Carl Chavis Ymca

10A NCAC 09 .0701 · Violation

Name of Operation: CARL CHAVIS YMCA Facility ID: 41001260 Consultant: ERICKA BAILEY Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 14 Completed Date: 1/29/2025 Age: From 0 To 5 Total Minutes: 160 Time In: 09:30 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit is to assess compliance with applicable child care requirements. This center currently operates with a Four-Star License effective February 27, 2020. Meg Riddle, Licensing Supervisor, accompanied me during today’s visit. We were greeted by Ms. C. Steed, director. Ms. Steed accompanied us as we gathered attendance and observed classrooms. We observed ratios/children, interactions, and activities. There were fourteen children present today. Children were playing in their classrooms. We saw group activities, individual teacher/child reading time, free play. Routines were being carried out in the infant classroom. All centers were open in all classrooms and children moved freely through the centers. Babies were on the floor playing. All the staff/child interactions we observed were warm and caring. The followings items were observed in compliance during today's visit: supervision, staff/child ratio: space capacity: proper storage of medications; use of approved space, permit posted; permit restrictions; CPR and First Aid Certification. A partial assessment of applicable child care requirements was conducted during today’s visit. We observed five items of non-compliance during the visit today. Violation Number Comment Rule 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. One staff member did not have medical report on file. 10A NCAC 09 .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. One staff member did not have Emergency information on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff member did not have their criminal background completed. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. New staff did not have orientation on file. .1101(a) 1757 A valid qualification letter was not on file and available to review at the facility. Two staff members qualification letters were not on file for review. G.S. 110-90.2(b) & (d) & .2703(e) In order to maintain compliance with North Carolina child care laws and rules, the above violations must be corrected immediately. Please send me a correction letter by email stating how the violations were corrected and how you plan to maintain compliance in the future. It must be submitted to me by February 12, 2025. Include the following information in your correction letter: 1. Facility Name 2. Facility ID 3. Date of the letter 4. The violation number, the date the violation was corrected, information regarding how the violation was corrected and how you plan to maintain compliance with the item number in the future. Reminders: Please remember to use our website https://ncchildcare.ncdhhs.gov/ and go to provider link and go to provider documents and forms and use the documents to help guide you with staff checklist for staff and training worksheets. Please remember School age classroom at the front of the building can only hold a capacity of 20 children. Please remember to check and make sure criminals backgrounds for expirations they are update every 5 years from the qualifying letter. Please remember to make sure Health and Safety trainings are implemented (within 1 year of hire and 5 years after) and make sure Recognizing and Responding to Suspicions of Child Maltreatment are done (within a hire 90 days and 5 years after). Please make sure outlets are covered in the classrooms. Continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. MOODLE has training courses that are free and will provide additional in-service hours. Please remember it is your responsibility to know and follow all child care rules and requirements. Thank you for your time today, also thank you for all you and your staff do for children and families in your center. If you have any questions or if I may be of further assistance, please email me at ericka.bailey@dhhs.nc.gov or call my cell phone, my number is 336-406-8953. 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: CARL CHAVIS YMCA Facility ID: 41001260 Consultant: ERICKA BAILEY Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 14 Completed Date: 1/29/2025 Age: From 0 To 5 Total Minutes: 160 Time In: 09:30 AM Time Out: 12:10 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of this routine unannounced visit is to assess compliance with applicable child care requirements. This center currently operates with a Four-Star License effective February 27, 2020. Meg Riddle, Licensing Supervisor, accompanied me during today’s visit. We were greeted by Ms. C. Steed, director. Ms. Steed accompanied us as we gathered attendance and observed classrooms. We observed ratios/children, interactions, and activities. There were fourteen children present today. Children were playing in their classrooms. We saw group activities, individual teacher/child reading time, free play. Routines were being carried out in the infant classroom. All centers were open in all classrooms and children moved freely through the centers. Babies were on the floor playing. All the staff/child interactions we observed were warm and caring. The followings items were observed in compliance during today's visit: supervision, staff/child ratio: space capacity: proper storage of medications; use of approved space, permit posted; permit restrictions; CPR and First Aid Certification. A partial assessment of applicable child care requirements was conducted during today’s visit. We observed five items of non-compliance during the visit today. Violation Number Comment Rule 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. One staff member did not have medical report on file. 10A NCAC 09 .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. One staff member did not have Emergency information on file. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. One staff member did not have their criminal background completed. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. New staff did not have orientation on file. .1101(a) 1757 A valid qualification letter was not on file and available to review at the facility. Two staff members qualification letters were not on file for review. G.S. 110-90.2(b) & (d) & .2703(e) In order to maintain compliance with North Carolina child care laws and rules, the above violations must be corrected immediately. Please send me a correction letter by email stating how the violations were corrected and how you plan to maintain compliance in the future. It must be submitted to me by February 12, 2025. Include the following information in your correction letter: 1. Facility Name 2. Facility ID 3. Date of the letter 4. The violation number, the date the violation was corrected, information regarding how the violation was corrected and how you plan to maintain compliance with the item number in the future. Reminders: Please remember to use our website https://ncchildcare.ncdhhs.gov/ and go to provider link and go to provider documents and forms and use the documents to help guide you with staff checklist for staff and training worksheets. Please remember School age classroom at the front of the building can only hold a capacity of 20 children. Please remember to check and make sure criminals backgrounds for expirations they are update every 5 years from the qualifying letter. Please remember to make sure Health and Safety trainings are implemented (within 1 year of hire and 5 years after) and make sure Recognizing and Responding to Suspicions of Child Maltreatment are done (within a hire 90 days and 5 years after). Please make sure outlets are covered in the classrooms. Continue to visit DCDEE’s website to get the latest information for child care at https://ncchildcare.ncdhhs.gov/. MOODLE has training courses that are free and will provide additional in-service hours. Please remember it is your responsibility to know and follow all child care rules and requirements. Thank you for your time today, also thank you for all you and your staff do for children and families in your center. If you have any questions or if I may be of further assistance, please email me at ericka.bailey@dhhs.nc.gov or call my cell phone, my number is 336-406-8953. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: CARL CHAVIS YMCA Facility ID: 41001260 Consultant: CHERISSA ALSTON Operation Type: Center Case Number: Visit Date: 8/14/2024 Number Present: 34 Completed Date: 8/14/2024 Age: From 0 To 10 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance of child care rules during an annual compliance visit. The facility has an 18-month compliance history of 95%. The last annual compliance visit was documented on 8/21/23. Ericka Bailey, Child Care Consultant, was also present at this visit. Upon arrival, I was greeted by Cynthia Steed, Administrator. Mrs. Steed greeted me and invited me into the facility. There were 34 children present today. Children were observed playing with toys of their choice, finishing breakfast and eating lunch. They were also observed playing outside with a variety of toys and on a climbing structure. Infants and toddlers were walking around the classroom while playing with toys, non-mobile children were in bouncers near the teacher. Teachers were observed interacting with children a positive manner. There were no emergency medications on site, there were also no health care needs listed on the children’s applications reviewed per the children’s records file. There were topical creams however there were no permission to administer forms on file. The teacher stated the topical creams were for children that were no longer enrolled. A satisfactory fire inspection was completed on 2/28/23 and the facility was approved for daytime care only. Emergency drills were documented monthly. A sanitation inspection was completed on 8/22/23 and the facility received a Superior rating. Outdoor inspections were documented monthly. Six children’s files were monitored during today’s visit. Staff files and on-going training including health and safety trainings and other annual requirements were monitored. Outdoor spaces were monitored and there were no hazards observed today. Two buses and a van were monitored for hazards, none were observed. Both have current registration and insurance. Emergency binders were also reviewed, there were children’s applications with identifying pictures attached. Information for the drivers were available also. Most of the required items were posted and current. There was not an emergency medical care plan posted. There were 17 items of non-compliance observed today, the corresponding violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The provider did not have an approved inspection report on file. 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Four bottles in a ziploc bag were not labeled or dated. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) There were no feeding plans posted for two children under 15 months old. 10A NCAC 09 .0902(a) 546 Opportunities were not provided for children to participate in the planning and implementation of activities. There was not documentation on the activity plan that showed child planned or implemented activities. 10A NCAC 09. 2508(b) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There was not a thermometer in the refrigerator in Space 4. 15A NCAC 18A .2806(j)(2) 832 There was no written emergency medical care (EMC) plan. 10A NCAC 09 .0802(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 5, there were two cans of Lysol stored in unlocked lower cabinets. There was also diaper cream, lip balm, lotion, Vaseline stored on top of and under the diaper changing table. In Space 1, a first aid kit containing alcohol swabs was under an unlocked cabinet. In several of the licensed spaces hand sanitizer marked keep out of reach, was sitting on low counters or on the diaper changing station. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. There were items stored in plastic bags near areas where children play and under cabinets without locks in space # 5, where children under three years old are enrolled. .0604(q) 871 Center staff did not comply with the safe sleep policy. There was no thermometer in the room to ensure the temperature remains between 68-75 degrees per the facility's safe sleep policy. 10A NCAC 09 .0606(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. There were no TB results or screening documentation for A. Collins or J. McBride. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. A. Collins and J. McBride did not complete a CBC prior to moving from volunteers to employees. G.S. 110-90.2(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Marie H. did not have a current qualification letter on file. Her letter expired 7/29/24. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. J. Thacker and M. Turay did not have documentation of orientation on file. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Marie H. did not have a verification of First Aid 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. There was not a training certificate for M. Hagan on file. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. J. Thacker did not complete the training within 90 days of employment. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. C. Steed, A. Washington and A. Ross did not complete training topic within five years, including the course regarding maltreatment. .1103(b) Violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be emailed to me by 8/28/24, describing how and when the violation(s) were corrected and how compliance will be maintained in the future. Please remember your letter should include facility name, facility ID#, and original signature. I provided the following technical assistance regarding the violations cited: Safe Environment Maintaining a safe environment is of the utmost importance. Today, I suggested using the checklist that I provided with the visit summary to complete periodic quality checks. During the visit several potentially hazardous items were in unlocked cabinets or kept in reach of children. Many child-resistant locks or latches can be put on doors or cabinets to keep young children from getting to poisons. Many of these devices lock automatically when the door is closed, and they need an adult’s hand or skill to open the door. -Plastic bags have been recognized for many years as a cause of suffocation. Warnings regarding this risk are printed on diaper-pail bags, dry-cleaning bags, and so forth. The U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. Nearly 90% of the reported deaths were to children under the age of one (1). -Over 2 million human poisonings are reported to poison centers every year. Children under 6 make up more than half of those poisonings. The most common sources of childhood poisonings are health and beauty products, cleaning products, and medications. When a child care facility cannot return unused medication to the parent/guardian, the facility needs to dispose of the medication. An example of when medication cannot be returned is when a parent/guardian has removed the child from care and the facility cannot reach the parent/guardian to return the medication. -The facility’s safe sleep policy must always be followed to ensure the safety of the infants in care. The temperature of a room can vary between the floor and the ceiling. Because heat rises, the temperature at the level where children are playing can be much cooler than at the usual level of placement of interior thermometers (the standing, eye level of adults). Placing a safe digital thermometer at the children’s height allows proper monitoring of temperature where the children are in the room. A thermometer should not break easily if a child or adult bumps into it. Staff Records Maintaining staff records is important to ensure staff are qualified, trained and maintain current qualifications. Today, I suggested you use the staff file checklist to maintain current records. These records include qualification letters after a criminal background check, TB test or screening, medical reports record of orientation, current certifications and trainings. -Screenings are needed to provide a safe program environment, support children’s health and safety and are important for preventing child maltreatment in early care and education programs. Background screenings can help by identifying applicants with unsafe backgrounds and risk factors, such as a history of violent behaviors or drug use. Background screening for current staff allows programs to watch for potential threats to child health and safety and address them accordingly. -Early care and education programs with staff trained in pediatric first aid and CPR can mitigate the consequences of injury and reduce the potential for death from life-threatening conditions and emergencies. Documentation of current certification of satisfactory completion of pediatric first aid and demonstration of pediatric CPR skills in the facility assists in implementing and monitoring for proof of compliance. -Orientation ensures that all staff members receive specific and basic training for the work they will be doing and are informed about their new responsibilities. Because of frequent staff turnover, directors should institute orientation programs on a regular basis. Orientation and ongoing training are especially important for aides and assistant teachers, for whom pre-service educational requirements are limited. -Early care and education staff members who are up to date on health and safety practices are more likely to provide a safe and healthy environment for children. The most significant predictor of compliance with state child care health and safety regulations is staff continuing education in the areas of health, safety, child development, and abuse identification. Programs should also make sure that staff has completed all required training on child maltreatment. Staff working with children under the age of 3 years old should receive training on preventing shaken baby syndrome and abusive head trauma. Thank you for your time today. If you have any questions or concerns, please feel free to contact me. 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 .0902 · Violation

Name of Operation: CARL CHAVIS YMCA Facility ID: 41001260 Consultant: CHERISSA ALSTON Operation Type: Center Case Number: Visit Date: 8/14/2024 Number Present: 34 Completed Date: 8/14/2024 Age: From 0 To 10 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance of child care rules during an annual compliance visit. The facility has an 18-month compliance history of 95%. The last annual compliance visit was documented on 8/21/23. Ericka Bailey, Child Care Consultant, was also present at this visit. Upon arrival, I was greeted by Cynthia Steed, Administrator. Mrs. Steed greeted me and invited me into the facility. There were 34 children present today. Children were observed playing with toys of their choice, finishing breakfast and eating lunch. They were also observed playing outside with a variety of toys and on a climbing structure. Infants and toddlers were walking around the classroom while playing with toys, non-mobile children were in bouncers near the teacher. Teachers were observed interacting with children a positive manner. There were no emergency medications on site, there were also no health care needs listed on the children’s applications reviewed per the children’s records file. There were topical creams however there were no permission to administer forms on file. The teacher stated the topical creams were for children that were no longer enrolled. A satisfactory fire inspection was completed on 2/28/23 and the facility was approved for daytime care only. Emergency drills were documented monthly. A sanitation inspection was completed on 8/22/23 and the facility received a Superior rating. Outdoor inspections were documented monthly. Six children’s files were monitored during today’s visit. Staff files and on-going training including health and safety trainings and other annual requirements were monitored. Outdoor spaces were monitored and there were no hazards observed today. Two buses and a van were monitored for hazards, none were observed. Both have current registration and insurance. Emergency binders were also reviewed, there were children’s applications with identifying pictures attached. Information for the drivers were available also. Most of the required items were posted and current. There was not an emergency medical care plan posted. There were 17 items of non-compliance observed today, the corresponding violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The provider did not have an approved inspection report on file. 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Four bottles in a ziploc bag were not labeled or dated. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) There were no feeding plans posted for two children under 15 months old. 10A NCAC 09 .0902(a) 546 Opportunities were not provided for children to participate in the planning and implementation of activities. There was not documentation on the activity plan that showed child planned or implemented activities. 10A NCAC 09. 2508(b) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There was not a thermometer in the refrigerator in Space 4. 15A NCAC 18A .2806(j)(2) 832 There was no written emergency medical care (EMC) plan. 10A NCAC 09 .0802(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 5, there were two cans of Lysol stored in unlocked lower cabinets. There was also diaper cream, lip balm, lotion, Vaseline stored on top of and under the diaper changing table. In Space 1, a first aid kit containing alcohol swabs was under an unlocked cabinet. In several of the licensed spaces hand sanitizer marked keep out of reach, was sitting on low counters or on the diaper changing station. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. There were items stored in plastic bags near areas where children play and under cabinets without locks in space # 5, where children under three years old are enrolled. .0604(q) 871 Center staff did not comply with the safe sleep policy. There was no thermometer in the room to ensure the temperature remains between 68-75 degrees per the facility's safe sleep policy. 10A NCAC 09 .0606(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. There were no TB results or screening documentation for A. Collins or J. McBride. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. A. Collins and J. McBride did not complete a CBC prior to moving from volunteers to employees. G.S. 110-90.2(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Marie H. did not have a current qualification letter on file. Her letter expired 7/29/24. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. J. Thacker and M. Turay did not have documentation of orientation on file. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Marie H. did not have a verification of First Aid 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. There was not a training certificate for M. Hagan on file. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. J. Thacker did not complete the training within 90 days of employment. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. C. Steed, A. Washington and A. Ross did not complete training topic within five years, including the course regarding maltreatment. .1103(b) Violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be emailed to me by 8/28/24, describing how and when the violation(s) were corrected and how compliance will be maintained in the future. Please remember your letter should include facility name, facility ID#, and original signature. I provided the following technical assistance regarding the violations cited: Safe Environment Maintaining a safe environment is of the utmost importance. Today, I suggested using the checklist that I provided with the visit summary to complete periodic quality checks. During the visit several potentially hazardous items were in unlocked cabinets or kept in reach of children. Many child-resistant locks or latches can be put on doors or cabinets to keep young children from getting to poisons. Many of these devices lock automatically when the door is closed, and they need an adult’s hand or skill to open the door. -Plastic bags have been recognized for many years as a cause of suffocation. Warnings regarding this risk are printed on diaper-pail bags, dry-cleaning bags, and so forth. The U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. Nearly 90% of the reported deaths were to children under the age of one (1). -Over 2 million human poisonings are reported to poison centers every year. Children under 6 make up more than half of those poisonings. The most common sources of childhood poisonings are health and beauty products, cleaning products, and medications. When a child care facility cannot return unused medication to the parent/guardian, the facility needs to dispose of the medication. An example of when medication cannot be returned is when a parent/guardian has removed the child from care and the facility cannot reach the parent/guardian to return the medication. -The facility’s safe sleep policy must always be followed to ensure the safety of the infants in care. The temperature of a room can vary between the floor and the ceiling. Because heat rises, the temperature at the level where children are playing can be much cooler than at the usual level of placement of interior thermometers (the standing, eye level of adults). Placing a safe digital thermometer at the children’s height allows proper monitoring of temperature where the children are in the room. A thermometer should not break easily if a child or adult bumps into it. Staff Records Maintaining staff records is important to ensure staff are qualified, trained and maintain current qualifications. Today, I suggested you use the staff file checklist to maintain current records. These records include qualification letters after a criminal background check, TB test or screening, medical reports record of orientation, current certifications and trainings. -Screenings are needed to provide a safe program environment, support children’s health and safety and are important for preventing child maltreatment in early care and education programs. Background screenings can help by identifying applicants with unsafe backgrounds and risk factors, such as a history of violent behaviors or drug use. Background screening for current staff allows programs to watch for potential threats to child health and safety and address them accordingly. -Early care and education programs with staff trained in pediatric first aid and CPR can mitigate the consequences of injury and reduce the potential for death from life-threatening conditions and emergencies. Documentation of current certification of satisfactory completion of pediatric first aid and demonstration of pediatric CPR skills in the facility assists in implementing and monitoring for proof of compliance. -Orientation ensures that all staff members receive specific and basic training for the work they will be doing and are informed about their new responsibilities. Because of frequent staff turnover, directors should institute orientation programs on a regular basis. Orientation and ongoing training are especially important for aides and assistant teachers, for whom pre-service educational requirements are limited. -Early care and education staff members who are up to date on health and safety practices are more likely to provide a safe and healthy environment for children. The most significant predictor of compliance with state child care health and safety regulations is staff continuing education in the areas of health, safety, child development, and abuse identification. Programs should also make sure that staff has completed all required training on child maltreatment. Staff working with children under the age of 3 years old should receive training on preventing shaken baby syndrome and abusive head trauma. Thank you for your time today. If you have any questions or concerns, please feel free to contact me. 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: CARL CHAVIS YMCA Facility ID: 41001260 Consultant: CHERISSA ALSTON Operation Type: Center Case Number: Visit Date: 8/14/2024 Number Present: 34 Completed Date: 8/14/2024 Age: From 0 To 10 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance of child care rules during an annual compliance visit. The facility has an 18-month compliance history of 95%. The last annual compliance visit was documented on 8/21/23. Ericka Bailey, Child Care Consultant, was also present at this visit. Upon arrival, I was greeted by Cynthia Steed, Administrator. Mrs. Steed greeted me and invited me into the facility. There were 34 children present today. Children were observed playing with toys of their choice, finishing breakfast and eating lunch. They were also observed playing outside with a variety of toys and on a climbing structure. Infants and toddlers were walking around the classroom while playing with toys, non-mobile children were in bouncers near the teacher. Teachers were observed interacting with children a positive manner. There were no emergency medications on site, there were also no health care needs listed on the children’s applications reviewed per the children’s records file. There were topical creams however there were no permission to administer forms on file. The teacher stated the topical creams were for children that were no longer enrolled. A satisfactory fire inspection was completed on 2/28/23 and the facility was approved for daytime care only. Emergency drills were documented monthly. A sanitation inspection was completed on 8/22/23 and the facility received a Superior rating. Outdoor inspections were documented monthly. Six children’s files were monitored during today’s visit. Staff files and on-going training including health and safety trainings and other annual requirements were monitored. Outdoor spaces were monitored and there were no hazards observed today. Two buses and a van were monitored for hazards, none were observed. Both have current registration and insurance. Emergency binders were also reviewed, there were children’s applications with identifying pictures attached. Information for the drivers were available also. Most of the required items were posted and current. There was not an emergency medical care plan posted. There were 17 items of non-compliance observed today, the corresponding violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The provider did not have an approved inspection report on file. 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Four bottles in a ziploc bag were not labeled or dated. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) There were no feeding plans posted for two children under 15 months old. 10A NCAC 09 .0902(a) 546 Opportunities were not provided for children to participate in the planning and implementation of activities. There was not documentation on the activity plan that showed child planned or implemented activities. 10A NCAC 09. 2508(b) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There was not a thermometer in the refrigerator in Space 4. 15A NCAC 18A .2806(j)(2) 832 There was no written emergency medical care (EMC) plan. 10A NCAC 09 .0802(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 5, there were two cans of Lysol stored in unlocked lower cabinets. There was also diaper cream, lip balm, lotion, Vaseline stored on top of and under the diaper changing table. In Space 1, a first aid kit containing alcohol swabs was under an unlocked cabinet. In several of the licensed spaces hand sanitizer marked keep out of reach, was sitting on low counters or on the diaper changing station. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. There were items stored in plastic bags near areas where children play and under cabinets without locks in space # 5, where children under three years old are enrolled. .0604(q) 871 Center staff did not comply with the safe sleep policy. There was no thermometer in the room to ensure the temperature remains between 68-75 degrees per the facility's safe sleep policy. 10A NCAC 09 .0606(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. There were no TB results or screening documentation for A. Collins or J. McBride. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. A. Collins and J. McBride did not complete a CBC prior to moving from volunteers to employees. G.S. 110-90.2(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Marie H. did not have a current qualification letter on file. Her letter expired 7/29/24. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. J. Thacker and M. Turay did not have documentation of orientation on file. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Marie H. did not have a verification of First Aid 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. There was not a training certificate for M. Hagan on file. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. J. Thacker did not complete the training within 90 days of employment. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. C. Steed, A. Washington and A. Ross did not complete training topic within five years, including the course regarding maltreatment. .1103(b) Violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be emailed to me by 8/28/24, describing how and when the violation(s) were corrected and how compliance will be maintained in the future. Please remember your letter should include facility name, facility ID#, and original signature. I provided the following technical assistance regarding the violations cited: Safe Environment Maintaining a safe environment is of the utmost importance. Today, I suggested using the checklist that I provided with the visit summary to complete periodic quality checks. During the visit several potentially hazardous items were in unlocked cabinets or kept in reach of children. Many child-resistant locks or latches can be put on doors or cabinets to keep young children from getting to poisons. Many of these devices lock automatically when the door is closed, and they need an adult’s hand or skill to open the door. -Plastic bags have been recognized for many years as a cause of suffocation. Warnings regarding this risk are printed on diaper-pail bags, dry-cleaning bags, and so forth. The U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. Nearly 90% of the reported deaths were to children under the age of one (1). -Over 2 million human poisonings are reported to poison centers every year. Children under 6 make up more than half of those poisonings. The most common sources of childhood poisonings are health and beauty products, cleaning products, and medications. When a child care facility cannot return unused medication to the parent/guardian, the facility needs to dispose of the medication. An example of when medication cannot be returned is when a parent/guardian has removed the child from care and the facility cannot reach the parent/guardian to return the medication. -The facility’s safe sleep policy must always be followed to ensure the safety of the infants in care. The temperature of a room can vary between the floor and the ceiling. Because heat rises, the temperature at the level where children are playing can be much cooler than at the usual level of placement of interior thermometers (the standing, eye level of adults). Placing a safe digital thermometer at the children’s height allows proper monitoring of temperature where the children are in the room. A thermometer should not break easily if a child or adult bumps into it. Staff Records Maintaining staff records is important to ensure staff are qualified, trained and maintain current qualifications. Today, I suggested you use the staff file checklist to maintain current records. These records include qualification letters after a criminal background check, TB test or screening, medical reports record of orientation, current certifications and trainings. -Screenings are needed to provide a safe program environment, support children’s health and safety and are important for preventing child maltreatment in early care and education programs. Background screenings can help by identifying applicants with unsafe backgrounds and risk factors, such as a history of violent behaviors or drug use. Background screening for current staff allows programs to watch for potential threats to child health and safety and address them accordingly. -Early care and education programs with staff trained in pediatric first aid and CPR can mitigate the consequences of injury and reduce the potential for death from life-threatening conditions and emergencies. Documentation of current certification of satisfactory completion of pediatric first aid and demonstration of pediatric CPR skills in the facility assists in implementing and monitoring for proof of compliance. -Orientation ensures that all staff members receive specific and basic training for the work they will be doing and are informed about their new responsibilities. Because of frequent staff turnover, directors should institute orientation programs on a regular basis. Orientation and ongoing training are especially important for aides and assistant teachers, for whom pre-service educational requirements are limited. -Early care and education staff members who are up to date on health and safety practices are more likely to provide a safe and healthy environment for children. The most significant predictor of compliance with state child care health and safety regulations is staff continuing education in the areas of health, safety, child development, and abuse identification. Programs should also make sure that staff has completed all required training on child maltreatment. Staff working with children under the age of 3 years old should receive training on preventing shaken baby syndrome and abusive head trauma. Thank you for your time today. If you have any questions or concerns, please feel free to contact me. 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 .0606 · Violation

Name of Operation: CARL CHAVIS YMCA Facility ID: 41001260 Consultant: CHERISSA ALSTON Operation Type: Center Case Number: Visit Date: 8/14/2024 Number Present: 34 Completed Date: 8/14/2024 Age: From 0 To 10 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance of child care rules during an annual compliance visit. The facility has an 18-month compliance history of 95%. The last annual compliance visit was documented on 8/21/23. Ericka Bailey, Child Care Consultant, was also present at this visit. Upon arrival, I was greeted by Cynthia Steed, Administrator. Mrs. Steed greeted me and invited me into the facility. There were 34 children present today. Children were observed playing with toys of their choice, finishing breakfast and eating lunch. They were also observed playing outside with a variety of toys and on a climbing structure. Infants and toddlers were walking around the classroom while playing with toys, non-mobile children were in bouncers near the teacher. Teachers were observed interacting with children a positive manner. There were no emergency medications on site, there were also no health care needs listed on the children’s applications reviewed per the children’s records file. There were topical creams however there were no permission to administer forms on file. The teacher stated the topical creams were for children that were no longer enrolled. A satisfactory fire inspection was completed on 2/28/23 and the facility was approved for daytime care only. Emergency drills were documented monthly. A sanitation inspection was completed on 8/22/23 and the facility received a Superior rating. Outdoor inspections were documented monthly. Six children’s files were monitored during today’s visit. Staff files and on-going training including health and safety trainings and other annual requirements were monitored. Outdoor spaces were monitored and there were no hazards observed today. Two buses and a van were monitored for hazards, none were observed. Both have current registration and insurance. Emergency binders were also reviewed, there were children’s applications with identifying pictures attached. Information for the drivers were available also. Most of the required items were posted and current. There was not an emergency medical care plan posted. There were 17 items of non-compliance observed today, the corresponding violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The provider did not have an approved inspection report on file. 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Four bottles in a ziploc bag were not labeled or dated. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) There were no feeding plans posted for two children under 15 months old. 10A NCAC 09 .0902(a) 546 Opportunities were not provided for children to participate in the planning and implementation of activities. There was not documentation on the activity plan that showed child planned or implemented activities. 10A NCAC 09. 2508(b) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There was not a thermometer in the refrigerator in Space 4. 15A NCAC 18A .2806(j)(2) 832 There was no written emergency medical care (EMC) plan. 10A NCAC 09 .0802(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 5, there were two cans of Lysol stored in unlocked lower cabinets. There was also diaper cream, lip balm, lotion, Vaseline stored on top of and under the diaper changing table. In Space 1, a first aid kit containing alcohol swabs was under an unlocked cabinet. In several of the licensed spaces hand sanitizer marked keep out of reach, was sitting on low counters or on the diaper changing station. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. There were items stored in plastic bags near areas where children play and under cabinets without locks in space # 5, where children under three years old are enrolled. .0604(q) 871 Center staff did not comply with the safe sleep policy. There was no thermometer in the room to ensure the temperature remains between 68-75 degrees per the facility's safe sleep policy. 10A NCAC 09 .0606(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. There were no TB results or screening documentation for A. Collins or J. McBride. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. A. Collins and J. McBride did not complete a CBC prior to moving from volunteers to employees. G.S. 110-90.2(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Marie H. did not have a current qualification letter on file. Her letter expired 7/29/24. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. J. Thacker and M. Turay did not have documentation of orientation on file. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Marie H. did not have a verification of First Aid 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. There was not a training certificate for M. Hagan on file. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. J. Thacker did not complete the training within 90 days of employment. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. C. Steed, A. Washington and A. Ross did not complete training topic within five years, including the course regarding maltreatment. .1103(b) Violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be emailed to me by 8/28/24, describing how and when the violation(s) were corrected and how compliance will be maintained in the future. Please remember your letter should include facility name, facility ID#, and original signature. I provided the following technical assistance regarding the violations cited: Safe Environment Maintaining a safe environment is of the utmost importance. Today, I suggested using the checklist that I provided with the visit summary to complete periodic quality checks. During the visit several potentially hazardous items were in unlocked cabinets or kept in reach of children. Many child-resistant locks or latches can be put on doors or cabinets to keep young children from getting to poisons. Many of these devices lock automatically when the door is closed, and they need an adult’s hand or skill to open the door. -Plastic bags have been recognized for many years as a cause of suffocation. Warnings regarding this risk are printed on diaper-pail bags, dry-cleaning bags, and so forth. The U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. Nearly 90% of the reported deaths were to children under the age of one (1). -Over 2 million human poisonings are reported to poison centers every year. Children under 6 make up more than half of those poisonings. The most common sources of childhood poisonings are health and beauty products, cleaning products, and medications. When a child care facility cannot return unused medication to the parent/guardian, the facility needs to dispose of the medication. An example of when medication cannot be returned is when a parent/guardian has removed the child from care and the facility cannot reach the parent/guardian to return the medication. -The facility’s safe sleep policy must always be followed to ensure the safety of the infants in care. The temperature of a room can vary between the floor and the ceiling. Because heat rises, the temperature at the level where children are playing can be much cooler than at the usual level of placement of interior thermometers (the standing, eye level of adults). Placing a safe digital thermometer at the children’s height allows proper monitoring of temperature where the children are in the room. A thermometer should not break easily if a child or adult bumps into it. Staff Records Maintaining staff records is important to ensure staff are qualified, trained and maintain current qualifications. Today, I suggested you use the staff file checklist to maintain current records. These records include qualification letters after a criminal background check, TB test or screening, medical reports record of orientation, current certifications and trainings. -Screenings are needed to provide a safe program environment, support children’s health and safety and are important for preventing child maltreatment in early care and education programs. Background screenings can help by identifying applicants with unsafe backgrounds and risk factors, such as a history of violent behaviors or drug use. Background screening for current staff allows programs to watch for potential threats to child health and safety and address them accordingly. -Early care and education programs with staff trained in pediatric first aid and CPR can mitigate the consequences of injury and reduce the potential for death from life-threatening conditions and emergencies. Documentation of current certification of satisfactory completion of pediatric first aid and demonstration of pediatric CPR skills in the facility assists in implementing and monitoring for proof of compliance. -Orientation ensures that all staff members receive specific and basic training for the work they will be doing and are informed about their new responsibilities. Because of frequent staff turnover, directors should institute orientation programs on a regular basis. Orientation and ongoing training are especially important for aides and assistant teachers, for whom pre-service educational requirements are limited. -Early care and education staff members who are up to date on health and safety practices are more likely to provide a safe and healthy environment for children. The most significant predictor of compliance with state child care health and safety regulations is staff continuing education in the areas of health, safety, child development, and abuse identification. Programs should also make sure that staff has completed all required training on child maltreatment. Staff working with children under the age of 3 years old should receive training on preventing shaken baby syndrome and abusive head trauma. Thank you for your time today. If you have any questions or concerns, please feel free to contact me. 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. 2508 · Violation

Name of Operation: CARL CHAVIS YMCA Facility ID: 41001260 Consultant: CHERISSA ALSTON Operation Type: Center Case Number: Visit Date: 8/14/2024 Number Present: 34 Completed Date: 8/14/2024 Age: From 0 To 10 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance of child care rules during an annual compliance visit. The facility has an 18-month compliance history of 95%. The last annual compliance visit was documented on 8/21/23. Ericka Bailey, Child Care Consultant, was also present at this visit. Upon arrival, I was greeted by Cynthia Steed, Administrator. Mrs. Steed greeted me and invited me into the facility. There were 34 children present today. Children were observed playing with toys of their choice, finishing breakfast and eating lunch. They were also observed playing outside with a variety of toys and on a climbing structure. Infants and toddlers were walking around the classroom while playing with toys, non-mobile children were in bouncers near the teacher. Teachers were observed interacting with children a positive manner. There were no emergency medications on site, there were also no health care needs listed on the children’s applications reviewed per the children’s records file. There were topical creams however there were no permission to administer forms on file. The teacher stated the topical creams were for children that were no longer enrolled. A satisfactory fire inspection was completed on 2/28/23 and the facility was approved for daytime care only. Emergency drills were documented monthly. A sanitation inspection was completed on 8/22/23 and the facility received a Superior rating. Outdoor inspections were documented monthly. Six children’s files were monitored during today’s visit. Staff files and on-going training including health and safety trainings and other annual requirements were monitored. Outdoor spaces were monitored and there were no hazards observed today. Two buses and a van were monitored for hazards, none were observed. Both have current registration and insurance. Emergency binders were also reviewed, there were children’s applications with identifying pictures attached. Information for the drivers were available also. Most of the required items were posted and current. There was not an emergency medical care plan posted. There were 17 items of non-compliance observed today, the corresponding violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The provider did not have an approved inspection report on file. 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Four bottles in a ziploc bag were not labeled or dated. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) There were no feeding plans posted for two children under 15 months old. 10A NCAC 09 .0902(a) 546 Opportunities were not provided for children to participate in the planning and implementation of activities. There was not documentation on the activity plan that showed child planned or implemented activities. 10A NCAC 09. 2508(b) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There was not a thermometer in the refrigerator in Space 4. 15A NCAC 18A .2806(j)(2) 832 There was no written emergency medical care (EMC) plan. 10A NCAC 09 .0802(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 5, there were two cans of Lysol stored in unlocked lower cabinets. There was also diaper cream, lip balm, lotion, Vaseline stored on top of and under the diaper changing table. In Space 1, a first aid kit containing alcohol swabs was under an unlocked cabinet. In several of the licensed spaces hand sanitizer marked keep out of reach, was sitting on low counters or on the diaper changing station. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. There were items stored in plastic bags near areas where children play and under cabinets without locks in space # 5, where children under three years old are enrolled. .0604(q) 871 Center staff did not comply with the safe sleep policy. There was no thermometer in the room to ensure the temperature remains between 68-75 degrees per the facility's safe sleep policy. 10A NCAC 09 .0606(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. There were no TB results or screening documentation for A. Collins or J. McBride. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. A. Collins and J. McBride did not complete a CBC prior to moving from volunteers to employees. G.S. 110-90.2(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Marie H. did not have a current qualification letter on file. Her letter expired 7/29/24. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. J. Thacker and M. Turay did not have documentation of orientation on file. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Marie H. did not have a verification of First Aid 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. There was not a training certificate for M. Hagan on file. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. J. Thacker did not complete the training within 90 days of employment. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. C. Steed, A. Washington and A. Ross did not complete training topic within five years, including the course regarding maltreatment. .1103(b) Violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be emailed to me by 8/28/24, describing how and when the violation(s) were corrected and how compliance will be maintained in the future. Please remember your letter should include facility name, facility ID#, and original signature. I provided the following technical assistance regarding the violations cited: Safe Environment Maintaining a safe environment is of the utmost importance. Today, I suggested using the checklist that I provided with the visit summary to complete periodic quality checks. During the visit several potentially hazardous items were in unlocked cabinets or kept in reach of children. Many child-resistant locks or latches can be put on doors or cabinets to keep young children from getting to poisons. Many of these devices lock automatically when the door is closed, and they need an adult’s hand or skill to open the door. -Plastic bags have been recognized for many years as a cause of suffocation. Warnings regarding this risk are printed on diaper-pail bags, dry-cleaning bags, and so forth. The U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. Nearly 90% of the reported deaths were to children under the age of one (1). -Over 2 million human poisonings are reported to poison centers every year. Children under 6 make up more than half of those poisonings. The most common sources of childhood poisonings are health and beauty products, cleaning products, and medications. When a child care facility cannot return unused medication to the parent/guardian, the facility needs to dispose of the medication. An example of when medication cannot be returned is when a parent/guardian has removed the child from care and the facility cannot reach the parent/guardian to return the medication. -The facility’s safe sleep policy must always be followed to ensure the safety of the infants in care. The temperature of a room can vary between the floor and the ceiling. Because heat rises, the temperature at the level where children are playing can be much cooler than at the usual level of placement of interior thermometers (the standing, eye level of adults). Placing a safe digital thermometer at the children’s height allows proper monitoring of temperature where the children are in the room. A thermometer should not break easily if a child or adult bumps into it. Staff Records Maintaining staff records is important to ensure staff are qualified, trained and maintain current qualifications. Today, I suggested you use the staff file checklist to maintain current records. These records include qualification letters after a criminal background check, TB test or screening, medical reports record of orientation, current certifications and trainings. -Screenings are needed to provide a safe program environment, support children’s health and safety and are important for preventing child maltreatment in early care and education programs. Background screenings can help by identifying applicants with unsafe backgrounds and risk factors, such as a history of violent behaviors or drug use. Background screening for current staff allows programs to watch for potential threats to child health and safety and address them accordingly. -Early care and education programs with staff trained in pediatric first aid and CPR can mitigate the consequences of injury and reduce the potential for death from life-threatening conditions and emergencies. Documentation of current certification of satisfactory completion of pediatric first aid and demonstration of pediatric CPR skills in the facility assists in implementing and monitoring for proof of compliance. -Orientation ensures that all staff members receive specific and basic training for the work they will be doing and are informed about their new responsibilities. Because of frequent staff turnover, directors should institute orientation programs on a regular basis. Orientation and ongoing training are especially important for aides and assistant teachers, for whom pre-service educational requirements are limited. -Early care and education staff members who are up to date on health and safety practices are more likely to provide a safe and healthy environment for children. The most significant predictor of compliance with state child care health and safety regulations is staff continuing education in the areas of health, safety, child development, and abuse identification. Programs should also make sure that staff has completed all required training on child maltreatment. Staff working with children under the age of 3 years old should receive training on preventing shaken baby syndrome and abusive head trauma. Thank you for your time today. If you have any questions or concerns, please feel free to contact me. 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: CARL CHAVIS YMCA Facility ID: 41001260 Consultant: CHERISSA ALSTON Operation Type: Center Case Number: Visit Date: 8/14/2024 Number Present: 34 Completed Date: 8/14/2024 Age: From 0 To 10 Total Minutes: 315 Time In: 09:15 AM Time Out: 02:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance of child care rules during an annual compliance visit. The facility has an 18-month compliance history of 95%. The last annual compliance visit was documented on 8/21/23. Ericka Bailey, Child Care Consultant, was also present at this visit. Upon arrival, I was greeted by Cynthia Steed, Administrator. Mrs. Steed greeted me and invited me into the facility. There were 34 children present today. Children were observed playing with toys of their choice, finishing breakfast and eating lunch. They were also observed playing outside with a variety of toys and on a climbing structure. Infants and toddlers were walking around the classroom while playing with toys, non-mobile children were in bouncers near the teacher. Teachers were observed interacting with children a positive manner. There were no emergency medications on site, there were also no health care needs listed on the children’s applications reviewed per the children’s records file. There were topical creams however there were no permission to administer forms on file. The teacher stated the topical creams were for children that were no longer enrolled. A satisfactory fire inspection was completed on 2/28/23 and the facility was approved for daytime care only. Emergency drills were documented monthly. A sanitation inspection was completed on 8/22/23 and the facility received a Superior rating. Outdoor inspections were documented monthly. Six children’s files were monitored during today’s visit. Staff files and on-going training including health and safety trainings and other annual requirements were monitored. Outdoor spaces were monitored and there were no hazards observed today. Two buses and a van were monitored for hazards, none were observed. Both have current registration and insurance. Emergency binders were also reviewed, there were children’s applications with identifying pictures attached. Information for the drivers were available also. Most of the required items were posted and current. There was not an emergency medical care plan posted. There were 17 items of non-compliance observed today, the corresponding violations were cited. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The provider did not have an approved inspection report on file. 10A NCAC 09 .0304(a) 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. Four bottles in a ziploc bag were not labeled or dated. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) There were no feeding plans posted for two children under 15 months old. 10A NCAC 09 .0902(a) 546 Opportunities were not provided for children to participate in the planning and implementation of activities. There was not documentation on the activity plan that showed child planned or implemented activities. 10A NCAC 09. 2508(b) 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. There was not a thermometer in the refrigerator in Space 4. 15A NCAC 18A .2806(j)(2) 832 There was no written emergency medical care (EMC) plan. 10A NCAC 09 .0802(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In Space 5, there were two cans of Lysol stored in unlocked lower cabinets. There was also diaper cream, lip balm, lotion, Vaseline stored on top of and under the diaper changing table. In Space 1, a first aid kit containing alcohol swabs was under an unlocked cabinet. In several of the licensed spaces hand sanitizer marked keep out of reach, was sitting on low counters or on the diaper changing station. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. There were items stored in plastic bags near areas where children play and under cabinets without locks in space # 5, where children under three years old are enrolled. .0604(q) 871 Center staff did not comply with the safe sleep policy. There was no thermometer in the room to ensure the temperature remains between 68-75 degrees per the facility's safe sleep policy. 10A NCAC 09 .0606(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. There were no TB results or screening documentation for A. Collins or J. McBride. .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. A. Collins and J. McBride did not complete a CBC prior to moving from volunteers to employees. G.S. 110-90.2(b) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). Marie H. did not have a current qualification letter on file. Her letter expired 7/29/24. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. J. Thacker and M. Turay did not have documentation of orientation on file. .1101(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Marie H. did not have a verification of First Aid 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. There was not a training certificate for M. Hagan on file. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. J. Thacker did not complete the training within 90 days of employment. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. C. Steed, A. Washington and A. Ross did not complete training topic within five years, including the course regarding maltreatment. .1103(b) Violation(s) documented above must be corrected immediately. A signed and dated letter of compliance must be emailed to me by 8/28/24, describing how and when the violation(s) were corrected and how compliance will be maintained in the future. Please remember your letter should include facility name, facility ID#, and original signature. I provided the following technical assistance regarding the violations cited: Safe Environment Maintaining a safe environment is of the utmost importance. Today, I suggested using the checklist that I provided with the visit summary to complete periodic quality checks. During the visit several potentially hazardous items were in unlocked cabinets or kept in reach of children. Many child-resistant locks or latches can be put on doors or cabinets to keep young children from getting to poisons. Many of these devices lock automatically when the door is closed, and they need an adult’s hand or skill to open the door. -Plastic bags have been recognized for many years as a cause of suffocation. Warnings regarding this risk are printed on diaper-pail bags, dry-cleaning bags, and so forth. The U.S. Consumer Product Safety Commission (CPSC) has received average annual reports of twenty-five deaths per year to children due to suffocation from plastic bags. Nearly 90% of the reported deaths were to children under the age of one (1). -Over 2 million human poisonings are reported to poison centers every year. Children under 6 make up more than half of those poisonings. The most common sources of childhood poisonings are health and beauty products, cleaning products, and medications. When a child care facility cannot return unused medication to the parent/guardian, the facility needs to dispose of the medication. An example of when medication cannot be returned is when a parent/guardian has removed the child from care and the facility cannot reach the parent/guardian to return the medication. -The facility’s safe sleep policy must always be followed to ensure the safety of the infants in care. The temperature of a room can vary between the floor and the ceiling. Because heat rises, the temperature at the level where children are playing can be much cooler than at the usual level of placement of interior thermometers (the standing, eye level of adults). Placing a safe digital thermometer at the children’s height allows proper monitoring of temperature where the children are in the room. A thermometer should not break easily if a child or adult bumps into it. Staff Records Maintaining staff records is important to ensure staff are qualified, trained and maintain current qualifications. Today, I suggested you use the staff file checklist to maintain current records. These records include qualification letters after a criminal background check, TB test or screening, medical reports record of orientation, current certifications and trainings. -Screenings are needed to provide a safe program environment, support children’s health and safety and are important for preventing child maltreatment in early care and education programs. Background screenings can help by identifying applicants with unsafe backgrounds and risk factors, such as a history of violent behaviors or drug use. Background screening for current staff allows programs to watch for potential threats to child health and safety and address them accordingly. -Early care and education programs with staff trained in pediatric first aid and CPR can mitigate the consequences of injury and reduce the potential for death from life-threatening conditions and emergencies. Documentation of current certification of satisfactory completion of pediatric first aid and demonstration of pediatric CPR skills in the facility assists in implementing and monitoring for proof of compliance. -Orientation ensures that all staff members receive specific and basic training for the work they will be doing and are informed about their new responsibilities. Because of frequent staff turnover, directors should institute orientation programs on a regular basis. Orientation and ongoing training are especially important for aides and assistant teachers, for whom pre-service educational requirements are limited. -Early care and education staff members who are up to date on health and safety practices are more likely to provide a safe and healthy environment for children. The most significant predictor of compliance with state child care health and safety regulations is staff continuing education in the areas of health, safety, child development, and abuse identification. Programs should also make sure that staff has completed all required training on child maltreatment. Staff working with children under the age of 3 years old should receive training on preventing shaken baby syndrome and abusive head trauma. Thank you for your time today. If you have any questions or concerns, please feel free to contact me. 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: CARL CHAVIS YMCA Facility ID: 41001260 Consultant: SHERRY PROCTOR Operation Type: Center Case Number: Visit Date: 8/21/2023 Number Present: 49 Completed Date: 8/21/2023 Age: From 0 To 12 Total Minutes: 120 Time In: 10:00 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. I was greeted by Ms. Cynthia Steed, director of the center. This center currently operates with a Four-Star license, effective February 27, 2020. An approved fire inspection was conducted on November 2, 2022, and I received a copy. The latest sanitation inspection was conducted on June 27, 2023, with a Superior score. I saw the playground inspections, emergency drills, and the incident notebook. The compliance history is 98% as of August 21, 2023. A full assessment of applicable child care requirements was conducted, I used the Annual Monitoring Checklist during today’s visit. Ms Steed accompanied me on a walk-through of the center. Ms. Steed has a prior appointment and will need to leave. I will return tomorrow to complete the TA part of the visit. I observed the children and gathered attendance. Children were participating in group activities, preparing for lunch, and eating lunch. The classrooms are supplied with many activities and toys for the children. All observations I observed were warm and nurturing. Ms. Terri Burks, lead teacher completed the visit with me. The playground renovation is complete. All mulch has been removed and approved ground cover was added. There has plenty of shade, also there is room for running and vigorous play. There is an area with climbing equipment, room for bike rides and there is a concrete area for the children to play basketball. I reviewed a sampling of staff and children files. Program files were current and in order. Your signature on these forms will serve as verification that the information provided is accurate and complete. I observed one item of non-compliance of childcare rules during the visit today. Violation Number Comment Rule 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of three years for the date of issuance). One staff member does not have an up to date qualification letter. G.S. 110-90.2(b) & .2703(n)&(o) In order to maintain compliance with North Carolina child care laws and rules, the above violations must be corrected immediately. Please send me a correction letter by email stating how the violations were corrected and how you plan to maintain compliance in the future. It must be submitted to me by September 1, 2023. Include the following information in your correction letter: 1. Facility Name 2. Facility ID 3. Date of the letter 4. The violation number, the date the violation was corrected, information regarding how the violation was corrected and how you plan to maintain compliance with the item number in the future. Please continue to visit DCDEE’s website to get the latest childcare/early education at https://ncchildcare.ncdhhs.gov/. Staff will find free training on MOODLE. All Health and Safety trainings are located on MOODLE. Recognizing and Responding to Suspicions of Child Maltreatment training is located on this website, https://www.preventchildabusenc.org. The updated childcare rules are on the DCDEE website. Please remember it is your responsibility to know and follow all child care rules and requirements. We appreciate all you are doing to serve the children and families of NC. If you have any questions or if I may be of further assistance, please contact me, my email is sherry.proctor@dhhs.nc.gov. Thank you for your time today. 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