policy, Summary of the NC Child Care Law, safe sleep policy, center operational policies, and notification of smoking and tobacco restrictions did not list the child’s enrollment date. I reviewed the current staff and training worksheets against the staff files today and found staff files meeting compliance. The following violations were documented today. Violation Number Comment Rule 432 The center did not have developmentally appropriate equipment and materials accessible daily. Space 1B serving two and three year old children had glitter and googly eyes to use for art activities, both items state do not use with children under 3 years of age. GS 110-91(12);10A NCAC 09 .0509(1) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles stored in the refrigerator in Space 1A were not labeled and dated. 15A NCAC 18A .2804(d) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Fencing between play areas is 4 feet and is a chain link fence with the top rail lower than the top of the chain link fencing, leaving a protrusion. GS 110-91(6); .0605((i) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One Epi Pen observed in Space 1B did not have the pharmacy labeled container on site. .0803(2)(a) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child's file reviewed today, has a signature page stating the parent reviewed and received the center's discipline policy, however the signature page does not list the child's enrollment date. .1804(b) 9995 A violation was found for which there is no item number. Child Care Rule 0803(11) was not meeting compliance today. A child's current medical action plan states to provide Benadryl for mild symptoms. You stated the parent said you didn't need that medication and took that medication home, but you did not get anything in writing from the parent stating it was not to be administered on site. Compliance Statement: 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before November 2, 2023, 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. Please submit the compliance statement to me: Andrea Anderson PO Box 49335 Charlotte, NC, 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 Technical Assistance was provided on the following: Developmentally Appropriate Material - You removed the glitter and googly eyes from Space 1B during the visit. We discussed making sure you follow manufacturer guidelines and age range on all material and equipment used in the licensed child care space. We discussed glitter and googly eyes are considered choking hazards for children under 3 years of age and can be an eye irritant. Bottle Storage: You stated you required parents to label and date all bottles and food. I explained that the licensed facility is required to maintain requirement, the parent wouldn't get the violation the facility will if the rule is not maintained. The teacher stated the parent usually doesn't come in the classroom at drop off, is greeted at the door and the food and bottles/drinks are all brought from home and you remind them to label and date all food and drinks. I suggested keeping an index card note posted at the door for your staff to ask questions as children arrive. For example the infant teacher would ask: How was the evening, when did the infant/child last eat, is all food and bottles/drinks/sippy cups brought from home labeled and dated properly. Medication: I reviewed 10A NCAC 09 .0803(11) A parent may withdraw written authorization for the administration of medications at any time in writing. A parent of a child that has a current medical action plan with Benadryl to be given for mild symptoms took the Benadryl home and stated it was no longer needed while the child was in your care, but you do not have anything in writing. I reviewed the rule with you and we discussed discussing this requirement with the parent of the child and if she doesn't want the medication on file get a signed, dated written statement from her and place on file. You have requested an updated Medical Action plan as well. Fencing between the play areas: We discussed the chain linked fencing that is 4 feet high in between the play areas. I provided suggestions on how to correct the violation, either by raising the top bar/rail to be flush with the top of the chain link fencing or cover the top of the fencing with a durable gutter guard, cut down on side that can cover the top of the fencing where the chain link fencing protrudes over the rail. Enrollment Document Signature Page: You have one document the parent signs listing all the licensing documents you discuss with parents upon enrollment. The new version you are using does not list the child's enrollment date and two documents listed on the form must have the enrollment date listed, the discipline policy and the Prevention of Shaken Baby Syndrome Abusive Head Trauma policy. You stated you would add the enrollment date on the document to use moving forward and you would review each current child's file and add the enrollment date to the document acknowledgment form. Website: We looked at the DCDEE website today, I showed you where the General Statutes (laws) and Child Care Requirements (rules) are located on the website. I encourage you to utilize the website not only for documents, but for resources and staying current with information and requirements. Reminder: You will need to submit the annual fire inspection to me within 7 days of receipt. Please contact me anytime you have questions, concerns or need clarification, I have listed my contact information above. 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

GS 110-91 · Violation

Name of Operation: MORRISON FAMILY YMCA Facility ID: 60003524 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 10/19/2023 Number Present: 6 Completed Date: 10/19/2023 Age: From 0 To 3 Total Minutes: 280 Time In: 09:30 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the annual compliance visit. The facility currently has a One Star License with an effective date of March 11, 2022. The last Annual Compliance visit was conducted on October 26, 2022. The compliance history, prior to today’s visit, was 93%. A checklist was used to monitor the facility. Upon my arrival I met with Asena Konuralp, program coordinator/director. The last sanitation inspection was completed on February 1, 2023 with a Superior classification. The last fire inspection was conducted on November 9, 2022 and your facility was approved for daytime care only. You stated you have contacted the fire inspector informing them you were ready for the annual fire inspection. The emergency drill log was reviewed and found meeting compliance. I reviewed monthly playground inspections, the incident log, classroom activity plans, daily schedule, daily arrival and departure documentation and information required to be posted, all were found meeting compliance. The NC Secretary of State website was reviewed on October 19, 2023 prior to the visit and the corporation name has changed. My supervisor, Michele Sullivan, will follow up with the corporate contact to obtain updated paperwork. You visited each indoor and outdoor space with me. Children enrolled in space #1B were playing freely in centers, two children were observed with pretend fire hats on and playing in the block center. Two other children were observed playing with pretend animals on the carpet by the block area. I observed glitter and googly eyes on the shelf, material used for art activities, and both items state do not use with children under 3 years of age. Space 1B has one child three years of age and the rest of the children enrolled are two years of age. These items were removed during the visit. Children in Space 1A where children 12 months and under were observed with a staff bottle feeding a child and the other child was in an interactive saucer, with staff encouraging the child to grasp items. Children’s individual needs were being met. While outdoors we discussed the chain linked fencing between play areas that is four feet, the top of the fencing is not flush with the rail and is considered a protrusion as it sticks up above the rail. Each family provides all meals, snacks, drinks and bottles for children to have while in care. Each infant under 15 months had a current feeding schedule on file and all children have a signed opt out form on file. I observed one child being bottle fed during the visit. One infant’s bottles were not labeled and dated, staff labeled them during the visit once I pointed out they did not have the child’s name or date listed on the bottle and food. A sample of children’s records were reviewed. Some document acknowledgement forms parents sign and date for the discipline policy, shaken baby syndrome policy, Summary of the NC Child Care Law, safe sleep policy, center operational policies, and notification of smoking and tobacco restrictions did not list the child’s enrollment date. I reviewed the current staff and training worksheets against the staff files today and found staff files meeting compliance. The following violations were documented today. Violation Number Comment Rule 432 The center did not have developmentally appropriate equipment and materials accessible daily. Space 1B serving two and three year old children had glitter and googly eyes to use for art activities, both items state do not use with children under 3 years of age. GS 110-91(12);10A NCAC 09 .0509(1) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles stored in the refrigerator in Space 1A were not labeled and dated. 15A NCAC 18A .2804(d) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Fencing between play areas is 4 feet and is a chain link fence with the top rail lower than the top of the chain link fencing, leaving a protrusion. GS 110-91(6); .0605((i) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One Epi Pen observed in Space 1B did not have the pharmacy labeled container on site. .0803(2)(a) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child's file reviewed today, has a signature page stating the parent reviewed and received the center's discipline policy, however the signature page does not list the child's enrollment date. .1804(b) 9995 A violation was found for which there is no item number. Child Care Rule 0803(11) was not meeting compliance today. A child's current medical action plan states to provide Benadryl for mild symptoms. You stated the parent said you didn't need that medication and took that medication home, but you did not get anything in writing from the parent stating it was not to be administered on site. Compliance Statement: 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before November 2, 2023, 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. Please submit the compliance statement to me: Andrea Anderson PO Box 49335 Charlotte, NC, 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 Technical Assistance was provided on the following: Developmentally Appropriate Material - You removed the glitter and googly eyes from Space 1B during the visit. We discussed making sure you follow manufacturer guidelines and age range on all material and equipment used in the licensed child care space. We discussed glitter and googly eyes are considered choking hazards for children under 3 years of age and can be an eye irritant. Bottle Storage: You stated you required parents to label and date all bottles and food. I explained that the licensed facility is required to maintain requirement, the parent wouldn't get the violation the facility will if the rule is not maintained. The teacher stated the parent usually doesn't come in the classroom at drop off, is greeted at the door and the food and bottles/drinks are all brought from home and you remind them to label and date all food and drinks. I suggested keeping an index card note posted at the door for your staff to ask questions as children arrive. For example the infant teacher would ask: How was the evening, when did the infant/child last eat, is all food and bottles/drinks/sippy cups brought from home labeled and dated properly. Medication: I reviewed 10A NCAC 09 .0803(11) A parent may withdraw written authorization for the administration of medications at any time in writing. A parent of a child that has a current medical action plan with Benadryl to be given for mild symptoms took the Benadryl home and stated it was no longer needed while the child was in your care, but you do not have anything in writing. I reviewed the rule with you and we discussed discussing this requirement with the parent of the child and if she doesn't want the medication on file get a signed, dated written statement from her and place on file. You have requested an updated Medical Action plan as well. Fencing between the play areas: We discussed the chain linked fencing that is 4 feet high in between the play areas. I provided suggestions on how to correct the violation, either by raising the top bar/rail to be flush with the top of the chain link fencing or cover the top of the fencing with a durable gutter guard, cut down on side that can cover the top of the fencing where the chain link fencing protrudes over the rail. Enrollment Document Signature Page: You have one document the parent signs listing all the licensing documents you discuss with parents upon enrollment. The new version you are using does not list the child's enrollment date and two documents listed on the form must have the enrollment date listed, the discipline policy and the Prevention of Shaken Baby Syndrome Abusive Head Trauma policy. You stated you would add the enrollment date on the document to use moving forward and you would review each current child's file and add the enrollment date to the document acknowledgment form. Website: We looked at the DCDEE website today, I showed you where the General Statutes (laws) and Child Care Requirements (rules) are located on the website. I encourage you to utilize the website not only for documents, but for resources and staying current with information and requirements. Reminder: You will need to submit the annual fire inspection to me within 7 days of receipt. Please contact me anytime you have questions, concerns or need clarification, I have listed my contact information above. 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: MORRISON FAMILY YMCA Facility ID: 60003524 Consultant: ANDREA ANDERSON Operation Type: Center Case Number: Visit Date: 10/19/2023 Number Present: 6 Completed Date: 10/19/2023 Age: From 0 To 3 Total Minutes: 280 Time In: 09:30 AM Time Out: 02:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor compliance of applicable child care requirements during the annual compliance visit. The facility currently has a One Star License with an effective date of March 11, 2022. The last Annual Compliance visit was conducted on October 26, 2022. The compliance history, prior to today’s visit, was 93%. A checklist was used to monitor the facility. Upon my arrival I met with Asena Konuralp, program coordinator/director. The last sanitation inspection was completed on February 1, 2023 with a Superior classification. The last fire inspection was conducted on November 9, 2022 and your facility was approved for daytime care only. You stated you have contacted the fire inspector informing them you were ready for the annual fire inspection. The emergency drill log was reviewed and found meeting compliance. I reviewed monthly playground inspections, the incident log, classroom activity plans, daily schedule, daily arrival and departure documentation and information required to be posted, all were found meeting compliance. The NC Secretary of State website was reviewed on October 19, 2023 prior to the visit and the corporation name has changed. My supervisor, Michele Sullivan, will follow up with the corporate contact to obtain updated paperwork. You visited each indoor and outdoor space with me. Children enrolled in space #1B were playing freely in centers, two children were observed with pretend fire hats on and playing in the block center. Two other children were observed playing with pretend animals on the carpet by the block area. I observed glitter and googly eyes on the shelf, material used for art activities, and both items state do not use with children under 3 years of age. Space 1B has one child three years of age and the rest of the children enrolled are two years of age. These items were removed during the visit. Children in Space 1A where children 12 months and under were observed with a staff bottle feeding a child and the other child was in an interactive saucer, with staff encouraging the child to grasp items. Children’s individual needs were being met. While outdoors we discussed the chain linked fencing between play areas that is four feet, the top of the fencing is not flush with the rail and is considered a protrusion as it sticks up above the rail. Each family provides all meals, snacks, drinks and bottles for children to have while in care. Each infant under 15 months had a current feeding schedule on file and all children have a signed opt out form on file. I observed one child being bottle fed during the visit. One infant’s bottles were not labeled and dated, staff labeled them during the visit once I pointed out they did not have the child’s name or date listed on the bottle and food. A sample of children’s records were reviewed. Some document acknowledgement forms parents sign and date for the discipline policy, shaken baby syndrome policy, Summary of the NC Child Care Law, safe sleep policy, center operational policies, and notification of smoking and tobacco restrictions did not list the child’s enrollment date. I reviewed the current staff and training worksheets against the staff files today and found staff files meeting compliance. The following violations were documented today. Violation Number Comment Rule 432 The center did not have developmentally appropriate equipment and materials accessible daily. Space 1B serving two and three year old children had glitter and googly eyes to use for art activities, both items state do not use with children under 3 years of age. GS 110-91(12);10A NCAC 09 .0509(1) 533 Breast milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Bottles stored in the refrigerator in Space 1A were not labeled and dated. 15A NCAC 18A .2804(d) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Fencing between play areas is 4 feet and is a chain link fence with the top rail lower than the top of the chain link fencing, leaving a protrusion. GS 110-91(6); .0605((i) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One Epi Pen observed in Space 1B did not have the pharmacy labeled container on site. .0803(2)(a) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. One child's file reviewed today, has a signature page stating the parent reviewed and received the center's discipline policy, however the signature page does not list the child's enrollment date. .1804(b) 9995 A violation was found for which there is no item number. Child Care Rule 0803(11) was not meeting compliance today. A child's current medical action plan states to provide Benadryl for mild symptoms. You stated the parent said you didn't need that medication and took that medication home, but you did not get anything in writing from the parent stating it was not to be administered on site. Compliance Statement: 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 violations documented may impact the compliance history score. The violations documented must be corrected immediately. On or before November 2, 2023, 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. Please submit the compliance statement to me: Andrea Anderson PO Box 49335 Charlotte, NC, 28277 andrea.anderson@dhhs.nc.gov (704)594-0039 Technical Assistance was provided on the following: Developmentally Appropriate Material - You removed the glitter and googly eyes from Space 1B during the visit. We discussed making sure you follow manufacturer guidelines and age range on all material and equipment used in the licensed child care space. We discussed glitter and googly eyes are considered choking hazards for children under 3 years of age and can be an eye irritant. Bottle Storage: You stated you required parents to label and date all bottles and food. I explained that the licensed facility is required to maintain requirement, the parent wouldn't get the violation the facility will if the rule is not maintained. The teacher stated the parent usually doesn't come in the classroom at drop off, is greeted at the door and the food and bottles/drinks are all brought from home and you remind them to label and date all food and drinks. I suggested keeping an index card note posted at the door for your staff to ask questions as children arrive. For example the infant teacher would ask: How was the evening, when did the infant/child last eat, is all food and bottles/drinks/sippy cups brought from home labeled and dated properly. Medication: I reviewed 10A NCAC 09 .0803(11) A parent may withdraw written authorization for the administration of medications at any time in writing. A parent of a child that has a current medical action plan with Benadryl to be given for mild symptoms took the Benadryl home and stated it was no longer needed while the child was in your care, but you do not have anything in writing. I reviewed the rule with you and we discussed discussing this requirement with the parent of the child and if she doesn't want the medication on file get a signed, dated written statement from her and place on file. You have requested an updated Medical Action plan as well. Fencing between the play areas: We discussed the chain linked fencing that is 4 feet high in between the play areas. I provided suggestions on how to correct the violation, either by raising the top bar/rail to be flush with the top of the chain link fencing or cover the top of the fencing with a durable gutter guard, cut down on side that can cover the top of the fencing where the chain link fencing protrudes over the rail. Enrollment Document Signature Page: You have one document the parent signs listing all the licensing documents you discuss with parents upon enrollment. The new version you are using does not list the child's enrollment date and two documents listed on the form must have the enrollment date listed, the discipline policy and the Prevention of Shaken Baby Syndrome Abusive Head Trauma policy. You stated you would add the enrollment date on the document to use moving forward and you would review each current child's file and add the enrollment date to the document acknowledgment form. Website: We looked at the DCDEE website today, I showed you where the General Statutes (laws) and Child Care Requirements (rules) are located on the website. I encourage you to utilize the website not only for documents, but for resources and staying current with information and requirements. Reminder: You will need to submit the annual fire inspection to me within 7 days of receipt. Please contact me anytime you have questions, concerns or need clarification, I have listed my contact information above. 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