10A NCAC 09 .0302 · Violation

Name of Operation: Catawba Springs Elementary YMCA Childcare Facility ID: 55000196 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 5/14/2026 Number Present: 20 Completed Date: 5/14/2026 Age: From 5 To 9 Total Minutes: 285 Time In: 02:00 PM Time Out: 06:45 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 your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. April Parra Hernandez, Program Coordinator, assisted us with the visit upon arrival. You, Fanisha Watson, Lincoln County Regional Program Director, arrived at 3:15pm and assisted with the remainder of the visit. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit. This is the first annual compliance visit since this facility became licensed on August 4, 2025. This program currently operates with a four-star rated license effective February 5, 2026, meeting daytime care only, school age only, and meets enhanced ratios. The license was posted and the restrictions were in compliance. This facility follows the classroom and instructional quality pathway for their rated license. The program’s compliance history was 87 percent prior to today’s visit. The North Carolina Secretary of State website was reviewed on May 13, 2026, and Young Men’s Christian Association of Catawba Valley, Inc. was listed as current-active. A checklist was used to note the requirements monitored today. During today’s visit, you were utilizing the cafeteria and the gym. You stated you typically use the cafeteria and the gym for indoor space, along with the playground for outdoor space. Children and staff were observed during snack and free play activities indoors. Children are not transported by this licensed YMCA facility during the school year. This facility does not operate during the summer, and the last day of operation is May 21, 2026. Records were not available for all staff members during the visit due to the facilities internet connectivity issues. Records were maintained electronically. The Staff and Training Worksheet was not available for one new staff member who was employed on May 13, 2026. This facility does not have an ABCMS Provider Portal set up yet. Three children’s records were monitored. One of the three children’s records was not on file available for review. The most recent monthly fire drill was documented on the Emergency Drill Log as conducted on May 12, 2026, at 4:00pm. The most recent quarterly lockdown/shelter-in-place drill was documented as conducted on May 12, 2026, at 4:00pm. The EPR Plan was created on May 13, 2026, by the administrator. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary will be emailed to you within two business days. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two children with enrollment dates that were not documented and on file for review during the visit, did not have verification available for review to confirm that the summary of NC Child Care Law was given to parents. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival and departure records on file for review for April 2026 did not include accurate dates and were unable to be confirmed. 10A NCAC 09 .0302(d)(4) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Documentation of a completed monthly fire drill for February, March and April 2026 could not be confirmed. Staff reported that the fire drills that were documented had been completed during the school day, and not when children were attending the before and after school YMCA program. .0604(t); .0302(d)(5) 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. One new group leader that began working on May 13, 2026, at this facility, did not have an emergency information form accessible for review during the visit until the hard copy of the form was delivered by a staff member to the consultant at 3:25pm on May 14, 2026. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One group leader, R. Pettus employed on May 13, 2026, did not have a criminal background check completed prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. All staff records were not available for review during the visit due to the facilities lack of internet connectivity to access electronic records. G.S. 110-91( 9) 1301 Center did not maintain a record of daily attendance. Daily attendance was not completed and available for review. GS 110-91(9) 1303 Application was not signed by the parent. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have an application signed by the parent on site or available for review. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Emergency medical care information for two children was unable to be determined if it was on file for the child's first day due to no enrollment date documented on file or accessible by staff members during the visit. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have emergency medical care information signed by the parent on site or available for review. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have acknowledgement of the discipline policy signed by the parent on site or available for review. .1804(c) 1325 Parent's statement includes the child's name and date of enrollment and the date the parent signed the statement. The discipline policy acknowledgement did not include the enrollment date for two children. .1804(b) 1328 Children's records were not made available for review. Records for one child with an enrollment date that was not documented on file or accessible by staff members during the visit were not made available for review. G.S. 110-91(9) 1427 Program coordinator had not completed 2 semester credit hours in child and youth development and 2 semester credit hours in school age programming, or it's equivalency, or was not enrolled in this coursework within 6 months of hire and complete the coursework within 18 months of enrollment. The Program Coordinator, A. Hernandez, employed on August 4, 2025, did not enroll in coursework to obtain the required semester credit hours to meet education requirements for a program coordinator within six months of hire. .2510(b)(2) 1757 A valid qualification letter was not on file and available to review at the facility. One group leader, R. Pettus, employed on May 13, 2026, did not complete the criminal background check process to obtain a qualifying letter required to be on file prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Staff member, A. Hernandez, employed on August 4, 2025, was not listed on the Criminal Background Check ABCMS Provider Portal roster for this facility. The ABCMS Provider Portal was not set up for this facility. G.S. 110-90.2 & .2703(r) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The published and printed Emergency Preparedness and Response (EPR) Plan on file for review was dated May 13, 2026. The administrator completed EPR training on June 3, 2021, and the facility was licensed on August 4, 2025. .0607(c) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident report was completed for a child, six years of age, who was injured at the facility on March 23, 2026, and received medical attention as a result of the injury. The incident report was never submitted to the consultant as required within seven calendar days. .0802(f) The violations documented above must be corrected immediately. On or before May 28, 2026, 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 that 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: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is ericas@ymcacv.org. 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. Due to the nature of the violations regarding criminal background checks and due to the number of violations observed, an unannounced follow-up visit will be conducted and an administrative action may be recommended. Technical Assistance was provided on the following: Criminal Background Checks (CBC)- -The ABCMS system was checked during the visit and the new staff member, R. Pettus, was not in the portal and no application had been submitted to initiate the criminal background check process. During the visit, staff member, F. Watson, covered for staff/child ratio requirements in group #1 after asking staff member R. Pettus to leave the facility until able to obtain a qualifying letter. A DCDEE criminal background check must be completed prior to employment in a licensed child care facility. A valid criminal background check qualification letter must be on file available to review. We reviewed DCDEE criminal background check requirements with you. Prior to hiring new staff, you must request that they complete a DCDEE criminal background check and obtain a copy of their qualification letter BEFORE their first day of employment. R. Pettus must complete the criminal background check and obtain a qualifying letter by May 28, 2026. Children’s Records- -We suggested that you utilize the Children’s File Checklist available on the DCDEE website under the Provider tab, then click on Provider Documents and Forms. Refer to the checklist prior to each child’s enrollment to ensure all required documentation and parental acknowledgement for policies are on file within the required timeframe. We suggested that administrative staff review all children’s records prior to enrollment to ensure all required information is obtained before enrolling the child. Review the information received to ensure a parent’s signature has been obtained and that the information includes the child’s enrollment date. Arrival and Departure Records- -All children must be signed in and out each day for before and after school care as well as full day care. We suggested that you provide staff with current documentation for arrival and departure records including each child who is enrolled in the program. The documents on file were copied and being reused, and the staff member was writing in names of children. Several records did not have dates recorded, so there was no way to determine what dates the arrival and departure records were for. Fire Drills- -Fire drills must be completed and documented monthly. We suggested that you coordinate with the school’s principal to schedule a time for the fire drills to be completed while children are in your care, using the fire alarm system. You reported that the fire drills that were documented had been completed during the school day, and not when children were attending the before and after school YMCA program. We suggested adding reminder alerts to your computer or phone to complete these drills at various times each month. Staff Emergency Information- -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an 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 on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. Due to on-going internet connectivity issues at this facility, records were not available to be accessed electronically. The new group leader that began employment on May 13, 2026, did not have emergency information on file to reference in case of emergency until 3:25pm on May 14, 2026. We suggested that all staff records be printed and kept on file for review, when electronic records are inaccessible, on the staff members’ first day of employment at the facility. We also suggested you create a schedule to update all staff Emergency Information forms at least once per year to ensure they are all updated at least annually. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the Provider tab, then click Provider Documents and Forms, to ensure all required documentation is on file within the required timeframe. Staff Records- -Due to on-going internet connectivity issues at this facility, records were not available for review and were not accessible by staff members. We suggested that all staff records be printed and kept on file for review when electronic records are inaccessible on the staff members’ first day of employment at the facility. Additionally, we suggested you use the staff file checklist found on the DCDEE website under the Provider tab, then click Provider Documents and Forms, to ensure all required documentation is on file. Attendance records- -Attendance must be recorded daily for each child. Attendance must be recorded for both before school and after school care. We suggested that you use the attendance record available on the DCDEE website, under the Provider tab, then click Provider Documents and Forms. Children’s Application for Enrollment- -We suggested that administrative staff review the child’s application, applicable documents and parental acknowledgement form for all policies to ensure the parents’ signature is obtained before enrolling children. Also, ensure that the emergency medical care authorization has been acknowledged and signed off by each child’s parent. The printed copy of the two electronic children’s applications that were monitored during the visit indicated “staff override” in the areas where parent signatures were required. We suggested that staff review children’s applications once received at the facility and if a parent’s signature and/or child’s enrollment date is not included, staff can request the parent to sign the application and the staff member can record the date the child first attended the facility on the application. Emergency Medical Care Information for Children- -We suggested that administrative staff review the child’s application, including emergency medical care information, to ensure the parents’ signature is obtained. I suggested that staff review children’s emergency medical care information on the child’s application once received at the facility and if a parent’s signature and/or child’s enrollment date is not included, staff can request the parent to sign the application and the staff member can record the date the child first attended the facility on the application. Discipline Policy Parental Acknowledgement- -We reviewed requirements for the discipline policy acknowledgement with you. I suggested that you update your original acknowledgement form to include an area to document the child’s name and enrollment date. I suggested that you go through each child’s file to ensure this information is included on your acknowledgement form for existing children. The child care center shall obtain from each parent, legal guardian, or full-time custodian a statement that attests that a copy of the center's written discipline policy was given to and discussed with him or her. That statement must include the following: (1) the child's name; (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. Program Coordinator Requirements- -A. Hernandez must enroll in two semester credit hours in child and youth development and two semester credit hours in school-age programming by May 28, 2026. Documentation of the staff members enrollment in coursework must be obtained and submitted with your compliance letter by May 28, 2026. I suggested to you to enroll applicable staff members in required coursework as soon as they are employed as a program coordinator. 10A NCAC 09 .2510(b) At least one individual who is responsible for planning and ensuring the implementation of daily activities for a school-age program (program coordinator) shall: (1) Be at least 18 years old and have a high school diploma or its equivalent prior to employment; (2) Have completed two semester credit hours in child and youth development and two semester credit hours in school-age programming. Each individual who does not meet this requirement shall enroll in coursework within six months after becoming employed and shall complete this coursework within 18 months of enrollment. An individual who meets the staff requirements for administrator or lead teacher shall be considered as meeting the requirements for program coordinator, provided the individual completes Basic School-Age Care (BSAC) training as defined in 10A NCAC 09 .0102(4) of this Chapter, and (3) Be on site when children are in care for programs offering before and after school care only. For a full day program, the program coordinator shall be on site for two thirds of the hours of operation. This includes times when the individual is off site due to illness or vacation. Criminal Background Check ABCMS Provider Portal- -A roster was not found for Catawba Springs Elementary YMCA Childcare, nor were any staff members listed for employment for this facility. F. Watson, Lincoln County Regional Program Director, was listed under Iron Station Elementary YMCA Childcare’s ABCMS Provider Portal roster, and E. Simmons, Administrator, was listed under other licensed YMCA facilities, except for Catawba Springs Elementary YMCA Childcare. Operators shall notify the Division of all new child care providers, as defined in G.S. 110-90.2(a)(2), who are hired within five business days. To correct this violation, you must create an ABCMS Provider Portal roster for this facility and add staff members to the roster. I suggested that you add staff members to the roster as soon as they are employed, or at least within five days of their employment. Emergency Preparedness and Response (EPR) Plan- -Since the administrator had completed EPR training on June 3, 2021, prior to the facility obtaining a license, the EPR Plan needed to be completed for this facility by December 4, 2025. The facility was initially licensed on August 4, 2025. Moving forward, the EPR Plan must be reviewed with staff annually and as changes occur. Incident Reports- -We reviewed incident report requirements with you during the visit. We suggested that you review all incident reports when received to ensure all required information is obtained and to determine if the incident report needs to be sent to the Consultant. We reminded you that any time a child receives medical treatment from a health care professional, the incident report must be submitted to me, even if the child does not see the healthcare professional on the same day when the incident occurred. When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. We suggested that you review incident report requirements with all staff members individually or during a staff meeting/training. You allowed me to make a copy of the incident report during the visit. Consultation: -The Ready to Go File must include a copy of the Emergency Preparedness and Response Plan. Per Child Care Rule 10A NCAC 09 .0607(d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. -Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Rated License: The following Family and Community Engagement Standards were discussed with you and monitored during today’s visit- -Two-way communication with families. You stated you use Bright Wheel and the facilities cell phone for two-way communication with families. -The center administrator offers an annual evaluation or survey of the center to families, including the option to reply anonymously. The center administrator considers these evaluations or surveys for planning within the child care center. You stated the center administrator recently sent out a survey to parents; however, you could not recall the date the survey was sent. -The center administrator offers at least one family event annually that includes an educational opportunity for staff and families to learn together. You stated a family event has been scheduled by the administrator; however, you could not recall the date the family event will take place. Completion of the annual requirements for the Family and Community Engagement Standards will be reviewed at your next monitoring visit. The Facility Continuous Quality and Improvement (CQI) Plan and the Individual CQI plans for each staff must be completed and on file for review by February 5, 2027. Completed facility CQI and individual CQI information will be reviewed at your next monitoring visit. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, a handwritten visit summary was reviewed, and a copy was left with you. The computer-generated visit summary will be emailed to you within two business days. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0607 · Violation

Name of Operation: Catawba Springs Elementary YMCA Childcare Facility ID: 55000196 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 5/14/2026 Number Present: 20 Completed Date: 5/14/2026 Age: From 5 To 9 Total Minutes: 285 Time In: 02:00 PM Time Out: 06:45 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 your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. April Parra Hernandez, Program Coordinator, assisted us with the visit upon arrival. You, Fanisha Watson, Lincoln County Regional Program Director, arrived at 3:15pm and assisted with the remainder of the visit. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit. This is the first annual compliance visit since this facility became licensed on August 4, 2025. This program currently operates with a four-star rated license effective February 5, 2026, meeting daytime care only, school age only, and meets enhanced ratios. The license was posted and the restrictions were in compliance. This facility follows the classroom and instructional quality pathway for their rated license. The program’s compliance history was 87 percent prior to today’s visit. The North Carolina Secretary of State website was reviewed on May 13, 2026, and Young Men’s Christian Association of Catawba Valley, Inc. was listed as current-active. A checklist was used to note the requirements monitored today. During today’s visit, you were utilizing the cafeteria and the gym. You stated you typically use the cafeteria and the gym for indoor space, along with the playground for outdoor space. Children and staff were observed during snack and free play activities indoors. Children are not transported by this licensed YMCA facility during the school year. This facility does not operate during the summer, and the last day of operation is May 21, 2026. Records were not available for all staff members during the visit due to the facilities internet connectivity issues. Records were maintained electronically. The Staff and Training Worksheet was not available for one new staff member who was employed on May 13, 2026. This facility does not have an ABCMS Provider Portal set up yet. Three children’s records were monitored. One of the three children’s records was not on file available for review. The most recent monthly fire drill was documented on the Emergency Drill Log as conducted on May 12, 2026, at 4:00pm. The most recent quarterly lockdown/shelter-in-place drill was documented as conducted on May 12, 2026, at 4:00pm. The EPR Plan was created on May 13, 2026, by the administrator. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary will be emailed to you within two business days. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two children with enrollment dates that were not documented and on file for review during the visit, did not have verification available for review to confirm that the summary of NC Child Care Law was given to parents. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival and departure records on file for review for April 2026 did not include accurate dates and were unable to be confirmed. 10A NCAC 09 .0302(d)(4) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Documentation of a completed monthly fire drill for February, March and April 2026 could not be confirmed. Staff reported that the fire drills that were documented had been completed during the school day, and not when children were attending the before and after school YMCA program. .0604(t); .0302(d)(5) 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. One new group leader that began working on May 13, 2026, at this facility, did not have an emergency information form accessible for review during the visit until the hard copy of the form was delivered by a staff member to the consultant at 3:25pm on May 14, 2026. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One group leader, R. Pettus employed on May 13, 2026, did not have a criminal background check completed prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. All staff records were not available for review during the visit due to the facilities lack of internet connectivity to access electronic records. G.S. 110-91( 9) 1301 Center did not maintain a record of daily attendance. Daily attendance was not completed and available for review. GS 110-91(9) 1303 Application was not signed by the parent. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have an application signed by the parent on site or available for review. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Emergency medical care information for two children was unable to be determined if it was on file for the child's first day due to no enrollment date documented on file or accessible by staff members during the visit. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have emergency medical care information signed by the parent on site or available for review. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have acknowledgement of the discipline policy signed by the parent on site or available for review. .1804(c) 1325 Parent's statement includes the child's name and date of enrollment and the date the parent signed the statement. The discipline policy acknowledgement did not include the enrollment date for two children. .1804(b) 1328 Children's records were not made available for review. Records for one child with an enrollment date that was not documented on file or accessible by staff members during the visit were not made available for review. G.S. 110-91(9) 1427 Program coordinator had not completed 2 semester credit hours in child and youth development and 2 semester credit hours in school age programming, or it's equivalency, or was not enrolled in this coursework within 6 months of hire and complete the coursework within 18 months of enrollment. The Program Coordinator, A. Hernandez, employed on August 4, 2025, did not enroll in coursework to obtain the required semester credit hours to meet education requirements for a program coordinator within six months of hire. .2510(b)(2) 1757 A valid qualification letter was not on file and available to review at the facility. One group leader, R. Pettus, employed on May 13, 2026, did not complete the criminal background check process to obtain a qualifying letter required to be on file prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Staff member, A. Hernandez, employed on August 4, 2025, was not listed on the Criminal Background Check ABCMS Provider Portal roster for this facility. The ABCMS Provider Portal was not set up for this facility. G.S. 110-90.2 & .2703(r) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The published and printed Emergency Preparedness and Response (EPR) Plan on file for review was dated May 13, 2026. The administrator completed EPR training on June 3, 2021, and the facility was licensed on August 4, 2025. .0607(c) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident report was completed for a child, six years of age, who was injured at the facility on March 23, 2026, and received medical attention as a result of the injury. The incident report was never submitted to the consultant as required within seven calendar days. .0802(f) The violations documented above must be corrected immediately. On or before May 28, 2026, 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 that 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: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is ericas@ymcacv.org. 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. Due to the nature of the violations regarding criminal background checks and due to the number of violations observed, an unannounced follow-up visit will be conducted and an administrative action may be recommended. Technical Assistance was provided on the following: Criminal Background Checks (CBC)- -The ABCMS system was checked during the visit and the new staff member, R. Pettus, was not in the portal and no application had been submitted to initiate the criminal background check process. During the visit, staff member, F. Watson, covered for staff/child ratio requirements in group #1 after asking staff member R. Pettus to leave the facility until able to obtain a qualifying letter. A DCDEE criminal background check must be completed prior to employment in a licensed child care facility. A valid criminal background check qualification letter must be on file available to review. We reviewed DCDEE criminal background check requirements with you. Prior to hiring new staff, you must request that they complete a DCDEE criminal background check and obtain a copy of their qualification letter BEFORE their first day of employment. R. Pettus must complete the criminal background check and obtain a qualifying letter by May 28, 2026. Children’s Records- -We suggested that you utilize the Children’s File Checklist available on the DCDEE website under the Provider tab, then click on Provider Documents and Forms. Refer to the checklist prior to each child’s enrollment to ensure all required documentation and parental acknowledgement for policies are on file within the required timeframe. We suggested that administrative staff review all children’s records prior to enrollment to ensure all required information is obtained before enrolling the child. Review the information received to ensure a parent’s signature has been obtained and that the information includes the child’s enrollment date. Arrival and Departure Records- -All children must be signed in and out each day for before and after school care as well as full day care. We suggested that you provide staff with current documentation for arrival and departure records including each child who is enrolled in the program. The documents on file were copied and being reused, and the staff member was writing in names of children. Several records did not have dates recorded, so there was no way to determine what dates the arrival and departure records were for. Fire Drills- -Fire drills must be completed and documented monthly. We suggested that you coordinate with the school’s principal to schedule a time for the fire drills to be completed while children are in your care, using the fire alarm system. You reported that the fire drills that were documented had been completed during the school day, and not when children were attending the before and after school YMCA program. We suggested adding reminder alerts to your computer or phone to complete these drills at various times each month. Staff Emergency Information- -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an 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 on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. Due to on-going internet connectivity issues at this facility, records were not available to be accessed electronically. The new group leader that began employment on May 13, 2026, did not have emergency information on file to reference in case of emergency until 3:25pm on May 14, 2026. We suggested that all staff records be printed and kept on file for review, when electronic records are inaccessible, on the staff members’ first day of employment at the facility. We also suggested you create a schedule to update all staff Emergency Information forms at least once per year to ensure they are all updated at least annually. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the Provider tab, then click Provider Documents and Forms, to ensure all required documentation is on file within the required timeframe. Staff Records- -Due to on-going internet connectivity issues at this facility, records were not available for review and were not accessible by staff members. We suggested that all staff records be printed and kept on file for review when electronic records are inaccessible on the staff members’ first day of employment at the facility. Additionally, we suggested you use the staff file checklist found on the DCDEE website under the Provider tab, then click Provider Documents and Forms, to ensure all required documentation is on file. Attendance records- -Attendance must be recorded daily for each child. Attendance must be recorded for both before school and after school care. We suggested that you use the attendance record available on the DCDEE website, under the Provider tab, then click Provider Documents and Forms. Children’s Application for Enrollment- -We suggested that administrative staff review the child’s application, applicable documents and parental acknowledgement form for all policies to ensure the parents’ signature is obtained before enrolling children. Also, ensure that the emergency medical care authorization has been acknowledged and signed off by each child’s parent. The printed copy of the two electronic children’s applications that were monitored during the visit indicated “staff override” in the areas where parent signatures were required. We suggested that staff review children’s applications once received at the facility and if a parent’s signature and/or child’s enrollment date is not included, staff can request the parent to sign the application and the staff member can record the date the child first attended the facility on the application. Emergency Medical Care Information for Children- -We suggested that administrative staff review the child’s application, including emergency medical care information, to ensure the parents’ signature is obtained. I suggested that staff review children’s emergency medical care information on the child’s application once received at the facility and if a parent’s signature and/or child’s enrollment date is not included, staff can request the parent to sign the application and the staff member can record the date the child first attended the facility on the application. Discipline Policy Parental Acknowledgement- -We reviewed requirements for the discipline policy acknowledgement with you. I suggested that you update your original acknowledgement form to include an area to document the child’s name and enrollment date. I suggested that you go through each child’s file to ensure this information is included on your acknowledgement form for existing children. The child care center shall obtain from each parent, legal guardian, or full-time custodian a statement that attests that a copy of the center's written discipline policy was given to and discussed with him or her. That statement must include the following: (1) the child's name; (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. Program Coordinator Requirements- -A. Hernandez must enroll in two semester credit hours in child and youth development and two semester credit hours in school-age programming by May 28, 2026. Documentation of the staff members enrollment in coursework must be obtained and submitted with your compliance letter by May 28, 2026. I suggested to you to enroll applicable staff members in required coursework as soon as they are employed as a program coordinator. 10A NCAC 09 .2510(b) At least one individual who is responsible for planning and ensuring the implementation of daily activities for a school-age program (program coordinator) shall: (1) Be at least 18 years old and have a high school diploma or its equivalent prior to employment; (2) Have completed two semester credit hours in child and youth development and two semester credit hours in school-age programming. Each individual who does not meet this requirement shall enroll in coursework within six months after becoming employed and shall complete this coursework within 18 months of enrollment. An individual who meets the staff requirements for administrator or lead teacher shall be considered as meeting the requirements for program coordinator, provided the individual completes Basic School-Age Care (BSAC) training as defined in 10A NCAC 09 .0102(4) of this Chapter, and (3) Be on site when children are in care for programs offering before and after school care only. For a full day program, the program coordinator shall be on site for two thirds of the hours of operation. This includes times when the individual is off site due to illness or vacation. Criminal Background Check ABCMS Provider Portal- -A roster was not found for Catawba Springs Elementary YMCA Childcare, nor were any staff members listed for employment for this facility. F. Watson, Lincoln County Regional Program Director, was listed under Iron Station Elementary YMCA Childcare’s ABCMS Provider Portal roster, and E. Simmons, Administrator, was listed under other licensed YMCA facilities, except for Catawba Springs Elementary YMCA Childcare. Operators shall notify the Division of all new child care providers, as defined in G.S. 110-90.2(a)(2), who are hired within five business days. To correct this violation, you must create an ABCMS Provider Portal roster for this facility and add staff members to the roster. I suggested that you add staff members to the roster as soon as they are employed, or at least within five days of their employment. Emergency Preparedness and Response (EPR) Plan- -Since the administrator had completed EPR training on June 3, 2021, prior to the facility obtaining a license, the EPR Plan needed to be completed for this facility by December 4, 2025. The facility was initially licensed on August 4, 2025. Moving forward, the EPR Plan must be reviewed with staff annually and as changes occur. Incident Reports- -We reviewed incident report requirements with you during the visit. We suggested that you review all incident reports when received to ensure all required information is obtained and to determine if the incident report needs to be sent to the Consultant. We reminded you that any time a child receives medical treatment from a health care professional, the incident report must be submitted to me, even if the child does not see the healthcare professional on the same day when the incident occurred. When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. We suggested that you review incident report requirements with all staff members individually or during a staff meeting/training. You allowed me to make a copy of the incident report during the visit. Consultation: -The Ready to Go File must include a copy of the Emergency Preparedness and Response Plan. Per Child Care Rule 10A NCAC 09 .0607(d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. -Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Rated License: The following Family and Community Engagement Standards were discussed with you and monitored during today’s visit- -Two-way communication with families. You stated you use Bright Wheel and the facilities cell phone for two-way communication with families. -The center administrator offers an annual evaluation or survey of the center to families, including the option to reply anonymously. The center administrator considers these evaluations or surveys for planning within the child care center. You stated the center administrator recently sent out a survey to parents; however, you could not recall the date the survey was sent. -The center administrator offers at least one family event annually that includes an educational opportunity for staff and families to learn together. You stated a family event has been scheduled by the administrator; however, you could not recall the date the family event will take place. Completion of the annual requirements for the Family and Community Engagement Standards will be reviewed at your next monitoring visit. The Facility Continuous Quality and Improvement (CQI) Plan and the Individual CQI plans for each staff must be completed and on file for review by February 5, 2027. Completed facility CQI and individual CQI information will be reviewed at your next monitoring visit. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, a handwritten visit summary was reviewed, and a copy was left with you. The computer-generated visit summary will be emailed to you within two business days. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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 .0801 · Violation

Name of Operation: Catawba Springs Elementary YMCA Childcare Facility ID: 55000196 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 5/14/2026 Number Present: 20 Completed Date: 5/14/2026 Age: From 5 To 9 Total Minutes: 285 Time In: 02:00 PM Time Out: 06:45 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 your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. April Parra Hernandez, Program Coordinator, assisted us with the visit upon arrival. You, Fanisha Watson, Lincoln County Regional Program Director, arrived at 3:15pm and assisted with the remainder of the visit. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit. This is the first annual compliance visit since this facility became licensed on August 4, 2025. This program currently operates with a four-star rated license effective February 5, 2026, meeting daytime care only, school age only, and meets enhanced ratios. The license was posted and the restrictions were in compliance. This facility follows the classroom and instructional quality pathway for their rated license. The program’s compliance history was 87 percent prior to today’s visit. The North Carolina Secretary of State website was reviewed on May 13, 2026, and Young Men’s Christian Association of Catawba Valley, Inc. was listed as current-active. A checklist was used to note the requirements monitored today. During today’s visit, you were utilizing the cafeteria and the gym. You stated you typically use the cafeteria and the gym for indoor space, along with the playground for outdoor space. Children and staff were observed during snack and free play activities indoors. Children are not transported by this licensed YMCA facility during the school year. This facility does not operate during the summer, and the last day of operation is May 21, 2026. Records were not available for all staff members during the visit due to the facilities internet connectivity issues. Records were maintained electronically. The Staff and Training Worksheet was not available for one new staff member who was employed on May 13, 2026. This facility does not have an ABCMS Provider Portal set up yet. Three children’s records were monitored. One of the three children’s records was not on file available for review. The most recent monthly fire drill was documented on the Emergency Drill Log as conducted on May 12, 2026, at 4:00pm. The most recent quarterly lockdown/shelter-in-place drill was documented as conducted on May 12, 2026, at 4:00pm. The EPR Plan was created on May 13, 2026, by the administrator. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary will be emailed to you within two business days. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two children with enrollment dates that were not documented and on file for review during the visit, did not have verification available for review to confirm that the summary of NC Child Care Law was given to parents. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival and departure records on file for review for April 2026 did not include accurate dates and were unable to be confirmed. 10A NCAC 09 .0302(d)(4) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Documentation of a completed monthly fire drill for February, March and April 2026 could not be confirmed. Staff reported that the fire drills that were documented had been completed during the school day, and not when children were attending the before and after school YMCA program. .0604(t); .0302(d)(5) 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. One new group leader that began working on May 13, 2026, at this facility, did not have an emergency information form accessible for review during the visit until the hard copy of the form was delivered by a staff member to the consultant at 3:25pm on May 14, 2026. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One group leader, R. Pettus employed on May 13, 2026, did not have a criminal background check completed prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. All staff records were not available for review during the visit due to the facilities lack of internet connectivity to access electronic records. G.S. 110-91( 9) 1301 Center did not maintain a record of daily attendance. Daily attendance was not completed and available for review. GS 110-91(9) 1303 Application was not signed by the parent. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have an application signed by the parent on site or available for review. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Emergency medical care information for two children was unable to be determined if it was on file for the child's first day due to no enrollment date documented on file or accessible by staff members during the visit. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have emergency medical care information signed by the parent on site or available for review. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have acknowledgement of the discipline policy signed by the parent on site or available for review. .1804(c) 1325 Parent's statement includes the child's name and date of enrollment and the date the parent signed the statement. The discipline policy acknowledgement did not include the enrollment date for two children. .1804(b) 1328 Children's records were not made available for review. Records for one child with an enrollment date that was not documented on file or accessible by staff members during the visit were not made available for review. G.S. 110-91(9) 1427 Program coordinator had not completed 2 semester credit hours in child and youth development and 2 semester credit hours in school age programming, or it's equivalency, or was not enrolled in this coursework within 6 months of hire and complete the coursework within 18 months of enrollment. The Program Coordinator, A. Hernandez, employed on August 4, 2025, did not enroll in coursework to obtain the required semester credit hours to meet education requirements for a program coordinator within six months of hire. .2510(b)(2) 1757 A valid qualification letter was not on file and available to review at the facility. One group leader, R. Pettus, employed on May 13, 2026, did not complete the criminal background check process to obtain a qualifying letter required to be on file prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Staff member, A. Hernandez, employed on August 4, 2025, was not listed on the Criminal Background Check ABCMS Provider Portal roster for this facility. The ABCMS Provider Portal was not set up for this facility. G.S. 110-90.2 & .2703(r) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The published and printed Emergency Preparedness and Response (EPR) Plan on file for review was dated May 13, 2026. The administrator completed EPR training on June 3, 2021, and the facility was licensed on August 4, 2025. .0607(c) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident report was completed for a child, six years of age, who was injured at the facility on March 23, 2026, and received medical attention as a result of the injury. The incident report was never submitted to the consultant as required within seven calendar days. .0802(f) The violations documented above must be corrected immediately. On or before May 28, 2026, 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 that 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: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is ericas@ymcacv.org. 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. Due to the nature of the violations regarding criminal background checks and due to the number of violations observed, an unannounced follow-up visit will be conducted and an administrative action may be recommended. Technical Assistance was provided on the following: Criminal Background Checks (CBC)- -The ABCMS system was checked during the visit and the new staff member, R. Pettus, was not in the portal and no application had been submitted to initiate the criminal background check process. During the visit, staff member, F. Watson, covered for staff/child ratio requirements in group #1 after asking staff member R. Pettus to leave the facility until able to obtain a qualifying letter. A DCDEE criminal background check must be completed prior to employment in a licensed child care facility. A valid criminal background check qualification letter must be on file available to review. We reviewed DCDEE criminal background check requirements with you. Prior to hiring new staff, you must request that they complete a DCDEE criminal background check and obtain a copy of their qualification letter BEFORE their first day of employment. R. Pettus must complete the criminal background check and obtain a qualifying letter by May 28, 2026. Children’s Records- -We suggested that you utilize the Children’s File Checklist available on the DCDEE website under the Provider tab, then click on Provider Documents and Forms. Refer to the checklist prior to each child’s enrollment to ensure all required documentation and parental acknowledgement for policies are on file within the required timeframe. We suggested that administrative staff review all children’s records prior to enrollment to ensure all required information is obtained before enrolling the child. Review the information received to ensure a parent’s signature has been obtained and that the information includes the child’s enrollment date. Arrival and Departure Records- -All children must be signed in and out each day for before and after school care as well as full day care. We suggested that you provide staff with current documentation for arrival and departure records including each child who is enrolled in the program. The documents on file were copied and being reused, and the staff member was writing in names of children. Several records did not have dates recorded, so there was no way to determine what dates the arrival and departure records were for. Fire Drills- -Fire drills must be completed and documented monthly. We suggested that you coordinate with the school’s principal to schedule a time for the fire drills to be completed while children are in your care, using the fire alarm system. You reported that the fire drills that were documented had been completed during the school day, and not when children were attending the before and after school YMCA program. We suggested adding reminder alerts to your computer or phone to complete these drills at various times each month. Staff Emergency Information- -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an 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 on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. Due to on-going internet connectivity issues at this facility, records were not available to be accessed electronically. The new group leader that began employment on May 13, 2026, did not have emergency information on file to reference in case of emergency until 3:25pm on May 14, 2026. We suggested that all staff records be printed and kept on file for review, when electronic records are inaccessible, on the staff members’ first day of employment at the facility. We also suggested you create a schedule to update all staff Emergency Information forms at least once per year to ensure they are all updated at least annually. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the Provider tab, then click Provider Documents and Forms, to ensure all required documentation is on file within the required timeframe. Staff Records- -Due to on-going internet connectivity issues at this facility, records were not available for review and were not accessible by staff members. We suggested that all staff records be printed and kept on file for review when electronic records are inaccessible on the staff members’ first day of employment at the facility. Additionally, we suggested you use the staff file checklist found on the DCDEE website under the Provider tab, then click Provider Documents and Forms, to ensure all required documentation is on file. Attendance records- -Attendance must be recorded daily for each child. Attendance must be recorded for both before school and after school care. We suggested that you use the attendance record available on the DCDEE website, under the Provider tab, then click Provider Documents and Forms. Children’s Application for Enrollment- -We suggested that administrative staff review the child’s application, applicable documents and parental acknowledgement form for all policies to ensure the parents’ signature is obtained before enrolling children. Also, ensure that the emergency medical care authorization has been acknowledged and signed off by each child’s parent. The printed copy of the two electronic children’s applications that were monitored during the visit indicated “staff override” in the areas where parent signatures were required. We suggested that staff review children’s applications once received at the facility and if a parent’s signature and/or child’s enrollment date is not included, staff can request the parent to sign the application and the staff member can record the date the child first attended the facility on the application. Emergency Medical Care Information for Children- -We suggested that administrative staff review the child’s application, including emergency medical care information, to ensure the parents’ signature is obtained. I suggested that staff review children’s emergency medical care information on the child’s application once received at the facility and if a parent’s signature and/or child’s enrollment date is not included, staff can request the parent to sign the application and the staff member can record the date the child first attended the facility on the application. Discipline Policy Parental Acknowledgement- -We reviewed requirements for the discipline policy acknowledgement with you. I suggested that you update your original acknowledgement form to include an area to document the child’s name and enrollment date. I suggested that you go through each child’s file to ensure this information is included on your acknowledgement form for existing children. The child care center shall obtain from each parent, legal guardian, or full-time custodian a statement that attests that a copy of the center's written discipline policy was given to and discussed with him or her. That statement must include the following: (1) the child's name; (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. Program Coordinator Requirements- -A. Hernandez must enroll in two semester credit hours in child and youth development and two semester credit hours in school-age programming by May 28, 2026. Documentation of the staff members enrollment in coursework must be obtained and submitted with your compliance letter by May 28, 2026. I suggested to you to enroll applicable staff members in required coursework as soon as they are employed as a program coordinator. 10A NCAC 09 .2510(b) At least one individual who is responsible for planning and ensuring the implementation of daily activities for a school-age program (program coordinator) shall: (1) Be at least 18 years old and have a high school diploma or its equivalent prior to employment; (2) Have completed two semester credit hours in child and youth development and two semester credit hours in school-age programming. Each individual who does not meet this requirement shall enroll in coursework within six months after becoming employed and shall complete this coursework within 18 months of enrollment. An individual who meets the staff requirements for administrator or lead teacher shall be considered as meeting the requirements for program coordinator, provided the individual completes Basic School-Age Care (BSAC) training as defined in 10A NCAC 09 .0102(4) of this Chapter, and (3) Be on site when children are in care for programs offering before and after school care only. For a full day program, the program coordinator shall be on site for two thirds of the hours of operation. This includes times when the individual is off site due to illness or vacation. Criminal Background Check ABCMS Provider Portal- -A roster was not found for Catawba Springs Elementary YMCA Childcare, nor were any staff members listed for employment for this facility. F. Watson, Lincoln County Regional Program Director, was listed under Iron Station Elementary YMCA Childcare’s ABCMS Provider Portal roster, and E. Simmons, Administrator, was listed under other licensed YMCA facilities, except for Catawba Springs Elementary YMCA Childcare. Operators shall notify the Division of all new child care providers, as defined in G.S. 110-90.2(a)(2), who are hired within five business days. To correct this violation, you must create an ABCMS Provider Portal roster for this facility and add staff members to the roster. I suggested that you add staff members to the roster as soon as they are employed, or at least within five days of their employment. Emergency Preparedness and Response (EPR) Plan- -Since the administrator had completed EPR training on June 3, 2021, prior to the facility obtaining a license, the EPR Plan needed to be completed for this facility by December 4, 2025. The facility was initially licensed on August 4, 2025. Moving forward, the EPR Plan must be reviewed with staff annually and as changes occur. Incident Reports- -We reviewed incident report requirements with you during the visit. We suggested that you review all incident reports when received to ensure all required information is obtained and to determine if the incident report needs to be sent to the Consultant. We reminded you that any time a child receives medical treatment from a health care professional, the incident report must be submitted to me, even if the child does not see the healthcare professional on the same day when the incident occurred. When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. We suggested that you review incident report requirements with all staff members individually or during a staff meeting/training. You allowed me to make a copy of the incident report during the visit. Consultation: -The Ready to Go File must include a copy of the Emergency Preparedness and Response Plan. Per Child Care Rule 10A NCAC 09 .0607(d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. -Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Rated License: The following Family and Community Engagement Standards were discussed with you and monitored during today’s visit- -Two-way communication with families. You stated you use Bright Wheel and the facilities cell phone for two-way communication with families. -The center administrator offers an annual evaluation or survey of the center to families, including the option to reply anonymously. The center administrator considers these evaluations or surveys for planning within the child care center. You stated the center administrator recently sent out a survey to parents; however, you could not recall the date the survey was sent. -The center administrator offers at least one family event annually that includes an educational opportunity for staff and families to learn together. You stated a family event has been scheduled by the administrator; however, you could not recall the date the family event will take place. Completion of the annual requirements for the Family and Community Engagement Standards will be reviewed at your next monitoring visit. The Facility Continuous Quality and Improvement (CQI) Plan and the Individual CQI plans for each staff must be completed and on file for review by February 5, 2027. Completed facility CQI and individual CQI information will be reviewed at your next monitoring visit. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, a handwritten visit summary was reviewed, and a copy was left with you. The computer-generated visit summary will be emailed to you within two business days. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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 .2510 · Violation

Name of Operation: Catawba Springs Elementary YMCA Childcare Facility ID: 55000196 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 5/14/2026 Number Present: 20 Completed Date: 5/14/2026 Age: From 5 To 9 Total Minutes: 285 Time In: 02:00 PM Time Out: 06:45 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 your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. April Parra Hernandez, Program Coordinator, assisted us with the visit upon arrival. You, Fanisha Watson, Lincoln County Regional Program Director, arrived at 3:15pm and assisted with the remainder of the visit. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit. This is the first annual compliance visit since this facility became licensed on August 4, 2025. This program currently operates with a four-star rated license effective February 5, 2026, meeting daytime care only, school age only, and meets enhanced ratios. The license was posted and the restrictions were in compliance. This facility follows the classroom and instructional quality pathway for their rated license. The program’s compliance history was 87 percent prior to today’s visit. The North Carolina Secretary of State website was reviewed on May 13, 2026, and Young Men’s Christian Association of Catawba Valley, Inc. was listed as current-active. A checklist was used to note the requirements monitored today. During today’s visit, you were utilizing the cafeteria and the gym. You stated you typically use the cafeteria and the gym for indoor space, along with the playground for outdoor space. Children and staff were observed during snack and free play activities indoors. Children are not transported by this licensed YMCA facility during the school year. This facility does not operate during the summer, and the last day of operation is May 21, 2026. Records were not available for all staff members during the visit due to the facilities internet connectivity issues. Records were maintained electronically. The Staff and Training Worksheet was not available for one new staff member who was employed on May 13, 2026. This facility does not have an ABCMS Provider Portal set up yet. Three children’s records were monitored. One of the three children’s records was not on file available for review. The most recent monthly fire drill was documented on the Emergency Drill Log as conducted on May 12, 2026, at 4:00pm. The most recent quarterly lockdown/shelter-in-place drill was documented as conducted on May 12, 2026, at 4:00pm. The EPR Plan was created on May 13, 2026, by the administrator. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary will be emailed to you within two business days. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two children with enrollment dates that were not documented and on file for review during the visit, did not have verification available for review to confirm that the summary of NC Child Care Law was given to parents. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival and departure records on file for review for April 2026 did not include accurate dates and were unable to be confirmed. 10A NCAC 09 .0302(d)(4) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Documentation of a completed monthly fire drill for February, March and April 2026 could not be confirmed. Staff reported that the fire drills that were documented had been completed during the school day, and not when children were attending the before and after school YMCA program. .0604(t); .0302(d)(5) 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. One new group leader that began working on May 13, 2026, at this facility, did not have an emergency information form accessible for review during the visit until the hard copy of the form was delivered by a staff member to the consultant at 3:25pm on May 14, 2026. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One group leader, R. Pettus employed on May 13, 2026, did not have a criminal background check completed prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. All staff records were not available for review during the visit due to the facilities lack of internet connectivity to access electronic records. G.S. 110-91( 9) 1301 Center did not maintain a record of daily attendance. Daily attendance was not completed and available for review. GS 110-91(9) 1303 Application was not signed by the parent. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have an application signed by the parent on site or available for review. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Emergency medical care information for two children was unable to be determined if it was on file for the child's first day due to no enrollment date documented on file or accessible by staff members during the visit. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have emergency medical care information signed by the parent on site or available for review. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have acknowledgement of the discipline policy signed by the parent on site or available for review. .1804(c) 1325 Parent's statement includes the child's name and date of enrollment and the date the parent signed the statement. The discipline policy acknowledgement did not include the enrollment date for two children. .1804(b) 1328 Children's records were not made available for review. Records for one child with an enrollment date that was not documented on file or accessible by staff members during the visit were not made available for review. G.S. 110-91(9) 1427 Program coordinator had not completed 2 semester credit hours in child and youth development and 2 semester credit hours in school age programming, or it's equivalency, or was not enrolled in this coursework within 6 months of hire and complete the coursework within 18 months of enrollment. The Program Coordinator, A. Hernandez, employed on August 4, 2025, did not enroll in coursework to obtain the required semester credit hours to meet education requirements for a program coordinator within six months of hire. .2510(b)(2) 1757 A valid qualification letter was not on file and available to review at the facility. One group leader, R. Pettus, employed on May 13, 2026, did not complete the criminal background check process to obtain a qualifying letter required to be on file prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Staff member, A. Hernandez, employed on August 4, 2025, was not listed on the Criminal Background Check ABCMS Provider Portal roster for this facility. The ABCMS Provider Portal was not set up for this facility. G.S. 110-90.2 & .2703(r) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The published and printed Emergency Preparedness and Response (EPR) Plan on file for review was dated May 13, 2026. The administrator completed EPR training on June 3, 2021, and the facility was licensed on August 4, 2025. .0607(c) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident report was completed for a child, six years of age, who was injured at the facility on March 23, 2026, and received medical attention as a result of the injury. The incident report was never submitted to the consultant as required within seven calendar days. .0802(f) The violations documented above must be corrected immediately. On or before May 28, 2026, 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 that 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: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is ericas@ymcacv.org. 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. Due to the nature of the violations regarding criminal background checks and due to the number of violations observed, an unannounced follow-up visit will be conducted and an administrative action may be recommended. Technical Assistance was provided on the following: Criminal Background Checks (CBC)- -The ABCMS system was checked during the visit and the new staff member, R. Pettus, was not in the portal and no application had been submitted to initiate the criminal background check process. During the visit, staff member, F. Watson, covered for staff/child ratio requirements in group #1 after asking staff member R. Pettus to leave the facility until able to obtain a qualifying letter. A DCDEE criminal background check must be completed prior to employment in a licensed child care facility. A valid criminal background check qualification letter must be on file available to review. We reviewed DCDEE criminal background check requirements with you. Prior to hiring new staff, you must request that they complete a DCDEE criminal background check and obtain a copy of their qualification letter BEFORE their first day of employment. R. Pettus must complete the criminal background check and obtain a qualifying letter by May 28, 2026. Children’s Records- -We suggested that you utilize the Children’s File Checklist available on the DCDEE website under the Provider tab, then click on Provider Documents and Forms. Refer to the checklist prior to each child’s enrollment to ensure all required documentation and parental acknowledgement for policies are on file within the required timeframe. We suggested that administrative staff review all children’s records prior to enrollment to ensure all required information is obtained before enrolling the child. Review the information received to ensure a parent’s signature has been obtained and that the information includes the child’s enrollment date. Arrival and Departure Records- -All children must be signed in and out each day for before and after school care as well as full day care. We suggested that you provide staff with current documentation for arrival and departure records including each child who is enrolled in the program. The documents on file were copied and being reused, and the staff member was writing in names of children. Several records did not have dates recorded, so there was no way to determine what dates the arrival and departure records were for. Fire Drills- -Fire drills must be completed and documented monthly. We suggested that you coordinate with the school’s principal to schedule a time for the fire drills to be completed while children are in your care, using the fire alarm system. You reported that the fire drills that were documented had been completed during the school day, and not when children were attending the before and after school YMCA program. We suggested adding reminder alerts to your computer or phone to complete these drills at various times each month. Staff Emergency Information- -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an 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 on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. Due to on-going internet connectivity issues at this facility, records were not available to be accessed electronically. The new group leader that began employment on May 13, 2026, did not have emergency information on file to reference in case of emergency until 3:25pm on May 14, 2026. We suggested that all staff records be printed and kept on file for review, when electronic records are inaccessible, on the staff members’ first day of employment at the facility. We also suggested you create a schedule to update all staff Emergency Information forms at least once per year to ensure they are all updated at least annually. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the Provider tab, then click Provider Documents and Forms, to ensure all required documentation is on file within the required timeframe. Staff Records- -Due to on-going internet connectivity issues at this facility, records were not available for review and were not accessible by staff members. We suggested that all staff records be printed and kept on file for review when electronic records are inaccessible on the staff members’ first day of employment at the facility. Additionally, we suggested you use the staff file checklist found on the DCDEE website under the Provider tab, then click Provider Documents and Forms, to ensure all required documentation is on file. Attendance records- -Attendance must be recorded daily for each child. Attendance must be recorded for both before school and after school care. We suggested that you use the attendance record available on the DCDEE website, under the Provider tab, then click Provider Documents and Forms. Children’s Application for Enrollment- -We suggested that administrative staff review the child’s application, applicable documents and parental acknowledgement form for all policies to ensure the parents’ signature is obtained before enrolling children. Also, ensure that the emergency medical care authorization has been acknowledged and signed off by each child’s parent. The printed copy of the two electronic children’s applications that were monitored during the visit indicated “staff override” in the areas where parent signatures were required. We suggested that staff review children’s applications once received at the facility and if a parent’s signature and/or child’s enrollment date is not included, staff can request the parent to sign the application and the staff member can record the date the child first attended the facility on the application. Emergency Medical Care Information for Children- -We suggested that administrative staff review the child’s application, including emergency medical care information, to ensure the parents’ signature is obtained. I suggested that staff review children’s emergency medical care information on the child’s application once received at the facility and if a parent’s signature and/or child’s enrollment date is not included, staff can request the parent to sign the application and the staff member can record the date the child first attended the facility on the application. Discipline Policy Parental Acknowledgement- -We reviewed requirements for the discipline policy acknowledgement with you. I suggested that you update your original acknowledgement form to include an area to document the child’s name and enrollment date. I suggested that you go through each child’s file to ensure this information is included on your acknowledgement form for existing children. The child care center shall obtain from each parent, legal guardian, or full-time custodian a statement that attests that a copy of the center's written discipline policy was given to and discussed with him or her. That statement must include the following: (1) the child's name; (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. Program Coordinator Requirements- -A. Hernandez must enroll in two semester credit hours in child and youth development and two semester credit hours in school-age programming by May 28, 2026. Documentation of the staff members enrollment in coursework must be obtained and submitted with your compliance letter by May 28, 2026. I suggested to you to enroll applicable staff members in required coursework as soon as they are employed as a program coordinator. 10A NCAC 09 .2510(b) At least one individual who is responsible for planning and ensuring the implementation of daily activities for a school-age program (program coordinator) shall: (1) Be at least 18 years old and have a high school diploma or its equivalent prior to employment; (2) Have completed two semester credit hours in child and youth development and two semester credit hours in school-age programming. Each individual who does not meet this requirement shall enroll in coursework within six months after becoming employed and shall complete this coursework within 18 months of enrollment. An individual who meets the staff requirements for administrator or lead teacher shall be considered as meeting the requirements for program coordinator, provided the individual completes Basic School-Age Care (BSAC) training as defined in 10A NCAC 09 .0102(4) of this Chapter, and (3) Be on site when children are in care for programs offering before and after school care only. For a full day program, the program coordinator shall be on site for two thirds of the hours of operation. This includes times when the individual is off site due to illness or vacation. Criminal Background Check ABCMS Provider Portal- -A roster was not found for Catawba Springs Elementary YMCA Childcare, nor were any staff members listed for employment for this facility. F. Watson, Lincoln County Regional Program Director, was listed under Iron Station Elementary YMCA Childcare’s ABCMS Provider Portal roster, and E. Simmons, Administrator, was listed under other licensed YMCA facilities, except for Catawba Springs Elementary YMCA Childcare. Operators shall notify the Division of all new child care providers, as defined in G.S. 110-90.2(a)(2), who are hired within five business days. To correct this violation, you must create an ABCMS Provider Portal roster for this facility and add staff members to the roster. I suggested that you add staff members to the roster as soon as they are employed, or at least within five days of their employment. Emergency Preparedness and Response (EPR) Plan- -Since the administrator had completed EPR training on June 3, 2021, prior to the facility obtaining a license, the EPR Plan needed to be completed for this facility by December 4, 2025. The facility was initially licensed on August 4, 2025. Moving forward, the EPR Plan must be reviewed with staff annually and as changes occur. Incident Reports- -We reviewed incident report requirements with you during the visit. We suggested that you review all incident reports when received to ensure all required information is obtained and to determine if the incident report needs to be sent to the Consultant. We reminded you that any time a child receives medical treatment from a health care professional, the incident report must be submitted to me, even if the child does not see the healthcare professional on the same day when the incident occurred. When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. We suggested that you review incident report requirements with all staff members individually or during a staff meeting/training. You allowed me to make a copy of the incident report during the visit. Consultation: -The Ready to Go File must include a copy of the Emergency Preparedness and Response Plan. Per Child Care Rule 10A NCAC 09 .0607(d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. -Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Rated License: The following Family and Community Engagement Standards were discussed with you and monitored during today’s visit- -Two-way communication with families. You stated you use Bright Wheel and the facilities cell phone for two-way communication with families. -The center administrator offers an annual evaluation or survey of the center to families, including the option to reply anonymously. The center administrator considers these evaluations or surveys for planning within the child care center. You stated the center administrator recently sent out a survey to parents; however, you could not recall the date the survey was sent. -The center administrator offers at least one family event annually that includes an educational opportunity for staff and families to learn together. You stated a family event has been scheduled by the administrator; however, you could not recall the date the family event will take place. Completion of the annual requirements for the Family and Community Engagement Standards will be reviewed at your next monitoring visit. The Facility Continuous Quality and Improvement (CQI) Plan and the Individual CQI plans for each staff must be completed and on file for review by February 5, 2027. Completed facility CQI and individual CQI information will be reviewed at your next monitoring visit. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, a handwritten visit summary was reviewed, and a copy was left with you. The computer-generated visit summary will be emailed to you within two business days. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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.

G.S. 110-90 · Violation

Name of Operation: Catawba Springs Elementary YMCA Childcare Facility ID: 55000196 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 5/14/2026 Number Present: 20 Completed Date: 5/14/2026 Age: From 5 To 9 Total Minutes: 285 Time In: 02:00 PM Time Out: 06:45 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 your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. April Parra Hernandez, Program Coordinator, assisted us with the visit upon arrival. You, Fanisha Watson, Lincoln County Regional Program Director, arrived at 3:15pm and assisted with the remainder of the visit. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit. This is the first annual compliance visit since this facility became licensed on August 4, 2025. This program currently operates with a four-star rated license effective February 5, 2026, meeting daytime care only, school age only, and meets enhanced ratios. The license was posted and the restrictions were in compliance. This facility follows the classroom and instructional quality pathway for their rated license. The program’s compliance history was 87 percent prior to today’s visit. The North Carolina Secretary of State website was reviewed on May 13, 2026, and Young Men’s Christian Association of Catawba Valley, Inc. was listed as current-active. A checklist was used to note the requirements monitored today. During today’s visit, you were utilizing the cafeteria and the gym. You stated you typically use the cafeteria and the gym for indoor space, along with the playground for outdoor space. Children and staff were observed during snack and free play activities indoors. Children are not transported by this licensed YMCA facility during the school year. This facility does not operate during the summer, and the last day of operation is May 21, 2026. Records were not available for all staff members during the visit due to the facilities internet connectivity issues. Records were maintained electronically. The Staff and Training Worksheet was not available for one new staff member who was employed on May 13, 2026. This facility does not have an ABCMS Provider Portal set up yet. Three children’s records were monitored. One of the three children’s records was not on file available for review. The most recent monthly fire drill was documented on the Emergency Drill Log as conducted on May 12, 2026, at 4:00pm. The most recent quarterly lockdown/shelter-in-place drill was documented as conducted on May 12, 2026, at 4:00pm. The EPR Plan was created on May 13, 2026, by the administrator. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary will be emailed to you within two business days. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two children with enrollment dates that were not documented and on file for review during the visit, did not have verification available for review to confirm that the summary of NC Child Care Law was given to parents. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival and departure records on file for review for April 2026 did not include accurate dates and were unable to be confirmed. 10A NCAC 09 .0302(d)(4) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Documentation of a completed monthly fire drill for February, March and April 2026 could not be confirmed. Staff reported that the fire drills that were documented had been completed during the school day, and not when children were attending the before and after school YMCA program. .0604(t); .0302(d)(5) 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. One new group leader that began working on May 13, 2026, at this facility, did not have an emergency information form accessible for review during the visit until the hard copy of the form was delivered by a staff member to the consultant at 3:25pm on May 14, 2026. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One group leader, R. Pettus employed on May 13, 2026, did not have a criminal background check completed prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. All staff records were not available for review during the visit due to the facilities lack of internet connectivity to access electronic records. G.S. 110-91( 9) 1301 Center did not maintain a record of daily attendance. Daily attendance was not completed and available for review. GS 110-91(9) 1303 Application was not signed by the parent. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have an application signed by the parent on site or available for review. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Emergency medical care information for two children was unable to be determined if it was on file for the child's first day due to no enrollment date documented on file or accessible by staff members during the visit. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have emergency medical care information signed by the parent on site or available for review. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have acknowledgement of the discipline policy signed by the parent on site or available for review. .1804(c) 1325 Parent's statement includes the child's name and date of enrollment and the date the parent signed the statement. The discipline policy acknowledgement did not include the enrollment date for two children. .1804(b) 1328 Children's records were not made available for review. Records for one child with an enrollment date that was not documented on file or accessible by staff members during the visit were not made available for review. G.S. 110-91(9) 1427 Program coordinator had not completed 2 semester credit hours in child and youth development and 2 semester credit hours in school age programming, or it's equivalency, or was not enrolled in this coursework within 6 months of hire and complete the coursework within 18 months of enrollment. The Program Coordinator, A. Hernandez, employed on August 4, 2025, did not enroll in coursework to obtain the required semester credit hours to meet education requirements for a program coordinator within six months of hire. .2510(b)(2) 1757 A valid qualification letter was not on file and available to review at the facility. One group leader, R. Pettus, employed on May 13, 2026, did not complete the criminal background check process to obtain a qualifying letter required to be on file prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Staff member, A. Hernandez, employed on August 4, 2025, was not listed on the Criminal Background Check ABCMS Provider Portal roster for this facility. The ABCMS Provider Portal was not set up for this facility. G.S. 110-90.2 & .2703(r) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The published and printed Emergency Preparedness and Response (EPR) Plan on file for review was dated May 13, 2026. The administrator completed EPR training on June 3, 2021, and the facility was licensed on August 4, 2025. .0607(c) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident report was completed for a child, six years of age, who was injured at the facility on March 23, 2026, and received medical attention as a result of the injury. The incident report was never submitted to the consultant as required within seven calendar days. .0802(f) The violations documented above must be corrected immediately. On or before May 28, 2026, 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 that 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: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is ericas@ymcacv.org. 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. Due to the nature of the violations regarding criminal background checks and due to the number of violations observed, an unannounced follow-up visit will be conducted and an administrative action may be recommended. Technical Assistance was provided on the following: Criminal Background Checks (CBC)- -The ABCMS system was checked during the visit and the new staff member, R. Pettus, was not in the portal and no application had been submitted to initiate the criminal background check process. During the visit, staff member, F. Watson, covered for staff/child ratio requirements in group #1 after asking staff member R. Pettus to leave the facility until able to obtain a qualifying letter. A DCDEE criminal background check must be completed prior to employment in a licensed child care facility. A valid criminal background check qualification letter must be on file available to review. We reviewed DCDEE criminal background check requirements with you. Prior to hiring new staff, you must request that they complete a DCDEE criminal background check and obtain a copy of their qualification letter BEFORE their first day of employment. R. Pettus must complete the criminal background check and obtain a qualifying letter by May 28, 2026. Children’s Records- -We suggested that you utilize the Children’s File Checklist available on the DCDEE website under the Provider tab, then click on Provider Documents and Forms. Refer to the checklist prior to each child’s enrollment to ensure all required documentation and parental acknowledgement for policies are on file within the required timeframe. We suggested that administrative staff review all children’s records prior to enrollment to ensure all required information is obtained before enrolling the child. Review the information received to ensure a parent’s signature has been obtained and that the information includes the child’s enrollment date. Arrival and Departure Records- -All children must be signed in and out each day for before and after school care as well as full day care. We suggested that you provide staff with current documentation for arrival and departure records including each child who is enrolled in the program. The documents on file were copied and being reused, and the staff member was writing in names of children. Several records did not have dates recorded, so there was no way to determine what dates the arrival and departure records were for. Fire Drills- -Fire drills must be completed and documented monthly. We suggested that you coordinate with the school’s principal to schedule a time for the fire drills to be completed while children are in your care, using the fire alarm system. You reported that the fire drills that were documented had been completed during the school day, and not when children were attending the before and after school YMCA program. We suggested adding reminder alerts to your computer or phone to complete these drills at various times each month. Staff Emergency Information- -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an 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 on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. Due to on-going internet connectivity issues at this facility, records were not available to be accessed electronically. The new group leader that began employment on May 13, 2026, did not have emergency information on file to reference in case of emergency until 3:25pm on May 14, 2026. We suggested that all staff records be printed and kept on file for review, when electronic records are inaccessible, on the staff members’ first day of employment at the facility. We also suggested you create a schedule to update all staff Emergency Information forms at least once per year to ensure they are all updated at least annually. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the Provider tab, then click Provider Documents and Forms, to ensure all required documentation is on file within the required timeframe. Staff Records- -Due to on-going internet connectivity issues at this facility, records were not available for review and were not accessible by staff members. We suggested that all staff records be printed and kept on file for review when electronic records are inaccessible on the staff members’ first day of employment at the facility. Additionally, we suggested you use the staff file checklist found on the DCDEE website under the Provider tab, then click Provider Documents and Forms, to ensure all required documentation is on file. Attendance records- -Attendance must be recorded daily for each child. Attendance must be recorded for both before school and after school care. We suggested that you use the attendance record available on the DCDEE website, under the Provider tab, then click Provider Documents and Forms. Children’s Application for Enrollment- -We suggested that administrative staff review the child’s application, applicable documents and parental acknowledgement form for all policies to ensure the parents’ signature is obtained before enrolling children. Also, ensure that the emergency medical care authorization has been acknowledged and signed off by each child’s parent. The printed copy of the two electronic children’s applications that were monitored during the visit indicated “staff override” in the areas where parent signatures were required. We suggested that staff review children’s applications once received at the facility and if a parent’s signature and/or child’s enrollment date is not included, staff can request the parent to sign the application and the staff member can record the date the child first attended the facility on the application. Emergency Medical Care Information for Children- -We suggested that administrative staff review the child’s application, including emergency medical care information, to ensure the parents’ signature is obtained. I suggested that staff review children’s emergency medical care information on the child’s application once received at the facility and if a parent’s signature and/or child’s enrollment date is not included, staff can request the parent to sign the application and the staff member can record the date the child first attended the facility on the application. Discipline Policy Parental Acknowledgement- -We reviewed requirements for the discipline policy acknowledgement with you. I suggested that you update your original acknowledgement form to include an area to document the child’s name and enrollment date. I suggested that you go through each child’s file to ensure this information is included on your acknowledgement form for existing children. The child care center shall obtain from each parent, legal guardian, or full-time custodian a statement that attests that a copy of the center's written discipline policy was given to and discussed with him or her. That statement must include the following: (1) the child's name; (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. Program Coordinator Requirements- -A. Hernandez must enroll in two semester credit hours in child and youth development and two semester credit hours in school-age programming by May 28, 2026. Documentation of the staff members enrollment in coursework must be obtained and submitted with your compliance letter by May 28, 2026. I suggested to you to enroll applicable staff members in required coursework as soon as they are employed as a program coordinator. 10A NCAC 09 .2510(b) At least one individual who is responsible for planning and ensuring the implementation of daily activities for a school-age program (program coordinator) shall: (1) Be at least 18 years old and have a high school diploma or its equivalent prior to employment; (2) Have completed two semester credit hours in child and youth development and two semester credit hours in school-age programming. Each individual who does not meet this requirement shall enroll in coursework within six months after becoming employed and shall complete this coursework within 18 months of enrollment. An individual who meets the staff requirements for administrator or lead teacher shall be considered as meeting the requirements for program coordinator, provided the individual completes Basic School-Age Care (BSAC) training as defined in 10A NCAC 09 .0102(4) of this Chapter, and (3) Be on site when children are in care for programs offering before and after school care only. For a full day program, the program coordinator shall be on site for two thirds of the hours of operation. This includes times when the individual is off site due to illness or vacation. Criminal Background Check ABCMS Provider Portal- -A roster was not found for Catawba Springs Elementary YMCA Childcare, nor were any staff members listed for employment for this facility. F. Watson, Lincoln County Regional Program Director, was listed under Iron Station Elementary YMCA Childcare’s ABCMS Provider Portal roster, and E. Simmons, Administrator, was listed under other licensed YMCA facilities, except for Catawba Springs Elementary YMCA Childcare. Operators shall notify the Division of all new child care providers, as defined in G.S. 110-90.2(a)(2), who are hired within five business days. To correct this violation, you must create an ABCMS Provider Portal roster for this facility and add staff members to the roster. I suggested that you add staff members to the roster as soon as they are employed, or at least within five days of their employment. Emergency Preparedness and Response (EPR) Plan- -Since the administrator had completed EPR training on June 3, 2021, prior to the facility obtaining a license, the EPR Plan needed to be completed for this facility by December 4, 2025. The facility was initially licensed on August 4, 2025. Moving forward, the EPR Plan must be reviewed with staff annually and as changes occur. Incident Reports- -We reviewed incident report requirements with you during the visit. We suggested that you review all incident reports when received to ensure all required information is obtained and to determine if the incident report needs to be sent to the Consultant. We reminded you that any time a child receives medical treatment from a health care professional, the incident report must be submitted to me, even if the child does not see the healthcare professional on the same day when the incident occurred. When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. We suggested that you review incident report requirements with all staff members individually or during a staff meeting/training. You allowed me to make a copy of the incident report during the visit. Consultation: -The Ready to Go File must include a copy of the Emergency Preparedness and Response Plan. Per Child Care Rule 10A NCAC 09 .0607(d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. -Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Rated License: The following Family and Community Engagement Standards were discussed with you and monitored during today’s visit- -Two-way communication with families. You stated you use Bright Wheel and the facilities cell phone for two-way communication with families. -The center administrator offers an annual evaluation or survey of the center to families, including the option to reply anonymously. The center administrator considers these evaluations or surveys for planning within the child care center. You stated the center administrator recently sent out a survey to parents; however, you could not recall the date the survey was sent. -The center administrator offers at least one family event annually that includes an educational opportunity for staff and families to learn together. You stated a family event has been scheduled by the administrator; however, you could not recall the date the family event will take place. Completion of the annual requirements for the Family and Community Engagement Standards will be reviewed at your next monitoring visit. The Facility Continuous Quality and Improvement (CQI) Plan and the Individual CQI plans for each staff must be completed and on file for review by February 5, 2027. Completed facility CQI and individual CQI information will be reviewed at your next monitoring visit. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, a handwritten visit summary was reviewed, and a copy was left with you. The computer-generated visit summary will be emailed to you within two business days. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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.

G.S. 110-91 · Violation

Name of Operation: Catawba Springs Elementary YMCA Childcare Facility ID: 55000196 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 5/14/2026 Number Present: 20 Completed Date: 5/14/2026 Age: From 5 To 9 Total Minutes: 285 Time In: 02:00 PM Time Out: 06:45 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 your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. April Parra Hernandez, Program Coordinator, assisted us with the visit upon arrival. You, Fanisha Watson, Lincoln County Regional Program Director, arrived at 3:15pm and assisted with the remainder of the visit. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit. This is the first annual compliance visit since this facility became licensed on August 4, 2025. This program currently operates with a four-star rated license effective February 5, 2026, meeting daytime care only, school age only, and meets enhanced ratios. The license was posted and the restrictions were in compliance. This facility follows the classroom and instructional quality pathway for their rated license. The program’s compliance history was 87 percent prior to today’s visit. The North Carolina Secretary of State website was reviewed on May 13, 2026, and Young Men’s Christian Association of Catawba Valley, Inc. was listed as current-active. A checklist was used to note the requirements monitored today. During today’s visit, you were utilizing the cafeteria and the gym. You stated you typically use the cafeteria and the gym for indoor space, along with the playground for outdoor space. Children and staff were observed during snack and free play activities indoors. Children are not transported by this licensed YMCA facility during the school year. This facility does not operate during the summer, and the last day of operation is May 21, 2026. Records were not available for all staff members during the visit due to the facilities internet connectivity issues. Records were maintained electronically. The Staff and Training Worksheet was not available for one new staff member who was employed on May 13, 2026. This facility does not have an ABCMS Provider Portal set up yet. Three children’s records were monitored. One of the three children’s records was not on file available for review. The most recent monthly fire drill was documented on the Emergency Drill Log as conducted on May 12, 2026, at 4:00pm. The most recent quarterly lockdown/shelter-in-place drill was documented as conducted on May 12, 2026, at 4:00pm. The EPR Plan was created on May 13, 2026, by the administrator. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary will be emailed to you within two business days. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two children with enrollment dates that were not documented and on file for review during the visit, did not have verification available for review to confirm that the summary of NC Child Care Law was given to parents. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival and departure records on file for review for April 2026 did not include accurate dates and were unable to be confirmed. 10A NCAC 09 .0302(d)(4) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Documentation of a completed monthly fire drill for February, March and April 2026 could not be confirmed. Staff reported that the fire drills that were documented had been completed during the school day, and not when children were attending the before and after school YMCA program. .0604(t); .0302(d)(5) 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. One new group leader that began working on May 13, 2026, at this facility, did not have an emergency information form accessible for review during the visit until the hard copy of the form was delivered by a staff member to the consultant at 3:25pm on May 14, 2026. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One group leader, R. Pettus employed on May 13, 2026, did not have a criminal background check completed prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. All staff records were not available for review during the visit due to the facilities lack of internet connectivity to access electronic records. G.S. 110-91( 9) 1301 Center did not maintain a record of daily attendance. Daily attendance was not completed and available for review. GS 110-91(9) 1303 Application was not signed by the parent. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have an application signed by the parent on site or available for review. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Emergency medical care information for two children was unable to be determined if it was on file for the child's first day due to no enrollment date documented on file or accessible by staff members during the visit. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have emergency medical care information signed by the parent on site or available for review. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have acknowledgement of the discipline policy signed by the parent on site or available for review. .1804(c) 1325 Parent's statement includes the child's name and date of enrollment and the date the parent signed the statement. The discipline policy acknowledgement did not include the enrollment date for two children. .1804(b) 1328 Children's records were not made available for review. Records for one child with an enrollment date that was not documented on file or accessible by staff members during the visit were not made available for review. G.S. 110-91(9) 1427 Program coordinator had not completed 2 semester credit hours in child and youth development and 2 semester credit hours in school age programming, or it's equivalency, or was not enrolled in this coursework within 6 months of hire and complete the coursework within 18 months of enrollment. The Program Coordinator, A. Hernandez, employed on August 4, 2025, did not enroll in coursework to obtain the required semester credit hours to meet education requirements for a program coordinator within six months of hire. .2510(b)(2) 1757 A valid qualification letter was not on file and available to review at the facility. One group leader, R. Pettus, employed on May 13, 2026, did not complete the criminal background check process to obtain a qualifying letter required to be on file prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Staff member, A. Hernandez, employed on August 4, 2025, was not listed on the Criminal Background Check ABCMS Provider Portal roster for this facility. The ABCMS Provider Portal was not set up for this facility. G.S. 110-90.2 & .2703(r) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The published and printed Emergency Preparedness and Response (EPR) Plan on file for review was dated May 13, 2026. The administrator completed EPR training on June 3, 2021, and the facility was licensed on August 4, 2025. .0607(c) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident report was completed for a child, six years of age, who was injured at the facility on March 23, 2026, and received medical attention as a result of the injury. The incident report was never submitted to the consultant as required within seven calendar days. .0802(f) The violations documented above must be corrected immediately. On or before May 28, 2026, 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 that 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: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is ericas@ymcacv.org. 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. Due to the nature of the violations regarding criminal background checks and due to the number of violations observed, an unannounced follow-up visit will be conducted and an administrative action may be recommended. Technical Assistance was provided on the following: Criminal Background Checks (CBC)- -The ABCMS system was checked during the visit and the new staff member, R. Pettus, was not in the portal and no application had been submitted to initiate the criminal background check process. During the visit, staff member, F. Watson, covered for staff/child ratio requirements in group #1 after asking staff member R. Pettus to leave the facility until able to obtain a qualifying letter. A DCDEE criminal background check must be completed prior to employment in a licensed child care facility. A valid criminal background check qualification letter must be on file available to review. We reviewed DCDEE criminal background check requirements with you. Prior to hiring new staff, you must request that they complete a DCDEE criminal background check and obtain a copy of their qualification letter BEFORE their first day of employment. R. Pettus must complete the criminal background check and obtain a qualifying letter by May 28, 2026. Children’s Records- -We suggested that you utilize the Children’s File Checklist available on the DCDEE website under the Provider tab, then click on Provider Documents and Forms. Refer to the checklist prior to each child’s enrollment to ensure all required documentation and parental acknowledgement for policies are on file within the required timeframe. We suggested that administrative staff review all children’s records prior to enrollment to ensure all required information is obtained before enrolling the child. Review the information received to ensure a parent’s signature has been obtained and that the information includes the child’s enrollment date. Arrival and Departure Records- -All children must be signed in and out each day for before and after school care as well as full day care. We suggested that you provide staff with current documentation for arrival and departure records including each child who is enrolled in the program. The documents on file were copied and being reused, and the staff member was writing in names of children. Several records did not have dates recorded, so there was no way to determine what dates the arrival and departure records were for. Fire Drills- -Fire drills must be completed and documented monthly. We suggested that you coordinate with the school’s principal to schedule a time for the fire drills to be completed while children are in your care, using the fire alarm system. You reported that the fire drills that were documented had been completed during the school day, and not when children were attending the before and after school YMCA program. We suggested adding reminder alerts to your computer or phone to complete these drills at various times each month. Staff Emergency Information- -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an 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 on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. Due to on-going internet connectivity issues at this facility, records were not available to be accessed electronically. The new group leader that began employment on May 13, 2026, did not have emergency information on file to reference in case of emergency until 3:25pm on May 14, 2026. We suggested that all staff records be printed and kept on file for review, when electronic records are inaccessible, on the staff members’ first day of employment at the facility. We also suggested you create a schedule to update all staff Emergency Information forms at least once per year to ensure they are all updated at least annually. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the Provider tab, then click Provider Documents and Forms, to ensure all required documentation is on file within the required timeframe. Staff Records- -Due to on-going internet connectivity issues at this facility, records were not available for review and were not accessible by staff members. We suggested that all staff records be printed and kept on file for review when electronic records are inaccessible on the staff members’ first day of employment at the facility. Additionally, we suggested you use the staff file checklist found on the DCDEE website under the Provider tab, then click Provider Documents and Forms, to ensure all required documentation is on file. Attendance records- -Attendance must be recorded daily for each child. Attendance must be recorded for both before school and after school care. We suggested that you use the attendance record available on the DCDEE website, under the Provider tab, then click Provider Documents and Forms. Children’s Application for Enrollment- -We suggested that administrative staff review the child’s application, applicable documents and parental acknowledgement form for all policies to ensure the parents’ signature is obtained before enrolling children. Also, ensure that the emergency medical care authorization has been acknowledged and signed off by each child’s parent. The printed copy of the two electronic children’s applications that were monitored during the visit indicated “staff override” in the areas where parent signatures were required. We suggested that staff review children’s applications once received at the facility and if a parent’s signature and/or child’s enrollment date is not included, staff can request the parent to sign the application and the staff member can record the date the child first attended the facility on the application. Emergency Medical Care Information for Children- -We suggested that administrative staff review the child’s application, including emergency medical care information, to ensure the parents’ signature is obtained. I suggested that staff review children’s emergency medical care information on the child’s application once received at the facility and if a parent’s signature and/or child’s enrollment date is not included, staff can request the parent to sign the application and the staff member can record the date the child first attended the facility on the application. Discipline Policy Parental Acknowledgement- -We reviewed requirements for the discipline policy acknowledgement with you. I suggested that you update your original acknowledgement form to include an area to document the child’s name and enrollment date. I suggested that you go through each child’s file to ensure this information is included on your acknowledgement form for existing children. The child care center shall obtain from each parent, legal guardian, or full-time custodian a statement that attests that a copy of the center's written discipline policy was given to and discussed with him or her. That statement must include the following: (1) the child's name; (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. Program Coordinator Requirements- -A. Hernandez must enroll in two semester credit hours in child and youth development and two semester credit hours in school-age programming by May 28, 2026. Documentation of the staff members enrollment in coursework must be obtained and submitted with your compliance letter by May 28, 2026. I suggested to you to enroll applicable staff members in required coursework as soon as they are employed as a program coordinator. 10A NCAC 09 .2510(b) At least one individual who is responsible for planning and ensuring the implementation of daily activities for a school-age program (program coordinator) shall: (1) Be at least 18 years old and have a high school diploma or its equivalent prior to employment; (2) Have completed two semester credit hours in child and youth development and two semester credit hours in school-age programming. Each individual who does not meet this requirement shall enroll in coursework within six months after becoming employed and shall complete this coursework within 18 months of enrollment. An individual who meets the staff requirements for administrator or lead teacher shall be considered as meeting the requirements for program coordinator, provided the individual completes Basic School-Age Care (BSAC) training as defined in 10A NCAC 09 .0102(4) of this Chapter, and (3) Be on site when children are in care for programs offering before and after school care only. For a full day program, the program coordinator shall be on site for two thirds of the hours of operation. This includes times when the individual is off site due to illness or vacation. Criminal Background Check ABCMS Provider Portal- -A roster was not found for Catawba Springs Elementary YMCA Childcare, nor were any staff members listed for employment for this facility. F. Watson, Lincoln County Regional Program Director, was listed under Iron Station Elementary YMCA Childcare’s ABCMS Provider Portal roster, and E. Simmons, Administrator, was listed under other licensed YMCA facilities, except for Catawba Springs Elementary YMCA Childcare. Operators shall notify the Division of all new child care providers, as defined in G.S. 110-90.2(a)(2), who are hired within five business days. To correct this violation, you must create an ABCMS Provider Portal roster for this facility and add staff members to the roster. I suggested that you add staff members to the roster as soon as they are employed, or at least within five days of their employment. Emergency Preparedness and Response (EPR) Plan- -Since the administrator had completed EPR training on June 3, 2021, prior to the facility obtaining a license, the EPR Plan needed to be completed for this facility by December 4, 2025. The facility was initially licensed on August 4, 2025. Moving forward, the EPR Plan must be reviewed with staff annually and as changes occur. Incident Reports- -We reviewed incident report requirements with you during the visit. We suggested that you review all incident reports when received to ensure all required information is obtained and to determine if the incident report needs to be sent to the Consultant. We reminded you that any time a child receives medical treatment from a health care professional, the incident report must be submitted to me, even if the child does not see the healthcare professional on the same day when the incident occurred. When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. We suggested that you review incident report requirements with all staff members individually or during a staff meeting/training. You allowed me to make a copy of the incident report during the visit. Consultation: -The Ready to Go File must include a copy of the Emergency Preparedness and Response Plan. Per Child Care Rule 10A NCAC 09 .0607(d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. -Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Rated License: The following Family and Community Engagement Standards were discussed with you and monitored during today’s visit- -Two-way communication with families. You stated you use Bright Wheel and the facilities cell phone for two-way communication with families. -The center administrator offers an annual evaluation or survey of the center to families, including the option to reply anonymously. The center administrator considers these evaluations or surveys for planning within the child care center. You stated the center administrator recently sent out a survey to parents; however, you could not recall the date the survey was sent. -The center administrator offers at least one family event annually that includes an educational opportunity for staff and families to learn together. You stated a family event has been scheduled by the administrator; however, you could not recall the date the family event will take place. Completion of the annual requirements for the Family and Community Engagement Standards will be reviewed at your next monitoring visit. The Facility Continuous Quality and Improvement (CQI) Plan and the Individual CQI plans for each staff must be completed and on file for review by February 5, 2027. Completed facility CQI and individual CQI information will be reviewed at your next monitoring visit. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, a handwritten visit summary was reviewed, and a copy was left with you. The computer-generated visit summary will be emailed to you within two business days. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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.

GS 110-102 · Violation

Name of Operation: Catawba Springs Elementary YMCA Childcare Facility ID: 55000196 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 5/14/2026 Number Present: 20 Completed Date: 5/14/2026 Age: From 5 To 9 Total Minutes: 285 Time In: 02:00 PM Time Out: 06:45 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 your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. April Parra Hernandez, Program Coordinator, assisted us with the visit upon arrival. You, Fanisha Watson, Lincoln County Regional Program Director, arrived at 3:15pm and assisted with the remainder of the visit. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit. This is the first annual compliance visit since this facility became licensed on August 4, 2025. This program currently operates with a four-star rated license effective February 5, 2026, meeting daytime care only, school age only, and meets enhanced ratios. The license was posted and the restrictions were in compliance. This facility follows the classroom and instructional quality pathway for their rated license. The program’s compliance history was 87 percent prior to today’s visit. The North Carolina Secretary of State website was reviewed on May 13, 2026, and Young Men’s Christian Association of Catawba Valley, Inc. was listed as current-active. A checklist was used to note the requirements monitored today. During today’s visit, you were utilizing the cafeteria and the gym. You stated you typically use the cafeteria and the gym for indoor space, along with the playground for outdoor space. Children and staff were observed during snack and free play activities indoors. Children are not transported by this licensed YMCA facility during the school year. This facility does not operate during the summer, and the last day of operation is May 21, 2026. Records were not available for all staff members during the visit due to the facilities internet connectivity issues. Records were maintained electronically. The Staff and Training Worksheet was not available for one new staff member who was employed on May 13, 2026. This facility does not have an ABCMS Provider Portal set up yet. Three children’s records were monitored. One of the three children’s records was not on file available for review. The most recent monthly fire drill was documented on the Emergency Drill Log as conducted on May 12, 2026, at 4:00pm. The most recent quarterly lockdown/shelter-in-place drill was documented as conducted on May 12, 2026, at 4:00pm. The EPR Plan was created on May 13, 2026, by the administrator. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary will be emailed to you within two business days. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two children with enrollment dates that were not documented and on file for review during the visit, did not have verification available for review to confirm that the summary of NC Child Care Law was given to parents. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival and departure records on file for review for April 2026 did not include accurate dates and were unable to be confirmed. 10A NCAC 09 .0302(d)(4) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Documentation of a completed monthly fire drill for February, March and April 2026 could not be confirmed. Staff reported that the fire drills that were documented had been completed during the school day, and not when children were attending the before and after school YMCA program. .0604(t); .0302(d)(5) 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. One new group leader that began working on May 13, 2026, at this facility, did not have an emergency information form accessible for review during the visit until the hard copy of the form was delivered by a staff member to the consultant at 3:25pm on May 14, 2026. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One group leader, R. Pettus employed on May 13, 2026, did not have a criminal background check completed prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. All staff records were not available for review during the visit due to the facilities lack of internet connectivity to access electronic records. G.S. 110-91( 9) 1301 Center did not maintain a record of daily attendance. Daily attendance was not completed and available for review. GS 110-91(9) 1303 Application was not signed by the parent. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have an application signed by the parent on site or available for review. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Emergency medical care information for two children was unable to be determined if it was on file for the child's first day due to no enrollment date documented on file or accessible by staff members during the visit. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have emergency medical care information signed by the parent on site or available for review. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have acknowledgement of the discipline policy signed by the parent on site or available for review. .1804(c) 1325 Parent's statement includes the child's name and date of enrollment and the date the parent signed the statement. The discipline policy acknowledgement did not include the enrollment date for two children. .1804(b) 1328 Children's records were not made available for review. Records for one child with an enrollment date that was not documented on file or accessible by staff members during the visit were not made available for review. G.S. 110-91(9) 1427 Program coordinator had not completed 2 semester credit hours in child and youth development and 2 semester credit hours in school age programming, or it's equivalency, or was not enrolled in this coursework within 6 months of hire and complete the coursework within 18 months of enrollment. The Program Coordinator, A. Hernandez, employed on August 4, 2025, did not enroll in coursework to obtain the required semester credit hours to meet education requirements for a program coordinator within six months of hire. .2510(b)(2) 1757 A valid qualification letter was not on file and available to review at the facility. One group leader, R. Pettus, employed on May 13, 2026, did not complete the criminal background check process to obtain a qualifying letter required to be on file prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Staff member, A. Hernandez, employed on August 4, 2025, was not listed on the Criminal Background Check ABCMS Provider Portal roster for this facility. The ABCMS Provider Portal was not set up for this facility. G.S. 110-90.2 & .2703(r) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The published and printed Emergency Preparedness and Response (EPR) Plan on file for review was dated May 13, 2026. The administrator completed EPR training on June 3, 2021, and the facility was licensed on August 4, 2025. .0607(c) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident report was completed for a child, six years of age, who was injured at the facility on March 23, 2026, and received medical attention as a result of the injury. The incident report was never submitted to the consultant as required within seven calendar days. .0802(f) The violations documented above must be corrected immediately. On or before May 28, 2026, 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 that 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: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is ericas@ymcacv.org. 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. Due to the nature of the violations regarding criminal background checks and due to the number of violations observed, an unannounced follow-up visit will be conducted and an administrative action may be recommended. Technical Assistance was provided on the following: Criminal Background Checks (CBC)- -The ABCMS system was checked during the visit and the new staff member, R. Pettus, was not in the portal and no application had been submitted to initiate the criminal background check process. During the visit, staff member, F. Watson, covered for staff/child ratio requirements in group #1 after asking staff member R. Pettus to leave the facility until able to obtain a qualifying letter. A DCDEE criminal background check must be completed prior to employment in a licensed child care facility. A valid criminal background check qualification letter must be on file available to review. We reviewed DCDEE criminal background check requirements with you. Prior to hiring new staff, you must request that they complete a DCDEE criminal background check and obtain a copy of their qualification letter BEFORE their first day of employment. R. Pettus must complete the criminal background check and obtain a qualifying letter by May 28, 2026. Children’s Records- -We suggested that you utilize the Children’s File Checklist available on the DCDEE website under the Provider tab, then click on Provider Documents and Forms. Refer to the checklist prior to each child’s enrollment to ensure all required documentation and parental acknowledgement for policies are on file within the required timeframe. We suggested that administrative staff review all children’s records prior to enrollment to ensure all required information is obtained before enrolling the child. Review the information received to ensure a parent’s signature has been obtained and that the information includes the child’s enrollment date. Arrival and Departure Records- -All children must be signed in and out each day for before and after school care as well as full day care. We suggested that you provide staff with current documentation for arrival and departure records including each child who is enrolled in the program. The documents on file were copied and being reused, and the staff member was writing in names of children. Several records did not have dates recorded, so there was no way to determine what dates the arrival and departure records were for. Fire Drills- -Fire drills must be completed and documented monthly. We suggested that you coordinate with the school’s principal to schedule a time for the fire drills to be completed while children are in your care, using the fire alarm system. You reported that the fire drills that were documented had been completed during the school day, and not when children were attending the before and after school YMCA program. We suggested adding reminder alerts to your computer or phone to complete these drills at various times each month. Staff Emergency Information- -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an 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 on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. Due to on-going internet connectivity issues at this facility, records were not available to be accessed electronically. The new group leader that began employment on May 13, 2026, did not have emergency information on file to reference in case of emergency until 3:25pm on May 14, 2026. We suggested that all staff records be printed and kept on file for review, when electronic records are inaccessible, on the staff members’ first day of employment at the facility. We also suggested you create a schedule to update all staff Emergency Information forms at least once per year to ensure they are all updated at least annually. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the Provider tab, then click Provider Documents and Forms, to ensure all required documentation is on file within the required timeframe. Staff Records- -Due to on-going internet connectivity issues at this facility, records were not available for review and were not accessible by staff members. We suggested that all staff records be printed and kept on file for review when electronic records are inaccessible on the staff members’ first day of employment at the facility. Additionally, we suggested you use the staff file checklist found on the DCDEE website under the Provider tab, then click Provider Documents and Forms, to ensure all required documentation is on file. Attendance records- -Attendance must be recorded daily for each child. Attendance must be recorded for both before school and after school care. We suggested that you use the attendance record available on the DCDEE website, under the Provider tab, then click Provider Documents and Forms. Children’s Application for Enrollment- -We suggested that administrative staff review the child’s application, applicable documents and parental acknowledgement form for all policies to ensure the parents’ signature is obtained before enrolling children. Also, ensure that the emergency medical care authorization has been acknowledged and signed off by each child’s parent. The printed copy of the two electronic children’s applications that were monitored during the visit indicated “staff override” in the areas where parent signatures were required. We suggested that staff review children’s applications once received at the facility and if a parent’s signature and/or child’s enrollment date is not included, staff can request the parent to sign the application and the staff member can record the date the child first attended the facility on the application. Emergency Medical Care Information for Children- -We suggested that administrative staff review the child’s application, including emergency medical care information, to ensure the parents’ signature is obtained. I suggested that staff review children’s emergency medical care information on the child’s application once received at the facility and if a parent’s signature and/or child’s enrollment date is not included, staff can request the parent to sign the application and the staff member can record the date the child first attended the facility on the application. Discipline Policy Parental Acknowledgement- -We reviewed requirements for the discipline policy acknowledgement with you. I suggested that you update your original acknowledgement form to include an area to document the child’s name and enrollment date. I suggested that you go through each child’s file to ensure this information is included on your acknowledgement form for existing children. The child care center shall obtain from each parent, legal guardian, or full-time custodian a statement that attests that a copy of the center's written discipline policy was given to and discussed with him or her. That statement must include the following: (1) the child's name; (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. Program Coordinator Requirements- -A. Hernandez must enroll in two semester credit hours in child and youth development and two semester credit hours in school-age programming by May 28, 2026. Documentation of the staff members enrollment in coursework must be obtained and submitted with your compliance letter by May 28, 2026. I suggested to you to enroll applicable staff members in required coursework as soon as they are employed as a program coordinator. 10A NCAC 09 .2510(b) At least one individual who is responsible for planning and ensuring the implementation of daily activities for a school-age program (program coordinator) shall: (1) Be at least 18 years old and have a high school diploma or its equivalent prior to employment; (2) Have completed two semester credit hours in child and youth development and two semester credit hours in school-age programming. Each individual who does not meet this requirement shall enroll in coursework within six months after becoming employed and shall complete this coursework within 18 months of enrollment. An individual who meets the staff requirements for administrator or lead teacher shall be considered as meeting the requirements for program coordinator, provided the individual completes Basic School-Age Care (BSAC) training as defined in 10A NCAC 09 .0102(4) of this Chapter, and (3) Be on site when children are in care for programs offering before and after school care only. For a full day program, the program coordinator shall be on site for two thirds of the hours of operation. This includes times when the individual is off site due to illness or vacation. Criminal Background Check ABCMS Provider Portal- -A roster was not found for Catawba Springs Elementary YMCA Childcare, nor were any staff members listed for employment for this facility. F. Watson, Lincoln County Regional Program Director, was listed under Iron Station Elementary YMCA Childcare’s ABCMS Provider Portal roster, and E. Simmons, Administrator, was listed under other licensed YMCA facilities, except for Catawba Springs Elementary YMCA Childcare. Operators shall notify the Division of all new child care providers, as defined in G.S. 110-90.2(a)(2), who are hired within five business days. To correct this violation, you must create an ABCMS Provider Portal roster for this facility and add staff members to the roster. I suggested that you add staff members to the roster as soon as they are employed, or at least within five days of their employment. Emergency Preparedness and Response (EPR) Plan- -Since the administrator had completed EPR training on June 3, 2021, prior to the facility obtaining a license, the EPR Plan needed to be completed for this facility by December 4, 2025. The facility was initially licensed on August 4, 2025. Moving forward, the EPR Plan must be reviewed with staff annually and as changes occur. Incident Reports- -We reviewed incident report requirements with you during the visit. We suggested that you review all incident reports when received to ensure all required information is obtained and to determine if the incident report needs to be sent to the Consultant. We reminded you that any time a child receives medical treatment from a health care professional, the incident report must be submitted to me, even if the child does not see the healthcare professional on the same day when the incident occurred. When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. We suggested that you review incident report requirements with all staff members individually or during a staff meeting/training. You allowed me to make a copy of the incident report during the visit. Consultation: -The Ready to Go File must include a copy of the Emergency Preparedness and Response Plan. Per Child Care Rule 10A NCAC 09 .0607(d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. -Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Rated License: The following Family and Community Engagement Standards were discussed with you and monitored during today’s visit- -Two-way communication with families. You stated you use Bright Wheel and the facilities cell phone for two-way communication with families. -The center administrator offers an annual evaluation or survey of the center to families, including the option to reply anonymously. The center administrator considers these evaluations or surveys for planning within the child care center. You stated the center administrator recently sent out a survey to parents; however, you could not recall the date the survey was sent. -The center administrator offers at least one family event annually that includes an educational opportunity for staff and families to learn together. You stated a family event has been scheduled by the administrator; however, you could not recall the date the family event will take place. Completion of the annual requirements for the Family and Community Engagement Standards will be reviewed at your next monitoring visit. The Facility Continuous Quality and Improvement (CQI) Plan and the Individual CQI plans for each staff must be completed and on file for review by February 5, 2027. Completed facility CQI and individual CQI information will be reviewed at your next monitoring visit. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, a handwritten visit summary was reviewed, and a copy was left with you. The computer-generated visit summary will be emailed to you within two business days. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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.

GS 110-91 · Violation

Name of Operation: Catawba Springs Elementary YMCA Childcare Facility ID: 55000196 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 5/14/2026 Number Present: 20 Completed Date: 5/14/2026 Age: From 5 To 9 Total Minutes: 285 Time In: 02:00 PM Time Out: 06:45 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 your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. April Parra Hernandez, Program Coordinator, assisted us with the visit upon arrival. You, Fanisha Watson, Lincoln County Regional Program Director, arrived at 3:15pm and assisted with the remainder of the visit. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit. This is the first annual compliance visit since this facility became licensed on August 4, 2025. This program currently operates with a four-star rated license effective February 5, 2026, meeting daytime care only, school age only, and meets enhanced ratios. The license was posted and the restrictions were in compliance. This facility follows the classroom and instructional quality pathway for their rated license. The program’s compliance history was 87 percent prior to today’s visit. The North Carolina Secretary of State website was reviewed on May 13, 2026, and Young Men’s Christian Association of Catawba Valley, Inc. was listed as current-active. A checklist was used to note the requirements monitored today. During today’s visit, you were utilizing the cafeteria and the gym. You stated you typically use the cafeteria and the gym for indoor space, along with the playground for outdoor space. Children and staff were observed during snack and free play activities indoors. Children are not transported by this licensed YMCA facility during the school year. This facility does not operate during the summer, and the last day of operation is May 21, 2026. Records were not available for all staff members during the visit due to the facilities internet connectivity issues. Records were maintained electronically. The Staff and Training Worksheet was not available for one new staff member who was employed on May 13, 2026. This facility does not have an ABCMS Provider Portal set up yet. Three children’s records were monitored. One of the three children’s records was not on file available for review. The most recent monthly fire drill was documented on the Emergency Drill Log as conducted on May 12, 2026, at 4:00pm. The most recent quarterly lockdown/shelter-in-place drill was documented as conducted on May 12, 2026, at 4:00pm. The EPR Plan was created on May 13, 2026, by the administrator. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary will be emailed to you within two business days. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two children with enrollment dates that were not documented and on file for review during the visit, did not have verification available for review to confirm that the summary of NC Child Care Law was given to parents. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival and departure records on file for review for April 2026 did not include accurate dates and were unable to be confirmed. 10A NCAC 09 .0302(d)(4) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Documentation of a completed monthly fire drill for February, March and April 2026 could not be confirmed. Staff reported that the fire drills that were documented had been completed during the school day, and not when children were attending the before and after school YMCA program. .0604(t); .0302(d)(5) 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. One new group leader that began working on May 13, 2026, at this facility, did not have an emergency information form accessible for review during the visit until the hard copy of the form was delivered by a staff member to the consultant at 3:25pm on May 14, 2026. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One group leader, R. Pettus employed on May 13, 2026, did not have a criminal background check completed prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. All staff records were not available for review during the visit due to the facilities lack of internet connectivity to access electronic records. G.S. 110-91( 9) 1301 Center did not maintain a record of daily attendance. Daily attendance was not completed and available for review. GS 110-91(9) 1303 Application was not signed by the parent. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have an application signed by the parent on site or available for review. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Emergency medical care information for two children was unable to be determined if it was on file for the child's first day due to no enrollment date documented on file or accessible by staff members during the visit. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have emergency medical care information signed by the parent on site or available for review. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have acknowledgement of the discipline policy signed by the parent on site or available for review. .1804(c) 1325 Parent's statement includes the child's name and date of enrollment and the date the parent signed the statement. The discipline policy acknowledgement did not include the enrollment date for two children. .1804(b) 1328 Children's records were not made available for review. Records for one child with an enrollment date that was not documented on file or accessible by staff members during the visit were not made available for review. G.S. 110-91(9) 1427 Program coordinator had not completed 2 semester credit hours in child and youth development and 2 semester credit hours in school age programming, or it's equivalency, or was not enrolled in this coursework within 6 months of hire and complete the coursework within 18 months of enrollment. The Program Coordinator, A. Hernandez, employed on August 4, 2025, did not enroll in coursework to obtain the required semester credit hours to meet education requirements for a program coordinator within six months of hire. .2510(b)(2) 1757 A valid qualification letter was not on file and available to review at the facility. One group leader, R. Pettus, employed on May 13, 2026, did not complete the criminal background check process to obtain a qualifying letter required to be on file prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Staff member, A. Hernandez, employed on August 4, 2025, was not listed on the Criminal Background Check ABCMS Provider Portal roster for this facility. The ABCMS Provider Portal was not set up for this facility. G.S. 110-90.2 & .2703(r) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The published and printed Emergency Preparedness and Response (EPR) Plan on file for review was dated May 13, 2026. The administrator completed EPR training on June 3, 2021, and the facility was licensed on August 4, 2025. .0607(c) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident report was completed for a child, six years of age, who was injured at the facility on March 23, 2026, and received medical attention as a result of the injury. The incident report was never submitted to the consultant as required within seven calendar days. .0802(f) The violations documented above must be corrected immediately. On or before May 28, 2026, 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 that 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: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is ericas@ymcacv.org. 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. Due to the nature of the violations regarding criminal background checks and due to the number of violations observed, an unannounced follow-up visit will be conducted and an administrative action may be recommended. Technical Assistance was provided on the following: Criminal Background Checks (CBC)- -The ABCMS system was checked during the visit and the new staff member, R. Pettus, was not in the portal and no application had been submitted to initiate the criminal background check process. During the visit, staff member, F. Watson, covered for staff/child ratio requirements in group #1 after asking staff member R. Pettus to leave the facility until able to obtain a qualifying letter. A DCDEE criminal background check must be completed prior to employment in a licensed child care facility. A valid criminal background check qualification letter must be on file available to review. We reviewed DCDEE criminal background check requirements with you. Prior to hiring new staff, you must request that they complete a DCDEE criminal background check and obtain a copy of their qualification letter BEFORE their first day of employment. R. Pettus must complete the criminal background check and obtain a qualifying letter by May 28, 2026. Children’s Records- -We suggested that you utilize the Children’s File Checklist available on the DCDEE website under the Provider tab, then click on Provider Documents and Forms. Refer to the checklist prior to each child’s enrollment to ensure all required documentation and parental acknowledgement for policies are on file within the required timeframe. We suggested that administrative staff review all children’s records prior to enrollment to ensure all required information is obtained before enrolling the child. Review the information received to ensure a parent’s signature has been obtained and that the information includes the child’s enrollment date. Arrival and Departure Records- -All children must be signed in and out each day for before and after school care as well as full day care. We suggested that you provide staff with current documentation for arrival and departure records including each child who is enrolled in the program. The documents on file were copied and being reused, and the staff member was writing in names of children. Several records did not have dates recorded, so there was no way to determine what dates the arrival and departure records were for. Fire Drills- -Fire drills must be completed and documented monthly. We suggested that you coordinate with the school’s principal to schedule a time for the fire drills to be completed while children are in your care, using the fire alarm system. You reported that the fire drills that were documented had been completed during the school day, and not when children were attending the before and after school YMCA program. We suggested adding reminder alerts to your computer or phone to complete these drills at various times each month. Staff Emergency Information- -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an 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 on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. Due to on-going internet connectivity issues at this facility, records were not available to be accessed electronically. The new group leader that began employment on May 13, 2026, did not have emergency information on file to reference in case of emergency until 3:25pm on May 14, 2026. We suggested that all staff records be printed and kept on file for review, when electronic records are inaccessible, on the staff members’ first day of employment at the facility. We also suggested you create a schedule to update all staff Emergency Information forms at least once per year to ensure they are all updated at least annually. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the Provider tab, then click Provider Documents and Forms, to ensure all required documentation is on file within the required timeframe. Staff Records- -Due to on-going internet connectivity issues at this facility, records were not available for review and were not accessible by staff members. We suggested that all staff records be printed and kept on file for review when electronic records are inaccessible on the staff members’ first day of employment at the facility. Additionally, we suggested you use the staff file checklist found on the DCDEE website under the Provider tab, then click Provider Documents and Forms, to ensure all required documentation is on file. Attendance records- -Attendance must be recorded daily for each child. Attendance must be recorded for both before school and after school care. We suggested that you use the attendance record available on the DCDEE website, under the Provider tab, then click Provider Documents and Forms. Children’s Application for Enrollment- -We suggested that administrative staff review the child’s application, applicable documents and parental acknowledgement form for all policies to ensure the parents’ signature is obtained before enrolling children. Also, ensure that the emergency medical care authorization has been acknowledged and signed off by each child’s parent. The printed copy of the two electronic children’s applications that were monitored during the visit indicated “staff override” in the areas where parent signatures were required. We suggested that staff review children’s applications once received at the facility and if a parent’s signature and/or child’s enrollment date is not included, staff can request the parent to sign the application and the staff member can record the date the child first attended the facility on the application. Emergency Medical Care Information for Children- -We suggested that administrative staff review the child’s application, including emergency medical care information, to ensure the parents’ signature is obtained. I suggested that staff review children’s emergency medical care information on the child’s application once received at the facility and if a parent’s signature and/or child’s enrollment date is not included, staff can request the parent to sign the application and the staff member can record the date the child first attended the facility on the application. Discipline Policy Parental Acknowledgement- -We reviewed requirements for the discipline policy acknowledgement with you. I suggested that you update your original acknowledgement form to include an area to document the child’s name and enrollment date. I suggested that you go through each child’s file to ensure this information is included on your acknowledgement form for existing children. The child care center shall obtain from each parent, legal guardian, or full-time custodian a statement that attests that a copy of the center's written discipline policy was given to and discussed with him or her. That statement must include the following: (1) the child's name; (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. Program Coordinator Requirements- -A. Hernandez must enroll in two semester credit hours in child and youth development and two semester credit hours in school-age programming by May 28, 2026. Documentation of the staff members enrollment in coursework must be obtained and submitted with your compliance letter by May 28, 2026. I suggested to you to enroll applicable staff members in required coursework as soon as they are employed as a program coordinator. 10A NCAC 09 .2510(b) At least one individual who is responsible for planning and ensuring the implementation of daily activities for a school-age program (program coordinator) shall: (1) Be at least 18 years old and have a high school diploma or its equivalent prior to employment; (2) Have completed two semester credit hours in child and youth development and two semester credit hours in school-age programming. Each individual who does not meet this requirement shall enroll in coursework within six months after becoming employed and shall complete this coursework within 18 months of enrollment. An individual who meets the staff requirements for administrator or lead teacher shall be considered as meeting the requirements for program coordinator, provided the individual completes Basic School-Age Care (BSAC) training as defined in 10A NCAC 09 .0102(4) of this Chapter, and (3) Be on site when children are in care for programs offering before and after school care only. For a full day program, the program coordinator shall be on site for two thirds of the hours of operation. This includes times when the individual is off site due to illness or vacation. Criminal Background Check ABCMS Provider Portal- -A roster was not found for Catawba Springs Elementary YMCA Childcare, nor were any staff members listed for employment for this facility. F. Watson, Lincoln County Regional Program Director, was listed under Iron Station Elementary YMCA Childcare’s ABCMS Provider Portal roster, and E. Simmons, Administrator, was listed under other licensed YMCA facilities, except for Catawba Springs Elementary YMCA Childcare. Operators shall notify the Division of all new child care providers, as defined in G.S. 110-90.2(a)(2), who are hired within five business days. To correct this violation, you must create an ABCMS Provider Portal roster for this facility and add staff members to the roster. I suggested that you add staff members to the roster as soon as they are employed, or at least within five days of their employment. Emergency Preparedness and Response (EPR) Plan- -Since the administrator had completed EPR training on June 3, 2021, prior to the facility obtaining a license, the EPR Plan needed to be completed for this facility by December 4, 2025. The facility was initially licensed on August 4, 2025. Moving forward, the EPR Plan must be reviewed with staff annually and as changes occur. Incident Reports- -We reviewed incident report requirements with you during the visit. We suggested that you review all incident reports when received to ensure all required information is obtained and to determine if the incident report needs to be sent to the Consultant. We reminded you that any time a child receives medical treatment from a health care professional, the incident report must be submitted to me, even if the child does not see the healthcare professional on the same day when the incident occurred. When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. We suggested that you review incident report requirements with all staff members individually or during a staff meeting/training. You allowed me to make a copy of the incident report during the visit. Consultation: -The Ready to Go File must include a copy of the Emergency Preparedness and Response Plan. Per Child Care Rule 10A NCAC 09 .0607(d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. -Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Rated License: The following Family and Community Engagement Standards were discussed with you and monitored during today’s visit- -Two-way communication with families. You stated you use Bright Wheel and the facilities cell phone for two-way communication with families. -The center administrator offers an annual evaluation or survey of the center to families, including the option to reply anonymously. The center administrator considers these evaluations or surveys for planning within the child care center. You stated the center administrator recently sent out a survey to parents; however, you could not recall the date the survey was sent. -The center administrator offers at least one family event annually that includes an educational opportunity for staff and families to learn together. You stated a family event has been scheduled by the administrator; however, you could not recall the date the family event will take place. Completion of the annual requirements for the Family and Community Engagement Standards will be reviewed at your next monitoring visit. The Facility Continuous Quality and Improvement (CQI) Plan and the Individual CQI plans for each staff must be completed and on file for review by February 5, 2027. Completed facility CQI and individual CQI information will be reviewed at your next monitoring visit. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, a handwritten visit summary was reviewed, and a copy was left with you. The computer-generated visit summary will be emailed to you within two business days. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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.

NC GS 110-90 · Violation

Name of Operation: Catawba Springs Elementary YMCA Childcare Facility ID: 55000196 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 5/14/2026 Number Present: 20 Completed Date: 5/14/2026 Age: From 5 To 9 Total Minutes: 285 Time In: 02:00 PM Time Out: 06:45 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 your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. April Parra Hernandez, Program Coordinator, assisted us with the visit upon arrival. You, Fanisha Watson, Lincoln County Regional Program Director, arrived at 3:15pm and assisted with the remainder of the visit. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit. This is the first annual compliance visit since this facility became licensed on August 4, 2025. This program currently operates with a four-star rated license effective February 5, 2026, meeting daytime care only, school age only, and meets enhanced ratios. The license was posted and the restrictions were in compliance. This facility follows the classroom and instructional quality pathway for their rated license. The program’s compliance history was 87 percent prior to today’s visit. The North Carolina Secretary of State website was reviewed on May 13, 2026, and Young Men’s Christian Association of Catawba Valley, Inc. was listed as current-active. A checklist was used to note the requirements monitored today. During today’s visit, you were utilizing the cafeteria and the gym. You stated you typically use the cafeteria and the gym for indoor space, along with the playground for outdoor space. Children and staff were observed during snack and free play activities indoors. Children are not transported by this licensed YMCA facility during the school year. This facility does not operate during the summer, and the last day of operation is May 21, 2026. Records were not available for all staff members during the visit due to the facilities internet connectivity issues. Records were maintained electronically. The Staff and Training Worksheet was not available for one new staff member who was employed on May 13, 2026. This facility does not have an ABCMS Provider Portal set up yet. Three children’s records were monitored. One of the three children’s records was not on file available for review. The most recent monthly fire drill was documented on the Emergency Drill Log as conducted on May 12, 2026, at 4:00pm. The most recent quarterly lockdown/shelter-in-place drill was documented as conducted on May 12, 2026, at 4:00pm. The EPR Plan was created on May 13, 2026, by the administrator. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary will be emailed to you within two business days. The following violations were observed: Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two children with enrollment dates that were not documented and on file for review during the visit, did not have verification available for review to confirm that the summary of NC Child Care Law was given to parents. GS 110-102 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival and departure records on file for review for April 2026 did not include accurate dates and were unable to be confirmed. 10A NCAC 09 .0302(d)(4) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. Documentation of a completed monthly fire drill for February, March and April 2026 could not be confirmed. Staff reported that the fire drills that were documented had been completed during the school day, and not when children were attending the before and after school YMCA program. .0604(t); .0302(d)(5) 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. One new group leader that began working on May 13, 2026, at this facility, did not have an emergency information form accessible for review during the visit until the hard copy of the form was delivered by a staff member to the consultant at 3:25pm on May 14, 2026. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One group leader, R. Pettus employed on May 13, 2026, did not have a criminal background check completed prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. All staff records were not available for review during the visit due to the facilities lack of internet connectivity to access electronic records. G.S. 110-91( 9) 1301 Center did not maintain a record of daily attendance. Daily attendance was not completed and available for review. GS 110-91(9) 1303 Application was not signed by the parent. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have an application signed by the parent on site or available for review. 10A NCAC 09 .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. Emergency medical care information for two children was unable to be determined if it was on file for the child's first day due to no enrollment date documented on file or accessible by staff members during the visit. .0802(c) 1317 Authorization for emergency medical care information was not signed by child's parent. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have emergency medical care information signed by the parent on site or available for review. .0802(d) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Two children with enrollment dates that were not documented on file or accessible by staff members during the visit did not have acknowledgement of the discipline policy signed by the parent on site or available for review. .1804(c) 1325 Parent's statement includes the child's name and date of enrollment and the date the parent signed the statement. The discipline policy acknowledgement did not include the enrollment date for two children. .1804(b) 1328 Children's records were not made available for review. Records for one child with an enrollment date that was not documented on file or accessible by staff members during the visit were not made available for review. G.S. 110-91(9) 1427 Program coordinator had not completed 2 semester credit hours in child and youth development and 2 semester credit hours in school age programming, or it's equivalency, or was not enrolled in this coursework within 6 months of hire and complete the coursework within 18 months of enrollment. The Program Coordinator, A. Hernandez, employed on August 4, 2025, did not enroll in coursework to obtain the required semester credit hours to meet education requirements for a program coordinator within six months of hire. .2510(b)(2) 1757 A valid qualification letter was not on file and available to review at the facility. One group leader, R. Pettus, employed on May 13, 2026, did not complete the criminal background check process to obtain a qualifying letter required to be on file prior to employment. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Staff member, A. Hernandez, employed on August 4, 2025, was not listed on the Criminal Background Check ABCMS Provider Portal roster for this facility. The ABCMS Provider Portal was not set up for this facility. G.S. 110-90.2 & .2703(r) 1812 The center did not complete an EPR Plan within four months of completing the EPR in Child Care training and/or the Plan was not completed on a template provided by the Division. The published and printed Emergency Preparedness and Response (EPR) Plan on file for review was dated May 13, 2026. The administrator completed EPR training on June 3, 2021, and the facility was licensed on August 4, 2025. .0607(c) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident report was completed for a child, six years of age, who was injured at the facility on March 23, 2026, and received medical attention as a result of the injury. The incident report was never submitted to the consultant as required within seven calendar days. .0802(f) The violations documented above must be corrected immediately. On or before May 28, 2026, 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 that 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: Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address registered with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. The email address listed for this facility is ericas@ymcacv.org. 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. Due to the nature of the violations regarding criminal background checks and due to the number of violations observed, an unannounced follow-up visit will be conducted and an administrative action may be recommended. Technical Assistance was provided on the following: Criminal Background Checks (CBC)- -The ABCMS system was checked during the visit and the new staff member, R. Pettus, was not in the portal and no application had been submitted to initiate the criminal background check process. During the visit, staff member, F. Watson, covered for staff/child ratio requirements in group #1 after asking staff member R. Pettus to leave the facility until able to obtain a qualifying letter. A DCDEE criminal background check must be completed prior to employment in a licensed child care facility. A valid criminal background check qualification letter must be on file available to review. We reviewed DCDEE criminal background check requirements with you. Prior to hiring new staff, you must request that they complete a DCDEE criminal background check and obtain a copy of their qualification letter BEFORE their first day of employment. R. Pettus must complete the criminal background check and obtain a qualifying letter by May 28, 2026. Children’s Records- -We suggested that you utilize the Children’s File Checklist available on the DCDEE website under the Provider tab, then click on Provider Documents and Forms. Refer to the checklist prior to each child’s enrollment to ensure all required documentation and parental acknowledgement for policies are on file within the required timeframe. We suggested that administrative staff review all children’s records prior to enrollment to ensure all required information is obtained before enrolling the child. Review the information received to ensure a parent’s signature has been obtained and that the information includes the child’s enrollment date. Arrival and Departure Records- -All children must be signed in and out each day for before and after school care as well as full day care. We suggested that you provide staff with current documentation for arrival and departure records including each child who is enrolled in the program. The documents on file were copied and being reused, and the staff member was writing in names of children. Several records did not have dates recorded, so there was no way to determine what dates the arrival and departure records were for. Fire Drills- -Fire drills must be completed and documented monthly. We suggested that you coordinate with the school’s principal to schedule a time for the fire drills to be completed while children are in your care, using the fire alarm system. You reported that the fire drills that were documented had been completed during the school day, and not when children were attending the before and after school YMCA program. We suggested adding reminder alerts to your computer or phone to complete these drills at various times each month. Staff Emergency Information- -Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an 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 on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. Due to on-going internet connectivity issues at this facility, records were not available to be accessed electronically. The new group leader that began employment on May 13, 2026, did not have emergency information on file to reference in case of emergency until 3:25pm on May 14, 2026. We suggested that all staff records be printed and kept on file for review, when electronic records are inaccessible, on the staff members’ first day of employment at the facility. We also suggested you create a schedule to update all staff Emergency Information forms at least once per year to ensure they are all updated at least annually. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the Provider tab, then click Provider Documents and Forms, to ensure all required documentation is on file within the required timeframe. Staff Records- -Due to on-going internet connectivity issues at this facility, records were not available for review and were not accessible by staff members. We suggested that all staff records be printed and kept on file for review when electronic records are inaccessible on the staff members’ first day of employment at the facility. Additionally, we suggested you use the staff file checklist found on the DCDEE website under the Provider tab, then click Provider Documents and Forms, to ensure all required documentation is on file. Attendance records- -Attendance must be recorded daily for each child. Attendance must be recorded for both before school and after school care. We suggested that you use the attendance record available on the DCDEE website, under the Provider tab, then click Provider Documents and Forms. Children’s Application for Enrollment- -We suggested that administrative staff review the child’s application, applicable documents and parental acknowledgement form for all policies to ensure the parents’ signature is obtained before enrolling children. Also, ensure that the emergency medical care authorization has been acknowledged and signed off by each child’s parent. The printed copy of the two electronic children’s applications that were monitored during the visit indicated “staff override” in the areas where parent signatures were required. We suggested that staff review children’s applications once received at the facility and if a parent’s signature and/or child’s enrollment date is not included, staff can request the parent to sign the application and the staff member can record the date the child first attended the facility on the application. Emergency Medical Care Information for Children- -We suggested that administrative staff review the child’s application, including emergency medical care information, to ensure the parents’ signature is obtained. I suggested that staff review children’s emergency medical care information on the child’s application once received at the facility and if a parent’s signature and/or child’s enrollment date is not included, staff can request the parent to sign the application and the staff member can record the date the child first attended the facility on the application. Discipline Policy Parental Acknowledgement- -We reviewed requirements for the discipline policy acknowledgement with you. I suggested that you update your original acknowledgement form to include an area to document the child’s name and enrollment date. I suggested that you go through each child’s file to ensure this information is included on your acknowledgement form for existing children. The child care center shall obtain from each parent, legal guardian, or full-time custodian a statement that attests that a copy of the center's written discipline policy was given to and discussed with him or her. That statement must include the following: (1) the child's name; (2) the date of enrollment; and (3) if different, from the enrollment date the date the parent, legal guardian, or full-time custodian signed the statement. Program Coordinator Requirements- -A. Hernandez must enroll in two semester credit hours in child and youth development and two semester credit hours in school-age programming by May 28, 2026. Documentation of the staff members enrollment in coursework must be obtained and submitted with your compliance letter by May 28, 2026. I suggested to you to enroll applicable staff members in required coursework as soon as they are employed as a program coordinator. 10A NCAC 09 .2510(b) At least one individual who is responsible for planning and ensuring the implementation of daily activities for a school-age program (program coordinator) shall: (1) Be at least 18 years old and have a high school diploma or its equivalent prior to employment; (2) Have completed two semester credit hours in child and youth development and two semester credit hours in school-age programming. Each individual who does not meet this requirement shall enroll in coursework within six months after becoming employed and shall complete this coursework within 18 months of enrollment. An individual who meets the staff requirements for administrator or lead teacher shall be considered as meeting the requirements for program coordinator, provided the individual completes Basic School-Age Care (BSAC) training as defined in 10A NCAC 09 .0102(4) of this Chapter, and (3) Be on site when children are in care for programs offering before and after school care only. For a full day program, the program coordinator shall be on site for two thirds of the hours of operation. This includes times when the individual is off site due to illness or vacation. Criminal Background Check ABCMS Provider Portal- -A roster was not found for Catawba Springs Elementary YMCA Childcare, nor were any staff members listed for employment for this facility. F. Watson, Lincoln County Regional Program Director, was listed under Iron Station Elementary YMCA Childcare’s ABCMS Provider Portal roster, and E. Simmons, Administrator, was listed under other licensed YMCA facilities, except for Catawba Springs Elementary YMCA Childcare. Operators shall notify the Division of all new child care providers, as defined in G.S. 110-90.2(a)(2), who are hired within five business days. To correct this violation, you must create an ABCMS Provider Portal roster for this facility and add staff members to the roster. I suggested that you add staff members to the roster as soon as they are employed, or at least within five days of their employment. Emergency Preparedness and Response (EPR) Plan- -Since the administrator had completed EPR training on June 3, 2021, prior to the facility obtaining a license, the EPR Plan needed to be completed for this facility by December 4, 2025. The facility was initially licensed on August 4, 2025. Moving forward, the EPR Plan must be reviewed with staff annually and as changes occur. Incident Reports- -We reviewed incident report requirements with you during the visit. We suggested that you review all incident reports when received to ensure all required information is obtained and to determine if the incident report needs to be sent to the Consultant. We reminded you that any time a child receives medical treatment from a health care professional, the incident report must be submitted to me, even if the child does not see the healthcare professional on the same day when the incident occurred. When medical treatment is required by a health care professional, community clinic, or local health department as a result of an incident occurring while the child is in care, a copy of the incident report shall be mailed to a representative of the Division within seven calendar days after the incident. We suggested that you review incident report requirements with all staff members individually or during a staff meeting/training. You allowed me to make a copy of the incident report during the visit. Consultation: -The Ready to Go File must include a copy of the Emergency Preparedness and Response Plan. Per Child Care Rule 10A NCAC 09 .0607(d) The Emergency Preparedness and Response Plan shall include: (10) the location of a Ready to Go File. A Ready to Go File means a collection of information on children, staff and the facility, to utilize, if an evacuation occurs. The file shall include, a copy of the Emergency Preparedness and Response Plan, contact information for individuals to pick-up children, each child's Application for Child Care, medication authorizations and instructions, any action plans for children with special health care needs, a list of any known food allergies of children and staff, staff contact information, Incident Report forms, an area map, and emergency telephone numbers. -Shelter-in-place or lockdown drills are to be conducted within three months of the previous drill rather than once every quarter. Rated License: The following Family and Community Engagement Standards were discussed with you and monitored during today’s visit- -Two-way communication with families. You stated you use Bright Wheel and the facilities cell phone for two-way communication with families. -The center administrator offers an annual evaluation or survey of the center to families, including the option to reply anonymously. The center administrator considers these evaluations or surveys for planning within the child care center. You stated the center administrator recently sent out a survey to parents; however, you could not recall the date the survey was sent. -The center administrator offers at least one family event annually that includes an educational opportunity for staff and families to learn together. You stated a family event has been scheduled by the administrator; however, you could not recall the date the family event will take place. Completion of the annual requirements for the Family and Community Engagement Standards will be reviewed at your next monitoring visit. The Facility Continuous Quality and Improvement (CQI) Plan and the Individual CQI plans for each staff must be completed and on file for review by February 5, 2027. Completed facility CQI and individual CQI information will be reviewed at your next monitoring visit. Reminders and Resources: -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. Providers may also submit questions to a Behavior Support Advisor online and receive a call or email in response. In addition, providers may post questions in the ‘Talk to the Expert’ Group on an online network, Social Emotional Connections, for early childhood educators. There are also opportunities to join free webinars on challenging topics or classroom activities. For a flyer including active links to access these resources, please reach out to me and I will send this to you via email. I encouraged you to place a copy of the flyer in each classroom so that staff may access the information when needed. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, a handwritten visit summary was reviewed, and a copy was left with you. The computer-generated visit summary will be emailed to you within two business days. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at 828-782-0718 or Tammy.McGalliard@dhhs.nc.gov. Thank you for your time and assistance today. If I can be of further assistance, you may contact me at 704-853-9196 or Kristen.Mauney@dhhs.nc.gov. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 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.