Ymca Fairview Afterschool

10A NCAC 09 .0803 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/23/2026 Number Present: 92 Completed Date: 6/23/2026 Age: From 5 To 12 Total Minutes: 353 Time In: 11:07 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – five-star center issued on 11/24/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 11/24/25. The last fire drill was practiced on 6/1/26. The last lockdown drill was practiced on 4/2/26. The Emergency Medical Care plan was posted and current. The approved curriculum is Funny Daffer. Lead water testing was completed on 7/3/24 with hazards. Mitigation was achieved. Lead paint was completed on 3/27/25. No results were listed for asbestos testing. Sixteen (16) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). A summer program was in progress at this facility. A total of ninety-two (92) children, five-to-twelve years of age, were in attendance today. Three (3) additional juveniles, two (2) children, who were thirteen, and one (1) child, who was fifteen (15) years of age, were present as Campers in Leadership Training (CILT). Their role was to help group leaders/camp counselors with art projects, decoration and shadowing them. During today’s visit, space 2A and 2B – cafeteria was not available for program to use due to waxing of the floors. Therefore, multiple groups shared space. In the gym, a group of fifteen (15) children in group#4 and nineteen (19) children in group #3 engaged in gross motor and other activities. Children threw/caught basketball, football, rubber balls with paired peers, danced with streams and scarves, built structures with Legos and wooden blocks and drew/colored. Three (3) group leaders supervised the children. One (1) outside contracted from partnering agency was present to work with a child. Five (5) medications were maintained in the backpack for group #4. Permission forms for all medications were valid. Action plans for two (2) emergency medications were present and valid. Supervision and interaction were adequate. Seventeen (17) children in group #1 had lunch on a lawn by the Black top playground. Children packed their own lunch from home. Two (2) staff members supervised and interacted with the children. Two (2) medications were maintained for this group. Action plan for one (1) emergency medication was verified. Permission forms for both medications were also valid and on file. Fifteen (15) children played basketball on the Black top playground. No medications were maintained for this group. Nineteen (19) children in group #2 and thirteen (13) children in group #6 had lunch in the courtyard. Some children were in the tent/canopy, some children sat on lawn or on the bench during lunch. A few children threw a football with each other in the open space in the courtyard. One (1) emergency medications were maintained in the backpack for a child in group #6. Action plan for the medication was on file, but parent authorization form was not located. Two (2) other daily medication were maintained in the office. Both medications are administered daily. One (1) medication was administered to a child during today’s visit and the other one was not due to the child being absent. Parental authorization form for both medications was on file and signed by the parents. However, the form for Methylphenidate was missing some required information. Theater was also used for summer program – soft things, doll house, accessories, games, fidget toys, pretend garden toys, books, felt materials, manipulatives and art materials were available for children. Staff files: Due to program inability to access to computer electronic system using their work computer, Will Deter, Association Director of Systems and Strategies, shared the electronic data with me in-person using his personal computer. Some documents could not be monitored due to the same issues. The following staff members were identified as existing staff members and their criminal background letters expiration date – identified as CBC, CPR/First Aid (FA) expiration date and BSAC training dates were monitored. Some of the staff members work at different programs during school year. Each staff member’s “typical” work site is noted in the parentheses. C. Bennette (Charles Bell): CPR/FA – 12/22/26 BSAC 5/21/16 CBC – 1/5/27 A. Carlson (Fairview): CPR/FA – 5/1/27 BSAC – 8/9/25 CBC – 4/29/30 B. Young (Fairview): CPR/FA- 5/13/28 CBC- 1/3129 BSAC-4/29/24 W. Meyer (Haw Creek): CPR/FA: 6/19/28 BSAC: 3/6/26 CBC: provisional letter expired on 3/15/26 was on file*. Per ABCMS system, this staff member is qualified through 1/29/31 – the qualification letter was later located. C. Lathrop (W.D. Williams): CPR/FA- 6/25/27 CBC – 4/7/30 BSAC- 9/29/18 H. Llyod (Haw Creek) CPR/FA – 6/19/28 CBC – 6/20/31 BSAC – 6/21/26 C. Armstrong (Oakley) DOE: 1/3/24 BSAC -1/29/24 CBC- 1/4/29 CPR/FA – not on file* The following staff members were identified as new staff members. Their files were monitored in full. Tiykeiya Reynolds: DOE – 6/15/26 Application- 3/18/26 Orientation – in progress CBC – 5/9/30 Medical – 5/12/25 TB – 5/12/25 EI – 5/12/26 RRSCM -4/21/25 EMC/EPR review - * CPR/FA -6/19/27 BSAC – 6/4/25 OP/PP/AQ – 5/12/26 O. Anderson: DOE – 6/22/26 Application- 5/6/26 Orientation – * CBC – 6/8/31 Medical- 6/3/26 TB – 6/3/26 EI –5/27/26 CPR/FA – not due yet RRSCM – not due yet BSAC – not due yet EMC/EPR review * OP/PP/AQ – 5/27/26 Al. Klepac: DOE – 6/15/26 Application- 5/30/26 Orientation – in progress CBC – 6/15/31 Medical -6/14/26 TB – 6/14/26 – but skin test results were not on file* EI - 6/9/26 CPR/FA – not due yet RRSCM -6/21/26 BSAC- not due yet EMC/EPR review OP/PP/AQ – 6/9/26 Ar. Klepac: DOE – 6/15/26 Application- 6/3/26 Orientation – in progress CBC – 6/15/31 Medical – 6/14/26 TB - 6/14/26 – but skin test results were not on file* EI – 6/9/26 CPR/FA –not due yet RRSCM – 6/21/26 BSAC- not due yet EMC/EPR review OP/PP/AQ – 6/9/26 F. Frayne: DOE – 6/15/26 Application- 5/19/26 Orientation – in progress CBC - * Per ABCMS, qualification status has not been determined yet. * Medical – 6/9/26 TB – 6/9/26 EI – 5/28/26 CPR/FA – not due yet RRSCM – 6/7/26 BSAC- 6/15/26 EMC/EPR review OP/PP/AQ – 5/28/26 O. Anderson, C. Bennett, A. Carlson, W. Hall, Al. Klepac, Ar. Klepac, K. Lathrop, T. Reynolds and B. Young were listed on the ABCMS roster for Fairview site. Qualification status for C. Armstrong was verified through the ABCMS, but the staff member was not linked with any program yet. W. Meyer was listed on the roster for Haw Creek site. Due to no record of criminal background check being completed for F. Frayne, I discussed this matter with A. Deter, Executive Director of Youth Services, who was on-site, and the staff member was instructed to leave the premises immediately until criminal background check was completed and the valid qualification letter was issued and filed. Children’s files: Children’s records were reviewed partially due to some documents not being available for review on-site. Parent authorization form for Albuterol – not on file initially but was found later during the visit. The permission form for I.L. singed and dated on 6/15/26 was verified. Parental authorization form for Ibuprofen – not on file – Per Ms. Carlson, the parent emailed the document to a group leader. Due to program’s inability to access computer electronic system, authorization form could not be verified during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program provides transportation. Per Ms. Carlson, a group of children are transported by shuttle bus from Oakley Elementary School to Fairview Elementary School in the morning. Two (2) group leaders and one (1) program coordinator accompanied the children on the bus. Forty-two (42) children were registered to use the shuttle bus for this week, and twenty-eight (28) utilized the service today. A field trip to a pool was scheduled for today, but it was cancelled due to electrical issues at the pool. Per Ms. Carlson, children in group #1, 3, and 5 participated in the field trip to Nature Center yesterday. According to Ms. Carlson, blanket field trip form is signed by the parents along with the summer camp application, and the details of each field trip are shared with parents via newsletter. A sign about each field trip is posted in the entrance area, and the master roster of attending children is taken to the field trip, and a copy is left at the facility. For each field trip, group leaders take a copy of children’s application including emergency contact, children’s pictures and EMC. Field trip details included in the newsletter for parents. “Swim Trip @ the Y” scheduled today (but cancelled) was planned for groups 2, 4, and 6 according to the newsletter for 12:30 – 3:00. The note explained about children above eight (8) years of age could take swim tests weekly. Children without passing swim test were required to wear a life jacket. I monitored one (1) vehicle today. B2 is used as a shuttle bus to transport children between Oakley Elementary School and Fairview Elementary School. Insurance and registration cards were maintained on the bus. The insurance is valid through 10/1/26, and the registration through 4/30/27. First aid kit and a fire extinguisher were safely mounted and maintained behind the back mirror. Assigned bus seat roster and master roster were maintained on the bus by staff members. Inside of the vehicle was clean and seats, windows and tires were in adequate condition. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Required information was not included in the medication authorization form for Methylphenidate. 10A NCAC 09 .0803(4)(6-9) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) new group leaders did not complete required TB screening prior to their employment. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One (1) group leader whose date of employment being 6/15/26, did not complete required criminal background check prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Due to provider's inability to access computer electronic system, one (1) child's medication authorization form was not available for review. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) existing staff member did not have First Aid training within ninety (90) days of employment and maintained the valid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) existing staff member did not complete CPR training within ninety (90) days of employment and maintained the valid training thereafter. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. valid qualification letter for one (1) group leader was not maintained on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1048: First Aid 1049: CPR First aid and CPR training must be completed within ninety (90) days of employment and must be renewed thereafter. Additionally, the training certificates must be maintained on file and available for review. To comply, C. Armstrong must complete CPR and First Aid training within the next two (2) weeks. 1041: criminal background check prior to employment 1757: valid qualification letter on file Criminal background check must be completed prior to employment. Additionally, valid qualification letter must be maintained on staff files. To comply, F. Frayne must leave the premises immediately and may not work until criminal background check is completed and a valid qualification letter is issued. Additionally, valid qualification letter must be submitted to the employer and maintained on file. In your compliance letter, please state how you will ensure preventing recurrence of violation 1041. Additionally, please verify the completion and filing of qualification letter for F. Frayne for item 1757. Please note that repeat violation of items 1048, 1049, 1041 and 1757 for two (2) consecutive visits may result in Administrative Action. Please make sure that all staff members complete criminal background checks prior to the first day of employment, print/save electronic qualification letters and maintain them in the staff records. Additionally, make sure that all staff members complete CPR and First Aid training within ninety (90) days of employment and maintain the valid qualification thereafter. The training certificates shall be shared with employer so that the training certificates are maintained on staff files. 1033: TB TB screening is required for staff members prior to first day of employment. When you use the form provided by the Division, skin test is required if staff members answer yes to any of the questions. To comply, Al. Klepac and Ar. Klepac must complete the TB screening including skin test. In your compliance letter, please verify the completion of TB screening by Al. Klepac and Ar. Klepac. This is a frequently cited violation for YMCA program. Please review the requirement with Human Resources Department and reiterate the importance of maintaining compliance. 847: Medication authorization form On the medication authorization form, all required information must be included. Please see the below rule reference: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. To comply, medication authorization form for Methylphenidate must include the child’s name, name of prescription, and any other missing information must be added to the form. In your compliance letter, please verify that this task was completed. 1043: Record not available for review All requested records must be available for review. During today’s visit, medication authorization form for Ibuprofen was not available for review. To comply, please provide your strategies for times when electronic records are not available in your compliance letter. Additionally, please verify that authorization form was printed and maintained with the medication. Ibuprofen maintained at the facility was not Children’s Ibuprofen. Please make sure to review the medication authorization form closely and ensure that instruction provided by the parent is safe. If not, please discuss dosage and frequency with the parents. It is your responsibility to ensure health and safety on children. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/7/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Off-premises activity requirements: Please review the following and make sure that parents are provided with required information listed below. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1005 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/23/2026 Number Present: 92 Completed Date: 6/23/2026 Age: From 5 To 12 Total Minutes: 353 Time In: 11:07 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – five-star center issued on 11/24/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 11/24/25. The last fire drill was practiced on 6/1/26. The last lockdown drill was practiced on 4/2/26. The Emergency Medical Care plan was posted and current. The approved curriculum is Funny Daffer. Lead water testing was completed on 7/3/24 with hazards. Mitigation was achieved. Lead paint was completed on 3/27/25. No results were listed for asbestos testing. Sixteen (16) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). A summer program was in progress at this facility. A total of ninety-two (92) children, five-to-twelve years of age, were in attendance today. Three (3) additional juveniles, two (2) children, who were thirteen, and one (1) child, who was fifteen (15) years of age, were present as Campers in Leadership Training (CILT). Their role was to help group leaders/camp counselors with art projects, decoration and shadowing them. During today’s visit, space 2A and 2B – cafeteria was not available for program to use due to waxing of the floors. Therefore, multiple groups shared space. In the gym, a group of fifteen (15) children in group#4 and nineteen (19) children in group #3 engaged in gross motor and other activities. Children threw/caught basketball, football, rubber balls with paired peers, danced with streams and scarves, built structures with Legos and wooden blocks and drew/colored. Three (3) group leaders supervised the children. One (1) outside contracted from partnering agency was present to work with a child. Five (5) medications were maintained in the backpack for group #4. Permission forms for all medications were valid. Action plans for two (2) emergency medications were present and valid. Supervision and interaction were adequate. Seventeen (17) children in group #1 had lunch on a lawn by the Black top playground. Children packed their own lunch from home. Two (2) staff members supervised and interacted with the children. Two (2) medications were maintained for this group. Action plan for one (1) emergency medication was verified. Permission forms for both medications were also valid and on file. Fifteen (15) children played basketball on the Black top playground. No medications were maintained for this group. Nineteen (19) children in group #2 and thirteen (13) children in group #6 had lunch in the courtyard. Some children were in the tent/canopy, some children sat on lawn or on the bench during lunch. A few children threw a football with each other in the open space in the courtyard. One (1) emergency medications were maintained in the backpack for a child in group #6. Action plan for the medication was on file, but parent authorization form was not located. Two (2) other daily medication were maintained in the office. Both medications are administered daily. One (1) medication was administered to a child during today’s visit and the other one was not due to the child being absent. Parental authorization form for both medications was on file and signed by the parents. However, the form for Methylphenidate was missing some required information. Theater was also used for summer program – soft things, doll house, accessories, games, fidget toys, pretend garden toys, books, felt materials, manipulatives and art materials were available for children. Staff files: Due to program inability to access to computer electronic system using their work computer, Will Deter, Association Director of Systems and Strategies, shared the electronic data with me in-person using his personal computer. Some documents could not be monitored due to the same issues. The following staff members were identified as existing staff members and their criminal background letters expiration date – identified as CBC, CPR/First Aid (FA) expiration date and BSAC training dates were monitored. Some of the staff members work at different programs during school year. Each staff member’s “typical” work site is noted in the parentheses. C. Bennette (Charles Bell): CPR/FA – 12/22/26 BSAC 5/21/16 CBC – 1/5/27 A. Carlson (Fairview): CPR/FA – 5/1/27 BSAC – 8/9/25 CBC – 4/29/30 B. Young (Fairview): CPR/FA- 5/13/28 CBC- 1/3129 BSAC-4/29/24 W. Meyer (Haw Creek): CPR/FA: 6/19/28 BSAC: 3/6/26 CBC: provisional letter expired on 3/15/26 was on file*. Per ABCMS system, this staff member is qualified through 1/29/31 – the qualification letter was later located. C. Lathrop (W.D. Williams): CPR/FA- 6/25/27 CBC – 4/7/30 BSAC- 9/29/18 H. Llyod (Haw Creek) CPR/FA – 6/19/28 CBC – 6/20/31 BSAC – 6/21/26 C. Armstrong (Oakley) DOE: 1/3/24 BSAC -1/29/24 CBC- 1/4/29 CPR/FA – not on file* The following staff members were identified as new staff members. Their files were monitored in full. Tiykeiya Reynolds: DOE – 6/15/26 Application- 3/18/26 Orientation – in progress CBC – 5/9/30 Medical – 5/12/25 TB – 5/12/25 EI – 5/12/26 RRSCM -4/21/25 EMC/EPR review - * CPR/FA -6/19/27 BSAC – 6/4/25 OP/PP/AQ – 5/12/26 O. Anderson: DOE – 6/22/26 Application- 5/6/26 Orientation – * CBC – 6/8/31 Medical- 6/3/26 TB – 6/3/26 EI –5/27/26 CPR/FA – not due yet RRSCM – not due yet BSAC – not due yet EMC/EPR review * OP/PP/AQ – 5/27/26 Al. Klepac: DOE – 6/15/26 Application- 5/30/26 Orientation – in progress CBC – 6/15/31 Medical -6/14/26 TB – 6/14/26 – but skin test results were not on file* EI - 6/9/26 CPR/FA – not due yet RRSCM -6/21/26 BSAC- not due yet EMC/EPR review OP/PP/AQ – 6/9/26 Ar. Klepac: DOE – 6/15/26 Application- 6/3/26 Orientation – in progress CBC – 6/15/31 Medical – 6/14/26 TB - 6/14/26 – but skin test results were not on file* EI – 6/9/26 CPR/FA –not due yet RRSCM – 6/21/26 BSAC- not due yet EMC/EPR review OP/PP/AQ – 6/9/26 F. Frayne: DOE – 6/15/26 Application- 5/19/26 Orientation – in progress CBC - * Per ABCMS, qualification status has not been determined yet. * Medical – 6/9/26 TB – 6/9/26 EI – 5/28/26 CPR/FA – not due yet RRSCM – 6/7/26 BSAC- 6/15/26 EMC/EPR review OP/PP/AQ – 5/28/26 O. Anderson, C. Bennett, A. Carlson, W. Hall, Al. Klepac, Ar. Klepac, K. Lathrop, T. Reynolds and B. Young were listed on the ABCMS roster for Fairview site. Qualification status for C. Armstrong was verified through the ABCMS, but the staff member was not linked with any program yet. W. Meyer was listed on the roster for Haw Creek site. Due to no record of criminal background check being completed for F. Frayne, I discussed this matter with A. Deter, Executive Director of Youth Services, who was on-site, and the staff member was instructed to leave the premises immediately until criminal background check was completed and the valid qualification letter was issued and filed. Children’s files: Children’s records were reviewed partially due to some documents not being available for review on-site. Parent authorization form for Albuterol – not on file initially but was found later during the visit. The permission form for I.L. singed and dated on 6/15/26 was verified. Parental authorization form for Ibuprofen – not on file – Per Ms. Carlson, the parent emailed the document to a group leader. Due to program’s inability to access computer electronic system, authorization form could not be verified during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program provides transportation. Per Ms. Carlson, a group of children are transported by shuttle bus from Oakley Elementary School to Fairview Elementary School in the morning. Two (2) group leaders and one (1) program coordinator accompanied the children on the bus. Forty-two (42) children were registered to use the shuttle bus for this week, and twenty-eight (28) utilized the service today. A field trip to a pool was scheduled for today, but it was cancelled due to electrical issues at the pool. Per Ms. Carlson, children in group #1, 3, and 5 participated in the field trip to Nature Center yesterday. According to Ms. Carlson, blanket field trip form is signed by the parents along with the summer camp application, and the details of each field trip are shared with parents via newsletter. A sign about each field trip is posted in the entrance area, and the master roster of attending children is taken to the field trip, and a copy is left at the facility. For each field trip, group leaders take a copy of children’s application including emergency contact, children’s pictures and EMC. Field trip details included in the newsletter for parents. “Swim Trip @ the Y” scheduled today (but cancelled) was planned for groups 2, 4, and 6 according to the newsletter for 12:30 – 3:00. The note explained about children above eight (8) years of age could take swim tests weekly. Children without passing swim test were required to wear a life jacket. I monitored one (1) vehicle today. B2 is used as a shuttle bus to transport children between Oakley Elementary School and Fairview Elementary School. Insurance and registration cards were maintained on the bus. The insurance is valid through 10/1/26, and the registration through 4/30/27. First aid kit and a fire extinguisher were safely mounted and maintained behind the back mirror. Assigned bus seat roster and master roster were maintained on the bus by staff members. Inside of the vehicle was clean and seats, windows and tires were in adequate condition. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Required information was not included in the medication authorization form for Methylphenidate. 10A NCAC 09 .0803(4)(6-9) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) new group leaders did not complete required TB screening prior to their employment. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One (1) group leader whose date of employment being 6/15/26, did not complete required criminal background check prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Due to provider's inability to access computer electronic system, one (1) child's medication authorization form was not available for review. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) existing staff member did not have First Aid training within ninety (90) days of employment and maintained the valid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) existing staff member did not complete CPR training within ninety (90) days of employment and maintained the valid training thereafter. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. valid qualification letter for one (1) group leader was not maintained on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1048: First Aid 1049: CPR First aid and CPR training must be completed within ninety (90) days of employment and must be renewed thereafter. Additionally, the training certificates must be maintained on file and available for review. To comply, C. Armstrong must complete CPR and First Aid training within the next two (2) weeks. 1041: criminal background check prior to employment 1757: valid qualification letter on file Criminal background check must be completed prior to employment. Additionally, valid qualification letter must be maintained on staff files. To comply, F. Frayne must leave the premises immediately and may not work until criminal background check is completed and a valid qualification letter is issued. Additionally, valid qualification letter must be submitted to the employer and maintained on file. In your compliance letter, please state how you will ensure preventing recurrence of violation 1041. Additionally, please verify the completion and filing of qualification letter for F. Frayne for item 1757. Please note that repeat violation of items 1048, 1049, 1041 and 1757 for two (2) consecutive visits may result in Administrative Action. Please make sure that all staff members complete criminal background checks prior to the first day of employment, print/save electronic qualification letters and maintain them in the staff records. Additionally, make sure that all staff members complete CPR and First Aid training within ninety (90) days of employment and maintain the valid qualification thereafter. The training certificates shall be shared with employer so that the training certificates are maintained on staff files. 1033: TB TB screening is required for staff members prior to first day of employment. When you use the form provided by the Division, skin test is required if staff members answer yes to any of the questions. To comply, Al. Klepac and Ar. Klepac must complete the TB screening including skin test. In your compliance letter, please verify the completion of TB screening by Al. Klepac and Ar. Klepac. This is a frequently cited violation for YMCA program. Please review the requirement with Human Resources Department and reiterate the importance of maintaining compliance. 847: Medication authorization form On the medication authorization form, all required information must be included. Please see the below rule reference: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. To comply, medication authorization form for Methylphenidate must include the child’s name, name of prescription, and any other missing information must be added to the form. In your compliance letter, please verify that this task was completed. 1043: Record not available for review All requested records must be available for review. During today’s visit, medication authorization form for Ibuprofen was not available for review. To comply, please provide your strategies for times when electronic records are not available in your compliance letter. Additionally, please verify that authorization form was printed and maintained with the medication. Ibuprofen maintained at the facility was not Children’s Ibuprofen. Please make sure to review the medication authorization form closely and ensure that instruction provided by the parent is safe. If not, please discuss dosage and frequency with the parents. It is your responsibility to ensure health and safety on children. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/7/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Off-premises activity requirements: Please review the following and make sure that parents are provided with required information listed below. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1401 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/23/2026 Number Present: 92 Completed Date: 6/23/2026 Age: From 5 To 12 Total Minutes: 353 Time In: 11:07 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – five-star center issued on 11/24/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 11/24/25. The last fire drill was practiced on 6/1/26. The last lockdown drill was practiced on 4/2/26. The Emergency Medical Care plan was posted and current. The approved curriculum is Funny Daffer. Lead water testing was completed on 7/3/24 with hazards. Mitigation was achieved. Lead paint was completed on 3/27/25. No results were listed for asbestos testing. Sixteen (16) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). A summer program was in progress at this facility. A total of ninety-two (92) children, five-to-twelve years of age, were in attendance today. Three (3) additional juveniles, two (2) children, who were thirteen, and one (1) child, who was fifteen (15) years of age, were present as Campers in Leadership Training (CILT). Their role was to help group leaders/camp counselors with art projects, decoration and shadowing them. During today’s visit, space 2A and 2B – cafeteria was not available for program to use due to waxing of the floors. Therefore, multiple groups shared space. In the gym, a group of fifteen (15) children in group#4 and nineteen (19) children in group #3 engaged in gross motor and other activities. Children threw/caught basketball, football, rubber balls with paired peers, danced with streams and scarves, built structures with Legos and wooden blocks and drew/colored. Three (3) group leaders supervised the children. One (1) outside contracted from partnering agency was present to work with a child. Five (5) medications were maintained in the backpack for group #4. Permission forms for all medications were valid. Action plans for two (2) emergency medications were present and valid. Supervision and interaction were adequate. Seventeen (17) children in group #1 had lunch on a lawn by the Black top playground. Children packed their own lunch from home. Two (2) staff members supervised and interacted with the children. Two (2) medications were maintained for this group. Action plan for one (1) emergency medication was verified. Permission forms for both medications were also valid and on file. Fifteen (15) children played basketball on the Black top playground. No medications were maintained for this group. Nineteen (19) children in group #2 and thirteen (13) children in group #6 had lunch in the courtyard. Some children were in the tent/canopy, some children sat on lawn or on the bench during lunch. A few children threw a football with each other in the open space in the courtyard. One (1) emergency medications were maintained in the backpack for a child in group #6. Action plan for the medication was on file, but parent authorization form was not located. Two (2) other daily medication were maintained in the office. Both medications are administered daily. One (1) medication was administered to a child during today’s visit and the other one was not due to the child being absent. Parental authorization form for both medications was on file and signed by the parents. However, the form for Methylphenidate was missing some required information. Theater was also used for summer program – soft things, doll house, accessories, games, fidget toys, pretend garden toys, books, felt materials, manipulatives and art materials were available for children. Staff files: Due to program inability to access to computer electronic system using their work computer, Will Deter, Association Director of Systems and Strategies, shared the electronic data with me in-person using his personal computer. Some documents could not be monitored due to the same issues. The following staff members were identified as existing staff members and their criminal background letters expiration date – identified as CBC, CPR/First Aid (FA) expiration date and BSAC training dates were monitored. Some of the staff members work at different programs during school year. Each staff member’s “typical” work site is noted in the parentheses. C. Bennette (Charles Bell): CPR/FA – 12/22/26 BSAC 5/21/16 CBC – 1/5/27 A. Carlson (Fairview): CPR/FA – 5/1/27 BSAC – 8/9/25 CBC – 4/29/30 B. Young (Fairview): CPR/FA- 5/13/28 CBC- 1/3129 BSAC-4/29/24 W. Meyer (Haw Creek): CPR/FA: 6/19/28 BSAC: 3/6/26 CBC: provisional letter expired on 3/15/26 was on file*. Per ABCMS system, this staff member is qualified through 1/29/31 – the qualification letter was later located. C. Lathrop (W.D. Williams): CPR/FA- 6/25/27 CBC – 4/7/30 BSAC- 9/29/18 H. Llyod (Haw Creek) CPR/FA – 6/19/28 CBC – 6/20/31 BSAC – 6/21/26 C. Armstrong (Oakley) DOE: 1/3/24 BSAC -1/29/24 CBC- 1/4/29 CPR/FA – not on file* The following staff members were identified as new staff members. Their files were monitored in full. Tiykeiya Reynolds: DOE – 6/15/26 Application- 3/18/26 Orientation – in progress CBC – 5/9/30 Medical – 5/12/25 TB – 5/12/25 EI – 5/12/26 RRSCM -4/21/25 EMC/EPR review - * CPR/FA -6/19/27 BSAC – 6/4/25 OP/PP/AQ – 5/12/26 O. Anderson: DOE – 6/22/26 Application- 5/6/26 Orientation – * CBC – 6/8/31 Medical- 6/3/26 TB – 6/3/26 EI –5/27/26 CPR/FA – not due yet RRSCM – not due yet BSAC – not due yet EMC/EPR review * OP/PP/AQ – 5/27/26 Al. Klepac: DOE – 6/15/26 Application- 5/30/26 Orientation – in progress CBC – 6/15/31 Medical -6/14/26 TB – 6/14/26 – but skin test results were not on file* EI - 6/9/26 CPR/FA – not due yet RRSCM -6/21/26 BSAC- not due yet EMC/EPR review OP/PP/AQ – 6/9/26 Ar. Klepac: DOE – 6/15/26 Application- 6/3/26 Orientation – in progress CBC – 6/15/31 Medical – 6/14/26 TB - 6/14/26 – but skin test results were not on file* EI – 6/9/26 CPR/FA –not due yet RRSCM – 6/21/26 BSAC- not due yet EMC/EPR review OP/PP/AQ – 6/9/26 F. Frayne: DOE – 6/15/26 Application- 5/19/26 Orientation – in progress CBC - * Per ABCMS, qualification status has not been determined yet. * Medical – 6/9/26 TB – 6/9/26 EI – 5/28/26 CPR/FA – not due yet RRSCM – 6/7/26 BSAC- 6/15/26 EMC/EPR review OP/PP/AQ – 5/28/26 O. Anderson, C. Bennett, A. Carlson, W. Hall, Al. Klepac, Ar. Klepac, K. Lathrop, T. Reynolds and B. Young were listed on the ABCMS roster for Fairview site. Qualification status for C. Armstrong was verified through the ABCMS, but the staff member was not linked with any program yet. W. Meyer was listed on the roster for Haw Creek site. Due to no record of criminal background check being completed for F. Frayne, I discussed this matter with A. Deter, Executive Director of Youth Services, who was on-site, and the staff member was instructed to leave the premises immediately until criminal background check was completed and the valid qualification letter was issued and filed. Children’s files: Children’s records were reviewed partially due to some documents not being available for review on-site. Parent authorization form for Albuterol – not on file initially but was found later during the visit. The permission form for I.L. singed and dated on 6/15/26 was verified. Parental authorization form for Ibuprofen – not on file – Per Ms. Carlson, the parent emailed the document to a group leader. Due to program’s inability to access computer electronic system, authorization form could not be verified during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program provides transportation. Per Ms. Carlson, a group of children are transported by shuttle bus from Oakley Elementary School to Fairview Elementary School in the morning. Two (2) group leaders and one (1) program coordinator accompanied the children on the bus. Forty-two (42) children were registered to use the shuttle bus for this week, and twenty-eight (28) utilized the service today. A field trip to a pool was scheduled for today, but it was cancelled due to electrical issues at the pool. Per Ms. Carlson, children in group #1, 3, and 5 participated in the field trip to Nature Center yesterday. According to Ms. Carlson, blanket field trip form is signed by the parents along with the summer camp application, and the details of each field trip are shared with parents via newsletter. A sign about each field trip is posted in the entrance area, and the master roster of attending children is taken to the field trip, and a copy is left at the facility. For each field trip, group leaders take a copy of children’s application including emergency contact, children’s pictures and EMC. Field trip details included in the newsletter for parents. “Swim Trip @ the Y” scheduled today (but cancelled) was planned for groups 2, 4, and 6 according to the newsletter for 12:30 – 3:00. The note explained about children above eight (8) years of age could take swim tests weekly. Children without passing swim test were required to wear a life jacket. I monitored one (1) vehicle today. B2 is used as a shuttle bus to transport children between Oakley Elementary School and Fairview Elementary School. Insurance and registration cards were maintained on the bus. The insurance is valid through 10/1/26, and the registration through 4/30/27. First aid kit and a fire extinguisher were safely mounted and maintained behind the back mirror. Assigned bus seat roster and master roster were maintained on the bus by staff members. Inside of the vehicle was clean and seats, windows and tires were in adequate condition. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Required information was not included in the medication authorization form for Methylphenidate. 10A NCAC 09 .0803(4)(6-9) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) new group leaders did not complete required TB screening prior to their employment. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One (1) group leader whose date of employment being 6/15/26, did not complete required criminal background check prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Due to provider's inability to access computer electronic system, one (1) child's medication authorization form was not available for review. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) existing staff member did not have First Aid training within ninety (90) days of employment and maintained the valid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) existing staff member did not complete CPR training within ninety (90) days of employment and maintained the valid training thereafter. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. valid qualification letter for one (1) group leader was not maintained on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1048: First Aid 1049: CPR First aid and CPR training must be completed within ninety (90) days of employment and must be renewed thereafter. Additionally, the training certificates must be maintained on file and available for review. To comply, C. Armstrong must complete CPR and First Aid training within the next two (2) weeks. 1041: criminal background check prior to employment 1757: valid qualification letter on file Criminal background check must be completed prior to employment. Additionally, valid qualification letter must be maintained on staff files. To comply, F. Frayne must leave the premises immediately and may not work until criminal background check is completed and a valid qualification letter is issued. Additionally, valid qualification letter must be submitted to the employer and maintained on file. In your compliance letter, please state how you will ensure preventing recurrence of violation 1041. Additionally, please verify the completion and filing of qualification letter for F. Frayne for item 1757. Please note that repeat violation of items 1048, 1049, 1041 and 1757 for two (2) consecutive visits may result in Administrative Action. Please make sure that all staff members complete criminal background checks prior to the first day of employment, print/save electronic qualification letters and maintain them in the staff records. Additionally, make sure that all staff members complete CPR and First Aid training within ninety (90) days of employment and maintain the valid qualification thereafter. The training certificates shall be shared with employer so that the training certificates are maintained on staff files. 1033: TB TB screening is required for staff members prior to first day of employment. When you use the form provided by the Division, skin test is required if staff members answer yes to any of the questions. To comply, Al. Klepac and Ar. Klepac must complete the TB screening including skin test. In your compliance letter, please verify the completion of TB screening by Al. Klepac and Ar. Klepac. This is a frequently cited violation for YMCA program. Please review the requirement with Human Resources Department and reiterate the importance of maintaining compliance. 847: Medication authorization form On the medication authorization form, all required information must be included. Please see the below rule reference: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. To comply, medication authorization form for Methylphenidate must include the child’s name, name of prescription, and any other missing information must be added to the form. In your compliance letter, please verify that this task was completed. 1043: Record not available for review All requested records must be available for review. During today’s visit, medication authorization form for Ibuprofen was not available for review. To comply, please provide your strategies for times when electronic records are not available in your compliance letter. Additionally, please verify that authorization form was printed and maintained with the medication. Ibuprofen maintained at the facility was not Children’s Ibuprofen. Please make sure to review the medication authorization form closely and ensure that instruction provided by the parent is safe. If not, please discuss dosage and frequency with the parents. It is your responsibility to ensure health and safety on children. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/7/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Off-premises activity requirements: Please review the following and make sure that parents are provided with required information listed below. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1402 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/23/2026 Number Present: 92 Completed Date: 6/23/2026 Age: From 5 To 12 Total Minutes: 353 Time In: 11:07 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – five-star center issued on 11/24/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 11/24/25. The last fire drill was practiced on 6/1/26. The last lockdown drill was practiced on 4/2/26. The Emergency Medical Care plan was posted and current. The approved curriculum is Funny Daffer. Lead water testing was completed on 7/3/24 with hazards. Mitigation was achieved. Lead paint was completed on 3/27/25. No results were listed for asbestos testing. Sixteen (16) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). A summer program was in progress at this facility. A total of ninety-two (92) children, five-to-twelve years of age, were in attendance today. Three (3) additional juveniles, two (2) children, who were thirteen, and one (1) child, who was fifteen (15) years of age, were present as Campers in Leadership Training (CILT). Their role was to help group leaders/camp counselors with art projects, decoration and shadowing them. During today’s visit, space 2A and 2B – cafeteria was not available for program to use due to waxing of the floors. Therefore, multiple groups shared space. In the gym, a group of fifteen (15) children in group#4 and nineteen (19) children in group #3 engaged in gross motor and other activities. Children threw/caught basketball, football, rubber balls with paired peers, danced with streams and scarves, built structures with Legos and wooden blocks and drew/colored. Three (3) group leaders supervised the children. One (1) outside contracted from partnering agency was present to work with a child. Five (5) medications were maintained in the backpack for group #4. Permission forms for all medications were valid. Action plans for two (2) emergency medications were present and valid. Supervision and interaction were adequate. Seventeen (17) children in group #1 had lunch on a lawn by the Black top playground. Children packed their own lunch from home. Two (2) staff members supervised and interacted with the children. Two (2) medications were maintained for this group. Action plan for one (1) emergency medication was verified. Permission forms for both medications were also valid and on file. Fifteen (15) children played basketball on the Black top playground. No medications were maintained for this group. Nineteen (19) children in group #2 and thirteen (13) children in group #6 had lunch in the courtyard. Some children were in the tent/canopy, some children sat on lawn or on the bench during lunch. A few children threw a football with each other in the open space in the courtyard. One (1) emergency medications were maintained in the backpack for a child in group #6. Action plan for the medication was on file, but parent authorization form was not located. Two (2) other daily medication were maintained in the office. Both medications are administered daily. One (1) medication was administered to a child during today’s visit and the other one was not due to the child being absent. Parental authorization form for both medications was on file and signed by the parents. However, the form for Methylphenidate was missing some required information. Theater was also used for summer program – soft things, doll house, accessories, games, fidget toys, pretend garden toys, books, felt materials, manipulatives and art materials were available for children. Staff files: Due to program inability to access to computer electronic system using their work computer, Will Deter, Association Director of Systems and Strategies, shared the electronic data with me in-person using his personal computer. Some documents could not be monitored due to the same issues. The following staff members were identified as existing staff members and their criminal background letters expiration date – identified as CBC, CPR/First Aid (FA) expiration date and BSAC training dates were monitored. Some of the staff members work at different programs during school year. Each staff member’s “typical” work site is noted in the parentheses. C. Bennette (Charles Bell): CPR/FA – 12/22/26 BSAC 5/21/16 CBC – 1/5/27 A. Carlson (Fairview): CPR/FA – 5/1/27 BSAC – 8/9/25 CBC – 4/29/30 B. Young (Fairview): CPR/FA- 5/13/28 CBC- 1/3129 BSAC-4/29/24 W. Meyer (Haw Creek): CPR/FA: 6/19/28 BSAC: 3/6/26 CBC: provisional letter expired on 3/15/26 was on file*. Per ABCMS system, this staff member is qualified through 1/29/31 – the qualification letter was later located. C. Lathrop (W.D. Williams): CPR/FA- 6/25/27 CBC – 4/7/30 BSAC- 9/29/18 H. Llyod (Haw Creek) CPR/FA – 6/19/28 CBC – 6/20/31 BSAC – 6/21/26 C. Armstrong (Oakley) DOE: 1/3/24 BSAC -1/29/24 CBC- 1/4/29 CPR/FA – not on file* The following staff members were identified as new staff members. Their files were monitored in full. Tiykeiya Reynolds: DOE – 6/15/26 Application- 3/18/26 Orientation – in progress CBC – 5/9/30 Medical – 5/12/25 TB – 5/12/25 EI – 5/12/26 RRSCM -4/21/25 EMC/EPR review - * CPR/FA -6/19/27 BSAC – 6/4/25 OP/PP/AQ – 5/12/26 O. Anderson: DOE – 6/22/26 Application- 5/6/26 Orientation – * CBC – 6/8/31 Medical- 6/3/26 TB – 6/3/26 EI –5/27/26 CPR/FA – not due yet RRSCM – not due yet BSAC – not due yet EMC/EPR review * OP/PP/AQ – 5/27/26 Al. Klepac: DOE – 6/15/26 Application- 5/30/26 Orientation – in progress CBC – 6/15/31 Medical -6/14/26 TB – 6/14/26 – but skin test results were not on file* EI - 6/9/26 CPR/FA – not due yet RRSCM -6/21/26 BSAC- not due yet EMC/EPR review OP/PP/AQ – 6/9/26 Ar. Klepac: DOE – 6/15/26 Application- 6/3/26 Orientation – in progress CBC – 6/15/31 Medical – 6/14/26 TB - 6/14/26 – but skin test results were not on file* EI – 6/9/26 CPR/FA –not due yet RRSCM – 6/21/26 BSAC- not due yet EMC/EPR review OP/PP/AQ – 6/9/26 F. Frayne: DOE – 6/15/26 Application- 5/19/26 Orientation – in progress CBC - * Per ABCMS, qualification status has not been determined yet. * Medical – 6/9/26 TB – 6/9/26 EI – 5/28/26 CPR/FA – not due yet RRSCM – 6/7/26 BSAC- 6/15/26 EMC/EPR review OP/PP/AQ – 5/28/26 O. Anderson, C. Bennett, A. Carlson, W. Hall, Al. Klepac, Ar. Klepac, K. Lathrop, T. Reynolds and B. Young were listed on the ABCMS roster for Fairview site. Qualification status for C. Armstrong was verified through the ABCMS, but the staff member was not linked with any program yet. W. Meyer was listed on the roster for Haw Creek site. Due to no record of criminal background check being completed for F. Frayne, I discussed this matter with A. Deter, Executive Director of Youth Services, who was on-site, and the staff member was instructed to leave the premises immediately until criminal background check was completed and the valid qualification letter was issued and filed. Children’s files: Children’s records were reviewed partially due to some documents not being available for review on-site. Parent authorization form for Albuterol – not on file initially but was found later during the visit. The permission form for I.L. singed and dated on 6/15/26 was verified. Parental authorization form for Ibuprofen – not on file – Per Ms. Carlson, the parent emailed the document to a group leader. Due to program’s inability to access computer electronic system, authorization form could not be verified during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program provides transportation. Per Ms. Carlson, a group of children are transported by shuttle bus from Oakley Elementary School to Fairview Elementary School in the morning. Two (2) group leaders and one (1) program coordinator accompanied the children on the bus. Forty-two (42) children were registered to use the shuttle bus for this week, and twenty-eight (28) utilized the service today. A field trip to a pool was scheduled for today, but it was cancelled due to electrical issues at the pool. Per Ms. Carlson, children in group #1, 3, and 5 participated in the field trip to Nature Center yesterday. According to Ms. Carlson, blanket field trip form is signed by the parents along with the summer camp application, and the details of each field trip are shared with parents via newsletter. A sign about each field trip is posted in the entrance area, and the master roster of attending children is taken to the field trip, and a copy is left at the facility. For each field trip, group leaders take a copy of children’s application including emergency contact, children’s pictures and EMC. Field trip details included in the newsletter for parents. “Swim Trip @ the Y” scheduled today (but cancelled) was planned for groups 2, 4, and 6 according to the newsletter for 12:30 – 3:00. The note explained about children above eight (8) years of age could take swim tests weekly. Children without passing swim test were required to wear a life jacket. I monitored one (1) vehicle today. B2 is used as a shuttle bus to transport children between Oakley Elementary School and Fairview Elementary School. Insurance and registration cards were maintained on the bus. The insurance is valid through 10/1/26, and the registration through 4/30/27. First aid kit and a fire extinguisher were safely mounted and maintained behind the back mirror. Assigned bus seat roster and master roster were maintained on the bus by staff members. Inside of the vehicle was clean and seats, windows and tires were in adequate condition. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Required information was not included in the medication authorization form for Methylphenidate. 10A NCAC 09 .0803(4)(6-9) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) new group leaders did not complete required TB screening prior to their employment. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One (1) group leader whose date of employment being 6/15/26, did not complete required criminal background check prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Due to provider's inability to access computer electronic system, one (1) child's medication authorization form was not available for review. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) existing staff member did not have First Aid training within ninety (90) days of employment and maintained the valid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) existing staff member did not complete CPR training within ninety (90) days of employment and maintained the valid training thereafter. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. valid qualification letter for one (1) group leader was not maintained on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1048: First Aid 1049: CPR First aid and CPR training must be completed within ninety (90) days of employment and must be renewed thereafter. Additionally, the training certificates must be maintained on file and available for review. To comply, C. Armstrong must complete CPR and First Aid training within the next two (2) weeks. 1041: criminal background check prior to employment 1757: valid qualification letter on file Criminal background check must be completed prior to employment. Additionally, valid qualification letter must be maintained on staff files. To comply, F. Frayne must leave the premises immediately and may not work until criminal background check is completed and a valid qualification letter is issued. Additionally, valid qualification letter must be submitted to the employer and maintained on file. In your compliance letter, please state how you will ensure preventing recurrence of violation 1041. Additionally, please verify the completion and filing of qualification letter for F. Frayne for item 1757. Please note that repeat violation of items 1048, 1049, 1041 and 1757 for two (2) consecutive visits may result in Administrative Action. Please make sure that all staff members complete criminal background checks prior to the first day of employment, print/save electronic qualification letters and maintain them in the staff records. Additionally, make sure that all staff members complete CPR and First Aid training within ninety (90) days of employment and maintain the valid qualification thereafter. The training certificates shall be shared with employer so that the training certificates are maintained on staff files. 1033: TB TB screening is required for staff members prior to first day of employment. When you use the form provided by the Division, skin test is required if staff members answer yes to any of the questions. To comply, Al. Klepac and Ar. Klepac must complete the TB screening including skin test. In your compliance letter, please verify the completion of TB screening by Al. Klepac and Ar. Klepac. This is a frequently cited violation for YMCA program. Please review the requirement with Human Resources Department and reiterate the importance of maintaining compliance. 847: Medication authorization form On the medication authorization form, all required information must be included. Please see the below rule reference: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. To comply, medication authorization form for Methylphenidate must include the child’s name, name of prescription, and any other missing information must be added to the form. In your compliance letter, please verify that this task was completed. 1043: Record not available for review All requested records must be available for review. During today’s visit, medication authorization form for Ibuprofen was not available for review. To comply, please provide your strategies for times when electronic records are not available in your compliance letter. Additionally, please verify that authorization form was printed and maintained with the medication. Ibuprofen maintained at the facility was not Children’s Ibuprofen. Please make sure to review the medication authorization form closely and ensure that instruction provided by the parent is safe. If not, please discuss dosage and frequency with the parents. It is your responsibility to ensure health and safety on children. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/7/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Off-premises activity requirements: Please review the following and make sure that parents are provided with required information listed below. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/23/2026 Number Present: 92 Completed Date: 6/23/2026 Age: From 5 To 12 Total Minutes: 353 Time In: 11:07 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – five-star center issued on 11/24/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 11/24/25. The last fire drill was practiced on 6/1/26. The last lockdown drill was practiced on 4/2/26. The Emergency Medical Care plan was posted and current. The approved curriculum is Funny Daffer. Lead water testing was completed on 7/3/24 with hazards. Mitigation was achieved. Lead paint was completed on 3/27/25. No results were listed for asbestos testing. Sixteen (16) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). A summer program was in progress at this facility. A total of ninety-two (92) children, five-to-twelve years of age, were in attendance today. Three (3) additional juveniles, two (2) children, who were thirteen, and one (1) child, who was fifteen (15) years of age, were present as Campers in Leadership Training (CILT). Their role was to help group leaders/camp counselors with art projects, decoration and shadowing them. During today’s visit, space 2A and 2B – cafeteria was not available for program to use due to waxing of the floors. Therefore, multiple groups shared space. In the gym, a group of fifteen (15) children in group#4 and nineteen (19) children in group #3 engaged in gross motor and other activities. Children threw/caught basketball, football, rubber balls with paired peers, danced with streams and scarves, built structures with Legos and wooden blocks and drew/colored. Three (3) group leaders supervised the children. One (1) outside contracted from partnering agency was present to work with a child. Five (5) medications were maintained in the backpack for group #4. Permission forms for all medications were valid. Action plans for two (2) emergency medications were present and valid. Supervision and interaction were adequate. Seventeen (17) children in group #1 had lunch on a lawn by the Black top playground. Children packed their own lunch from home. Two (2) staff members supervised and interacted with the children. Two (2) medications were maintained for this group. Action plan for one (1) emergency medication was verified. Permission forms for both medications were also valid and on file. Fifteen (15) children played basketball on the Black top playground. No medications were maintained for this group. Nineteen (19) children in group #2 and thirteen (13) children in group #6 had lunch in the courtyard. Some children were in the tent/canopy, some children sat on lawn or on the bench during lunch. A few children threw a football with each other in the open space in the courtyard. One (1) emergency medications were maintained in the backpack for a child in group #6. Action plan for the medication was on file, but parent authorization form was not located. Two (2) other daily medication were maintained in the office. Both medications are administered daily. One (1) medication was administered to a child during today’s visit and the other one was not due to the child being absent. Parental authorization form for both medications was on file and signed by the parents. However, the form for Methylphenidate was missing some required information. Theater was also used for summer program – soft things, doll house, accessories, games, fidget toys, pretend garden toys, books, felt materials, manipulatives and art materials were available for children. Staff files: Due to program inability to access to computer electronic system using their work computer, Will Deter, Association Director of Systems and Strategies, shared the electronic data with me in-person using his personal computer. Some documents could not be monitored due to the same issues. The following staff members were identified as existing staff members and their criminal background letters expiration date – identified as CBC, CPR/First Aid (FA) expiration date and BSAC training dates were monitored. Some of the staff members work at different programs during school year. Each staff member’s “typical” work site is noted in the parentheses. C. Bennette (Charles Bell): CPR/FA – 12/22/26 BSAC 5/21/16 CBC – 1/5/27 A. Carlson (Fairview): CPR/FA – 5/1/27 BSAC – 8/9/25 CBC – 4/29/30 B. Young (Fairview): CPR/FA- 5/13/28 CBC- 1/3129 BSAC-4/29/24 W. Meyer (Haw Creek): CPR/FA: 6/19/28 BSAC: 3/6/26 CBC: provisional letter expired on 3/15/26 was on file*. Per ABCMS system, this staff member is qualified through 1/29/31 – the qualification letter was later located. C. Lathrop (W.D. Williams): CPR/FA- 6/25/27 CBC – 4/7/30 BSAC- 9/29/18 H. Llyod (Haw Creek) CPR/FA – 6/19/28 CBC – 6/20/31 BSAC – 6/21/26 C. Armstrong (Oakley) DOE: 1/3/24 BSAC -1/29/24 CBC- 1/4/29 CPR/FA – not on file* The following staff members were identified as new staff members. Their files were monitored in full. Tiykeiya Reynolds: DOE – 6/15/26 Application- 3/18/26 Orientation – in progress CBC – 5/9/30 Medical – 5/12/25 TB – 5/12/25 EI – 5/12/26 RRSCM -4/21/25 EMC/EPR review - * CPR/FA -6/19/27 BSAC – 6/4/25 OP/PP/AQ – 5/12/26 O. Anderson: DOE – 6/22/26 Application- 5/6/26 Orientation – * CBC – 6/8/31 Medical- 6/3/26 TB – 6/3/26 EI –5/27/26 CPR/FA – not due yet RRSCM – not due yet BSAC – not due yet EMC/EPR review * OP/PP/AQ – 5/27/26 Al. Klepac: DOE – 6/15/26 Application- 5/30/26 Orientation – in progress CBC – 6/15/31 Medical -6/14/26 TB – 6/14/26 – but skin test results were not on file* EI - 6/9/26 CPR/FA – not due yet RRSCM -6/21/26 BSAC- not due yet EMC/EPR review OP/PP/AQ – 6/9/26 Ar. Klepac: DOE – 6/15/26 Application- 6/3/26 Orientation – in progress CBC – 6/15/31 Medical – 6/14/26 TB - 6/14/26 – but skin test results were not on file* EI – 6/9/26 CPR/FA –not due yet RRSCM – 6/21/26 BSAC- not due yet EMC/EPR review OP/PP/AQ – 6/9/26 F. Frayne: DOE – 6/15/26 Application- 5/19/26 Orientation – in progress CBC - * Per ABCMS, qualification status has not been determined yet. * Medical – 6/9/26 TB – 6/9/26 EI – 5/28/26 CPR/FA – not due yet RRSCM – 6/7/26 BSAC- 6/15/26 EMC/EPR review OP/PP/AQ – 5/28/26 O. Anderson, C. Bennett, A. Carlson, W. Hall, Al. Klepac, Ar. Klepac, K. Lathrop, T. Reynolds and B. Young were listed on the ABCMS roster for Fairview site. Qualification status for C. Armstrong was verified through the ABCMS, but the staff member was not linked with any program yet. W. Meyer was listed on the roster for Haw Creek site. Due to no record of criminal background check being completed for F. Frayne, I discussed this matter with A. Deter, Executive Director of Youth Services, who was on-site, and the staff member was instructed to leave the premises immediately until criminal background check was completed and the valid qualification letter was issued and filed. Children’s files: Children’s records were reviewed partially due to some documents not being available for review on-site. Parent authorization form for Albuterol – not on file initially but was found later during the visit. The permission form for I.L. singed and dated on 6/15/26 was verified. Parental authorization form for Ibuprofen – not on file – Per Ms. Carlson, the parent emailed the document to a group leader. Due to program’s inability to access computer electronic system, authorization form could not be verified during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program provides transportation. Per Ms. Carlson, a group of children are transported by shuttle bus from Oakley Elementary School to Fairview Elementary School in the morning. Two (2) group leaders and one (1) program coordinator accompanied the children on the bus. Forty-two (42) children were registered to use the shuttle bus for this week, and twenty-eight (28) utilized the service today. A field trip to a pool was scheduled for today, but it was cancelled due to electrical issues at the pool. Per Ms. Carlson, children in group #1, 3, and 5 participated in the field trip to Nature Center yesterday. According to Ms. Carlson, blanket field trip form is signed by the parents along with the summer camp application, and the details of each field trip are shared with parents via newsletter. A sign about each field trip is posted in the entrance area, and the master roster of attending children is taken to the field trip, and a copy is left at the facility. For each field trip, group leaders take a copy of children’s application including emergency contact, children’s pictures and EMC. Field trip details included in the newsletter for parents. “Swim Trip @ the Y” scheduled today (but cancelled) was planned for groups 2, 4, and 6 according to the newsletter for 12:30 – 3:00. The note explained about children above eight (8) years of age could take swim tests weekly. Children without passing swim test were required to wear a life jacket. I monitored one (1) vehicle today. B2 is used as a shuttle bus to transport children between Oakley Elementary School and Fairview Elementary School. Insurance and registration cards were maintained on the bus. The insurance is valid through 10/1/26, and the registration through 4/30/27. First aid kit and a fire extinguisher were safely mounted and maintained behind the back mirror. Assigned bus seat roster and master roster were maintained on the bus by staff members. Inside of the vehicle was clean and seats, windows and tires were in adequate condition. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Required information was not included in the medication authorization form for Methylphenidate. 10A NCAC 09 .0803(4)(6-9) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) new group leaders did not complete required TB screening prior to their employment. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One (1) group leader whose date of employment being 6/15/26, did not complete required criminal background check prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Due to provider's inability to access computer electronic system, one (1) child's medication authorization form was not available for review. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) existing staff member did not have First Aid training within ninety (90) days of employment and maintained the valid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) existing staff member did not complete CPR training within ninety (90) days of employment and maintained the valid training thereafter. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. valid qualification letter for one (1) group leader was not maintained on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1048: First Aid 1049: CPR First aid and CPR training must be completed within ninety (90) days of employment and must be renewed thereafter. Additionally, the training certificates must be maintained on file and available for review. To comply, C. Armstrong must complete CPR and First Aid training within the next two (2) weeks. 1041: criminal background check prior to employment 1757: valid qualification letter on file Criminal background check must be completed prior to employment. Additionally, valid qualification letter must be maintained on staff files. To comply, F. Frayne must leave the premises immediately and may not work until criminal background check is completed and a valid qualification letter is issued. Additionally, valid qualification letter must be submitted to the employer and maintained on file. In your compliance letter, please state how you will ensure preventing recurrence of violation 1041. Additionally, please verify the completion and filing of qualification letter for F. Frayne for item 1757. Please note that repeat violation of items 1048, 1049, 1041 and 1757 for two (2) consecutive visits may result in Administrative Action. Please make sure that all staff members complete criminal background checks prior to the first day of employment, print/save electronic qualification letters and maintain them in the staff records. Additionally, make sure that all staff members complete CPR and First Aid training within ninety (90) days of employment and maintain the valid qualification thereafter. The training certificates shall be shared with employer so that the training certificates are maintained on staff files. 1033: TB TB screening is required for staff members prior to first day of employment. When you use the form provided by the Division, skin test is required if staff members answer yes to any of the questions. To comply, Al. Klepac and Ar. Klepac must complete the TB screening including skin test. In your compliance letter, please verify the completion of TB screening by Al. Klepac and Ar. Klepac. This is a frequently cited violation for YMCA program. Please review the requirement with Human Resources Department and reiterate the importance of maintaining compliance. 847: Medication authorization form On the medication authorization form, all required information must be included. Please see the below rule reference: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. To comply, medication authorization form for Methylphenidate must include the child’s name, name of prescription, and any other missing information must be added to the form. In your compliance letter, please verify that this task was completed. 1043: Record not available for review All requested records must be available for review. During today’s visit, medication authorization form for Ibuprofen was not available for review. To comply, please provide your strategies for times when electronic records are not available in your compliance letter. Additionally, please verify that authorization form was printed and maintained with the medication. Ibuprofen maintained at the facility was not Children’s Ibuprofen. Please make sure to review the medication authorization form closely and ensure that instruction provided by the parent is safe. If not, please discuss dosage and frequency with the parents. It is your responsibility to ensure health and safety on children. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/7/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Off-premises activity requirements: Please review the following and make sure that parents are provided with required information listed below. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/23/2026 Number Present: 92 Completed Date: 6/23/2026 Age: From 5 To 12 Total Minutes: 353 Time In: 11:07 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – five-star center issued on 11/24/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 11/24/25. The last fire drill was practiced on 6/1/26. The last lockdown drill was practiced on 4/2/26. The Emergency Medical Care plan was posted and current. The approved curriculum is Funny Daffer. Lead water testing was completed on 7/3/24 with hazards. Mitigation was achieved. Lead paint was completed on 3/27/25. No results were listed for asbestos testing. Sixteen (16) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). A summer program was in progress at this facility. A total of ninety-two (92) children, five-to-twelve years of age, were in attendance today. Three (3) additional juveniles, two (2) children, who were thirteen, and one (1) child, who was fifteen (15) years of age, were present as Campers in Leadership Training (CILT). Their role was to help group leaders/camp counselors with art projects, decoration and shadowing them. During today’s visit, space 2A and 2B – cafeteria was not available for program to use due to waxing of the floors. Therefore, multiple groups shared space. In the gym, a group of fifteen (15) children in group#4 and nineteen (19) children in group #3 engaged in gross motor and other activities. Children threw/caught basketball, football, rubber balls with paired peers, danced with streams and scarves, built structures with Legos and wooden blocks and drew/colored. Three (3) group leaders supervised the children. One (1) outside contracted from partnering agency was present to work with a child. Five (5) medications were maintained in the backpack for group #4. Permission forms for all medications were valid. Action plans for two (2) emergency medications were present and valid. Supervision and interaction were adequate. Seventeen (17) children in group #1 had lunch on a lawn by the Black top playground. Children packed their own lunch from home. Two (2) staff members supervised and interacted with the children. Two (2) medications were maintained for this group. Action plan for one (1) emergency medication was verified. Permission forms for both medications were also valid and on file. Fifteen (15) children played basketball on the Black top playground. No medications were maintained for this group. Nineteen (19) children in group #2 and thirteen (13) children in group #6 had lunch in the courtyard. Some children were in the tent/canopy, some children sat on lawn or on the bench during lunch. A few children threw a football with each other in the open space in the courtyard. One (1) emergency medications were maintained in the backpack for a child in group #6. Action plan for the medication was on file, but parent authorization form was not located. Two (2) other daily medication were maintained in the office. Both medications are administered daily. One (1) medication was administered to a child during today’s visit and the other one was not due to the child being absent. Parental authorization form for both medications was on file and signed by the parents. However, the form for Methylphenidate was missing some required information. Theater was also used for summer program – soft things, doll house, accessories, games, fidget toys, pretend garden toys, books, felt materials, manipulatives and art materials were available for children. Staff files: Due to program inability to access to computer electronic system using their work computer, Will Deter, Association Director of Systems and Strategies, shared the electronic data with me in-person using his personal computer. Some documents could not be monitored due to the same issues. The following staff members were identified as existing staff members and their criminal background letters expiration date – identified as CBC, CPR/First Aid (FA) expiration date and BSAC training dates were monitored. Some of the staff members work at different programs during school year. Each staff member’s “typical” work site is noted in the parentheses. C. Bennette (Charles Bell): CPR/FA – 12/22/26 BSAC 5/21/16 CBC – 1/5/27 A. Carlson (Fairview): CPR/FA – 5/1/27 BSAC – 8/9/25 CBC – 4/29/30 B. Young (Fairview): CPR/FA- 5/13/28 CBC- 1/3129 BSAC-4/29/24 W. Meyer (Haw Creek): CPR/FA: 6/19/28 BSAC: 3/6/26 CBC: provisional letter expired on 3/15/26 was on file*. Per ABCMS system, this staff member is qualified through 1/29/31 – the qualification letter was later located. C. Lathrop (W.D. Williams): CPR/FA- 6/25/27 CBC – 4/7/30 BSAC- 9/29/18 H. Llyod (Haw Creek) CPR/FA – 6/19/28 CBC – 6/20/31 BSAC – 6/21/26 C. Armstrong (Oakley) DOE: 1/3/24 BSAC -1/29/24 CBC- 1/4/29 CPR/FA – not on file* The following staff members were identified as new staff members. Their files were monitored in full. Tiykeiya Reynolds: DOE – 6/15/26 Application- 3/18/26 Orientation – in progress CBC – 5/9/30 Medical – 5/12/25 TB – 5/12/25 EI – 5/12/26 RRSCM -4/21/25 EMC/EPR review - * CPR/FA -6/19/27 BSAC – 6/4/25 OP/PP/AQ – 5/12/26 O. Anderson: DOE – 6/22/26 Application- 5/6/26 Orientation – * CBC – 6/8/31 Medical- 6/3/26 TB – 6/3/26 EI –5/27/26 CPR/FA – not due yet RRSCM – not due yet BSAC – not due yet EMC/EPR review * OP/PP/AQ – 5/27/26 Al. Klepac: DOE – 6/15/26 Application- 5/30/26 Orientation – in progress CBC – 6/15/31 Medical -6/14/26 TB – 6/14/26 – but skin test results were not on file* EI - 6/9/26 CPR/FA – not due yet RRSCM -6/21/26 BSAC- not due yet EMC/EPR review OP/PP/AQ – 6/9/26 Ar. Klepac: DOE – 6/15/26 Application- 6/3/26 Orientation – in progress CBC – 6/15/31 Medical – 6/14/26 TB - 6/14/26 – but skin test results were not on file* EI – 6/9/26 CPR/FA –not due yet RRSCM – 6/21/26 BSAC- not due yet EMC/EPR review OP/PP/AQ – 6/9/26 F. Frayne: DOE – 6/15/26 Application- 5/19/26 Orientation – in progress CBC - * Per ABCMS, qualification status has not been determined yet. * Medical – 6/9/26 TB – 6/9/26 EI – 5/28/26 CPR/FA – not due yet RRSCM – 6/7/26 BSAC- 6/15/26 EMC/EPR review OP/PP/AQ – 5/28/26 O. Anderson, C. Bennett, A. Carlson, W. Hall, Al. Klepac, Ar. Klepac, K. Lathrop, T. Reynolds and B. Young were listed on the ABCMS roster for Fairview site. Qualification status for C. Armstrong was verified through the ABCMS, but the staff member was not linked with any program yet. W. Meyer was listed on the roster for Haw Creek site. Due to no record of criminal background check being completed for F. Frayne, I discussed this matter with A. Deter, Executive Director of Youth Services, who was on-site, and the staff member was instructed to leave the premises immediately until criminal background check was completed and the valid qualification letter was issued and filed. Children’s files: Children’s records were reviewed partially due to some documents not being available for review on-site. Parent authorization form for Albuterol – not on file initially but was found later during the visit. The permission form for I.L. singed and dated on 6/15/26 was verified. Parental authorization form for Ibuprofen – not on file – Per Ms. Carlson, the parent emailed the document to a group leader. Due to program’s inability to access computer electronic system, authorization form could not be verified during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program provides transportation. Per Ms. Carlson, a group of children are transported by shuttle bus from Oakley Elementary School to Fairview Elementary School in the morning. Two (2) group leaders and one (1) program coordinator accompanied the children on the bus. Forty-two (42) children were registered to use the shuttle bus for this week, and twenty-eight (28) utilized the service today. A field trip to a pool was scheduled for today, but it was cancelled due to electrical issues at the pool. Per Ms. Carlson, children in group #1, 3, and 5 participated in the field trip to Nature Center yesterday. According to Ms. Carlson, blanket field trip form is signed by the parents along with the summer camp application, and the details of each field trip are shared with parents via newsletter. A sign about each field trip is posted in the entrance area, and the master roster of attending children is taken to the field trip, and a copy is left at the facility. For each field trip, group leaders take a copy of children’s application including emergency contact, children’s pictures and EMC. Field trip details included in the newsletter for parents. “Swim Trip @ the Y” scheduled today (but cancelled) was planned for groups 2, 4, and 6 according to the newsletter for 12:30 – 3:00. The note explained about children above eight (8) years of age could take swim tests weekly. Children without passing swim test were required to wear a life jacket. I monitored one (1) vehicle today. B2 is used as a shuttle bus to transport children between Oakley Elementary School and Fairview Elementary School. Insurance and registration cards were maintained on the bus. The insurance is valid through 10/1/26, and the registration through 4/30/27. First aid kit and a fire extinguisher were safely mounted and maintained behind the back mirror. Assigned bus seat roster and master roster were maintained on the bus by staff members. Inside of the vehicle was clean and seats, windows and tires were in adequate condition. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Required information was not included in the medication authorization form for Methylphenidate. 10A NCAC 09 .0803(4)(6-9) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) new group leaders did not complete required TB screening prior to their employment. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One (1) group leader whose date of employment being 6/15/26, did not complete required criminal background check prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Due to provider's inability to access computer electronic system, one (1) child's medication authorization form was not available for review. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) existing staff member did not have First Aid training within ninety (90) days of employment and maintained the valid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) existing staff member did not complete CPR training within ninety (90) days of employment and maintained the valid training thereafter. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. valid qualification letter for one (1) group leader was not maintained on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1048: First Aid 1049: CPR First aid and CPR training must be completed within ninety (90) days of employment and must be renewed thereafter. Additionally, the training certificates must be maintained on file and available for review. To comply, C. Armstrong must complete CPR and First Aid training within the next two (2) weeks. 1041: criminal background check prior to employment 1757: valid qualification letter on file Criminal background check must be completed prior to employment. Additionally, valid qualification letter must be maintained on staff files. To comply, F. Frayne must leave the premises immediately and may not work until criminal background check is completed and a valid qualification letter is issued. Additionally, valid qualification letter must be submitted to the employer and maintained on file. In your compliance letter, please state how you will ensure preventing recurrence of violation 1041. Additionally, please verify the completion and filing of qualification letter for F. Frayne for item 1757. Please note that repeat violation of items 1048, 1049, 1041 and 1757 for two (2) consecutive visits may result in Administrative Action. Please make sure that all staff members complete criminal background checks prior to the first day of employment, print/save electronic qualification letters and maintain them in the staff records. Additionally, make sure that all staff members complete CPR and First Aid training within ninety (90) days of employment and maintain the valid qualification thereafter. The training certificates shall be shared with employer so that the training certificates are maintained on staff files. 1033: TB TB screening is required for staff members prior to first day of employment. When you use the form provided by the Division, skin test is required if staff members answer yes to any of the questions. To comply, Al. Klepac and Ar. Klepac must complete the TB screening including skin test. In your compliance letter, please verify the completion of TB screening by Al. Klepac and Ar. Klepac. This is a frequently cited violation for YMCA program. Please review the requirement with Human Resources Department and reiterate the importance of maintaining compliance. 847: Medication authorization form On the medication authorization form, all required information must be included. Please see the below rule reference: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. To comply, medication authorization form for Methylphenidate must include the child’s name, name of prescription, and any other missing information must be added to the form. In your compliance letter, please verify that this task was completed. 1043: Record not available for review All requested records must be available for review. During today’s visit, medication authorization form for Ibuprofen was not available for review. To comply, please provide your strategies for times when electronic records are not available in your compliance letter. Additionally, please verify that authorization form was printed and maintained with the medication. Ibuprofen maintained at the facility was not Children’s Ibuprofen. Please make sure to review the medication authorization form closely and ensure that instruction provided by the parent is safe. If not, please discuss dosage and frequency with the parents. It is your responsibility to ensure health and safety on children. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/7/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Off-premises activity requirements: Please review the following and make sure that parents are provided with required information listed below. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/23/2026 Number Present: 92 Completed Date: 6/23/2026 Age: From 5 To 12 Total Minutes: 353 Time In: 11:07 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – five-star center issued on 11/24/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 11/24/25. The last fire drill was practiced on 6/1/26. The last lockdown drill was practiced on 4/2/26. The Emergency Medical Care plan was posted and current. The approved curriculum is Funny Daffer. Lead water testing was completed on 7/3/24 with hazards. Mitigation was achieved. Lead paint was completed on 3/27/25. No results were listed for asbestos testing. Sixteen (16) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). A summer program was in progress at this facility. A total of ninety-two (92) children, five-to-twelve years of age, were in attendance today. Three (3) additional juveniles, two (2) children, who were thirteen, and one (1) child, who was fifteen (15) years of age, were present as Campers in Leadership Training (CILT). Their role was to help group leaders/camp counselors with art projects, decoration and shadowing them. During today’s visit, space 2A and 2B – cafeteria was not available for program to use due to waxing of the floors. Therefore, multiple groups shared space. In the gym, a group of fifteen (15) children in group#4 and nineteen (19) children in group #3 engaged in gross motor and other activities. Children threw/caught basketball, football, rubber balls with paired peers, danced with streams and scarves, built structures with Legos and wooden blocks and drew/colored. Three (3) group leaders supervised the children. One (1) outside contracted from partnering agency was present to work with a child. Five (5) medications were maintained in the backpack for group #4. Permission forms for all medications were valid. Action plans for two (2) emergency medications were present and valid. Supervision and interaction were adequate. Seventeen (17) children in group #1 had lunch on a lawn by the Black top playground. Children packed their own lunch from home. Two (2) staff members supervised and interacted with the children. Two (2) medications were maintained for this group. Action plan for one (1) emergency medication was verified. Permission forms for both medications were also valid and on file. Fifteen (15) children played basketball on the Black top playground. No medications were maintained for this group. Nineteen (19) children in group #2 and thirteen (13) children in group #6 had lunch in the courtyard. Some children were in the tent/canopy, some children sat on lawn or on the bench during lunch. A few children threw a football with each other in the open space in the courtyard. One (1) emergency medications were maintained in the backpack for a child in group #6. Action plan for the medication was on file, but parent authorization form was not located. Two (2) other daily medication were maintained in the office. Both medications are administered daily. One (1) medication was administered to a child during today’s visit and the other one was not due to the child being absent. Parental authorization form for both medications was on file and signed by the parents. However, the form for Methylphenidate was missing some required information. Theater was also used for summer program – soft things, doll house, accessories, games, fidget toys, pretend garden toys, books, felt materials, manipulatives and art materials were available for children. Staff files: Due to program inability to access to computer electronic system using their work computer, Will Deter, Association Director of Systems and Strategies, shared the electronic data with me in-person using his personal computer. Some documents could not be monitored due to the same issues. The following staff members were identified as existing staff members and their criminal background letters expiration date – identified as CBC, CPR/First Aid (FA) expiration date and BSAC training dates were monitored. Some of the staff members work at different programs during school year. Each staff member’s “typical” work site is noted in the parentheses. C. Bennette (Charles Bell): CPR/FA – 12/22/26 BSAC 5/21/16 CBC – 1/5/27 A. Carlson (Fairview): CPR/FA – 5/1/27 BSAC – 8/9/25 CBC – 4/29/30 B. Young (Fairview): CPR/FA- 5/13/28 CBC- 1/3129 BSAC-4/29/24 W. Meyer (Haw Creek): CPR/FA: 6/19/28 BSAC: 3/6/26 CBC: provisional letter expired on 3/15/26 was on file*. Per ABCMS system, this staff member is qualified through 1/29/31 – the qualification letter was later located. C. Lathrop (W.D. Williams): CPR/FA- 6/25/27 CBC – 4/7/30 BSAC- 9/29/18 H. Llyod (Haw Creek) CPR/FA – 6/19/28 CBC – 6/20/31 BSAC – 6/21/26 C. Armstrong (Oakley) DOE: 1/3/24 BSAC -1/29/24 CBC- 1/4/29 CPR/FA – not on file* The following staff members were identified as new staff members. Their files were monitored in full. Tiykeiya Reynolds: DOE – 6/15/26 Application- 3/18/26 Orientation – in progress CBC – 5/9/30 Medical – 5/12/25 TB – 5/12/25 EI – 5/12/26 RRSCM -4/21/25 EMC/EPR review - * CPR/FA -6/19/27 BSAC – 6/4/25 OP/PP/AQ – 5/12/26 O. Anderson: DOE – 6/22/26 Application- 5/6/26 Orientation – * CBC – 6/8/31 Medical- 6/3/26 TB – 6/3/26 EI –5/27/26 CPR/FA – not due yet RRSCM – not due yet BSAC – not due yet EMC/EPR review * OP/PP/AQ – 5/27/26 Al. Klepac: DOE – 6/15/26 Application- 5/30/26 Orientation – in progress CBC – 6/15/31 Medical -6/14/26 TB – 6/14/26 – but skin test results were not on file* EI - 6/9/26 CPR/FA – not due yet RRSCM -6/21/26 BSAC- not due yet EMC/EPR review OP/PP/AQ – 6/9/26 Ar. Klepac: DOE – 6/15/26 Application- 6/3/26 Orientation – in progress CBC – 6/15/31 Medical – 6/14/26 TB - 6/14/26 – but skin test results were not on file* EI – 6/9/26 CPR/FA –not due yet RRSCM – 6/21/26 BSAC- not due yet EMC/EPR review OP/PP/AQ – 6/9/26 F. Frayne: DOE – 6/15/26 Application- 5/19/26 Orientation – in progress CBC - * Per ABCMS, qualification status has not been determined yet. * Medical – 6/9/26 TB – 6/9/26 EI – 5/28/26 CPR/FA – not due yet RRSCM – 6/7/26 BSAC- 6/15/26 EMC/EPR review OP/PP/AQ – 5/28/26 O. Anderson, C. Bennett, A. Carlson, W. Hall, Al. Klepac, Ar. Klepac, K. Lathrop, T. Reynolds and B. Young were listed on the ABCMS roster for Fairview site. Qualification status for C. Armstrong was verified through the ABCMS, but the staff member was not linked with any program yet. W. Meyer was listed on the roster for Haw Creek site. Due to no record of criminal background check being completed for F. Frayne, I discussed this matter with A. Deter, Executive Director of Youth Services, who was on-site, and the staff member was instructed to leave the premises immediately until criminal background check was completed and the valid qualification letter was issued and filed. Children’s files: Children’s records were reviewed partially due to some documents not being available for review on-site. Parent authorization form for Albuterol – not on file initially but was found later during the visit. The permission form for I.L. singed and dated on 6/15/26 was verified. Parental authorization form for Ibuprofen – not on file – Per Ms. Carlson, the parent emailed the document to a group leader. Due to program’s inability to access computer electronic system, authorization form could not be verified during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program provides transportation. Per Ms. Carlson, a group of children are transported by shuttle bus from Oakley Elementary School to Fairview Elementary School in the morning. Two (2) group leaders and one (1) program coordinator accompanied the children on the bus. Forty-two (42) children were registered to use the shuttle bus for this week, and twenty-eight (28) utilized the service today. A field trip to a pool was scheduled for today, but it was cancelled due to electrical issues at the pool. Per Ms. Carlson, children in group #1, 3, and 5 participated in the field trip to Nature Center yesterday. According to Ms. Carlson, blanket field trip form is signed by the parents along with the summer camp application, and the details of each field trip are shared with parents via newsletter. A sign about each field trip is posted in the entrance area, and the master roster of attending children is taken to the field trip, and a copy is left at the facility. For each field trip, group leaders take a copy of children’s application including emergency contact, children’s pictures and EMC. Field trip details included in the newsletter for parents. “Swim Trip @ the Y” scheduled today (but cancelled) was planned for groups 2, 4, and 6 according to the newsletter for 12:30 – 3:00. The note explained about children above eight (8) years of age could take swim tests weekly. Children without passing swim test were required to wear a life jacket. I monitored one (1) vehicle today. B2 is used as a shuttle bus to transport children between Oakley Elementary School and Fairview Elementary School. Insurance and registration cards were maintained on the bus. The insurance is valid through 10/1/26, and the registration through 4/30/27. First aid kit and a fire extinguisher were safely mounted and maintained behind the back mirror. Assigned bus seat roster and master roster were maintained on the bus by staff members. Inside of the vehicle was clean and seats, windows and tires were in adequate condition. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Required information was not included in the medication authorization form for Methylphenidate. 10A NCAC 09 .0803(4)(6-9) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) new group leaders did not complete required TB screening prior to their employment. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One (1) group leader whose date of employment being 6/15/26, did not complete required criminal background check prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Due to provider's inability to access computer electronic system, one (1) child's medication authorization form was not available for review. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) existing staff member did not have First Aid training within ninety (90) days of employment and maintained the valid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) existing staff member did not complete CPR training within ninety (90) days of employment and maintained the valid training thereafter. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. valid qualification letter for one (1) group leader was not maintained on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1048: First Aid 1049: CPR First aid and CPR training must be completed within ninety (90) days of employment and must be renewed thereafter. Additionally, the training certificates must be maintained on file and available for review. To comply, C. Armstrong must complete CPR and First Aid training within the next two (2) weeks. 1041: criminal background check prior to employment 1757: valid qualification letter on file Criminal background check must be completed prior to employment. Additionally, valid qualification letter must be maintained on staff files. To comply, F. Frayne must leave the premises immediately and may not work until criminal background check is completed and a valid qualification letter is issued. Additionally, valid qualification letter must be submitted to the employer and maintained on file. In your compliance letter, please state how you will ensure preventing recurrence of violation 1041. Additionally, please verify the completion and filing of qualification letter for F. Frayne for item 1757. Please note that repeat violation of items 1048, 1049, 1041 and 1757 for two (2) consecutive visits may result in Administrative Action. Please make sure that all staff members complete criminal background checks prior to the first day of employment, print/save electronic qualification letters and maintain them in the staff records. Additionally, make sure that all staff members complete CPR and First Aid training within ninety (90) days of employment and maintain the valid qualification thereafter. The training certificates shall be shared with employer so that the training certificates are maintained on staff files. 1033: TB TB screening is required for staff members prior to first day of employment. When you use the form provided by the Division, skin test is required if staff members answer yes to any of the questions. To comply, Al. Klepac and Ar. Klepac must complete the TB screening including skin test. In your compliance letter, please verify the completion of TB screening by Al. Klepac and Ar. Klepac. This is a frequently cited violation for YMCA program. Please review the requirement with Human Resources Department and reiterate the importance of maintaining compliance. 847: Medication authorization form On the medication authorization form, all required information must be included. Please see the below rule reference: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. To comply, medication authorization form for Methylphenidate must include the child’s name, name of prescription, and any other missing information must be added to the form. In your compliance letter, please verify that this task was completed. 1043: Record not available for review All requested records must be available for review. During today’s visit, medication authorization form for Ibuprofen was not available for review. To comply, please provide your strategies for times when electronic records are not available in your compliance letter. Additionally, please verify that authorization form was printed and maintained with the medication. Ibuprofen maintained at the facility was not Children’s Ibuprofen. Please make sure to review the medication authorization form closely and ensure that instruction provided by the parent is safe. If not, please discuss dosage and frequency with the parents. It is your responsibility to ensure health and safety on children. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/7/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Off-premises activity requirements: Please review the following and make sure that parents are provided with required information listed below. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/23/2026 Number Present: 92 Completed Date: 6/23/2026 Age: From 5 To 12 Total Minutes: 353 Time In: 11:07 AM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – five-star center issued on 11/24/25. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. The last annual compliance visit was conducted on 11/24/25. The last fire drill was practiced on 6/1/26. The last lockdown drill was practiced on 4/2/26. The Emergency Medical Care plan was posted and current. The approved curriculum is Funny Daffer. Lead water testing was completed on 7/3/24 with hazards. Mitigation was achieved. Lead paint was completed on 3/27/25. No results were listed for asbestos testing. Sixteen (16) staff members were listed on the Automated Criminal Background Check Management System (ABCMS). A summer program was in progress at this facility. A total of ninety-two (92) children, five-to-twelve years of age, were in attendance today. Three (3) additional juveniles, two (2) children, who were thirteen, and one (1) child, who was fifteen (15) years of age, were present as Campers in Leadership Training (CILT). Their role was to help group leaders/camp counselors with art projects, decoration and shadowing them. During today’s visit, space 2A and 2B – cafeteria was not available for program to use due to waxing of the floors. Therefore, multiple groups shared space. In the gym, a group of fifteen (15) children in group#4 and nineteen (19) children in group #3 engaged in gross motor and other activities. Children threw/caught basketball, football, rubber balls with paired peers, danced with streams and scarves, built structures with Legos and wooden blocks and drew/colored. Three (3) group leaders supervised the children. One (1) outside contracted from partnering agency was present to work with a child. Five (5) medications were maintained in the backpack for group #4. Permission forms for all medications were valid. Action plans for two (2) emergency medications were present and valid. Supervision and interaction were adequate. Seventeen (17) children in group #1 had lunch on a lawn by the Black top playground. Children packed their own lunch from home. Two (2) staff members supervised and interacted with the children. Two (2) medications were maintained for this group. Action plan for one (1) emergency medication was verified. Permission forms for both medications were also valid and on file. Fifteen (15) children played basketball on the Black top playground. No medications were maintained for this group. Nineteen (19) children in group #2 and thirteen (13) children in group #6 had lunch in the courtyard. Some children were in the tent/canopy, some children sat on lawn or on the bench during lunch. A few children threw a football with each other in the open space in the courtyard. One (1) emergency medications were maintained in the backpack for a child in group #6. Action plan for the medication was on file, but parent authorization form was not located. Two (2) other daily medication were maintained in the office. Both medications are administered daily. One (1) medication was administered to a child during today’s visit and the other one was not due to the child being absent. Parental authorization form for both medications was on file and signed by the parents. However, the form for Methylphenidate was missing some required information. Theater was also used for summer program – soft things, doll house, accessories, games, fidget toys, pretend garden toys, books, felt materials, manipulatives and art materials were available for children. Staff files: Due to program inability to access to computer electronic system using their work computer, Will Deter, Association Director of Systems and Strategies, shared the electronic data with me in-person using his personal computer. Some documents could not be monitored due to the same issues. The following staff members were identified as existing staff members and their criminal background letters expiration date – identified as CBC, CPR/First Aid (FA) expiration date and BSAC training dates were monitored. Some of the staff members work at different programs during school year. Each staff member’s “typical” work site is noted in the parentheses. C. Bennette (Charles Bell): CPR/FA – 12/22/26 BSAC 5/21/16 CBC – 1/5/27 A. Carlson (Fairview): CPR/FA – 5/1/27 BSAC – 8/9/25 CBC – 4/29/30 B. Young (Fairview): CPR/FA- 5/13/28 CBC- 1/3129 BSAC-4/29/24 W. Meyer (Haw Creek): CPR/FA: 6/19/28 BSAC: 3/6/26 CBC: provisional letter expired on 3/15/26 was on file*. Per ABCMS system, this staff member is qualified through 1/29/31 – the qualification letter was later located. C. Lathrop (W.D. Williams): CPR/FA- 6/25/27 CBC – 4/7/30 BSAC- 9/29/18 H. Llyod (Haw Creek) CPR/FA – 6/19/28 CBC – 6/20/31 BSAC – 6/21/26 C. Armstrong (Oakley) DOE: 1/3/24 BSAC -1/29/24 CBC- 1/4/29 CPR/FA – not on file* The following staff members were identified as new staff members. Their files were monitored in full. Tiykeiya Reynolds: DOE – 6/15/26 Application- 3/18/26 Orientation – in progress CBC – 5/9/30 Medical – 5/12/25 TB – 5/12/25 EI – 5/12/26 RRSCM -4/21/25 EMC/EPR review - * CPR/FA -6/19/27 BSAC – 6/4/25 OP/PP/AQ – 5/12/26 O. Anderson: DOE – 6/22/26 Application- 5/6/26 Orientation – * CBC – 6/8/31 Medical- 6/3/26 TB – 6/3/26 EI –5/27/26 CPR/FA – not due yet RRSCM – not due yet BSAC – not due yet EMC/EPR review * OP/PP/AQ – 5/27/26 Al. Klepac: DOE – 6/15/26 Application- 5/30/26 Orientation – in progress CBC – 6/15/31 Medical -6/14/26 TB – 6/14/26 – but skin test results were not on file* EI - 6/9/26 CPR/FA – not due yet RRSCM -6/21/26 BSAC- not due yet EMC/EPR review OP/PP/AQ – 6/9/26 Ar. Klepac: DOE – 6/15/26 Application- 6/3/26 Orientation – in progress CBC – 6/15/31 Medical – 6/14/26 TB - 6/14/26 – but skin test results were not on file* EI – 6/9/26 CPR/FA –not due yet RRSCM – 6/21/26 BSAC- not due yet EMC/EPR review OP/PP/AQ – 6/9/26 F. Frayne: DOE – 6/15/26 Application- 5/19/26 Orientation – in progress CBC - * Per ABCMS, qualification status has not been determined yet. * Medical – 6/9/26 TB – 6/9/26 EI – 5/28/26 CPR/FA – not due yet RRSCM – 6/7/26 BSAC- 6/15/26 EMC/EPR review OP/PP/AQ – 5/28/26 O. Anderson, C. Bennett, A. Carlson, W. Hall, Al. Klepac, Ar. Klepac, K. Lathrop, T. Reynolds and B. Young were listed on the ABCMS roster for Fairview site. Qualification status for C. Armstrong was verified through the ABCMS, but the staff member was not linked with any program yet. W. Meyer was listed on the roster for Haw Creek site. Due to no record of criminal background check being completed for F. Frayne, I discussed this matter with A. Deter, Executive Director of Youth Services, who was on-site, and the staff member was instructed to leave the premises immediately until criminal background check was completed and the valid qualification letter was issued and filed. Children’s files: Children’s records were reviewed partially due to some documents not being available for review on-site. Parent authorization form for Albuterol – not on file initially but was found later during the visit. The permission form for I.L. singed and dated on 6/15/26 was verified. Parental authorization form for Ibuprofen – not on file – Per Ms. Carlson, the parent emailed the document to a group leader. Due to program’s inability to access computer electronic system, authorization form could not be verified during today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program provides transportation. Per Ms. Carlson, a group of children are transported by shuttle bus from Oakley Elementary School to Fairview Elementary School in the morning. Two (2) group leaders and one (1) program coordinator accompanied the children on the bus. Forty-two (42) children were registered to use the shuttle bus for this week, and twenty-eight (28) utilized the service today. A field trip to a pool was scheduled for today, but it was cancelled due to electrical issues at the pool. Per Ms. Carlson, children in group #1, 3, and 5 participated in the field trip to Nature Center yesterday. According to Ms. Carlson, blanket field trip form is signed by the parents along with the summer camp application, and the details of each field trip are shared with parents via newsletter. A sign about each field trip is posted in the entrance area, and the master roster of attending children is taken to the field trip, and a copy is left at the facility. For each field trip, group leaders take a copy of children’s application including emergency contact, children’s pictures and EMC. Field trip details included in the newsletter for parents. “Swim Trip @ the Y” scheduled today (but cancelled) was planned for groups 2, 4, and 6 according to the newsletter for 12:30 – 3:00. The note explained about children above eight (8) years of age could take swim tests weekly. Children without passing swim test were required to wear a life jacket. I monitored one (1) vehicle today. B2 is used as a shuttle bus to transport children between Oakley Elementary School and Fairview Elementary School. Insurance and registration cards were maintained on the bus. The insurance is valid through 10/1/26, and the registration through 4/30/27. First aid kit and a fire extinguisher were safely mounted and maintained behind the back mirror. Assigned bus seat roster and master roster were maintained on the bus by staff members. Inside of the vehicle was clean and seats, windows and tires were in adequate condition. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Required information was not included in the medication authorization form for Methylphenidate. 10A NCAC 09 .0803(4)(6-9) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Two (2) new group leaders did not complete required TB screening prior to their employment. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One (1) group leader whose date of employment being 6/15/26, did not complete required criminal background check prior to employment. G.S. 110-90.2(b) 1043 All staff records, except financial records, were not made available for review. Due to provider's inability to access computer electronic system, one (1) child's medication authorization form was not available for review. G.S. 110-91( 9) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One (1) existing staff member did not have First Aid training within ninety (90) days of employment and maintained the valid training. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One (1) existing staff member did not complete CPR training within ninety (90) days of employment and maintained the valid training thereafter. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. valid qualification letter for one (1) group leader was not maintained on file. G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: 1048: First Aid 1049: CPR First aid and CPR training must be completed within ninety (90) days of employment and must be renewed thereafter. Additionally, the training certificates must be maintained on file and available for review. To comply, C. Armstrong must complete CPR and First Aid training within the next two (2) weeks. 1041: criminal background check prior to employment 1757: valid qualification letter on file Criminal background check must be completed prior to employment. Additionally, valid qualification letter must be maintained on staff files. To comply, F. Frayne must leave the premises immediately and may not work until criminal background check is completed and a valid qualification letter is issued. Additionally, valid qualification letter must be submitted to the employer and maintained on file. In your compliance letter, please state how you will ensure preventing recurrence of violation 1041. Additionally, please verify the completion and filing of qualification letter for F. Frayne for item 1757. Please note that repeat violation of items 1048, 1049, 1041 and 1757 for two (2) consecutive visits may result in Administrative Action. Please make sure that all staff members complete criminal background checks prior to the first day of employment, print/save electronic qualification letters and maintain them in the staff records. Additionally, make sure that all staff members complete CPR and First Aid training within ninety (90) days of employment and maintain the valid qualification thereafter. The training certificates shall be shared with employer so that the training certificates are maintained on staff files. 1033: TB TB screening is required for staff members prior to first day of employment. When you use the form provided by the Division, skin test is required if staff members answer yes to any of the questions. To comply, Al. Klepac and Ar. Klepac must complete the TB screening including skin test. In your compliance letter, please verify the completion of TB screening by Al. Klepac and Ar. Klepac. This is a frequently cited violation for YMCA program. Please review the requirement with Human Resources Department and reiterate the importance of maintaining compliance. 847: Medication authorization form On the medication authorization form, all required information must be included. Please see the below rule reference: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (6) A parent may give a caregiver standing authorization for up to six months to administer prescription or over-the-counter medication to a child, when needed, for chronic medical conditions, such as asthma, and for allergic reactions. The authorization shall be in writing and shall contain: (a) the child's name; (b) the subject medical conditions or allergic reactions; (c) the names of the authorized medications; (d) the criteria for the administration of the medication; (e) the amount and frequency of the dosages; (f) the manner in which the medication shall be administered; (g) the signature of the parent; (h) the date the authorization was signed by the parent; and (i) the length of time the authorization is valid, if less than six months. To comply, medication authorization form for Methylphenidate must include the child’s name, name of prescription, and any other missing information must be added to the form. In your compliance letter, please verify that this task was completed. 1043: Record not available for review All requested records must be available for review. During today’s visit, medication authorization form for Ibuprofen was not available for review. To comply, please provide your strategies for times when electronic records are not available in your compliance letter. Additionally, please verify that authorization form was printed and maintained with the medication. Ibuprofen maintained at the facility was not Children’s Ibuprofen. Please make sure to review the medication authorization form closely and ensure that instruction provided by the parent is safe. If not, please discuss dosage and frequency with the parents. It is your responsibility to ensure health and safety on children. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 7/7/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Off-premises activity requirements: Please review the following and make sure that parents are provided with required information listed below. 10A NCAC 09 .1005 OFF PREMISE ACTIVITIES IN CHILD CARE CENTERS (a) Off premise activities refer to any activity that takes place away from a child care center's licensed and approved space. Licensed and approved space includes "primary space" as described in 10A NCAC 09 .1401(a), outdoor space as described in 10A NCAC 09 .1402, single use rooms, or other administrative areas. (b) When children participate in off premise activities the following shall apply: (1) Children under the age of three shall not participate in off premise activities that involve children being transported in a motor vehicle. (2) When children are transported in a motor vehicle for off premise activities, the provisions in Rule .1003(c) through (i) and (k) of this Chapter shall apply. (3) Before staff members walk children off premises for play or outings, the center shall obtain written permission from the parent of each child to be included in such activities. (4) Parents may provide a written statement giving standing permission which may be valid for up to 12 months for participation in off premise activities that occur on a regular basis. (5) The center shall post a schedule of off premise activities in each participating classroom where it can be viewed by parents, and a copy shall be given to parents. The schedule shall be current and shall include the: (A) location of the activity; (B) purpose of the activity; (C) time the activity will take place; (D) date of the activity; and (E) name of the person(s) to be contacted in the event of an emergency. (6) Each time that children are taken off the premises, staff shall take a list of the children participating in the activity with them. Staff members shall use this list to check attendance when leaving the center, periodically when the children are involved in the activity, before leaving the activity to return to the child care center, and upon return to the center. A list of all children participating in the off premise activity shall also be available at the center. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/24/2025 Number Present: 53 Completed Date: 11/24/2025 Age: From 5 To 10 Total Minutes: 194 Time In: 01:26 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, The Young Men’s Christian Association of Western North Carolina is current/active as of today. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Removal of some restrictions – playground odes not meet child care safety standards and children are prohibited from being in the kitchen for any purpose was discussed during today’s visit. The last annual compliance visit was conducted on 12/4/24. The last fire drill was practiced on 11/3/25. The last lockdown drill was practiced on 11/3/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/3/24 with hazards. Mitigations were achieved. Lead paint testing was completed on 3/27/25. No results were listed on asbestos testing. Two (2) staff members were listed on the Automated Background Check Management System (ABCMS) as of today prior to this visit. Upon arrival, I announced my presence and the purpose of the visit to Ms. Carlson. I notified Ms. Burke about my visit and requested a file review. Staff and Training Worksheets were submitted during the visit. Three (3) new files and two (2) existing staff files and seven (7) children’s files were monitored. I made corrections on the worksheet and Ms. Carlson initialed and verified the corrections. I attempted to review the ABCMS system, but the page was not available for review, possibly for poor Wi-fi connections. A total of six (6) medications were maintained at the facility. Two (2) prescription medications were expired. Epi-pen for a child in group #2 expired in October 2025, and the pharmacy label instructed to discard a prescription medication for a child in group #4 after 8/26/25. No expiration date was on the medication. Two (2) over-the-counter medications were mentioned in the action plans, but no parental authorization forms were available for review. Upon arrival, all four (4) groups gathered in the gym. Eleven (1) children in group 1 washed their hands in the bathrooms and had snacks in the cafeteria and transitioned to the playground. Snacks today were mandarin orange, Sun Chips and milk. On the playground, the children used a slide, rope climber and a spinner to play. No safety hazards were found on the playground. Sixteen (16) children in group 2 stayed in the gym and engaged in free play. Some played with center materials, such as markers/coloring page and play house, and the others engaged in gross motor play. Ten (1) children in group 3 washed their hands in the bathrooms and transitioned to cafeteria. After snacks, they remained in the cafeteria and played with art materials and manipulatives. Sixteen (16) children in group 4 transitioned to the theater then to outdoor classroom space, which is located near the theater (space #3). The space is by the exit door, and has benches, a shade and grassed area. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Parents' authorization forms were not available for review for two (2) over-the-counter medications - Children's Motrin and Benadryl Allergy for children in group 4. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Epi-Pen for a child in group 2 expired at the end of October 2025 and the pharmacy label instructed Rizatriptan 5mg to be discarded after 8/26/25. Both medications were still maintained in the backpack at the facility. .0803(12) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) substitute staff member who was hired on 2/12/24, did not complete the TB skin test, though he/she answered yes to two (2) of the questions on the form. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Updated Health Questionnaire forms for one (1) staff members was not available for review - One (1) substitute's form expired on 6/13/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Updated Emergency Information form for one (1) staff members was not available for review - One (1) substitute's form expired on 6/13/25. .0701(a) Technical assistance was provided as follows: 847: Medication authorization form No medication can be administered or maintained at program without parental authorization form. The basic rule is one (1) medication, one (1) permission form. Even when medications, such as Benadryl are mentioned in the action plans, that is not authorization to administer the medication by parents. All medications require authorization form. To comply, you shall obtain authorization forms for Children’s Motrin for B.S. in group 4 and Benadryl Allergy for R. P-K in group 4 or return the medication to the parents until the form is submitted. In your compliance letter, please state the action you took to meet compliance. 849: Expired medication Epi-Pen for E.W in group 2, Rizatriptan for B.S in group 4 are expired. To comply, please return the medications to the parents immediately and do not administer the medication. In your compliance letter, please verify that you returned both medications. 1033: TB test If can use the form provided by the Division. If an employee answers one (1) or more yes, TB skin test is required to prove that he/she is TB free. V. Thaxton needs TB skin test. In your compliance letter, please verify the completion of the staff member’s TB skin test. The completion date is not the date he/she received the skin test but the date it was read. 1034: Health Questionnaire Health Questionnaire form is required for 2nd year and annually thereafter. To comply, please have B. Young complete the new Health Questionnaire and file it. In your compliance letter, please verify the correction. 1035: Emergency Information form Emergency information form must be updated annually. Please have B. Young renew their emergency information form and file it. In your compliance letter, please verify the correction. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/8/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Assessment was not discussed during today’s visit. The meeting with Ms. Delaney via TEAM was held on 11/14/25. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/24/2025 Number Present: 53 Completed Date: 11/24/2025 Age: From 5 To 10 Total Minutes: 194 Time In: 01:26 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, The Young Men’s Christian Association of Western North Carolina is current/active as of today. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Removal of some restrictions – playground odes not meet child care safety standards and children are prohibited from being in the kitchen for any purpose was discussed during today’s visit. The last annual compliance visit was conducted on 12/4/24. The last fire drill was practiced on 11/3/25. The last lockdown drill was practiced on 11/3/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/3/24 with hazards. Mitigations were achieved. Lead paint testing was completed on 3/27/25. No results were listed on asbestos testing. Two (2) staff members were listed on the Automated Background Check Management System (ABCMS) as of today prior to this visit. Upon arrival, I announced my presence and the purpose of the visit to Ms. Carlson. I notified Ms. Burke about my visit and requested a file review. Staff and Training Worksheets were submitted during the visit. Three (3) new files and two (2) existing staff files and seven (7) children’s files were monitored. I made corrections on the worksheet and Ms. Carlson initialed and verified the corrections. I attempted to review the ABCMS system, but the page was not available for review, possibly for poor Wi-fi connections. A total of six (6) medications were maintained at the facility. Two (2) prescription medications were expired. Epi-pen for a child in group #2 expired in October 2025, and the pharmacy label instructed to discard a prescription medication for a child in group #4 after 8/26/25. No expiration date was on the medication. Two (2) over-the-counter medications were mentioned in the action plans, but no parental authorization forms were available for review. Upon arrival, all four (4) groups gathered in the gym. Eleven (1) children in group 1 washed their hands in the bathrooms and had snacks in the cafeteria and transitioned to the playground. Snacks today were mandarin orange, Sun Chips and milk. On the playground, the children used a slide, rope climber and a spinner to play. No safety hazards were found on the playground. Sixteen (16) children in group 2 stayed in the gym and engaged in free play. Some played with center materials, such as markers/coloring page and play house, and the others engaged in gross motor play. Ten (1) children in group 3 washed their hands in the bathrooms and transitioned to cafeteria. After snacks, they remained in the cafeteria and played with art materials and manipulatives. Sixteen (16) children in group 4 transitioned to the theater then to outdoor classroom space, which is located near the theater (space #3). The space is by the exit door, and has benches, a shade and grassed area. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Parents' authorization forms were not available for review for two (2) over-the-counter medications - Children's Motrin and Benadryl Allergy for children in group 4. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Epi-Pen for a child in group 2 expired at the end of October 2025 and the pharmacy label instructed Rizatriptan 5mg to be discarded after 8/26/25. Both medications were still maintained in the backpack at the facility. .0803(12) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) substitute staff member who was hired on 2/12/24, did not complete the TB skin test, though he/she answered yes to two (2) of the questions on the form. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Updated Health Questionnaire forms for one (1) staff members was not available for review - One (1) substitute's form expired on 6/13/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Updated Emergency Information form for one (1) staff members was not available for review - One (1) substitute's form expired on 6/13/25. .0701(a) Technical assistance was provided as follows: 847: Medication authorization form No medication can be administered or maintained at program without parental authorization form. The basic rule is one (1) medication, one (1) permission form. Even when medications, such as Benadryl are mentioned in the action plans, that is not authorization to administer the medication by parents. All medications require authorization form. To comply, you shall obtain authorization forms for Children’s Motrin for B.S. in group 4 and Benadryl Allergy for R. P-K in group 4 or return the medication to the parents until the form is submitted. In your compliance letter, please state the action you took to meet compliance. 849: Expired medication Epi-Pen for E.W in group 2, Rizatriptan for B.S in group 4 are expired. To comply, please return the medications to the parents immediately and do not administer the medication. In your compliance letter, please verify that you returned both medications. 1033: TB test If can use the form provided by the Division. If an employee answers one (1) or more yes, TB skin test is required to prove that he/she is TB free. V. Thaxton needs TB skin test. In your compliance letter, please verify the completion of the staff member’s TB skin test. The completion date is not the date he/she received the skin test but the date it was read. 1034: Health Questionnaire Health Questionnaire form is required for 2nd year and annually thereafter. To comply, please have B. Young complete the new Health Questionnaire and file it. In your compliance letter, please verify the correction. 1035: Emergency Information form Emergency information form must be updated annually. Please have B. Young renew their emergency information form and file it. In your compliance letter, please verify the correction. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/8/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Assessment was not discussed during today’s visit. The meeting with Ms. Delaney via TEAM was held on 11/14/25. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/24/2025 Number Present: 53 Completed Date: 11/24/2025 Age: From 5 To 10 Total Minutes: 194 Time In: 01:26 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, The Young Men’s Christian Association of Western North Carolina is current/active as of today. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Removal of some restrictions – playground odes not meet child care safety standards and children are prohibited from being in the kitchen for any purpose was discussed during today’s visit. The last annual compliance visit was conducted on 12/4/24. The last fire drill was practiced on 11/3/25. The last lockdown drill was practiced on 11/3/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/3/24 with hazards. Mitigations were achieved. Lead paint testing was completed on 3/27/25. No results were listed on asbestos testing. Two (2) staff members were listed on the Automated Background Check Management System (ABCMS) as of today prior to this visit. Upon arrival, I announced my presence and the purpose of the visit to Ms. Carlson. I notified Ms. Burke about my visit and requested a file review. Staff and Training Worksheets were submitted during the visit. Three (3) new files and two (2) existing staff files and seven (7) children’s files were monitored. I made corrections on the worksheet and Ms. Carlson initialed and verified the corrections. I attempted to review the ABCMS system, but the page was not available for review, possibly for poor Wi-fi connections. A total of six (6) medications were maintained at the facility. Two (2) prescription medications were expired. Epi-pen for a child in group #2 expired in October 2025, and the pharmacy label instructed to discard a prescription medication for a child in group #4 after 8/26/25. No expiration date was on the medication. Two (2) over-the-counter medications were mentioned in the action plans, but no parental authorization forms were available for review. Upon arrival, all four (4) groups gathered in the gym. Eleven (1) children in group 1 washed their hands in the bathrooms and had snacks in the cafeteria and transitioned to the playground. Snacks today were mandarin orange, Sun Chips and milk. On the playground, the children used a slide, rope climber and a spinner to play. No safety hazards were found on the playground. Sixteen (16) children in group 2 stayed in the gym and engaged in free play. Some played with center materials, such as markers/coloring page and play house, and the others engaged in gross motor play. Ten (1) children in group 3 washed their hands in the bathrooms and transitioned to cafeteria. After snacks, they remained in the cafeteria and played with art materials and manipulatives. Sixteen (16) children in group 4 transitioned to the theater then to outdoor classroom space, which is located near the theater (space #3). The space is by the exit door, and has benches, a shade and grassed area. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Parents' authorization forms were not available for review for two (2) over-the-counter medications - Children's Motrin and Benadryl Allergy for children in group 4. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Epi-Pen for a child in group 2 expired at the end of October 2025 and the pharmacy label instructed Rizatriptan 5mg to be discarded after 8/26/25. Both medications were still maintained in the backpack at the facility. .0803(12) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) substitute staff member who was hired on 2/12/24, did not complete the TB skin test, though he/she answered yes to two (2) of the questions on the form. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Updated Health Questionnaire forms for one (1) staff members was not available for review - One (1) substitute's form expired on 6/13/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Updated Emergency Information form for one (1) staff members was not available for review - One (1) substitute's form expired on 6/13/25. .0701(a) Technical assistance was provided as follows: 847: Medication authorization form No medication can be administered or maintained at program without parental authorization form. The basic rule is one (1) medication, one (1) permission form. Even when medications, such as Benadryl are mentioned in the action plans, that is not authorization to administer the medication by parents. All medications require authorization form. To comply, you shall obtain authorization forms for Children’s Motrin for B.S. in group 4 and Benadryl Allergy for R. P-K in group 4 or return the medication to the parents until the form is submitted. In your compliance letter, please state the action you took to meet compliance. 849: Expired medication Epi-Pen for E.W in group 2, Rizatriptan for B.S in group 4 are expired. To comply, please return the medications to the parents immediately and do not administer the medication. In your compliance letter, please verify that you returned both medications. 1033: TB test If can use the form provided by the Division. If an employee answers one (1) or more yes, TB skin test is required to prove that he/she is TB free. V. Thaxton needs TB skin test. In your compliance letter, please verify the completion of the staff member’s TB skin test. The completion date is not the date he/she received the skin test but the date it was read. 1034: Health Questionnaire Health Questionnaire form is required for 2nd year and annually thereafter. To comply, please have B. Young complete the new Health Questionnaire and file it. In your compliance letter, please verify the correction. 1035: Emergency Information form Emergency information form must be updated annually. Please have B. Young renew their emergency information form and file it. In your compliance letter, please verify the correction. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/8/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Assessment was not discussed during today’s visit. The meeting with Ms. Delaney via TEAM was held on 11/14/25. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/24/2025 Number Present: 53 Completed Date: 11/24/2025 Age: From 5 To 10 Total Minutes: 194 Time In: 01:26 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, The Young Men’s Christian Association of Western North Carolina is current/active as of today. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Removal of some restrictions – playground odes not meet child care safety standards and children are prohibited from being in the kitchen for any purpose was discussed during today’s visit. The last annual compliance visit was conducted on 12/4/24. The last fire drill was practiced on 11/3/25. The last lockdown drill was practiced on 11/3/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/3/24 with hazards. Mitigations were achieved. Lead paint testing was completed on 3/27/25. No results were listed on asbestos testing. Two (2) staff members were listed on the Automated Background Check Management System (ABCMS) as of today prior to this visit. Upon arrival, I announced my presence and the purpose of the visit to Ms. Carlson. I notified Ms. Burke about my visit and requested a file review. Staff and Training Worksheets were submitted during the visit. Three (3) new files and two (2) existing staff files and seven (7) children’s files were monitored. I made corrections on the worksheet and Ms. Carlson initialed and verified the corrections. I attempted to review the ABCMS system, but the page was not available for review, possibly for poor Wi-fi connections. A total of six (6) medications were maintained at the facility. Two (2) prescription medications were expired. Epi-pen for a child in group #2 expired in October 2025, and the pharmacy label instructed to discard a prescription medication for a child in group #4 after 8/26/25. No expiration date was on the medication. Two (2) over-the-counter medications were mentioned in the action plans, but no parental authorization forms were available for review. Upon arrival, all four (4) groups gathered in the gym. Eleven (1) children in group 1 washed their hands in the bathrooms and had snacks in the cafeteria and transitioned to the playground. Snacks today were mandarin orange, Sun Chips and milk. On the playground, the children used a slide, rope climber and a spinner to play. No safety hazards were found on the playground. Sixteen (16) children in group 2 stayed in the gym and engaged in free play. Some played with center materials, such as markers/coloring page and play house, and the others engaged in gross motor play. Ten (1) children in group 3 washed their hands in the bathrooms and transitioned to cafeteria. After snacks, they remained in the cafeteria and played with art materials and manipulatives. Sixteen (16) children in group 4 transitioned to the theater then to outdoor classroom space, which is located near the theater (space #3). The space is by the exit door, and has benches, a shade and grassed area. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Parents' authorization forms were not available for review for two (2) over-the-counter medications - Children's Motrin and Benadryl Allergy for children in group 4. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Epi-Pen for a child in group 2 expired at the end of October 2025 and the pharmacy label instructed Rizatriptan 5mg to be discarded after 8/26/25. Both medications were still maintained in the backpack at the facility. .0803(12) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) substitute staff member who was hired on 2/12/24, did not complete the TB skin test, though he/she answered yes to two (2) of the questions on the form. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Updated Health Questionnaire forms for one (1) staff members was not available for review - One (1) substitute's form expired on 6/13/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Updated Emergency Information form for one (1) staff members was not available for review - One (1) substitute's form expired on 6/13/25. .0701(a) Technical assistance was provided as follows: 847: Medication authorization form No medication can be administered or maintained at program without parental authorization form. The basic rule is one (1) medication, one (1) permission form. Even when medications, such as Benadryl are mentioned in the action plans, that is not authorization to administer the medication by parents. All medications require authorization form. To comply, you shall obtain authorization forms for Children’s Motrin for B.S. in group 4 and Benadryl Allergy for R. P-K in group 4 or return the medication to the parents until the form is submitted. In your compliance letter, please state the action you took to meet compliance. 849: Expired medication Epi-Pen for E.W in group 2, Rizatriptan for B.S in group 4 are expired. To comply, please return the medications to the parents immediately and do not administer the medication. In your compliance letter, please verify that you returned both medications. 1033: TB test If can use the form provided by the Division. If an employee answers one (1) or more yes, TB skin test is required to prove that he/she is TB free. V. Thaxton needs TB skin test. In your compliance letter, please verify the completion of the staff member’s TB skin test. The completion date is not the date he/she received the skin test but the date it was read. 1034: Health Questionnaire Health Questionnaire form is required for 2nd year and annually thereafter. To comply, please have B. Young complete the new Health Questionnaire and file it. In your compliance letter, please verify the correction. 1035: Emergency Information form Emergency information form must be updated annually. Please have B. Young renew their emergency information form and file it. In your compliance letter, please verify the correction. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/8/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Assessment was not discussed during today’s visit. The meeting with Ms. Delaney via TEAM was held on 11/14/25. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/24/2025 Number Present: 53 Completed Date: 11/24/2025 Age: From 5 To 10 Total Minutes: 194 Time In: 01:26 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, The Young Men’s Christian Association of Western North Carolina is current/active as of today. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Removal of some restrictions – playground odes not meet child care safety standards and children are prohibited from being in the kitchen for any purpose was discussed during today’s visit. The last annual compliance visit was conducted on 12/4/24. The last fire drill was practiced on 11/3/25. The last lockdown drill was practiced on 11/3/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/3/24 with hazards. Mitigations were achieved. Lead paint testing was completed on 3/27/25. No results were listed on asbestos testing. Two (2) staff members were listed on the Automated Background Check Management System (ABCMS) as of today prior to this visit. Upon arrival, I announced my presence and the purpose of the visit to Ms. Carlson. I notified Ms. Burke about my visit and requested a file review. Staff and Training Worksheets were submitted during the visit. Three (3) new files and two (2) existing staff files and seven (7) children’s files were monitored. I made corrections on the worksheet and Ms. Carlson initialed and verified the corrections. I attempted to review the ABCMS system, but the page was not available for review, possibly for poor Wi-fi connections. A total of six (6) medications were maintained at the facility. Two (2) prescription medications were expired. Epi-pen for a child in group #2 expired in October 2025, and the pharmacy label instructed to discard a prescription medication for a child in group #4 after 8/26/25. No expiration date was on the medication. Two (2) over-the-counter medications were mentioned in the action plans, but no parental authorization forms were available for review. Upon arrival, all four (4) groups gathered in the gym. Eleven (1) children in group 1 washed their hands in the bathrooms and had snacks in the cafeteria and transitioned to the playground. Snacks today were mandarin orange, Sun Chips and milk. On the playground, the children used a slide, rope climber and a spinner to play. No safety hazards were found on the playground. Sixteen (16) children in group 2 stayed in the gym and engaged in free play. Some played with center materials, such as markers/coloring page and play house, and the others engaged in gross motor play. Ten (1) children in group 3 washed their hands in the bathrooms and transitioned to cafeteria. After snacks, they remained in the cafeteria and played with art materials and manipulatives. Sixteen (16) children in group 4 transitioned to the theater then to outdoor classroom space, which is located near the theater (space #3). The space is by the exit door, and has benches, a shade and grassed area. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Parents' authorization forms were not available for review for two (2) over-the-counter medications - Children's Motrin and Benadryl Allergy for children in group 4. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Epi-Pen for a child in group 2 expired at the end of October 2025 and the pharmacy label instructed Rizatriptan 5mg to be discarded after 8/26/25. Both medications were still maintained in the backpack at the facility. .0803(12) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) substitute staff member who was hired on 2/12/24, did not complete the TB skin test, though he/she answered yes to two (2) of the questions on the form. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Updated Health Questionnaire forms for one (1) staff members was not available for review - One (1) substitute's form expired on 6/13/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Updated Emergency Information form for one (1) staff members was not available for review - One (1) substitute's form expired on 6/13/25. .0701(a) Technical assistance was provided as follows: 847: Medication authorization form No medication can be administered or maintained at program without parental authorization form. The basic rule is one (1) medication, one (1) permission form. Even when medications, such as Benadryl are mentioned in the action plans, that is not authorization to administer the medication by parents. All medications require authorization form. To comply, you shall obtain authorization forms for Children’s Motrin for B.S. in group 4 and Benadryl Allergy for R. P-K in group 4 or return the medication to the parents until the form is submitted. In your compliance letter, please state the action you took to meet compliance. 849: Expired medication Epi-Pen for E.W in group 2, Rizatriptan for B.S in group 4 are expired. To comply, please return the medications to the parents immediately and do not administer the medication. In your compliance letter, please verify that you returned both medications. 1033: TB test If can use the form provided by the Division. If an employee answers one (1) or more yes, TB skin test is required to prove that he/she is TB free. V. Thaxton needs TB skin test. In your compliance letter, please verify the completion of the staff member’s TB skin test. The completion date is not the date he/she received the skin test but the date it was read. 1034: Health Questionnaire Health Questionnaire form is required for 2nd year and annually thereafter. To comply, please have B. Young complete the new Health Questionnaire and file it. In your compliance letter, please verify the correction. 1035: Emergency Information form Emergency information form must be updated annually. Please have B. Young renew their emergency information form and file it. In your compliance letter, please verify the correction. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/8/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Assessment was not discussed during today’s visit. The meeting with Ms. Delaney via TEAM was held on 11/14/25. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 11/24/2025 Number Present: 53 Completed Date: 11/24/2025 Age: From 5 To 10 Total Minutes: 194 Time In: 01:26 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Operations Director. Today, Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine (89) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and non-profit corporation, The Young Men’s Christian Association of Western North Carolina is current/active as of today. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Removal of some restrictions – playground odes not meet child care safety standards and children are prohibited from being in the kitchen for any purpose was discussed during today’s visit. The last annual compliance visit was conducted on 12/4/24. The last fire drill was practiced on 11/3/25. The last lockdown drill was practiced on 11/3/25. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/3/24 with hazards. Mitigations were achieved. Lead paint testing was completed on 3/27/25. No results were listed on asbestos testing. Two (2) staff members were listed on the Automated Background Check Management System (ABCMS) as of today prior to this visit. Upon arrival, I announced my presence and the purpose of the visit to Ms. Carlson. I notified Ms. Burke about my visit and requested a file review. Staff and Training Worksheets were submitted during the visit. Three (3) new files and two (2) existing staff files and seven (7) children’s files were monitored. I made corrections on the worksheet and Ms. Carlson initialed and verified the corrections. I attempted to review the ABCMS system, but the page was not available for review, possibly for poor Wi-fi connections. A total of six (6) medications were maintained at the facility. Two (2) prescription medications were expired. Epi-pen for a child in group #2 expired in October 2025, and the pharmacy label instructed to discard a prescription medication for a child in group #4 after 8/26/25. No expiration date was on the medication. Two (2) over-the-counter medications were mentioned in the action plans, but no parental authorization forms were available for review. Upon arrival, all four (4) groups gathered in the gym. Eleven (1) children in group 1 washed their hands in the bathrooms and had snacks in the cafeteria and transitioned to the playground. Snacks today were mandarin orange, Sun Chips and milk. On the playground, the children used a slide, rope climber and a spinner to play. No safety hazards were found on the playground. Sixteen (16) children in group 2 stayed in the gym and engaged in free play. Some played with center materials, such as markers/coloring page and play house, and the others engaged in gross motor play. Ten (1) children in group 3 washed their hands in the bathrooms and transitioned to cafeteria. After snacks, they remained in the cafeteria and played with art materials and manipulatives. Sixteen (16) children in group 4 transitioned to the theater then to outdoor classroom space, which is located near the theater (space #3). The space is by the exit door, and has benches, a shade and grassed area. Interaction and supervision were adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The following violations were documented during today’s visit: Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Parents' authorization forms were not available for review for two (2) over-the-counter medications - Children's Motrin and Benadryl Allergy for children in group 4. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Epi-Pen for a child in group 2 expired at the end of October 2025 and the pharmacy label instructed Rizatriptan 5mg to be discarded after 8/26/25. Both medications were still maintained in the backpack at the facility. .0803(12) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) substitute staff member who was hired on 2/12/24, did not complete the TB skin test, though he/she answered yes to two (2) of the questions on the form. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Updated Health Questionnaire forms for one (1) staff members was not available for review - One (1) substitute's form expired on 6/13/25. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Updated Emergency Information form for one (1) staff members was not available for review - One (1) substitute's form expired on 6/13/25. .0701(a) Technical assistance was provided as follows: 847: Medication authorization form No medication can be administered or maintained at program without parental authorization form. The basic rule is one (1) medication, one (1) permission form. Even when medications, such as Benadryl are mentioned in the action plans, that is not authorization to administer the medication by parents. All medications require authorization form. To comply, you shall obtain authorization forms for Children’s Motrin for B.S. in group 4 and Benadryl Allergy for R. P-K in group 4 or return the medication to the parents until the form is submitted. In your compliance letter, please state the action you took to meet compliance. 849: Expired medication Epi-Pen for E.W in group 2, Rizatriptan for B.S in group 4 are expired. To comply, please return the medications to the parents immediately and do not administer the medication. In your compliance letter, please verify that you returned both medications. 1033: TB test If can use the form provided by the Division. If an employee answers one (1) or more yes, TB skin test is required to prove that he/she is TB free. V. Thaxton needs TB skin test. In your compliance letter, please verify the completion of the staff member’s TB skin test. The completion date is not the date he/she received the skin test but the date it was read. 1034: Health Questionnaire Health Questionnaire form is required for 2nd year and annually thereafter. To comply, please have B. Young complete the new Health Questionnaire and file it. In your compliance letter, please verify the correction. 1035: Emergency Information form Emergency information form must be updated annually. Please have B. Young renew their emergency information form and file it. In your compliance letter, please verify the correction. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/8/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Assessment was not discussed during today’s visit. The meeting with Ms. Delaney via TEAM was held on 11/14/25. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/2/2025 Number Present: 57 Completed Date: 6/2/2025 Age: From 5 To 10 Total Minutes: 124 Time In: 02:16 PM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unnnounced visit follow-up. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. Asigned copy of the visit summary was electronically emailed Delaney Burke, Senior Operations Director. Ms. Carlson was available during the visit. Limited monitoring of child care requirements were conducted during today’s visit including but not limited to staff record and restrictions on the permit. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. Upon arrival, I announced my presence and the purpose of the visit. Fifty-seven (57) students, ages five (5) to ten (10), were present four (4) staff members. Due to gym being unavailable for preparation of field day for DPI program, the children gathered in the theater. The children watched “Elemental” (Rated PG) for approximately 2:40 pm to 3:30 pm. After the movie, the children transitioned to the playground. Three (3) groups transitioned in staggered schedule. Snacks were served in the theater while watching the movie. A bag of Chex mix and a fruit cup were served as snacks. The items were accurately listed on the menu. During pick-up, one (1) group leader escorted the child from the theater to the car. During this procedure, three (3) staff members were in ratios. When the children used the bathrooms, they were supervised. Supervision and interaction were adequate. Ms. Burke submitted the compliance letter today prior to this visit. Per Ms. Burke, Emergency information form and Recognizing and Responding to Suspicions of Child Maltreatment certificate for a staff member who was employed on 4/30/25 was located. However, the staff members’ medical statement, TB screening and BSAC certificate were not. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 539 When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. The children in the program watched "Elemental" from approximately 2:40 pm to 3:30 pm. .2508(e)(1-5) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The children did not wash their hands upon arrival or before having snacks in the theater. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. The staff members did not wash their hands before serving children snacks or aiding to open the fruit cups. 15A NCAC 18A .2803(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical statement for a staff member who was employed on 4/30/25 was lost but not replaced. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB screening form for a staff member who was employed on 4/30/25 was lost but not replaced. .0701(a) Technical assistance was provided as follows: 539: screen time Screening time is permitted for school-age children up to thirty (30) minutes per day and no more than a total of two (2) and a half (1/2) hours per week. If you go to a movie theater to watch a movie as a field trip, this rule does not apply. However, if the movie is offered at the center, this rule must be maintained. Refer to 10A NCAC .2508(e)(1-5). 608: Children’s hand washing Children must wash their hands upon arrival, after toileting, before eating and before and after water play, after outside play and after handling animals. While the gym is not available, you may gather in the theater. However, handwashing rules still applies. Refer to 15A NCAC 18A .2803(c). 1034: Medical Statement A. Charlson’s medical statement was lost. He/she has to obtain the new medical statement and maintain it in the file. Please make the appointment to see a physician today so that you can complete this within the next two) weeks. 1035: TB screening A. Charlson’s TB screening was lost. He/she has to be obtain the new TB screening and maintain it in the file. Please make the appointment to see a physician today so that you can complete this within the next two) weeks. Staff medical form as well as TB screening form were printed during the visit and left with Ms. Carlson. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. New and terminated staff notification requirement As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/16/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: BSAC training: A. Carlson has before July 30, 2025, to complete the BSAC training. If he/she is working for the summer camp, he/she needs to complete the BSAC training immediately due to the requirements that staff in the summer camp must complete the training within four (4) weeks of employment. Asbestos testing: I discussed required enrollment for asbestos hazards testing for the facility with Ms. Burke. Lead paint was completed for this facility and exempt, but there was no record on asbestos for this facility. Lead paint and asbestos enrollments were often completed on the same day and get exempted together. Due to this reason, no violations regarding asbestos testing was documented until future information is available. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/2/2025 Number Present: 57 Completed Date: 6/2/2025 Age: From 5 To 10 Total Minutes: 124 Time In: 02:16 PM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unnnounced visit follow-up. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. Asigned copy of the visit summary was electronically emailed Delaney Burke, Senior Operations Director. Ms. Carlson was available during the visit. Limited monitoring of child care requirements were conducted during today’s visit including but not limited to staff record and restrictions on the permit. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. Upon arrival, I announced my presence and the purpose of the visit. Fifty-seven (57) students, ages five (5) to ten (10), were present four (4) staff members. Due to gym being unavailable for preparation of field day for DPI program, the children gathered in the theater. The children watched “Elemental” (Rated PG) for approximately 2:40 pm to 3:30 pm. After the movie, the children transitioned to the playground. Three (3) groups transitioned in staggered schedule. Snacks were served in the theater while watching the movie. A bag of Chex mix and a fruit cup were served as snacks. The items were accurately listed on the menu. During pick-up, one (1) group leader escorted the child from the theater to the car. During this procedure, three (3) staff members were in ratios. When the children used the bathrooms, they were supervised. Supervision and interaction were adequate. Ms. Burke submitted the compliance letter today prior to this visit. Per Ms. Burke, Emergency information form and Recognizing and Responding to Suspicions of Child Maltreatment certificate for a staff member who was employed on 4/30/25 was located. However, the staff members’ medical statement, TB screening and BSAC certificate were not. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 539 When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. The children in the program watched "Elemental" from approximately 2:40 pm to 3:30 pm. .2508(e)(1-5) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The children did not wash their hands upon arrival or before having snacks in the theater. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. The staff members did not wash their hands before serving children snacks or aiding to open the fruit cups. 15A NCAC 18A .2803(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical statement for a staff member who was employed on 4/30/25 was lost but not replaced. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB screening form for a staff member who was employed on 4/30/25 was lost but not replaced. .0701(a) Technical assistance was provided as follows: 539: screen time Screening time is permitted for school-age children up to thirty (30) minutes per day and no more than a total of two (2) and a half (1/2) hours per week. If you go to a movie theater to watch a movie as a field trip, this rule does not apply. However, if the movie is offered at the center, this rule must be maintained. Refer to 10A NCAC .2508(e)(1-5). 608: Children’s hand washing Children must wash their hands upon arrival, after toileting, before eating and before and after water play, after outside play and after handling animals. While the gym is not available, you may gather in the theater. However, handwashing rules still applies. Refer to 15A NCAC 18A .2803(c). 1034: Medical Statement A. Charlson’s medical statement was lost. He/she has to obtain the new medical statement and maintain it in the file. Please make the appointment to see a physician today so that you can complete this within the next two) weeks. 1035: TB screening A. Charlson’s TB screening was lost. He/she has to be obtain the new TB screening and maintain it in the file. Please make the appointment to see a physician today so that you can complete this within the next two) weeks. Staff medical form as well as TB screening form were printed during the visit and left with Ms. Carlson. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. New and terminated staff notification requirement As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/16/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: BSAC training: A. Carlson has before July 30, 2025, to complete the BSAC training. If he/she is working for the summer camp, he/she needs to complete the BSAC training immediately due to the requirements that staff in the summer camp must complete the training within four (4) weeks of employment. Asbestos testing: I discussed required enrollment for asbestos hazards testing for the facility with Ms. Burke. Lead paint was completed for this facility and exempt, but there was no record on asbestos for this facility. Lead paint and asbestos enrollments were often completed on the same day and get exempted together. Due to this reason, no violations regarding asbestos testing was documented until future information is available. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/2/2025 Number Present: 57 Completed Date: 6/2/2025 Age: From 5 To 10 Total Minutes: 124 Time In: 02:16 PM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unnnounced visit follow-up. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. Asigned copy of the visit summary was electronically emailed Delaney Burke, Senior Operations Director. Ms. Carlson was available during the visit. Limited monitoring of child care requirements were conducted during today’s visit including but not limited to staff record and restrictions on the permit. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. Upon arrival, I announced my presence and the purpose of the visit. Fifty-seven (57) students, ages five (5) to ten (10), were present four (4) staff members. Due to gym being unavailable for preparation of field day for DPI program, the children gathered in the theater. The children watched “Elemental” (Rated PG) for approximately 2:40 pm to 3:30 pm. After the movie, the children transitioned to the playground. Three (3) groups transitioned in staggered schedule. Snacks were served in the theater while watching the movie. A bag of Chex mix and a fruit cup were served as snacks. The items were accurately listed on the menu. During pick-up, one (1) group leader escorted the child from the theater to the car. During this procedure, three (3) staff members were in ratios. When the children used the bathrooms, they were supervised. Supervision and interaction were adequate. Ms. Burke submitted the compliance letter today prior to this visit. Per Ms. Burke, Emergency information form and Recognizing and Responding to Suspicions of Child Maltreatment certificate for a staff member who was employed on 4/30/25 was located. However, the staff members’ medical statement, TB screening and BSAC certificate were not. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 539 When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. The children in the program watched "Elemental" from approximately 2:40 pm to 3:30 pm. .2508(e)(1-5) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The children did not wash their hands upon arrival or before having snacks in the theater. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. The staff members did not wash their hands before serving children snacks or aiding to open the fruit cups. 15A NCAC 18A .2803(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical statement for a staff member who was employed on 4/30/25 was lost but not replaced. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB screening form for a staff member who was employed on 4/30/25 was lost but not replaced. .0701(a) Technical assistance was provided as follows: 539: screen time Screening time is permitted for school-age children up to thirty (30) minutes per day and no more than a total of two (2) and a half (1/2) hours per week. If you go to a movie theater to watch a movie as a field trip, this rule does not apply. However, if the movie is offered at the center, this rule must be maintained. Refer to 10A NCAC .2508(e)(1-5). 608: Children’s hand washing Children must wash their hands upon arrival, after toileting, before eating and before and after water play, after outside play and after handling animals. While the gym is not available, you may gather in the theater. However, handwashing rules still applies. Refer to 15A NCAC 18A .2803(c). 1034: Medical Statement A. Charlson’s medical statement was lost. He/she has to obtain the new medical statement and maintain it in the file. Please make the appointment to see a physician today so that you can complete this within the next two) weeks. 1035: TB screening A. Charlson’s TB screening was lost. He/she has to be obtain the new TB screening and maintain it in the file. Please make the appointment to see a physician today so that you can complete this within the next two) weeks. Staff medical form as well as TB screening form were printed during the visit and left with Ms. Carlson. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. New and terminated staff notification requirement As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/16/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: BSAC training: A. Carlson has before July 30, 2025, to complete the BSAC training. If he/she is working for the summer camp, he/she needs to complete the BSAC training immediately due to the requirements that staff in the summer camp must complete the training within four (4) weeks of employment. Asbestos testing: I discussed required enrollment for asbestos hazards testing for the facility with Ms. Burke. Lead paint was completed for this facility and exempt, but there was no record on asbestos for this facility. Lead paint and asbestos enrollments were often completed on the same day and get exempted together. Due to this reason, no violations regarding asbestos testing was documented until future information is available. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/2/2025 Number Present: 57 Completed Date: 6/2/2025 Age: From 5 To 10 Total Minutes: 124 Time In: 02:16 PM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unnnounced visit follow-up. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. Asigned copy of the visit summary was electronically emailed Delaney Burke, Senior Operations Director. Ms. Carlson was available during the visit. Limited monitoring of child care requirements were conducted during today’s visit including but not limited to staff record and restrictions on the permit. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. Upon arrival, I announced my presence and the purpose of the visit. Fifty-seven (57) students, ages five (5) to ten (10), were present four (4) staff members. Due to gym being unavailable for preparation of field day for DPI program, the children gathered in the theater. The children watched “Elemental” (Rated PG) for approximately 2:40 pm to 3:30 pm. After the movie, the children transitioned to the playground. Three (3) groups transitioned in staggered schedule. Snacks were served in the theater while watching the movie. A bag of Chex mix and a fruit cup were served as snacks. The items were accurately listed on the menu. During pick-up, one (1) group leader escorted the child from the theater to the car. During this procedure, three (3) staff members were in ratios. When the children used the bathrooms, they were supervised. Supervision and interaction were adequate. Ms. Burke submitted the compliance letter today prior to this visit. Per Ms. Burke, Emergency information form and Recognizing and Responding to Suspicions of Child Maltreatment certificate for a staff member who was employed on 4/30/25 was located. However, the staff members’ medical statement, TB screening and BSAC certificate were not. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 539 When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. The children in the program watched "Elemental" from approximately 2:40 pm to 3:30 pm. .2508(e)(1-5) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The children did not wash their hands upon arrival or before having snacks in the theater. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. The staff members did not wash their hands before serving children snacks or aiding to open the fruit cups. 15A NCAC 18A .2803(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical statement for a staff member who was employed on 4/30/25 was lost but not replaced. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB screening form for a staff member who was employed on 4/30/25 was lost but not replaced. .0701(a) Technical assistance was provided as follows: 539: screen time Screening time is permitted for school-age children up to thirty (30) minutes per day and no more than a total of two (2) and a half (1/2) hours per week. If you go to a movie theater to watch a movie as a field trip, this rule does not apply. However, if the movie is offered at the center, this rule must be maintained. Refer to 10A NCAC .2508(e)(1-5). 608: Children’s hand washing Children must wash their hands upon arrival, after toileting, before eating and before and after water play, after outside play and after handling animals. While the gym is not available, you may gather in the theater. However, handwashing rules still applies. Refer to 15A NCAC 18A .2803(c). 1034: Medical Statement A. Charlson’s medical statement was lost. He/she has to obtain the new medical statement and maintain it in the file. Please make the appointment to see a physician today so that you can complete this within the next two) weeks. 1035: TB screening A. Charlson’s TB screening was lost. He/she has to be obtain the new TB screening and maintain it in the file. Please make the appointment to see a physician today so that you can complete this within the next two) weeks. Staff medical form as well as TB screening form were printed during the visit and left with Ms. Carlson. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. New and terminated staff notification requirement As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/16/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: BSAC training: A. Carlson has before July 30, 2025, to complete the BSAC training. If he/she is working for the summer camp, he/she needs to complete the BSAC training immediately due to the requirements that staff in the summer camp must complete the training within four (4) weeks of employment. Asbestos testing: I discussed required enrollment for asbestos hazards testing for the facility with Ms. Burke. Lead paint was completed for this facility and exempt, but there was no record on asbestos for this facility. Lead paint and asbestos enrollments were often completed on the same day and get exempted together. Due to this reason, no violations regarding asbestos testing was documented until future information is available. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/2/2025 Number Present: 57 Completed Date: 6/2/2025 Age: From 5 To 10 Total Minutes: 124 Time In: 02:16 PM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unnnounced visit follow-up. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. Asigned copy of the visit summary was electronically emailed Delaney Burke, Senior Operations Director. Ms. Carlson was available during the visit. Limited monitoring of child care requirements were conducted during today’s visit including but not limited to staff record and restrictions on the permit. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. Upon arrival, I announced my presence and the purpose of the visit. Fifty-seven (57) students, ages five (5) to ten (10), were present four (4) staff members. Due to gym being unavailable for preparation of field day for DPI program, the children gathered in the theater. The children watched “Elemental” (Rated PG) for approximately 2:40 pm to 3:30 pm. After the movie, the children transitioned to the playground. Three (3) groups transitioned in staggered schedule. Snacks were served in the theater while watching the movie. A bag of Chex mix and a fruit cup were served as snacks. The items were accurately listed on the menu. During pick-up, one (1) group leader escorted the child from the theater to the car. During this procedure, three (3) staff members were in ratios. When the children used the bathrooms, they were supervised. Supervision and interaction were adequate. Ms. Burke submitted the compliance letter today prior to this visit. Per Ms. Burke, Emergency information form and Recognizing and Responding to Suspicions of Child Maltreatment certificate for a staff member who was employed on 4/30/25 was located. However, the staff members’ medical statement, TB screening and BSAC certificate were not. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 539 When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. The children in the program watched "Elemental" from approximately 2:40 pm to 3:30 pm. .2508(e)(1-5) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The children did not wash their hands upon arrival or before having snacks in the theater. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. The staff members did not wash their hands before serving children snacks or aiding to open the fruit cups. 15A NCAC 18A .2803(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical statement for a staff member who was employed on 4/30/25 was lost but not replaced. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB screening form for a staff member who was employed on 4/30/25 was lost but not replaced. .0701(a) Technical assistance was provided as follows: 539: screen time Screening time is permitted for school-age children up to thirty (30) minutes per day and no more than a total of two (2) and a half (1/2) hours per week. If you go to a movie theater to watch a movie as a field trip, this rule does not apply. However, if the movie is offered at the center, this rule must be maintained. Refer to 10A NCAC .2508(e)(1-5). 608: Children’s hand washing Children must wash their hands upon arrival, after toileting, before eating and before and after water play, after outside play and after handling animals. While the gym is not available, you may gather in the theater. However, handwashing rules still applies. Refer to 15A NCAC 18A .2803(c). 1034: Medical Statement A. Charlson’s medical statement was lost. He/she has to obtain the new medical statement and maintain it in the file. Please make the appointment to see a physician today so that you can complete this within the next two) weeks. 1035: TB screening A. Charlson’s TB screening was lost. He/she has to be obtain the new TB screening and maintain it in the file. Please make the appointment to see a physician today so that you can complete this within the next two) weeks. Staff medical form as well as TB screening form were printed during the visit and left with Ms. Carlson. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. New and terminated staff notification requirement As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/16/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: BSAC training: A. Carlson has before July 30, 2025, to complete the BSAC training. If he/she is working for the summer camp, he/she needs to complete the BSAC training immediately due to the requirements that staff in the summer camp must complete the training within four (4) weeks of employment. Asbestos testing: I discussed required enrollment for asbestos hazards testing for the facility with Ms. Burke. Lead paint was completed for this facility and exempt, but there was no record on asbestos for this facility. Lead paint and asbestos enrollments were often completed on the same day and get exempted together. Due to this reason, no violations regarding asbestos testing was documented until future information is available. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/2/2025 Number Present: 57 Completed Date: 6/2/2025 Age: From 5 To 10 Total Minutes: 124 Time In: 02:16 PM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unnnounced visit follow-up. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. Asigned copy of the visit summary was electronically emailed Delaney Burke, Senior Operations Director. Ms. Carlson was available during the visit. Limited monitoring of child care requirements were conducted during today’s visit including but not limited to staff record and restrictions on the permit. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. Upon arrival, I announced my presence and the purpose of the visit. Fifty-seven (57) students, ages five (5) to ten (10), were present four (4) staff members. Due to gym being unavailable for preparation of field day for DPI program, the children gathered in the theater. The children watched “Elemental” (Rated PG) for approximately 2:40 pm to 3:30 pm. After the movie, the children transitioned to the playground. Three (3) groups transitioned in staggered schedule. Snacks were served in the theater while watching the movie. A bag of Chex mix and a fruit cup were served as snacks. The items were accurately listed on the menu. During pick-up, one (1) group leader escorted the child from the theater to the car. During this procedure, three (3) staff members were in ratios. When the children used the bathrooms, they were supervised. Supervision and interaction were adequate. Ms. Burke submitted the compliance letter today prior to this visit. Per Ms. Burke, Emergency information form and Recognizing and Responding to Suspicions of Child Maltreatment certificate for a staff member who was employed on 4/30/25 was located. However, the staff members’ medical statement, TB screening and BSAC certificate were not. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 539 When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. The children in the program watched "Elemental" from approximately 2:40 pm to 3:30 pm. .2508(e)(1-5) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The children did not wash their hands upon arrival or before having snacks in the theater. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. The staff members did not wash their hands before serving children snacks or aiding to open the fruit cups. 15A NCAC 18A .2803(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical statement for a staff member who was employed on 4/30/25 was lost but not replaced. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB screening form for a staff member who was employed on 4/30/25 was lost but not replaced. .0701(a) Technical assistance was provided as follows: 539: screen time Screening time is permitted for school-age children up to thirty (30) minutes per day and no more than a total of two (2) and a half (1/2) hours per week. If you go to a movie theater to watch a movie as a field trip, this rule does not apply. However, if the movie is offered at the center, this rule must be maintained. Refer to 10A NCAC .2508(e)(1-5). 608: Children’s hand washing Children must wash their hands upon arrival, after toileting, before eating and before and after water play, after outside play and after handling animals. While the gym is not available, you may gather in the theater. However, handwashing rules still applies. Refer to 15A NCAC 18A .2803(c). 1034: Medical Statement A. Charlson’s medical statement was lost. He/she has to obtain the new medical statement and maintain it in the file. Please make the appointment to see a physician today so that you can complete this within the next two) weeks. 1035: TB screening A. Charlson’s TB screening was lost. He/she has to be obtain the new TB screening and maintain it in the file. Please make the appointment to see a physician today so that you can complete this within the next two) weeks. Staff medical form as well as TB screening form were printed during the visit and left with Ms. Carlson. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. New and terminated staff notification requirement As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/16/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: BSAC training: A. Carlson has before July 30, 2025, to complete the BSAC training. If he/she is working for the summer camp, he/she needs to complete the BSAC training immediately due to the requirements that staff in the summer camp must complete the training within four (4) weeks of employment. Asbestos testing: I discussed required enrollment for asbestos hazards testing for the facility with Ms. Burke. Lead paint was completed for this facility and exempt, but there was no record on asbestos for this facility. Lead paint and asbestos enrollments were often completed on the same day and get exempted together. Due to this reason, no violations regarding asbestos testing was documented until future information is available. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 6/2/2025 Number Present: 57 Completed Date: 6/2/2025 Age: From 5 To 10 Total Minutes: 124 Time In: 02:16 PM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an unnnounced visit follow-up. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. Asigned copy of the visit summary was electronically emailed Delaney Burke, Senior Operations Director. Ms. Carlson was available during the visit. Limited monitoring of child care requirements were conducted during today’s visit including but not limited to staff record and restrictions on the permit. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of today prior to this visit. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. Upon arrival, I announced my presence and the purpose of the visit. Fifty-seven (57) students, ages five (5) to ten (10), were present four (4) staff members. Due to gym being unavailable for preparation of field day for DPI program, the children gathered in the theater. The children watched “Elemental” (Rated PG) for approximately 2:40 pm to 3:30 pm. After the movie, the children transitioned to the playground. Three (3) groups transitioned in staggered schedule. Snacks were served in the theater while watching the movie. A bag of Chex mix and a fruit cup were served as snacks. The items were accurately listed on the menu. During pick-up, one (1) group leader escorted the child from the theater to the car. During this procedure, three (3) staff members were in ratios. When the children used the bathrooms, they were supervised. Supervision and interaction were adequate. Ms. Burke submitted the compliance letter today prior to this visit. Per Ms. Burke, Emergency information form and Recognizing and Responding to Suspicions of Child Maltreatment certificate for a staff member who was employed on 4/30/25 was located. However, the staff members’ medical statement, TB screening and BSAC certificate were not. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 539 When screen time was provided to school-aged children, it was not offered as a free-choice activity; not used to meet a developmental goal; was not limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; and/or was not documented on a cumulative log or the activity plan that is available for review. The children in the program watched "Elemental" from approximately 2:40 pm to 3:30 pm. .2508(e)(1-5) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. The children did not wash their hands upon arrival or before having snacks in the theater. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. The staff members did not wash their hands before serving children snacks or aiding to open the fruit cups. 15A NCAC 18A .2803(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. The medical statement for a staff member who was employed on 4/30/25 was lost but not replaced. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB screening form for a staff member who was employed on 4/30/25 was lost but not replaced. .0701(a) Technical assistance was provided as follows: 539: screen time Screening time is permitted for school-age children up to thirty (30) minutes per day and no more than a total of two (2) and a half (1/2) hours per week. If you go to a movie theater to watch a movie as a field trip, this rule does not apply. However, if the movie is offered at the center, this rule must be maintained. Refer to 10A NCAC .2508(e)(1-5). 608: Children’s hand washing Children must wash their hands upon arrival, after toileting, before eating and before and after water play, after outside play and after handling animals. While the gym is not available, you may gather in the theater. However, handwashing rules still applies. Refer to 15A NCAC 18A .2803(c). 1034: Medical Statement A. Charlson’s medical statement was lost. He/she has to obtain the new medical statement and maintain it in the file. Please make the appointment to see a physician today so that you can complete this within the next two) weeks. 1035: TB screening A. Charlson’s TB screening was lost. He/she has to be obtain the new TB screening and maintain it in the file. Please make the appointment to see a physician today so that you can complete this within the next two) weeks. Staff medical form as well as TB screening form were printed during the visit and left with Ms. Carlson. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing was required to be completed by May 31, 2025. New and terminated staff notification requirement As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/16/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: BSAC training: A. Carlson has before July 30, 2025, to complete the BSAC training. If he/she is working for the summer camp, he/she needs to complete the BSAC training immediately due to the requirements that staff in the summer camp must complete the training within four (4) weeks of employment. Asbestos testing: I discussed required enrollment for asbestos hazards testing for the facility with Ms. Burke. Lead paint was completed for this facility and exempt, but there was no record on asbestos for this facility. Lead paint and asbestos enrollments were often completed on the same day and get exempted together. Due to this reason, no violations regarding asbestos testing was documented until future information is available. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division”. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 52 Completed Date: 5/14/2025 Age: From 5 To 11 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Director of Operations. Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 12/4/24. The last fire drill was practiced on 4/29/25. The last shelter-in-place drill was practiced on 3/11/25. The last fire inspection was approved on 9/25/24. The last sanitation inspection was conducted on 4/24/25 with four (4) demerits for a superior classification. Lead water testing was completed on 7/3/24 without hazards. Lead paint testing was completed and exempted. There is no record on asbestos testing. Upon arrival, I announced my presence and the purpose of the visit. The children gathered in the gym. Each group was separated into three (3) sections. Once all the children were gathered, the children in group #1 transitioned to the playground. Twenty-one (21) children and two (2) staff members stopped at the bathroom and washed their hands. The group went to the large playground on the school property. Snacks were offered on the playground. Apple sauce and Chex mix were served. The children played with swings, rope climbers, Gava pit, a slide and other equipment. Nineteen (19) children in group #2 remained in the gym and had discussions. Twelve (12) children in group #3 also remained in the gym and worked on individual activities, such as reading and homework. The doors to the kitchen areas were locked and no hazardous products were accessible to the children. The playgrounds were monitored, and no safety hazards were found. A total of seven (7) medications are maintained. Three (3) emergency medications, one (1) non-emergency prescription medication, and three (3) over-the-counter medications were maintained among three (3) groups. The program coordinator and group leaders store the medication in the backpack and combination locks are installed on the zipper tabs. All medications have medication authorization forms. None of the medications had been administered based on the record. Two (2) action plans were not maintained with the medications but provided for review during the visit. Ms. Burke met with me via TEAMS and reviewed the staff files with me. Three (3) existing staff members’ files were reviewed for criminal background letters, First Aid/CPR and BSAC certificates. They have current letters and certificates. One (1) new staff member’s file was monitored in full. Per Ms. Burke, many of documents for this staff member were deleted accidentally. I was able to review the application, review of operational and personnel policy, First Aid/CPR certificate and criminal background letter for this staff member. Per interview with the staff member, he/she remembers completing medical exam, TB screening, Recognizing and Responding to Suspicions of Maltreatment training, and BSAC training. The ABCMS system was reviewed during the visit for all staff members. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA vehicles were inspected on 6/4/24. Two (2) children uses the bus from their middle school to the site. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Chex mix and apple sauce were served to the children while Chex mix and yogurt were listed on the menu for today. 10A NCAC 09 .0901(b) 1043 All staff records, except financial records, were not made available for review. During staff file review, Emergency Information form, Medical statement, TB screening, Recognizing and Responding to Suspicions of Child Maltreatment training certificate for A. Carlson were not available for review. The administrator stated that some of the documents were accidentally deleted. G.S. 110-91( 9) Technical assistance was provided as follows: 528: Substitution items When items not listed on the menu is served, the substitution items must be listed prior to serving the children. Refer to 10A NCAC 09 .0901(b). 1043: available records All records must be available for review. During file review, the record for A. Carlson, including but not limited to medical statement, TB screening, emergency information, Recognizing and Responding to Suspicions of Child Maltreatment training certificate, and BSAC certificate. Refer to G.S. 110-91(9). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by te due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Record: Please submit the following documentation to me: • Emergency Information form • Medical statement • TB screening • Recognizing and Responding to Suspicions of Child Maltreatment training certificate • BSAC certificate Supervision on the playground: The large playground was used during the visit. Even though two (2) staff members were positioned to supervise most of the areas, I strongly recommend closing the gate to the playground. Several children sat on the bench by the gate and ate snacks. There is a road right next to the gate, and a group leader back was against them sometimes. For the safety of the children, use all available tools to maximize the safety protocol. Per license permit, you are exempt from rules for a safe environment outdoors. However, supervision rules still apply. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 52 Completed Date: 5/14/2025 Age: From 5 To 11 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Director of Operations. Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 12/4/24. The last fire drill was practiced on 4/29/25. The last shelter-in-place drill was practiced on 3/11/25. The last fire inspection was approved on 9/25/24. The last sanitation inspection was conducted on 4/24/25 with four (4) demerits for a superior classification. Lead water testing was completed on 7/3/24 without hazards. Lead paint testing was completed and exempted. There is no record on asbestos testing. Upon arrival, I announced my presence and the purpose of the visit. The children gathered in the gym. Each group was separated into three (3) sections. Once all the children were gathered, the children in group #1 transitioned to the playground. Twenty-one (21) children and two (2) staff members stopped at the bathroom and washed their hands. The group went to the large playground on the school property. Snacks were offered on the playground. Apple sauce and Chex mix were served. The children played with swings, rope climbers, Gava pit, a slide and other equipment. Nineteen (19) children in group #2 remained in the gym and had discussions. Twelve (12) children in group #3 also remained in the gym and worked on individual activities, such as reading and homework. The doors to the kitchen areas were locked and no hazardous products were accessible to the children. The playgrounds were monitored, and no safety hazards were found. A total of seven (7) medications are maintained. Three (3) emergency medications, one (1) non-emergency prescription medication, and three (3) over-the-counter medications were maintained among three (3) groups. The program coordinator and group leaders store the medication in the backpack and combination locks are installed on the zipper tabs. All medications have medication authorization forms. None of the medications had been administered based on the record. Two (2) action plans were not maintained with the medications but provided for review during the visit. Ms. Burke met with me via TEAMS and reviewed the staff files with me. Three (3) existing staff members’ files were reviewed for criminal background letters, First Aid/CPR and BSAC certificates. They have current letters and certificates. One (1) new staff member’s file was monitored in full. Per Ms. Burke, many of documents for this staff member were deleted accidentally. I was able to review the application, review of operational and personnel policy, First Aid/CPR certificate and criminal background letter for this staff member. Per interview with the staff member, he/she remembers completing medical exam, TB screening, Recognizing and Responding to Suspicions of Maltreatment training, and BSAC training. The ABCMS system was reviewed during the visit for all staff members. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA vehicles were inspected on 6/4/24. Two (2) children uses the bus from their middle school to the site. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Chex mix and apple sauce were served to the children while Chex mix and yogurt were listed on the menu for today. 10A NCAC 09 .0901(b) 1043 All staff records, except financial records, were not made available for review. During staff file review, Emergency Information form, Medical statement, TB screening, Recognizing and Responding to Suspicions of Child Maltreatment training certificate for A. Carlson were not available for review. The administrator stated that some of the documents were accidentally deleted. G.S. 110-91( 9) Technical assistance was provided as follows: 528: Substitution items When items not listed on the menu is served, the substitution items must be listed prior to serving the children. Refer to 10A NCAC 09 .0901(b). 1043: available records All records must be available for review. During file review, the record for A. Carlson, including but not limited to medical statement, TB screening, emergency information, Recognizing and Responding to Suspicions of Child Maltreatment training certificate, and BSAC certificate. Refer to G.S. 110-91(9). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by te due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Record: Please submit the following documentation to me: • Emergency Information form • Medical statement • TB screening • Recognizing and Responding to Suspicions of Child Maltreatment training certificate • BSAC certificate Supervision on the playground: The large playground was used during the visit. Even though two (2) staff members were positioned to supervise most of the areas, I strongly recommend closing the gate to the playground. Several children sat on the bench by the gate and ate snacks. There is a road right next to the gate, and a group leader back was against them sometimes. For the safety of the children, use all available tools to maximize the safety protocol. Per license permit, you are exempt from rules for a safe environment outdoors. However, supervision rules still apply. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 52 Completed Date: 5/14/2025 Age: From 5 To 11 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Director of Operations. Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 12/4/24. The last fire drill was practiced on 4/29/25. The last shelter-in-place drill was practiced on 3/11/25. The last fire inspection was approved on 9/25/24. The last sanitation inspection was conducted on 4/24/25 with four (4) demerits for a superior classification. Lead water testing was completed on 7/3/24 without hazards. Lead paint testing was completed and exempted. There is no record on asbestos testing. Upon arrival, I announced my presence and the purpose of the visit. The children gathered in the gym. Each group was separated into three (3) sections. Once all the children were gathered, the children in group #1 transitioned to the playground. Twenty-one (21) children and two (2) staff members stopped at the bathroom and washed their hands. The group went to the large playground on the school property. Snacks were offered on the playground. Apple sauce and Chex mix were served. The children played with swings, rope climbers, Gava pit, a slide and other equipment. Nineteen (19) children in group #2 remained in the gym and had discussions. Twelve (12) children in group #3 also remained in the gym and worked on individual activities, such as reading and homework. The doors to the kitchen areas were locked and no hazardous products were accessible to the children. The playgrounds were monitored, and no safety hazards were found. A total of seven (7) medications are maintained. Three (3) emergency medications, one (1) non-emergency prescription medication, and three (3) over-the-counter medications were maintained among three (3) groups. The program coordinator and group leaders store the medication in the backpack and combination locks are installed on the zipper tabs. All medications have medication authorization forms. None of the medications had been administered based on the record. Two (2) action plans were not maintained with the medications but provided for review during the visit. Ms. Burke met with me via TEAMS and reviewed the staff files with me. Three (3) existing staff members’ files were reviewed for criminal background letters, First Aid/CPR and BSAC certificates. They have current letters and certificates. One (1) new staff member’s file was monitored in full. Per Ms. Burke, many of documents for this staff member were deleted accidentally. I was able to review the application, review of operational and personnel policy, First Aid/CPR certificate and criminal background letter for this staff member. Per interview with the staff member, he/she remembers completing medical exam, TB screening, Recognizing and Responding to Suspicions of Maltreatment training, and BSAC training. The ABCMS system was reviewed during the visit for all staff members. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA vehicles were inspected on 6/4/24. Two (2) children uses the bus from their middle school to the site. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Chex mix and apple sauce were served to the children while Chex mix and yogurt were listed on the menu for today. 10A NCAC 09 .0901(b) 1043 All staff records, except financial records, were not made available for review. During staff file review, Emergency Information form, Medical statement, TB screening, Recognizing and Responding to Suspicions of Child Maltreatment training certificate for A. Carlson were not available for review. The administrator stated that some of the documents were accidentally deleted. G.S. 110-91( 9) Technical assistance was provided as follows: 528: Substitution items When items not listed on the menu is served, the substitution items must be listed prior to serving the children. Refer to 10A NCAC 09 .0901(b). 1043: available records All records must be available for review. During file review, the record for A. Carlson, including but not limited to medical statement, TB screening, emergency information, Recognizing and Responding to Suspicions of Child Maltreatment training certificate, and BSAC certificate. Refer to G.S. 110-91(9). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by te due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Record: Please submit the following documentation to me: • Emergency Information form • Medical statement • TB screening • Recognizing and Responding to Suspicions of Child Maltreatment training certificate • BSAC certificate Supervision on the playground: The large playground was used during the visit. Even though two (2) staff members were positioned to supervise most of the areas, I strongly recommend closing the gate to the playground. Several children sat on the bench by the gate and ate snacks. There is a road right next to the gate, and a group leader back was against them sometimes. For the safety of the children, use all available tools to maximize the safety protocol. Per license permit, you are exempt from rules for a safe environment outdoors. However, supervision rules still apply. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 52 Completed Date: 5/14/2025 Age: From 5 To 11 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Director of Operations. Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 12/4/24. The last fire drill was practiced on 4/29/25. The last shelter-in-place drill was practiced on 3/11/25. The last fire inspection was approved on 9/25/24. The last sanitation inspection was conducted on 4/24/25 with four (4) demerits for a superior classification. Lead water testing was completed on 7/3/24 without hazards. Lead paint testing was completed and exempted. There is no record on asbestos testing. Upon arrival, I announced my presence and the purpose of the visit. The children gathered in the gym. Each group was separated into three (3) sections. Once all the children were gathered, the children in group #1 transitioned to the playground. Twenty-one (21) children and two (2) staff members stopped at the bathroom and washed their hands. The group went to the large playground on the school property. Snacks were offered on the playground. Apple sauce and Chex mix were served. The children played with swings, rope climbers, Gava pit, a slide and other equipment. Nineteen (19) children in group #2 remained in the gym and had discussions. Twelve (12) children in group #3 also remained in the gym and worked on individual activities, such as reading and homework. The doors to the kitchen areas were locked and no hazardous products were accessible to the children. The playgrounds were monitored, and no safety hazards were found. A total of seven (7) medications are maintained. Three (3) emergency medications, one (1) non-emergency prescription medication, and three (3) over-the-counter medications were maintained among three (3) groups. The program coordinator and group leaders store the medication in the backpack and combination locks are installed on the zipper tabs. All medications have medication authorization forms. None of the medications had been administered based on the record. Two (2) action plans were not maintained with the medications but provided for review during the visit. Ms. Burke met with me via TEAMS and reviewed the staff files with me. Three (3) existing staff members’ files were reviewed for criminal background letters, First Aid/CPR and BSAC certificates. They have current letters and certificates. One (1) new staff member’s file was monitored in full. Per Ms. Burke, many of documents for this staff member were deleted accidentally. I was able to review the application, review of operational and personnel policy, First Aid/CPR certificate and criminal background letter for this staff member. Per interview with the staff member, he/she remembers completing medical exam, TB screening, Recognizing and Responding to Suspicions of Maltreatment training, and BSAC training. The ABCMS system was reviewed during the visit for all staff members. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA vehicles were inspected on 6/4/24. Two (2) children uses the bus from their middle school to the site. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Chex mix and apple sauce were served to the children while Chex mix and yogurt were listed on the menu for today. 10A NCAC 09 .0901(b) 1043 All staff records, except financial records, were not made available for review. During staff file review, Emergency Information form, Medical statement, TB screening, Recognizing and Responding to Suspicions of Child Maltreatment training certificate for A. Carlson were not available for review. The administrator stated that some of the documents were accidentally deleted. G.S. 110-91( 9) Technical assistance was provided as follows: 528: Substitution items When items not listed on the menu is served, the substitution items must be listed prior to serving the children. Refer to 10A NCAC 09 .0901(b). 1043: available records All records must be available for review. During file review, the record for A. Carlson, including but not limited to medical statement, TB screening, emergency information, Recognizing and Responding to Suspicions of Child Maltreatment training certificate, and BSAC certificate. Refer to G.S. 110-91(9). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by te due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Record: Please submit the following documentation to me: • Emergency Information form • Medical statement • TB screening • Recognizing and Responding to Suspicions of Child Maltreatment training certificate • BSAC certificate Supervision on the playground: The large playground was used during the visit. Even though two (2) staff members were positioned to supervise most of the areas, I strongly recommend closing the gate to the playground. Several children sat on the bench by the gate and ate snacks. There is a road right next to the gate, and a group leader back was against them sometimes. For the safety of the children, use all available tools to maximize the safety protocol. Per license permit, you are exempt from rules for a safe environment outdoors. However, supervision rules still apply. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 52 Completed Date: 5/14/2025 Age: From 5 To 11 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Director of Operations. Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 12/4/24. The last fire drill was practiced on 4/29/25. The last shelter-in-place drill was practiced on 3/11/25. The last fire inspection was approved on 9/25/24. The last sanitation inspection was conducted on 4/24/25 with four (4) demerits for a superior classification. Lead water testing was completed on 7/3/24 without hazards. Lead paint testing was completed and exempted. There is no record on asbestos testing. Upon arrival, I announced my presence and the purpose of the visit. The children gathered in the gym. Each group was separated into three (3) sections. Once all the children were gathered, the children in group #1 transitioned to the playground. Twenty-one (21) children and two (2) staff members stopped at the bathroom and washed their hands. The group went to the large playground on the school property. Snacks were offered on the playground. Apple sauce and Chex mix were served. The children played with swings, rope climbers, Gava pit, a slide and other equipment. Nineteen (19) children in group #2 remained in the gym and had discussions. Twelve (12) children in group #3 also remained in the gym and worked on individual activities, such as reading and homework. The doors to the kitchen areas were locked and no hazardous products were accessible to the children. The playgrounds were monitored, and no safety hazards were found. A total of seven (7) medications are maintained. Three (3) emergency medications, one (1) non-emergency prescription medication, and three (3) over-the-counter medications were maintained among three (3) groups. The program coordinator and group leaders store the medication in the backpack and combination locks are installed on the zipper tabs. All medications have medication authorization forms. None of the medications had been administered based on the record. Two (2) action plans were not maintained with the medications but provided for review during the visit. Ms. Burke met with me via TEAMS and reviewed the staff files with me. Three (3) existing staff members’ files were reviewed for criminal background letters, First Aid/CPR and BSAC certificates. They have current letters and certificates. One (1) new staff member’s file was monitored in full. Per Ms. Burke, many of documents for this staff member were deleted accidentally. I was able to review the application, review of operational and personnel policy, First Aid/CPR certificate and criminal background letter for this staff member. Per interview with the staff member, he/she remembers completing medical exam, TB screening, Recognizing and Responding to Suspicions of Maltreatment training, and BSAC training. The ABCMS system was reviewed during the visit for all staff members. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA vehicles were inspected on 6/4/24. Two (2) children uses the bus from their middle school to the site. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Chex mix and apple sauce were served to the children while Chex mix and yogurt were listed on the menu for today. 10A NCAC 09 .0901(b) 1043 All staff records, except financial records, were not made available for review. During staff file review, Emergency Information form, Medical statement, TB screening, Recognizing and Responding to Suspicions of Child Maltreatment training certificate for A. Carlson were not available for review. The administrator stated that some of the documents were accidentally deleted. G.S. 110-91( 9) Technical assistance was provided as follows: 528: Substitution items When items not listed on the menu is served, the substitution items must be listed prior to serving the children. Refer to 10A NCAC 09 .0901(b). 1043: available records All records must be available for review. During file review, the record for A. Carlson, including but not limited to medical statement, TB screening, emergency information, Recognizing and Responding to Suspicions of Child Maltreatment training certificate, and BSAC certificate. Refer to G.S. 110-91(9). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by te due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Record: Please submit the following documentation to me: • Emergency Information form • Medical statement • TB screening • Recognizing and Responding to Suspicions of Child Maltreatment training certificate • BSAC certificate Supervision on the playground: The large playground was used during the visit. Even though two (2) staff members were positioned to supervise most of the areas, I strongly recommend closing the gate to the playground. Several children sat on the bench by the gate and ate snacks. There is a road right next to the gate, and a group leader back was against them sometimes. For the safety of the children, use all available tools to maximize the safety protocol. Per license permit, you are exempt from rules for a safe environment outdoors. However, supervision rules still apply. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 52 Completed Date: 5/14/2025 Age: From 5 To 11 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Director of Operations. Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 12/4/24. The last fire drill was practiced on 4/29/25. The last shelter-in-place drill was practiced on 3/11/25. The last fire inspection was approved on 9/25/24. The last sanitation inspection was conducted on 4/24/25 with four (4) demerits for a superior classification. Lead water testing was completed on 7/3/24 without hazards. Lead paint testing was completed and exempted. There is no record on asbestos testing. Upon arrival, I announced my presence and the purpose of the visit. The children gathered in the gym. Each group was separated into three (3) sections. Once all the children were gathered, the children in group #1 transitioned to the playground. Twenty-one (21) children and two (2) staff members stopped at the bathroom and washed their hands. The group went to the large playground on the school property. Snacks were offered on the playground. Apple sauce and Chex mix were served. The children played with swings, rope climbers, Gava pit, a slide and other equipment. Nineteen (19) children in group #2 remained in the gym and had discussions. Twelve (12) children in group #3 also remained in the gym and worked on individual activities, such as reading and homework. The doors to the kitchen areas were locked and no hazardous products were accessible to the children. The playgrounds were monitored, and no safety hazards were found. A total of seven (7) medications are maintained. Three (3) emergency medications, one (1) non-emergency prescription medication, and three (3) over-the-counter medications were maintained among three (3) groups. The program coordinator and group leaders store the medication in the backpack and combination locks are installed on the zipper tabs. All medications have medication authorization forms. None of the medications had been administered based on the record. Two (2) action plans were not maintained with the medications but provided for review during the visit. Ms. Burke met with me via TEAMS and reviewed the staff files with me. Three (3) existing staff members’ files were reviewed for criminal background letters, First Aid/CPR and BSAC certificates. They have current letters and certificates. One (1) new staff member’s file was monitored in full. Per Ms. Burke, many of documents for this staff member were deleted accidentally. I was able to review the application, review of operational and personnel policy, First Aid/CPR certificate and criminal background letter for this staff member. Per interview with the staff member, he/she remembers completing medical exam, TB screening, Recognizing and Responding to Suspicions of Maltreatment training, and BSAC training. The ABCMS system was reviewed during the visit for all staff members. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA vehicles were inspected on 6/4/24. Two (2) children uses the bus from their middle school to the site. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Chex mix and apple sauce were served to the children while Chex mix and yogurt were listed on the menu for today. 10A NCAC 09 .0901(b) 1043 All staff records, except financial records, were not made available for review. During staff file review, Emergency Information form, Medical statement, TB screening, Recognizing and Responding to Suspicions of Child Maltreatment training certificate for A. Carlson were not available for review. The administrator stated that some of the documents were accidentally deleted. G.S. 110-91( 9) Technical assistance was provided as follows: 528: Substitution items When items not listed on the menu is served, the substitution items must be listed prior to serving the children. Refer to 10A NCAC 09 .0901(b). 1043: available records All records must be available for review. During file review, the record for A. Carlson, including but not limited to medical statement, TB screening, emergency information, Recognizing and Responding to Suspicions of Child Maltreatment training certificate, and BSAC certificate. Refer to G.S. 110-91(9). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by te due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Record: Please submit the following documentation to me: • Emergency Information form • Medical statement • TB screening • Recognizing and Responding to Suspicions of Child Maltreatment training certificate • BSAC certificate Supervision on the playground: The large playground was used during the visit. Even though two (2) staff members were positioned to supervise most of the areas, I strongly recommend closing the gate to the playground. Several children sat on the bench by the gate and ate snacks. There is a road right next to the gate, and a group leader back was against them sometimes. For the safety of the children, use all available tools to maximize the safety protocol. Per license permit, you are exempt from rules for a safe environment outdoors. However, supervision rules still apply. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 52 Completed Date: 5/14/2025 Age: From 5 To 11 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Director of Operations. Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 12/4/24. The last fire drill was practiced on 4/29/25. The last shelter-in-place drill was practiced on 3/11/25. The last fire inspection was approved on 9/25/24. The last sanitation inspection was conducted on 4/24/25 with four (4) demerits for a superior classification. Lead water testing was completed on 7/3/24 without hazards. Lead paint testing was completed and exempted. There is no record on asbestos testing. Upon arrival, I announced my presence and the purpose of the visit. The children gathered in the gym. Each group was separated into three (3) sections. Once all the children were gathered, the children in group #1 transitioned to the playground. Twenty-one (21) children and two (2) staff members stopped at the bathroom and washed their hands. The group went to the large playground on the school property. Snacks were offered on the playground. Apple sauce and Chex mix were served. The children played with swings, rope climbers, Gava pit, a slide and other equipment. Nineteen (19) children in group #2 remained in the gym and had discussions. Twelve (12) children in group #3 also remained in the gym and worked on individual activities, such as reading and homework. The doors to the kitchen areas were locked and no hazardous products were accessible to the children. The playgrounds were monitored, and no safety hazards were found. A total of seven (7) medications are maintained. Three (3) emergency medications, one (1) non-emergency prescription medication, and three (3) over-the-counter medications were maintained among three (3) groups. The program coordinator and group leaders store the medication in the backpack and combination locks are installed on the zipper tabs. All medications have medication authorization forms. None of the medications had been administered based on the record. Two (2) action plans were not maintained with the medications but provided for review during the visit. Ms. Burke met with me via TEAMS and reviewed the staff files with me. Three (3) existing staff members’ files were reviewed for criminal background letters, First Aid/CPR and BSAC certificates. They have current letters and certificates. One (1) new staff member’s file was monitored in full. Per Ms. Burke, many of documents for this staff member were deleted accidentally. I was able to review the application, review of operational and personnel policy, First Aid/CPR certificate and criminal background letter for this staff member. Per interview with the staff member, he/she remembers completing medical exam, TB screening, Recognizing and Responding to Suspicions of Maltreatment training, and BSAC training. The ABCMS system was reviewed during the visit for all staff members. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA vehicles were inspected on 6/4/24. Two (2) children uses the bus from their middle school to the site. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Chex mix and apple sauce were served to the children while Chex mix and yogurt were listed on the menu for today. 10A NCAC 09 .0901(b) 1043 All staff records, except financial records, were not made available for review. During staff file review, Emergency Information form, Medical statement, TB screening, Recognizing and Responding to Suspicions of Child Maltreatment training certificate for A. Carlson were not available for review. The administrator stated that some of the documents were accidentally deleted. G.S. 110-91( 9) Technical assistance was provided as follows: 528: Substitution items When items not listed on the menu is served, the substitution items must be listed prior to serving the children. Refer to 10A NCAC 09 .0901(b). 1043: available records All records must be available for review. During file review, the record for A. Carlson, including but not limited to medical statement, TB screening, emergency information, Recognizing and Responding to Suspicions of Child Maltreatment training certificate, and BSAC certificate. Refer to G.S. 110-91(9). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by te due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Record: Please submit the following documentation to me: • Emergency Information form • Medical statement • TB screening • Recognizing and Responding to Suspicions of Child Maltreatment training certificate • BSAC certificate Supervision on the playground: The large playground was used during the visit. Even though two (2) staff members were positioned to supervise most of the areas, I strongly recommend closing the gate to the playground. Several children sat on the bench by the gate and ate snacks. There is a road right next to the gate, and a group leader back was against them sometimes. For the safety of the children, use all available tools to maximize the safety protocol. Per license permit, you are exempt from rules for a safe environment outdoors. However, supervision rules still apply. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 52 Completed Date: 5/14/2025 Age: From 5 To 11 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Director of Operations. Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 12/4/24. The last fire drill was practiced on 4/29/25. The last shelter-in-place drill was practiced on 3/11/25. The last fire inspection was approved on 9/25/24. The last sanitation inspection was conducted on 4/24/25 with four (4) demerits for a superior classification. Lead water testing was completed on 7/3/24 without hazards. Lead paint testing was completed and exempted. There is no record on asbestos testing. Upon arrival, I announced my presence and the purpose of the visit. The children gathered in the gym. Each group was separated into three (3) sections. Once all the children were gathered, the children in group #1 transitioned to the playground. Twenty-one (21) children and two (2) staff members stopped at the bathroom and washed their hands. The group went to the large playground on the school property. Snacks were offered on the playground. Apple sauce and Chex mix were served. The children played with swings, rope climbers, Gava pit, a slide and other equipment. Nineteen (19) children in group #2 remained in the gym and had discussions. Twelve (12) children in group #3 also remained in the gym and worked on individual activities, such as reading and homework. The doors to the kitchen areas were locked and no hazardous products were accessible to the children. The playgrounds were monitored, and no safety hazards were found. A total of seven (7) medications are maintained. Three (3) emergency medications, one (1) non-emergency prescription medication, and three (3) over-the-counter medications were maintained among three (3) groups. The program coordinator and group leaders store the medication in the backpack and combination locks are installed on the zipper tabs. All medications have medication authorization forms. None of the medications had been administered based on the record. Two (2) action plans were not maintained with the medications but provided for review during the visit. Ms. Burke met with me via TEAMS and reviewed the staff files with me. Three (3) existing staff members’ files were reviewed for criminal background letters, First Aid/CPR and BSAC certificates. They have current letters and certificates. One (1) new staff member’s file was monitored in full. Per Ms. Burke, many of documents for this staff member were deleted accidentally. I was able to review the application, review of operational and personnel policy, First Aid/CPR certificate and criminal background letter for this staff member. Per interview with the staff member, he/she remembers completing medical exam, TB screening, Recognizing and Responding to Suspicions of Maltreatment training, and BSAC training. The ABCMS system was reviewed during the visit for all staff members. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA vehicles were inspected on 6/4/24. Two (2) children uses the bus from their middle school to the site. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Chex mix and apple sauce were served to the children while Chex mix and yogurt were listed on the menu for today. 10A NCAC 09 .0901(b) 1043 All staff records, except financial records, were not made available for review. During staff file review, Emergency Information form, Medical statement, TB screening, Recognizing and Responding to Suspicions of Child Maltreatment training certificate for A. Carlson were not available for review. The administrator stated that some of the documents were accidentally deleted. G.S. 110-91( 9) Technical assistance was provided as follows: 528: Substitution items When items not listed on the menu is served, the substitution items must be listed prior to serving the children. Refer to 10A NCAC 09 .0901(b). 1043: available records All records must be available for review. During file review, the record for A. Carlson, including but not limited to medical statement, TB screening, emergency information, Recognizing and Responding to Suspicions of Child Maltreatment training certificate, and BSAC certificate. Refer to G.S. 110-91(9). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by te due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Record: Please submit the following documentation to me: • Emergency Information form • Medical statement • TB screening • Recognizing and Responding to Suspicions of Child Maltreatment training certificate • BSAC certificate Supervision on the playground: The large playground was used during the visit. Even though two (2) staff members were positioned to supervise most of the areas, I strongly recommend closing the gate to the playground. Several children sat on the bench by the gate and ate snacks. There is a road right next to the gate, and a group leader back was against them sometimes. For the safety of the children, use all available tools to maximize the safety protocol. Per license permit, you are exempt from rules for a safe environment outdoors. However, supervision rules still apply. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 5/14/2025 Number Present: 52 Completed Date: 5/14/2025 Age: From 5 To 11 Total Minutes: 180 Time In: 02:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Aeriel Carlson, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Delaney Burke, Senior Director of Operations. Ms. Carlson was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety (90) percent as of today prior to this visit. Permit type – Five-star center license issued on 6/16/21. Special Services/Restrictions – daytime care, school-age only, meets enhanced space and reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 12/4/24. The last fire drill was practiced on 4/29/25. The last shelter-in-place drill was practiced on 3/11/25. The last fire inspection was approved on 9/25/24. The last sanitation inspection was conducted on 4/24/25 with four (4) demerits for a superior classification. Lead water testing was completed on 7/3/24 without hazards. Lead paint testing was completed and exempted. There is no record on asbestos testing. Upon arrival, I announced my presence and the purpose of the visit. The children gathered in the gym. Each group was separated into three (3) sections. Once all the children were gathered, the children in group #1 transitioned to the playground. Twenty-one (21) children and two (2) staff members stopped at the bathroom and washed their hands. The group went to the large playground on the school property. Snacks were offered on the playground. Apple sauce and Chex mix were served. The children played with swings, rope climbers, Gava pit, a slide and other equipment. Nineteen (19) children in group #2 remained in the gym and had discussions. Twelve (12) children in group #3 also remained in the gym and worked on individual activities, such as reading and homework. The doors to the kitchen areas were locked and no hazardous products were accessible to the children. The playgrounds were monitored, and no safety hazards were found. A total of seven (7) medications are maintained. Three (3) emergency medications, one (1) non-emergency prescription medication, and three (3) over-the-counter medications were maintained among three (3) groups. The program coordinator and group leaders store the medication in the backpack and combination locks are installed on the zipper tabs. All medications have medication authorization forms. None of the medications had been administered based on the record. Two (2) action plans were not maintained with the medications but provided for review during the visit. Ms. Burke met with me via TEAMS and reviewed the staff files with me. Three (3) existing staff members’ files were reviewed for criminal background letters, First Aid/CPR and BSAC certificates. They have current letters and certificates. One (1) new staff member’s file was monitored in full. Per Ms. Burke, many of documents for this staff member were deleted accidentally. I was able to review the application, review of operational and personnel policy, First Aid/CPR certificate and criminal background letter for this staff member. Per interview with the staff member, he/she remembers completing medical exam, TB screening, Recognizing and Responding to Suspicions of Maltreatment training, and BSAC training. The ABCMS system was reviewed during the visit for all staff members. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA vehicles were inspected on 6/4/24. Two (2) children uses the bus from their middle school to the site. The following violations were cited during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. Chex mix and apple sauce were served to the children while Chex mix and yogurt were listed on the menu for today. 10A NCAC 09 .0901(b) 1043 All staff records, except financial records, were not made available for review. During staff file review, Emergency Information form, Medical statement, TB screening, Recognizing and Responding to Suspicions of Child Maltreatment training certificate for A. Carlson were not available for review. The administrator stated that some of the documents were accidentally deleted. G.S. 110-91( 9) Technical assistance was provided as follows: 528: Substitution items When items not listed on the menu is served, the substitution items must be listed prior to serving the children. Refer to 10A NCAC 09 .0901(b). 1043: available records All records must be available for review. During file review, the record for A. Carlson, including but not limited to medical statement, TB screening, emergency information, Recognizing and Responding to Suspicions of Child Maltreatment training certificate, and BSAC certificate. Refer to G.S. 110-91(9). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/28/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by te due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Record: Please submit the following documentation to me: • Emergency Information form • Medical statement • TB screening • Recognizing and Responding to Suspicions of Child Maltreatment training certificate • BSAC certificate Supervision on the playground: The large playground was used during the visit. Even though two (2) staff members were positioned to supervise most of the areas, I strongly recommend closing the gate to the playground. Several children sat on the bench by the gate and ate snacks. There is a road right next to the gate, and a group leader back was against them sometimes. For the safety of the children, use all available tools to maximize the safety protocol. Per license permit, you are exempt from rules for a safe environment outdoors. However, supervision rules still apply. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/4/2024 Number Present: 44 Completed Date: 12/4/2024 Age: From 5 To 10 Total Minutes: 154 Time In: 02:16 PM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Ashley Clayton-Penland, Program Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Ms. Clayton-Penland was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 12/2/24. Permit type – Five-star center license issued on 6/16/21 Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meet reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/1/24. The last fire drill was practiced on 10/19/24. The last lockdown drill was practiced on 9/4/24. The last fire inspection was approved on 9/25/24. The last sanitation inspection was conducted on 4/19/24 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. I met with Ms. Burke via TEAMS to review two (2) new staff files, one (1) existing staff file and seven (7) children’s files. Upon observation, there is one (1) staff member who was not listed on the Staff and Training Worksheet. Therefore, additional information on the Staff and Training Worksheet was requested during the visit. The children gathered in the gym. Group #1 stayed in the gym, and the children engaged in various activities, including completing homework, playing with balls, jump ropes, magnetic tiles and other materials. The children in group #2 and #3 transitioned to the cafeteria and had snack. Today, the children had apple sauce and Cheez-It crackers. After snack, the children played with materials, such as coloring page, connecting sticks, games and other materials. Playground was inspected. No safety hazards were observed. Interaction and supervision were adequate. There were four (4) emergency medications and one (1) over-the-counter medication being maintained at this facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA transportations were monitored on June 4, 2024. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill recorded was 10/19/24. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A box of Benadryl Allergy tablets were maintained with an epi-pen in the fanny pack. The medication belongs to a child in Group #3. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The epi-pen for a child in Group#1 were not in its original box. The medication did not have any information that identifies whom it belongs rather than the Action plan and the medication authorization form. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The epi-pen for a child in Group #1 expired in November 2024 and the epi-pen for a child in Group#3 expired in September 2023. .0803(12) Technical assistance was provided as follows: 805: Fire Drill: If there is one (1) or more operating day each month, the program is required to conduct a fire drill. Please discuss this requirement with your staff members. Please refer to 10A NCAC 09 .0604(t). 841: storage of medication Per 15A NCAC 18A .2820(d), over-the-counter medication shall be stored in a locked storage. Benadryl is not considered an emergency medication; therefore, it must be stored in a locked storage. I suggest a padlock for the zipper for the fanny pack. 844: Medication in original box All medications must come in its original box, per 10A NCAC 09 .0803(2)(a). If original box is no longer available, please ask the pharmacy to print a label stating the name of the child and guidance on how to administer medications and store them with the medication. 849: expired medication Expired medications must be return to the parents or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the parent and ask for a new one. Please refer to 10A NCAC 09 .0803(12). Additional technical assistance was provided as follows: Due the effects of Tropical Storm Helene, additional time is permitted to meet the requirements listed below: Substitution items on the menu: When substitution items are offered, the items shall be written on the menu prior to serving children. Due to set menu at this program, I suggest you put clear cover over the menu and write over the menu with dry eraser pen to record the changes. Take pictures of the menu for your records. Please discuss this requirements with your staff members. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/18/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place or lockdown drill: Please conduct a shelter-in-place or lockdown drill this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/4/2024 Number Present: 44 Completed Date: 12/4/2024 Age: From 5 To 10 Total Minutes: 154 Time In: 02:16 PM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Ashley Clayton-Penland, Program Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Ms. Clayton-Penland was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 12/2/24. Permit type – Five-star center license issued on 6/16/21 Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meet reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/1/24. The last fire drill was practiced on 10/19/24. The last lockdown drill was practiced on 9/4/24. The last fire inspection was approved on 9/25/24. The last sanitation inspection was conducted on 4/19/24 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. I met with Ms. Burke via TEAMS to review two (2) new staff files, one (1) existing staff file and seven (7) children’s files. Upon observation, there is one (1) staff member who was not listed on the Staff and Training Worksheet. Therefore, additional information on the Staff and Training Worksheet was requested during the visit. The children gathered in the gym. Group #1 stayed in the gym, and the children engaged in various activities, including completing homework, playing with balls, jump ropes, magnetic tiles and other materials. The children in group #2 and #3 transitioned to the cafeteria and had snack. Today, the children had apple sauce and Cheez-It crackers. After snack, the children played with materials, such as coloring page, connecting sticks, games and other materials. Playground was inspected. No safety hazards were observed. Interaction and supervision were adequate. There were four (4) emergency medications and one (1) over-the-counter medication being maintained at this facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA transportations were monitored on June 4, 2024. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill recorded was 10/19/24. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A box of Benadryl Allergy tablets were maintained with an epi-pen in the fanny pack. The medication belongs to a child in Group #3. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The epi-pen for a child in Group#1 were not in its original box. The medication did not have any information that identifies whom it belongs rather than the Action plan and the medication authorization form. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The epi-pen for a child in Group #1 expired in November 2024 and the epi-pen for a child in Group#3 expired in September 2023. .0803(12) Technical assistance was provided as follows: 805: Fire Drill: If there is one (1) or more operating day each month, the program is required to conduct a fire drill. Please discuss this requirement with your staff members. Please refer to 10A NCAC 09 .0604(t). 841: storage of medication Per 15A NCAC 18A .2820(d), over-the-counter medication shall be stored in a locked storage. Benadryl is not considered an emergency medication; therefore, it must be stored in a locked storage. I suggest a padlock for the zipper for the fanny pack. 844: Medication in original box All medications must come in its original box, per 10A NCAC 09 .0803(2)(a). If original box is no longer available, please ask the pharmacy to print a label stating the name of the child and guidance on how to administer medications and store them with the medication. 849: expired medication Expired medications must be return to the parents or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the parent and ask for a new one. Please refer to 10A NCAC 09 .0803(12). Additional technical assistance was provided as follows: Due the effects of Tropical Storm Helene, additional time is permitted to meet the requirements listed below: Substitution items on the menu: When substitution items are offered, the items shall be written on the menu prior to serving children. Due to set menu at this program, I suggest you put clear cover over the menu and write over the menu with dry eraser pen to record the changes. Take pictures of the menu for your records. Please discuss this requirements with your staff members. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/18/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place or lockdown drill: Please conduct a shelter-in-place or lockdown drill this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/4/2024 Number Present: 44 Completed Date: 12/4/2024 Age: From 5 To 10 Total Minutes: 154 Time In: 02:16 PM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Ashley Clayton-Penland, Program Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Ms. Clayton-Penland was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 12/2/24. Permit type – Five-star center license issued on 6/16/21 Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meet reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/1/24. The last fire drill was practiced on 10/19/24. The last lockdown drill was practiced on 9/4/24. The last fire inspection was approved on 9/25/24. The last sanitation inspection was conducted on 4/19/24 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. I met with Ms. Burke via TEAMS to review two (2) new staff files, one (1) existing staff file and seven (7) children’s files. Upon observation, there is one (1) staff member who was not listed on the Staff and Training Worksheet. Therefore, additional information on the Staff and Training Worksheet was requested during the visit. The children gathered in the gym. Group #1 stayed in the gym, and the children engaged in various activities, including completing homework, playing with balls, jump ropes, magnetic tiles and other materials. The children in group #2 and #3 transitioned to the cafeteria and had snack. Today, the children had apple sauce and Cheez-It crackers. After snack, the children played with materials, such as coloring page, connecting sticks, games and other materials. Playground was inspected. No safety hazards were observed. Interaction and supervision were adequate. There were four (4) emergency medications and one (1) over-the-counter medication being maintained at this facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA transportations were monitored on June 4, 2024. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill recorded was 10/19/24. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A box of Benadryl Allergy tablets were maintained with an epi-pen in the fanny pack. The medication belongs to a child in Group #3. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The epi-pen for a child in Group#1 were not in its original box. The medication did not have any information that identifies whom it belongs rather than the Action plan and the medication authorization form. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The epi-pen for a child in Group #1 expired in November 2024 and the epi-pen for a child in Group#3 expired in September 2023. .0803(12) Technical assistance was provided as follows: 805: Fire Drill: If there is one (1) or more operating day each month, the program is required to conduct a fire drill. Please discuss this requirement with your staff members. Please refer to 10A NCAC 09 .0604(t). 841: storage of medication Per 15A NCAC 18A .2820(d), over-the-counter medication shall be stored in a locked storage. Benadryl is not considered an emergency medication; therefore, it must be stored in a locked storage. I suggest a padlock for the zipper for the fanny pack. 844: Medication in original box All medications must come in its original box, per 10A NCAC 09 .0803(2)(a). If original box is no longer available, please ask the pharmacy to print a label stating the name of the child and guidance on how to administer medications and store them with the medication. 849: expired medication Expired medications must be return to the parents or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the parent and ask for a new one. Please refer to 10A NCAC 09 .0803(12). Additional technical assistance was provided as follows: Due the effects of Tropical Storm Helene, additional time is permitted to meet the requirements listed below: Substitution items on the menu: When substitution items are offered, the items shall be written on the menu prior to serving children. Due to set menu at this program, I suggest you put clear cover over the menu and write over the menu with dry eraser pen to record the changes. Take pictures of the menu for your records. Please discuss this requirements with your staff members. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/18/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place or lockdown drill: Please conduct a shelter-in-place or lockdown drill this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/4/2024 Number Present: 44 Completed Date: 12/4/2024 Age: From 5 To 10 Total Minutes: 154 Time In: 02:16 PM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Ashley Clayton-Penland, Program Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Ms. Clayton-Penland was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 12/2/24. Permit type – Five-star center license issued on 6/16/21 Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meet reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/1/24. The last fire drill was practiced on 10/19/24. The last lockdown drill was practiced on 9/4/24. The last fire inspection was approved on 9/25/24. The last sanitation inspection was conducted on 4/19/24 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. I met with Ms. Burke via TEAMS to review two (2) new staff files, one (1) existing staff file and seven (7) children’s files. Upon observation, there is one (1) staff member who was not listed on the Staff and Training Worksheet. Therefore, additional information on the Staff and Training Worksheet was requested during the visit. The children gathered in the gym. Group #1 stayed in the gym, and the children engaged in various activities, including completing homework, playing with balls, jump ropes, magnetic tiles and other materials. The children in group #2 and #3 transitioned to the cafeteria and had snack. Today, the children had apple sauce and Cheez-It crackers. After snack, the children played with materials, such as coloring page, connecting sticks, games and other materials. Playground was inspected. No safety hazards were observed. Interaction and supervision were adequate. There were four (4) emergency medications and one (1) over-the-counter medication being maintained at this facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA transportations were monitored on June 4, 2024. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill recorded was 10/19/24. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A box of Benadryl Allergy tablets were maintained with an epi-pen in the fanny pack. The medication belongs to a child in Group #3. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The epi-pen for a child in Group#1 were not in its original box. The medication did not have any information that identifies whom it belongs rather than the Action plan and the medication authorization form. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The epi-pen for a child in Group #1 expired in November 2024 and the epi-pen for a child in Group#3 expired in September 2023. .0803(12) Technical assistance was provided as follows: 805: Fire Drill: If there is one (1) or more operating day each month, the program is required to conduct a fire drill. Please discuss this requirement with your staff members. Please refer to 10A NCAC 09 .0604(t). 841: storage of medication Per 15A NCAC 18A .2820(d), over-the-counter medication shall be stored in a locked storage. Benadryl is not considered an emergency medication; therefore, it must be stored in a locked storage. I suggest a padlock for the zipper for the fanny pack. 844: Medication in original box All medications must come in its original box, per 10A NCAC 09 .0803(2)(a). If original box is no longer available, please ask the pharmacy to print a label stating the name of the child and guidance on how to administer medications and store them with the medication. 849: expired medication Expired medications must be return to the parents or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the parent and ask for a new one. Please refer to 10A NCAC 09 .0803(12). Additional technical assistance was provided as follows: Due the effects of Tropical Storm Helene, additional time is permitted to meet the requirements listed below: Substitution items on the menu: When substitution items are offered, the items shall be written on the menu prior to serving children. Due to set menu at this program, I suggest you put clear cover over the menu and write over the menu with dry eraser pen to record the changes. Take pictures of the menu for your records. Please discuss this requirements with your staff members. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/18/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place or lockdown drill: Please conduct a shelter-in-place or lockdown drill this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/4/2024 Number Present: 44 Completed Date: 12/4/2024 Age: From 5 To 10 Total Minutes: 154 Time In: 02:16 PM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Ashley Clayton-Penland, Program Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Ms. Clayton-Penland was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 12/2/24. Permit type – Five-star center license issued on 6/16/21 Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meet reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/1/24. The last fire drill was practiced on 10/19/24. The last lockdown drill was practiced on 9/4/24. The last fire inspection was approved on 9/25/24. The last sanitation inspection was conducted on 4/19/24 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. I met with Ms. Burke via TEAMS to review two (2) new staff files, one (1) existing staff file and seven (7) children’s files. Upon observation, there is one (1) staff member who was not listed on the Staff and Training Worksheet. Therefore, additional information on the Staff and Training Worksheet was requested during the visit. The children gathered in the gym. Group #1 stayed in the gym, and the children engaged in various activities, including completing homework, playing with balls, jump ropes, magnetic tiles and other materials. The children in group #2 and #3 transitioned to the cafeteria and had snack. Today, the children had apple sauce and Cheez-It crackers. After snack, the children played with materials, such as coloring page, connecting sticks, games and other materials. Playground was inspected. No safety hazards were observed. Interaction and supervision were adequate. There were four (4) emergency medications and one (1) over-the-counter medication being maintained at this facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA transportations were monitored on June 4, 2024. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill recorded was 10/19/24. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A box of Benadryl Allergy tablets were maintained with an epi-pen in the fanny pack. The medication belongs to a child in Group #3. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The epi-pen for a child in Group#1 were not in its original box. The medication did not have any information that identifies whom it belongs rather than the Action plan and the medication authorization form. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The epi-pen for a child in Group #1 expired in November 2024 and the epi-pen for a child in Group#3 expired in September 2023. .0803(12) Technical assistance was provided as follows: 805: Fire Drill: If there is one (1) or more operating day each month, the program is required to conduct a fire drill. Please discuss this requirement with your staff members. Please refer to 10A NCAC 09 .0604(t). 841: storage of medication Per 15A NCAC 18A .2820(d), over-the-counter medication shall be stored in a locked storage. Benadryl is not considered an emergency medication; therefore, it must be stored in a locked storage. I suggest a padlock for the zipper for the fanny pack. 844: Medication in original box All medications must come in its original box, per 10A NCAC 09 .0803(2)(a). If original box is no longer available, please ask the pharmacy to print a label stating the name of the child and guidance on how to administer medications and store them with the medication. 849: expired medication Expired medications must be return to the parents or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the parent and ask for a new one. Please refer to 10A NCAC 09 .0803(12). Additional technical assistance was provided as follows: Due the effects of Tropical Storm Helene, additional time is permitted to meet the requirements listed below: Substitution items on the menu: When substitution items are offered, the items shall be written on the menu prior to serving children. Due to set menu at this program, I suggest you put clear cover over the menu and write over the menu with dry eraser pen to record the changes. Take pictures of the menu for your records. Please discuss this requirements with your staff members. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/18/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place or lockdown drill: Please conduct a shelter-in-place or lockdown drill this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/4/2024 Number Present: 44 Completed Date: 12/4/2024 Age: From 5 To 10 Total Minutes: 154 Time In: 02:16 PM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Ashley Clayton-Penland, Program Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Ms. Clayton-Penland was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 12/2/24. Permit type – Five-star center license issued on 6/16/21 Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meet reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/1/24. The last fire drill was practiced on 10/19/24. The last lockdown drill was practiced on 9/4/24. The last fire inspection was approved on 9/25/24. The last sanitation inspection was conducted on 4/19/24 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. I met with Ms. Burke via TEAMS to review two (2) new staff files, one (1) existing staff file and seven (7) children’s files. Upon observation, there is one (1) staff member who was not listed on the Staff and Training Worksheet. Therefore, additional information on the Staff and Training Worksheet was requested during the visit. The children gathered in the gym. Group #1 stayed in the gym, and the children engaged in various activities, including completing homework, playing with balls, jump ropes, magnetic tiles and other materials. The children in group #2 and #3 transitioned to the cafeteria and had snack. Today, the children had apple sauce and Cheez-It crackers. After snack, the children played with materials, such as coloring page, connecting sticks, games and other materials. Playground was inspected. No safety hazards were observed. Interaction and supervision were adequate. There were four (4) emergency medications and one (1) over-the-counter medication being maintained at this facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA transportations were monitored on June 4, 2024. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill recorded was 10/19/24. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A box of Benadryl Allergy tablets were maintained with an epi-pen in the fanny pack. The medication belongs to a child in Group #3. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The epi-pen for a child in Group#1 were not in its original box. The medication did not have any information that identifies whom it belongs rather than the Action plan and the medication authorization form. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The epi-pen for a child in Group #1 expired in November 2024 and the epi-pen for a child in Group#3 expired in September 2023. .0803(12) Technical assistance was provided as follows: 805: Fire Drill: If there is one (1) or more operating day each month, the program is required to conduct a fire drill. Please discuss this requirement with your staff members. Please refer to 10A NCAC 09 .0604(t). 841: storage of medication Per 15A NCAC 18A .2820(d), over-the-counter medication shall be stored in a locked storage. Benadryl is not considered an emergency medication; therefore, it must be stored in a locked storage. I suggest a padlock for the zipper for the fanny pack. 844: Medication in original box All medications must come in its original box, per 10A NCAC 09 .0803(2)(a). If original box is no longer available, please ask the pharmacy to print a label stating the name of the child and guidance on how to administer medications and store them with the medication. 849: expired medication Expired medications must be return to the parents or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the parent and ask for a new one. Please refer to 10A NCAC 09 .0803(12). Additional technical assistance was provided as follows: Due the effects of Tropical Storm Helene, additional time is permitted to meet the requirements listed below: Substitution items on the menu: When substitution items are offered, the items shall be written on the menu prior to serving children. Due to set menu at this program, I suggest you put clear cover over the menu and write over the menu with dry eraser pen to record the changes. Take pictures of the menu for your records. Please discuss this requirements with your staff members. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/18/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place or lockdown drill: Please conduct a shelter-in-place or lockdown drill this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 12/4/2024 Number Present: 44 Completed Date: 12/4/2024 Age: From 5 To 10 Total Minutes: 154 Time In: 02:16 PM Time Out: 04:50 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Ashley Clayton-Penland, Program Coordinator, during the visit. A signed copy of the visit summary was electronically emailed to Delaney Burke, Senior Operations Director. Ms. Clayton-Penland was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 12/2/24. Permit type – Five-star center license issued on 6/16/21 Special Services/Restrictions – daytime care, school-age only, meets enhanced space, meet reduced ratios. Playground does not meet child care safety standards. Children are prohibited from being in the kitchen for any purpose. The last annual compliance visit was conducted on 2/1/24. The last fire drill was practiced on 10/19/24. The last lockdown drill was practiced on 9/4/24. The last fire inspection was approved on 9/25/24. The last sanitation inspection was conducted on 4/19/24 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I announced my presence and the purpose of the visit. I met with Ms. Burke via TEAMS to review two (2) new staff files, one (1) existing staff file and seven (7) children’s files. Upon observation, there is one (1) staff member who was not listed on the Staff and Training Worksheet. Therefore, additional information on the Staff and Training Worksheet was requested during the visit. The children gathered in the gym. Group #1 stayed in the gym, and the children engaged in various activities, including completing homework, playing with balls, jump ropes, magnetic tiles and other materials. The children in group #2 and #3 transitioned to the cafeteria and had snack. Today, the children had apple sauce and Cheez-It crackers. After snack, the children played with materials, such as coloring page, connecting sticks, games and other materials. Playground was inspected. No safety hazards were observed. Interaction and supervision were adequate. There were four (4) emergency medications and one (1) over-the-counter medication being maintained at this facility. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does provide transportation. YMCA transportations were monitored on June 4, 2024. The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill recorded was 10/19/24. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. A box of Benadryl Allergy tablets were maintained with an epi-pen in the fanny pack. The medication belongs to a child in Group #3. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. The epi-pen for a child in Group#1 were not in its original box. The medication did not have any information that identifies whom it belongs rather than the Action plan and the medication authorization form. .0803(2)(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. The epi-pen for a child in Group #1 expired in November 2024 and the epi-pen for a child in Group#3 expired in September 2023. .0803(12) Technical assistance was provided as follows: 805: Fire Drill: If there is one (1) or more operating day each month, the program is required to conduct a fire drill. Please discuss this requirement with your staff members. Please refer to 10A NCAC 09 .0604(t). 841: storage of medication Per 15A NCAC 18A .2820(d), over-the-counter medication shall be stored in a locked storage. Benadryl is not considered an emergency medication; therefore, it must be stored in a locked storage. I suggest a padlock for the zipper for the fanny pack. 844: Medication in original box All medications must come in its original box, per 10A NCAC 09 .0803(2)(a). If original box is no longer available, please ask the pharmacy to print a label stating the name of the child and guidance on how to administer medications and store them with the medication. 849: expired medication Expired medications must be return to the parents or discarded within seventy-two (72) hours of its expiration date. Please return the medication to the parent and ask for a new one. Please refer to 10A NCAC 09 .0803(12). Additional technical assistance was provided as follows: Due the effects of Tropical Storm Helene, additional time is permitted to meet the requirements listed below: Substitution items on the menu: When substitution items are offered, the items shall be written on the menu prior to serving children. Due to set menu at this program, I suggest you put clear cover over the menu and write over the menu with dry eraser pen to record the changes. Take pictures of the menu for your records. Please discuss this requirements with your staff members. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/18/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins Address: PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Shelter-in-place or lockdown drill: Please conduct a shelter-in-place or lockdown drill this month. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 51 Completed Date: 2/1/2024 Age: From 5 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Sam Applegate, Program Supervisor, during the visit. An electronic signed copy of the visit summary was emailed to you. S. Applegate was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 2/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 2/1/24. Permit type – Five (5) Star license issued 6/16/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meeting reduced ratios, playground does not meet child care safety standards, children are prohibited from being the kitchen for any purpose. The last annual compliance visit was conducted on 2/16/23. The last fire drill was practiced on 1/29/24. The last shelter-in-place drill was practiced on 12/4/23. The last fire inspection was approved on 9/25/23. The last sanitation inspection was conducted on 4/13/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 11/27/23. The program does not provide transportation. Upon arrival I was greeted by Claribel Garcia, Program Coordinator. Children arrived to the gym with teachers from the elementary school and were reminded to wait to enter the gym until staff from the licensed program came to greet them. Upon arrival, children placed their backpacks in assigned laundry baskets and divided into three (3) groups. In group 1, children sat in a circle and passed around a stuffed animal to take turns speaking to the group. Group 1 then transitioned to outdoor play. Once outside, children in group ran to chase each other, climbed on a rope climber and pushed each other on swings. In group 2, children also sat in a circle and, with the guidance of the group leader, practiced taking turns sharing news with one another. Group 2 then transitioned to use the restrooms collectively and transitioned to outdoor play. In group 3, children checked in with the group leader and then engaged in freeplay. Children played basket ball and wiffle ball games in the gym. Group 3 then transitioned to the restrooms and then to the cafeteria for snack. Snack today consisted of Cheezits and mandarin oranges. Interactions were positive and encouraging, children were redirected as needed. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One (1) prescription medication, rizatriptan, was stored in an unlocked compartment of a fanny pack. 15A NCAC 18A .2820(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was conducted 12/4/23. Prior to that, the last shelter-in-place drill was conducted 8/30/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #841 The prescription medication rizatriptan must be kept in locked storage. You can carry the medication with you by using a combination or key lock on the zippers of the fanny pack or backpack. Alternative, you can keep a separate locked bag in the backpack or keep the medication in locked storage in another location. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #1811 The last lockdown drill was conducted on 12/4/23. Prior to that, the last shelter-in-place drill was conducted on 8/30/23. In your letter of compliance, include a statement that indicates how you will prevent this from occurring in the future. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/15/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to review the importance of reporting to a Group Leader before a child leaves the group to go to the restroom in the hallway. As a reminder, only children nine years of age and older do not need to be directly supervised to use the restroom. Children under nine years of age must be seen or heard to be adequately supervised. Please see the rule reference below regarding supervision of school ages children: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; The authorization to administer the prescription medication rizatriptan must be updated by 3/9/24, the expiration date of the prescription. Currently the parent has signed the authorization form effective 4/22/23-8/30/24. Plan to obtain an update authorization form for this medication by 3/9/24. Please see the medication administration rule below: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (3) A parent's written authorization for the administration of a prescription medication described in Item (2) of this Rule shall be valid for the length of time the medication is prescribed to be taken. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year will be 7/1/24-6/30/25. Your Reassessment year will be 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 51 Completed Date: 2/1/2024 Age: From 5 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Sam Applegate, Program Supervisor, during the visit. An electronic signed copy of the visit summary was emailed to you. S. Applegate was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 2/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 2/1/24. Permit type – Five (5) Star license issued 6/16/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meeting reduced ratios, playground does not meet child care safety standards, children are prohibited from being the kitchen for any purpose. The last annual compliance visit was conducted on 2/16/23. The last fire drill was practiced on 1/29/24. The last shelter-in-place drill was practiced on 12/4/23. The last fire inspection was approved on 9/25/23. The last sanitation inspection was conducted on 4/13/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 11/27/23. The program does not provide transportation. Upon arrival I was greeted by Claribel Garcia, Program Coordinator. Children arrived to the gym with teachers from the elementary school and were reminded to wait to enter the gym until staff from the licensed program came to greet them. Upon arrival, children placed their backpacks in assigned laundry baskets and divided into three (3) groups. In group 1, children sat in a circle and passed around a stuffed animal to take turns speaking to the group. Group 1 then transitioned to outdoor play. Once outside, children in group ran to chase each other, climbed on a rope climber and pushed each other on swings. In group 2, children also sat in a circle and, with the guidance of the group leader, practiced taking turns sharing news with one another. Group 2 then transitioned to use the restrooms collectively and transitioned to outdoor play. In group 3, children checked in with the group leader and then engaged in freeplay. Children played basket ball and wiffle ball games in the gym. Group 3 then transitioned to the restrooms and then to the cafeteria for snack. Snack today consisted of Cheezits and mandarin oranges. Interactions were positive and encouraging, children were redirected as needed. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One (1) prescription medication, rizatriptan, was stored in an unlocked compartment of a fanny pack. 15A NCAC 18A .2820(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was conducted 12/4/23. Prior to that, the last shelter-in-place drill was conducted 8/30/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #841 The prescription medication rizatriptan must be kept in locked storage. You can carry the medication with you by using a combination or key lock on the zippers of the fanny pack or backpack. Alternative, you can keep a separate locked bag in the backpack or keep the medication in locked storage in another location. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #1811 The last lockdown drill was conducted on 12/4/23. Prior to that, the last shelter-in-place drill was conducted on 8/30/23. In your letter of compliance, include a statement that indicates how you will prevent this from occurring in the future. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/15/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to review the importance of reporting to a Group Leader before a child leaves the group to go to the restroom in the hallway. As a reminder, only children nine years of age and older do not need to be directly supervised to use the restroom. Children under nine years of age must be seen or heard to be adequately supervised. Please see the rule reference below regarding supervision of school ages children: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; The authorization to administer the prescription medication rizatriptan must be updated by 3/9/24, the expiration date of the prescription. Currently the parent has signed the authorization form effective 4/22/23-8/30/24. Plan to obtain an update authorization form for this medication by 3/9/24. Please see the medication administration rule below: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (3) A parent's written authorization for the administration of a prescription medication described in Item (2) of this Rule shall be valid for the length of time the medication is prescribed to be taken. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year will be 7/1/24-6/30/25. Your Reassessment year will be 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 51 Completed Date: 2/1/2024 Age: From 5 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Sam Applegate, Program Supervisor, during the visit. An electronic signed copy of the visit summary was emailed to you. S. Applegate was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 2/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 2/1/24. Permit type – Five (5) Star license issued 6/16/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meeting reduced ratios, playground does not meet child care safety standards, children are prohibited from being the kitchen for any purpose. The last annual compliance visit was conducted on 2/16/23. The last fire drill was practiced on 1/29/24. The last shelter-in-place drill was practiced on 12/4/23. The last fire inspection was approved on 9/25/23. The last sanitation inspection was conducted on 4/13/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 11/27/23. The program does not provide transportation. Upon arrival I was greeted by Claribel Garcia, Program Coordinator. Children arrived to the gym with teachers from the elementary school and were reminded to wait to enter the gym until staff from the licensed program came to greet them. Upon arrival, children placed their backpacks in assigned laundry baskets and divided into three (3) groups. In group 1, children sat in a circle and passed around a stuffed animal to take turns speaking to the group. Group 1 then transitioned to outdoor play. Once outside, children in group ran to chase each other, climbed on a rope climber and pushed each other on swings. In group 2, children also sat in a circle and, with the guidance of the group leader, practiced taking turns sharing news with one another. Group 2 then transitioned to use the restrooms collectively and transitioned to outdoor play. In group 3, children checked in with the group leader and then engaged in freeplay. Children played basket ball and wiffle ball games in the gym. Group 3 then transitioned to the restrooms and then to the cafeteria for snack. Snack today consisted of Cheezits and mandarin oranges. Interactions were positive and encouraging, children were redirected as needed. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One (1) prescription medication, rizatriptan, was stored in an unlocked compartment of a fanny pack. 15A NCAC 18A .2820(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was conducted 12/4/23. Prior to that, the last shelter-in-place drill was conducted 8/30/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #841 The prescription medication rizatriptan must be kept in locked storage. You can carry the medication with you by using a combination or key lock on the zippers of the fanny pack or backpack. Alternative, you can keep a separate locked bag in the backpack or keep the medication in locked storage in another location. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #1811 The last lockdown drill was conducted on 12/4/23. Prior to that, the last shelter-in-place drill was conducted on 8/30/23. In your letter of compliance, include a statement that indicates how you will prevent this from occurring in the future. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/15/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to review the importance of reporting to a Group Leader before a child leaves the group to go to the restroom in the hallway. As a reminder, only children nine years of age and older do not need to be directly supervised to use the restroom. Children under nine years of age must be seen or heard to be adequately supervised. Please see the rule reference below regarding supervision of school ages children: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; The authorization to administer the prescription medication rizatriptan must be updated by 3/9/24, the expiration date of the prescription. Currently the parent has signed the authorization form effective 4/22/23-8/30/24. Plan to obtain an update authorization form for this medication by 3/9/24. Please see the medication administration rule below: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (3) A parent's written authorization for the administration of a prescription medication described in Item (2) of this Rule shall be valid for the length of time the medication is prescribed to be taken. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year will be 7/1/24-6/30/25. Your Reassessment year will be 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 51 Completed Date: 2/1/2024 Age: From 5 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Sam Applegate, Program Supervisor, during the visit. An electronic signed copy of the visit summary was emailed to you. S. Applegate was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 2/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 2/1/24. Permit type – Five (5) Star license issued 6/16/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meeting reduced ratios, playground does not meet child care safety standards, children are prohibited from being the kitchen for any purpose. The last annual compliance visit was conducted on 2/16/23. The last fire drill was practiced on 1/29/24. The last shelter-in-place drill was practiced on 12/4/23. The last fire inspection was approved on 9/25/23. The last sanitation inspection was conducted on 4/13/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 11/27/23. The program does not provide transportation. Upon arrival I was greeted by Claribel Garcia, Program Coordinator. Children arrived to the gym with teachers from the elementary school and were reminded to wait to enter the gym until staff from the licensed program came to greet them. Upon arrival, children placed their backpacks in assigned laundry baskets and divided into three (3) groups. In group 1, children sat in a circle and passed around a stuffed animal to take turns speaking to the group. Group 1 then transitioned to outdoor play. Once outside, children in group ran to chase each other, climbed on a rope climber and pushed each other on swings. In group 2, children also sat in a circle and, with the guidance of the group leader, practiced taking turns sharing news with one another. Group 2 then transitioned to use the restrooms collectively and transitioned to outdoor play. In group 3, children checked in with the group leader and then engaged in freeplay. Children played basket ball and wiffle ball games in the gym. Group 3 then transitioned to the restrooms and then to the cafeteria for snack. Snack today consisted of Cheezits and mandarin oranges. Interactions were positive and encouraging, children were redirected as needed. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One (1) prescription medication, rizatriptan, was stored in an unlocked compartment of a fanny pack. 15A NCAC 18A .2820(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was conducted 12/4/23. Prior to that, the last shelter-in-place drill was conducted 8/30/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #841 The prescription medication rizatriptan must be kept in locked storage. You can carry the medication with you by using a combination or key lock on the zippers of the fanny pack or backpack. Alternative, you can keep a separate locked bag in the backpack or keep the medication in locked storage in another location. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #1811 The last lockdown drill was conducted on 12/4/23. Prior to that, the last shelter-in-place drill was conducted on 8/30/23. In your letter of compliance, include a statement that indicates how you will prevent this from occurring in the future. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/15/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to review the importance of reporting to a Group Leader before a child leaves the group to go to the restroom in the hallway. As a reminder, only children nine years of age and older do not need to be directly supervised to use the restroom. Children under nine years of age must be seen or heard to be adequately supervised. Please see the rule reference below regarding supervision of school ages children: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; The authorization to administer the prescription medication rizatriptan must be updated by 3/9/24, the expiration date of the prescription. Currently the parent has signed the authorization form effective 4/22/23-8/30/24. Plan to obtain an update authorization form for this medication by 3/9/24. Please see the medication administration rule below: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (3) A parent's written authorization for the administration of a prescription medication described in Item (2) of this Rule shall be valid for the length of time the medication is prescribed to be taken. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year will be 7/1/24-6/30/25. Your Reassessment year will be 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 51 Completed Date: 2/1/2024 Age: From 5 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Sam Applegate, Program Supervisor, during the visit. An electronic signed copy of the visit summary was emailed to you. S. Applegate was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 2/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 2/1/24. Permit type – Five (5) Star license issued 6/16/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meeting reduced ratios, playground does not meet child care safety standards, children are prohibited from being the kitchen for any purpose. The last annual compliance visit was conducted on 2/16/23. The last fire drill was practiced on 1/29/24. The last shelter-in-place drill was practiced on 12/4/23. The last fire inspection was approved on 9/25/23. The last sanitation inspection was conducted on 4/13/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 11/27/23. The program does not provide transportation. Upon arrival I was greeted by Claribel Garcia, Program Coordinator. Children arrived to the gym with teachers from the elementary school and were reminded to wait to enter the gym until staff from the licensed program came to greet them. Upon arrival, children placed their backpacks in assigned laundry baskets and divided into three (3) groups. In group 1, children sat in a circle and passed around a stuffed animal to take turns speaking to the group. Group 1 then transitioned to outdoor play. Once outside, children in group ran to chase each other, climbed on a rope climber and pushed each other on swings. In group 2, children also sat in a circle and, with the guidance of the group leader, practiced taking turns sharing news with one another. Group 2 then transitioned to use the restrooms collectively and transitioned to outdoor play. In group 3, children checked in with the group leader and then engaged in freeplay. Children played basket ball and wiffle ball games in the gym. Group 3 then transitioned to the restrooms and then to the cafeteria for snack. Snack today consisted of Cheezits and mandarin oranges. Interactions were positive and encouraging, children were redirected as needed. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One (1) prescription medication, rizatriptan, was stored in an unlocked compartment of a fanny pack. 15A NCAC 18A .2820(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was conducted 12/4/23. Prior to that, the last shelter-in-place drill was conducted 8/30/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #841 The prescription medication rizatriptan must be kept in locked storage. You can carry the medication with you by using a combination or key lock on the zippers of the fanny pack or backpack. Alternative, you can keep a separate locked bag in the backpack or keep the medication in locked storage in another location. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #1811 The last lockdown drill was conducted on 12/4/23. Prior to that, the last shelter-in-place drill was conducted on 8/30/23. In your letter of compliance, include a statement that indicates how you will prevent this from occurring in the future. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/15/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to review the importance of reporting to a Group Leader before a child leaves the group to go to the restroom in the hallway. As a reminder, only children nine years of age and older do not need to be directly supervised to use the restroom. Children under nine years of age must be seen or heard to be adequately supervised. Please see the rule reference below regarding supervision of school ages children: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; The authorization to administer the prescription medication rizatriptan must be updated by 3/9/24, the expiration date of the prescription. Currently the parent has signed the authorization form effective 4/22/23-8/30/24. Plan to obtain an update authorization form for this medication by 3/9/24. Please see the medication administration rule below: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (3) A parent's written authorization for the administration of a prescription medication described in Item (2) of this Rule shall be valid for the length of time the medication is prescribed to be taken. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year will be 7/1/24-6/30/25. Your Reassessment year will be 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 51 Completed Date: 2/1/2024 Age: From 5 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Sam Applegate, Program Supervisor, during the visit. An electronic signed copy of the visit summary was emailed to you. S. Applegate was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 2/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 2/1/24. Permit type – Five (5) Star license issued 6/16/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meeting reduced ratios, playground does not meet child care safety standards, children are prohibited from being the kitchen for any purpose. The last annual compliance visit was conducted on 2/16/23. The last fire drill was practiced on 1/29/24. The last shelter-in-place drill was practiced on 12/4/23. The last fire inspection was approved on 9/25/23. The last sanitation inspection was conducted on 4/13/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 11/27/23. The program does not provide transportation. Upon arrival I was greeted by Claribel Garcia, Program Coordinator. Children arrived to the gym with teachers from the elementary school and were reminded to wait to enter the gym until staff from the licensed program came to greet them. Upon arrival, children placed their backpacks in assigned laundry baskets and divided into three (3) groups. In group 1, children sat in a circle and passed around a stuffed animal to take turns speaking to the group. Group 1 then transitioned to outdoor play. Once outside, children in group ran to chase each other, climbed on a rope climber and pushed each other on swings. In group 2, children also sat in a circle and, with the guidance of the group leader, practiced taking turns sharing news with one another. Group 2 then transitioned to use the restrooms collectively and transitioned to outdoor play. In group 3, children checked in with the group leader and then engaged in freeplay. Children played basket ball and wiffle ball games in the gym. Group 3 then transitioned to the restrooms and then to the cafeteria for snack. Snack today consisted of Cheezits and mandarin oranges. Interactions were positive and encouraging, children were redirected as needed. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One (1) prescription medication, rizatriptan, was stored in an unlocked compartment of a fanny pack. 15A NCAC 18A .2820(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was conducted 12/4/23. Prior to that, the last shelter-in-place drill was conducted 8/30/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #841 The prescription medication rizatriptan must be kept in locked storage. You can carry the medication with you by using a combination or key lock on the zippers of the fanny pack or backpack. Alternative, you can keep a separate locked bag in the backpack or keep the medication in locked storage in another location. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #1811 The last lockdown drill was conducted on 12/4/23. Prior to that, the last shelter-in-place drill was conducted on 8/30/23. In your letter of compliance, include a statement that indicates how you will prevent this from occurring in the future. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/15/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to review the importance of reporting to a Group Leader before a child leaves the group to go to the restroom in the hallway. As a reminder, only children nine years of age and older do not need to be directly supervised to use the restroom. Children under nine years of age must be seen or heard to be adequately supervised. Please see the rule reference below regarding supervision of school ages children: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; The authorization to administer the prescription medication rizatriptan must be updated by 3/9/24, the expiration date of the prescription. Currently the parent has signed the authorization form effective 4/22/23-8/30/24. Plan to obtain an update authorization form for this medication by 3/9/24. Please see the medication administration rule below: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (3) A parent's written authorization for the administration of a prescription medication described in Item (2) of this Rule shall be valid for the length of time the medication is prescribed to be taken. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year will be 7/1/24-6/30/25. Your Reassessment year will be 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 51 Completed Date: 2/1/2024 Age: From 5 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Sam Applegate, Program Supervisor, during the visit. An electronic signed copy of the visit summary was emailed to you. S. Applegate was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 2/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 2/1/24. Permit type – Five (5) Star license issued 6/16/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meeting reduced ratios, playground does not meet child care safety standards, children are prohibited from being the kitchen for any purpose. The last annual compliance visit was conducted on 2/16/23. The last fire drill was practiced on 1/29/24. The last shelter-in-place drill was practiced on 12/4/23. The last fire inspection was approved on 9/25/23. The last sanitation inspection was conducted on 4/13/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 11/27/23. The program does not provide transportation. Upon arrival I was greeted by Claribel Garcia, Program Coordinator. Children arrived to the gym with teachers from the elementary school and were reminded to wait to enter the gym until staff from the licensed program came to greet them. Upon arrival, children placed their backpacks in assigned laundry baskets and divided into three (3) groups. In group 1, children sat in a circle and passed around a stuffed animal to take turns speaking to the group. Group 1 then transitioned to outdoor play. Once outside, children in group ran to chase each other, climbed on a rope climber and pushed each other on swings. In group 2, children also sat in a circle and, with the guidance of the group leader, practiced taking turns sharing news with one another. Group 2 then transitioned to use the restrooms collectively and transitioned to outdoor play. In group 3, children checked in with the group leader and then engaged in freeplay. Children played basket ball and wiffle ball games in the gym. Group 3 then transitioned to the restrooms and then to the cafeteria for snack. Snack today consisted of Cheezits and mandarin oranges. Interactions were positive and encouraging, children were redirected as needed. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One (1) prescription medication, rizatriptan, was stored in an unlocked compartment of a fanny pack. 15A NCAC 18A .2820(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was conducted 12/4/23. Prior to that, the last shelter-in-place drill was conducted 8/30/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #841 The prescription medication rizatriptan must be kept in locked storage. You can carry the medication with you by using a combination or key lock on the zippers of the fanny pack or backpack. Alternative, you can keep a separate locked bag in the backpack or keep the medication in locked storage in another location. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #1811 The last lockdown drill was conducted on 12/4/23. Prior to that, the last shelter-in-place drill was conducted on 8/30/23. In your letter of compliance, include a statement that indicates how you will prevent this from occurring in the future. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/15/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to review the importance of reporting to a Group Leader before a child leaves the group to go to the restroom in the hallway. As a reminder, only children nine years of age and older do not need to be directly supervised to use the restroom. Children under nine years of age must be seen or heard to be adequately supervised. Please see the rule reference below regarding supervision of school ages children: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; The authorization to administer the prescription medication rizatriptan must be updated by 3/9/24, the expiration date of the prescription. Currently the parent has signed the authorization form effective 4/22/23-8/30/24. Plan to obtain an update authorization form for this medication by 3/9/24. Please see the medication administration rule below: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (3) A parent's written authorization for the administration of a prescription medication described in Item (2) of this Rule shall be valid for the length of time the medication is prescribed to be taken. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year will be 7/1/24-6/30/25. Your Reassessment year will be 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2506 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 51 Completed Date: 2/1/2024 Age: From 5 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Sam Applegate, Program Supervisor, during the visit. An electronic signed copy of the visit summary was emailed to you. S. Applegate was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 2/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 2/1/24. Permit type – Five (5) Star license issued 6/16/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meeting reduced ratios, playground does not meet child care safety standards, children are prohibited from being the kitchen for any purpose. The last annual compliance visit was conducted on 2/16/23. The last fire drill was practiced on 1/29/24. The last shelter-in-place drill was practiced on 12/4/23. The last fire inspection was approved on 9/25/23. The last sanitation inspection was conducted on 4/13/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 11/27/23. The program does not provide transportation. Upon arrival I was greeted by Claribel Garcia, Program Coordinator. Children arrived to the gym with teachers from the elementary school and were reminded to wait to enter the gym until staff from the licensed program came to greet them. Upon arrival, children placed their backpacks in assigned laundry baskets and divided into three (3) groups. In group 1, children sat in a circle and passed around a stuffed animal to take turns speaking to the group. Group 1 then transitioned to outdoor play. Once outside, children in group ran to chase each other, climbed on a rope climber and pushed each other on swings. In group 2, children also sat in a circle and, with the guidance of the group leader, practiced taking turns sharing news with one another. Group 2 then transitioned to use the restrooms collectively and transitioned to outdoor play. In group 3, children checked in with the group leader and then engaged in freeplay. Children played basket ball and wiffle ball games in the gym. Group 3 then transitioned to the restrooms and then to the cafeteria for snack. Snack today consisted of Cheezits and mandarin oranges. Interactions were positive and encouraging, children were redirected as needed. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One (1) prescription medication, rizatriptan, was stored in an unlocked compartment of a fanny pack. 15A NCAC 18A .2820(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was conducted 12/4/23. Prior to that, the last shelter-in-place drill was conducted 8/30/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #841 The prescription medication rizatriptan must be kept in locked storage. You can carry the medication with you by using a combination or key lock on the zippers of the fanny pack or backpack. Alternative, you can keep a separate locked bag in the backpack or keep the medication in locked storage in another location. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #1811 The last lockdown drill was conducted on 12/4/23. Prior to that, the last shelter-in-place drill was conducted on 8/30/23. In your letter of compliance, include a statement that indicates how you will prevent this from occurring in the future. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/15/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to review the importance of reporting to a Group Leader before a child leaves the group to go to the restroom in the hallway. As a reminder, only children nine years of age and older do not need to be directly supervised to use the restroom. Children under nine years of age must be seen or heard to be adequately supervised. Please see the rule reference below regarding supervision of school ages children: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; The authorization to administer the prescription medication rizatriptan must be updated by 3/9/24, the expiration date of the prescription. Currently the parent has signed the authorization form effective 4/22/23-8/30/24. Plan to obtain an update authorization form for this medication by 3/9/24. Please see the medication administration rule below: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (3) A parent's written authorization for the administration of a prescription medication described in Item (2) of this Rule shall be valid for the length of time the medication is prescribed to be taken. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year will be 7/1/24-6/30/25. Your Reassessment year will be 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 51 Completed Date: 2/1/2024 Age: From 5 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Sam Applegate, Program Supervisor, during the visit. An electronic signed copy of the visit summary was emailed to you. S. Applegate was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 2/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 2/1/24. Permit type – Five (5) Star license issued 6/16/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meeting reduced ratios, playground does not meet child care safety standards, children are prohibited from being the kitchen for any purpose. The last annual compliance visit was conducted on 2/16/23. The last fire drill was practiced on 1/29/24. The last shelter-in-place drill was practiced on 12/4/23. The last fire inspection was approved on 9/25/23. The last sanitation inspection was conducted on 4/13/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 11/27/23. The program does not provide transportation. Upon arrival I was greeted by Claribel Garcia, Program Coordinator. Children arrived to the gym with teachers from the elementary school and were reminded to wait to enter the gym until staff from the licensed program came to greet them. Upon arrival, children placed their backpacks in assigned laundry baskets and divided into three (3) groups. In group 1, children sat in a circle and passed around a stuffed animal to take turns speaking to the group. Group 1 then transitioned to outdoor play. Once outside, children in group ran to chase each other, climbed on a rope climber and pushed each other on swings. In group 2, children also sat in a circle and, with the guidance of the group leader, practiced taking turns sharing news with one another. Group 2 then transitioned to use the restrooms collectively and transitioned to outdoor play. In group 3, children checked in with the group leader and then engaged in freeplay. Children played basket ball and wiffle ball games in the gym. Group 3 then transitioned to the restrooms and then to the cafeteria for snack. Snack today consisted of Cheezits and mandarin oranges. Interactions were positive and encouraging, children were redirected as needed. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One (1) prescription medication, rizatriptan, was stored in an unlocked compartment of a fanny pack. 15A NCAC 18A .2820(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was conducted 12/4/23. Prior to that, the last shelter-in-place drill was conducted 8/30/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #841 The prescription medication rizatriptan must be kept in locked storage. You can carry the medication with you by using a combination or key lock on the zippers of the fanny pack or backpack. Alternative, you can keep a separate locked bag in the backpack or keep the medication in locked storage in another location. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #1811 The last lockdown drill was conducted on 12/4/23. Prior to that, the last shelter-in-place drill was conducted on 8/30/23. In your letter of compliance, include a statement that indicates how you will prevent this from occurring in the future. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/15/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to review the importance of reporting to a Group Leader before a child leaves the group to go to the restroom in the hallway. As a reminder, only children nine years of age and older do not need to be directly supervised to use the restroom. Children under nine years of age must be seen or heard to be adequately supervised. Please see the rule reference below regarding supervision of school ages children: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; The authorization to administer the prescription medication rizatriptan must be updated by 3/9/24, the expiration date of the prescription. Currently the parent has signed the authorization form effective 4/22/23-8/30/24. Plan to obtain an update authorization form for this medication by 3/9/24. Please see the medication administration rule below: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (3) A parent's written authorization for the administration of a prescription medication described in Item (2) of this Rule shall be valid for the length of time the medication is prescribed to be taken. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year will be 7/1/24-6/30/25. Your Reassessment year will be 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/1/2024 Number Present: 51 Completed Date: 2/1/2024 Age: From 5 To 11 Total Minutes: 210 Time In: 02:00 PM Time Out: 05:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Sam Applegate, Program Supervisor, during the visit. An electronic signed copy of the visit summary was emailed to you. S. Applegate was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 2/1/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 2/1/24. Permit type – Five (5) Star license issued 6/16/21. Special Services/Restrictions – 1st shift (daytime care), school age only, meets enhanced space, meeting reduced ratios, playground does not meet child care safety standards, children are prohibited from being the kitchen for any purpose. The last annual compliance visit was conducted on 2/16/23. The last fire drill was practiced on 1/29/24. The last shelter-in-place drill was practiced on 12/4/23. The last fire inspection was approved on 9/25/23. The last sanitation inspection was conducted on 4/13/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 11/27/23. The program does not provide transportation. Upon arrival I was greeted by Claribel Garcia, Program Coordinator. Children arrived to the gym with teachers from the elementary school and were reminded to wait to enter the gym until staff from the licensed program came to greet them. Upon arrival, children placed their backpacks in assigned laundry baskets and divided into three (3) groups. In group 1, children sat in a circle and passed around a stuffed animal to take turns speaking to the group. Group 1 then transitioned to outdoor play. Once outside, children in group ran to chase each other, climbed on a rope climber and pushed each other on swings. In group 2, children also sat in a circle and, with the guidance of the group leader, practiced taking turns sharing news with one another. Group 2 then transitioned to use the restrooms collectively and transitioned to outdoor play. In group 3, children checked in with the group leader and then engaged in freeplay. Children played basket ball and wiffle ball games in the gym. Group 3 then transitioned to the restrooms and then to the cafeteria for snack. Snack today consisted of Cheezits and mandarin oranges. Interactions were positive and encouraging, children were redirected as needed. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. One (1) prescription medication, rizatriptan, was stored in an unlocked compartment of a fanny pack. 15A NCAC 18A .2820(d) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. The last lockdown drill was conducted 12/4/23. Prior to that, the last shelter-in-place drill was conducted 8/30/23. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #841 The prescription medication rizatriptan must be kept in locked storage. You can carry the medication with you by using a combination or key lock on the zippers of the fanny pack or backpack. Alternative, you can keep a separate locked bag in the backpack or keep the medication in locked storage in another location. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #1811 The last lockdown drill was conducted on 12/4/23. Prior to that, the last shelter-in-place drill was conducted on 8/30/23. In your letter of compliance, include a statement that indicates how you will prevent this from occurring in the future. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/15/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Plan to review the importance of reporting to a Group Leader before a child leaves the group to go to the restroom in the hallway. As a reminder, only children nine years of age and older do not need to be directly supervised to use the restroom. Children under nine years of age must be seen or heard to be adequately supervised. Please see the rule reference below regarding supervision of school ages children: 10A NCAC 09 .2506 GENERAL SAFETY REQUIREMENTS (d) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care, except: (1) Children who are developmentally able may be permitted to go to the restroom independently, provided that: (A) staff members' proximity to children assures immediate intervention to safeguard a child from harm; (B) individuals who are not staff members may not enter the restroom area while in use by any child; and (C) children up to nine years of age are supervised by staff members who are able to hear the child. Children nine years of age and older are not required to be directly supervised, however, staff members shall know the whereabouts of children who have left their group to use the restroom; (2) Adequate supervision for children nine years of age and older means that staff are with the group of children and able to hear or see each child in his or her care. A staff member shall accompany any children who leave the group to go indoors or outdoors; The authorization to administer the prescription medication rizatriptan must be updated by 3/9/24, the expiration date of the prescription. Currently the parent has signed the authorization form effective 4/22/23-8/30/24. Plan to obtain an update authorization form for this medication by 3/9/24. Please see the medication administration rule below: 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (3) A parent's written authorization for the administration of a prescription medication described in Item (2) of this Rule shall be valid for the length of time the medication is prescribed to be taken. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year will be 7/1/24-6/30/25. Your Reassessment year will be 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 10/4/2023 Number Present: 48 Completed Date: 10/4/2023 Age: From 5 To 11 Total Minutes: 120 Time In: 03:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Claribel Garcia, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Garcia was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 10/2/23. The last fire drill was practiced on 9/29/23. The last emergency drill, lockdown drill, was practiced on 8/30/23. The last fire inspection was approved on 1/30/23. The program’s most recent sanitation inspection was completed on 4/13/23, with four (4) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. Upon arrival I was greeted by Ms. Garcia. Children in group 1 were observed engaged in a large group discussion about community helpers. Children in group 2 were observed playing a gross motor game, “night guard” led by children and supported by teachers. Children in group 3 were engaged in gross motor free play outdoors. Children were running, playing “ga-ga” ball, and exploring nuts and acorns that fell from trees. I observed children in groups 1 and 2 transition to the cafeteria for snack. Snack today consisted of yogurt and pretzels. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was practiced on 9/29/23. .0604(t); .0302(d)(5) 9995 A violation was found for which there is no item number. The door to the kitchen was unlocked while children were cared for in the cafeteria. Technical assistance was provided as follows: Item #805 In your letter of compliance include a statement that indicates how you will avoid recurrence of this violation in the future. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #9995 Plan to check to ensure the door to the kitchen is locked each day before children in the licensed program use the cafeteria. This was corrected during the visit today. 15A NCAC 18A .2820 STORAGE (e) A locked kitchen is not considered to be a locked storage room or cabinet for the purposes of this Rule; however, for child care centers that are located within a school and that use the school cafeteria's kitchen to meet the kitchen requirements of the rules of this Section, it shall not be a violation of this Rule to store products described in Paragraphs (a)-(d) of this Rule unlocked in the cafeteria's kitchen, provided that the kitchen is kept locked and children are not permitted in the kitchen for any purpose. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/18/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed activity plans. Plan to list specific activities, games or materials that will be offered during your blocks of time. For example, for “Group Game” you can list multiple options you will provide throughout the week like “night guard”, freeze tag, etc. We discussed the baskets containing children’s belongings. Try to keep the baskets spaced apart so that they are not touching. Your facility has been placed in cohort 2. Your prep year is 7/1/24- 6/30/25. Your reassessment year is 7/1/25-6/30/26. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 10/4/2023 Number Present: 48 Completed Date: 10/4/2023 Age: From 5 To 11 Total Minutes: 120 Time In: 03:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Claribel Garcia, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Garcia was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 10/2/23. The last fire drill was practiced on 9/29/23. The last emergency drill, lockdown drill, was practiced on 8/30/23. The last fire inspection was approved on 1/30/23. The program’s most recent sanitation inspection was completed on 4/13/23, with four (4) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. Upon arrival I was greeted by Ms. Garcia. Children in group 1 were observed engaged in a large group discussion about community helpers. Children in group 2 were observed playing a gross motor game, “night guard” led by children and supported by teachers. Children in group 3 were engaged in gross motor free play outdoors. Children were running, playing “ga-ga” ball, and exploring nuts and acorns that fell from trees. I observed children in groups 1 and 2 transition to the cafeteria for snack. Snack today consisted of yogurt and pretzels. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was practiced on 9/29/23. .0604(t); .0302(d)(5) 9995 A violation was found for which there is no item number. The door to the kitchen was unlocked while children were cared for in the cafeteria. Technical assistance was provided as follows: Item #805 In your letter of compliance include a statement that indicates how you will avoid recurrence of this violation in the future. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #9995 Plan to check to ensure the door to the kitchen is locked each day before children in the licensed program use the cafeteria. This was corrected during the visit today. 15A NCAC 18A .2820 STORAGE (e) A locked kitchen is not considered to be a locked storage room or cabinet for the purposes of this Rule; however, for child care centers that are located within a school and that use the school cafeteria's kitchen to meet the kitchen requirements of the rules of this Section, it shall not be a violation of this Rule to store products described in Paragraphs (a)-(d) of this Rule unlocked in the cafeteria's kitchen, provided that the kitchen is kept locked and children are not permitted in the kitchen for any purpose. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/18/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed activity plans. Plan to list specific activities, games or materials that will be offered during your blocks of time. For example, for “Group Game” you can list multiple options you will provide throughout the week like “night guard”, freeze tag, etc. We discussed the baskets containing children’s belongings. Try to keep the baskets spaced apart so that they are not touching. Your facility has been placed in cohort 2. Your prep year is 7/1/24- 6/30/25. Your reassessment year is 7/1/25-6/30/26. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA FAIRVIEW AFTERSCHOOL Facility ID: 11000671 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 10/4/2023 Number Present: 48 Completed Date: 10/4/2023 Age: From 5 To 11 Total Minutes: 120 Time In: 03:00 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Claribel Garcia, Program Coordinator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Garcia was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 10/2/23. The last fire drill was practiced on 9/29/23. The last emergency drill, lockdown drill, was practiced on 8/30/23. The last fire inspection was approved on 1/30/23. The program’s most recent sanitation inspection was completed on 4/13/23, with four (4) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. Upon arrival I was greeted by Ms. Garcia. Children in group 1 were observed engaged in a large group discussion about community helpers. Children in group 2 were observed playing a gross motor game, “night guard” led by children and supported by teachers. Children in group 3 were engaged in gross motor free play outdoors. Children were running, playing “ga-ga” ball, and exploring nuts and acorns that fell from trees. I observed children in groups 1 and 2 transition to the cafeteria for snack. Snack today consisted of yogurt and pretzels. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill was practiced on 9/29/23. .0604(t); .0302(d)(5) 9995 A violation was found for which there is no item number. The door to the kitchen was unlocked while children were cared for in the cafeteria. Technical assistance was provided as follows: Item #805 In your letter of compliance include a statement that indicates how you will avoid recurrence of this violation in the future. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #9995 Plan to check to ensure the door to the kitchen is locked each day before children in the licensed program use the cafeteria. This was corrected during the visit today. 15A NCAC 18A .2820 STORAGE (e) A locked kitchen is not considered to be a locked storage room or cabinet for the purposes of this Rule; however, for child care centers that are located within a school and that use the school cafeteria's kitchen to meet the kitchen requirements of the rules of this Section, it shall not be a violation of this Rule to store products described in Paragraphs (a)-(d) of this Rule unlocked in the cafeteria's kitchen, provided that the kitchen is kept locked and children are not permitted in the kitchen for any purpose. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/18/23. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed activity plans. Plan to list specific activities, games or materials that will be offered during your blocks of time. For example, for “Group Game” you can list multiple options you will provide throughout the week like “night guard”, freeze tag, etc. We discussed the baskets containing children’s belongings. Try to keep the baskets spaced apart so that they are not touching. Your facility has been placed in cohort 2. Your prep year is 7/1/24- 6/30/25. Your reassessment year is 7/1/25-6/30/26. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times