10A NCAC 09 .0515 · Violation

Name of Operation: HILDEBRAN ELEMENTARY YMCA CHILDCARE Facility ID: 12000447 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 22 Completed Date: 11/14/2024 Age: From 5 To 11 Total Minutes: 148 Time In: 02:47 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety, for an annual compliance visit. The visit was conducted with you, Karen Gantt, Program Coordinator, and Ann Effler, Regional Director. You provided me with applicable program, staff, and children’s records for review. The North Carolina Secretary of State website was viewed before the visit and Young Men’s Christian Association of Catawba Valley, Inc. was current/active as of November 14, 2024. I confirmed that the contact information for the facility was correct. This program currently operates with a Four star rated license effective December 21, 2022. The program’s compliance history was 87 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors and snack. Children are not transported by the licensed YMCA program during the school year. The most recent sanitation inspection for your facility was conducted on July 19, 2024. A superior sanitation classification was issued with 4 demerits noted on the grade card. The most recent lead water testing results for Hildebran Elementary School were completed on April 8, 2024. The most recent fire inspection for your facility was conducted on June 7, 2024. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated visit summary was emailed to you. The following violations were observed: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill for August 2024 was not completed or documented on the Emergency Drill Log. .0604(t); .0302(d)(5) 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. One aerosol can of Pacifica hair and body mist was observed in an unlocked cabinet in space #6. .2820(b) 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. One child's medication authorization for an Epi-Pen expired on 8/6/2024. One child’s medication authorization for Albuterol Sulfate expired on 8/20/2024. .0803(12) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report for an injury that occurred to a child on 7/30/2024 did not include the first aid that was given to the child nor the time the parent was contacted. .0802 (e) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. One child enrolled on 10/28/2024 did not have parental acknowledgement of the parent participation plan on file for review. 10A NCAC 09 .0515(a) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child's medical action plan was dated 3/2/2023. .0801(b) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 28, 2024. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Fire Drills- -Fire drills must be completed and documented monthly. I suggested that you conduct a fire drill on the same day you complete the monthly playground inspection to ensure both are completed each month. I also suggested adding reminder alerts on your computer or phone to complete these inspections at various times each month. Storage of Hazardous Products- -The Regional Director moved the aerosol can to locked storage during the visit. 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 must be stored in a locked storage room or cabinet. I suggested that the Program Coordinator monitor all areas of the child care facility each day to ensure all hazardous products are stored appropriately. Medications- -I suggested that you monitor all medications at least monthly to ensure the medication has not expired and the authorization from the parent is on file and has not expired. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. I suggested that you instruct staff to complete monthly checks of medications to ensure compliance with all medication requirements. Incident Reports- -I suggested that administrative staff review incident report requirements with all staff, especially any new program coordinators. I suggested that the program coordinator review all incident reports completed to ensure all information is recorded as required. Per child care rule .0802(e), the child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Children’s Records- -I suggested that you utilize the Children’s File Checklist available on the DCDEE website by recording dates for all information and documents received for each child on an individual checklist. Refer to the checklist prior to each child’s enrollment to ensure all required documentation is on file within the required timeframe. Medical Action Plans- -I suggested that you review the Medical Action Plans for each applicable child monthly to ensure the information is accurate, current, and that the plan isn’t older than 12 months. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp. Reminders and Resources: -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: HILDEBRAN ELEMENTARY YMCA CHILDCARE Facility ID: 12000447 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 11/14/2024 Number Present: 22 Completed Date: 11/14/2024 Age: From 5 To 11 Total Minutes: 148 Time In: 02:47 PM Time Out: 05:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements, including health and safety, for an annual compliance visit. The visit was conducted with you, Karen Gantt, Program Coordinator, and Ann Effler, Regional Director. You provided me with applicable program, staff, and children’s records for review. The North Carolina Secretary of State website was viewed before the visit and Young Men’s Christian Association of Catawba Valley, Inc. was current/active as of November 14, 2024. I confirmed that the contact information for the facility was correct. This program currently operates with a Four star rated license effective December 21, 2022. The program’s compliance history was 87 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. Children and staff were observed during free play activities indoors and snack. Children are not transported by the licensed YMCA program during the school year. The most recent sanitation inspection for your facility was conducted on July 19, 2024. A superior sanitation classification was issued with 4 demerits noted on the grade card. The most recent lead water testing results for Hildebran Elementary School were completed on April 8, 2024. The most recent fire inspection for your facility was conducted on June 7, 2024. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated visit summary was emailed to you. The following violations were observed: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill for August 2024 was not completed or documented on the Emergency Drill Log. .0604(t); .0302(d)(5) 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. One aerosol can of Pacifica hair and body mist was observed in an unlocked cabinet in space #6. .2820(b) 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. One child's medication authorization for an Epi-Pen expired on 8/6/2024. One child’s medication authorization for Albuterol Sulfate expired on 8/20/2024. .0803(12) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report for an injury that occurred to a child on 7/30/2024 did not include the first aid that was given to the child nor the time the parent was contacted. .0802 (e) 1207 Parent participation plan was not discussed with parents on or before the child's first day of attendance and/or a copy was not given to them or posted in the center. One child enrolled on 10/28/2024 did not have parental acknowledgement of the parent participation plan on file for review. 10A NCAC 09 .0515(a) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. One child's medical action plan was dated 3/2/2023. .0801(b) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 28, 2024. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance was provided on the following: Fire Drills- -Fire drills must be completed and documented monthly. I suggested that you conduct a fire drill on the same day you complete the monthly playground inspection to ensure both are completed each month. I also suggested adding reminder alerts on your computer or phone to complete these inspections at various times each month. Storage of Hazardous Products- -The Regional Director moved the aerosol can to locked storage during the visit. 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 must be stored in a locked storage room or cabinet. I suggested that the Program Coordinator monitor all areas of the child care facility each day to ensure all hazardous products are stored appropriately. Medications- -I suggested that you monitor all medications at least monthly to ensure the medication has not expired and the authorization from the parent is on file and has not expired. Any medication remaining after the course of treatment is completed, after authorization is withdrawn or after authorization has expired shall be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of completion of treatment, or withdrawal of authorization, shall be discarded. I suggested that you instruct staff to complete monthly checks of medications to ensure compliance with all medication requirements. Incident Reports- -I suggested that administrative staff review incident report requirements with all staff, especially any new program coordinators. I suggested that the program coordinator review all incident reports completed to ensure all information is recorded as required. Per child care rule .0802(e), the child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Children’s Records- -I suggested that you utilize the Children’s File Checklist available on the DCDEE website by recording dates for all information and documents received for each child on an individual checklist. Refer to the checklist prior to each child’s enrollment to ensure all required documentation is on file within the required timeframe. Medical Action Plans- -I suggested that you review the Medical Action Plans for each applicable child monthly to ensure the information is accurate, current, and that the plan isn’t older than 12 months. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website at http://ncchildcare.ncdhhs.gov/providers/pv_provideforms.asp. Reminders and Resources: -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: HILDEBRAN ELEMENTARY YMCA CHILDCARE Facility ID: 12000447 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 7/15/2024 Number Present: 31 Completed Date: 7/15/2024 Age: From 6 To 11 Total Minutes: 195 Time In: 10:10 AM Time Out: 01:25 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 your program for compliance with applicable child care requirements for a routine unannounced visit. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, special training, criminal background checks, Emergency Medical Care Plan, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Cassidy Patton, Program Coordinator and Lead Teacher. Jennifer Hawkins, Regional Licensing and Compliance Director, and Heather Quintrell, Program Coordinator, arrived during the visit. You provided me with applicable program and staff records for review during the visit. This program currently operates with a Four star rated license effective December 21, 2022. The program’s compliance history was 88 percent prior to today’s visit. 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 NC Secretary of State website was viewed before the visit and YMCA of Catawba Valley, Inc. was current/active as of July 15, 2024. A walk-through of licensed space was completed today. Staff and children were observed during gross motor activities outdoors and free play activities indoors. During the visit, the lunch delivery was delayed. You stated children ate breakfast between 8:15am and 8:45am. At 12:45pm, a snack was offered to both groups of children. Lunch arrived at 1:19pm and was served to children. The most recent sanitation inspection for your facility was conducted on November 17, 2023. A superior sanitation classification was issued with 13 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on June 7, 2024. You stated three new staff have been employed since your most recent annual compliance visit conducted on November 16, 2023. The following violations of child care requirements were observed during the visit. Violations and technical assistance were thoroughly reviewed with you and documented in the handwritten Visit Summary given to you at the conclusion of the visit. The computer-generated visit summary was emailed to you following the visit on July 15, 2024. Violation Number Comment Rule 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. School age children in group #1 did not wash their hands after returning indoors from outdoor play before children began playing with toys in space #5. 15A NCAC 18A .2803(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. Cardiopulmonary resuscitation (CPR) certification was not on file for review for Cassidy Patton, employed on 6/14/2022. .1102(d) 1123 All vehicles used to transport children were not free of hazards. Bus #8047 contained holes or unstitched upholstery exposing the interior padding in the following seats: fourth row passenger side, sixth row drivers side, ninth row drivers side, and twelfth row both driver and passenger sides. 10A NCAC 09 .1002(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A previous emergency lockdown drill was recorded on the Emergency Drill Log as completed on October 25, 2023. A shelter-in-place emergency drill was recorded on the Emergency Drill Log as completed on "November 25, 2023", however, this was a Saturday. The next emergency drill was not completed until May 24, 2024. .0604(u);.0302(d)(8) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 29, 2024. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance regarding the violations observed: Handwashing- All children eventually washed hands after this was brought to your attention. I suggested that you review handwashing requirements with all staff and with children enrolled. Discuss with staff and children to go directly to the restrooms upon returning indoors from outdoor play to have all children wash hands before going to the classroom. Children must wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water play, after outside play, and/or after handling animals or animal cages. Cardiopulmonary resuscitation (CPR) certification- You emailed me a copy of Cassidy Patton’s CPR and First Aid training certificate, received on August 6, 2022, after the visit was completed. Verification of each staff member's completion of the Cardiopulmonary resuscitation (CPR) course and First Aid course from an approved training organization shall be maintained in the staff member's file in the center. I suggested that when staff members bring their CPR and First Aid certification cards to you, be sure to check and make sure both CPR and First Aid training was completed. Cassidy Patton is due for CPR and First Aid recertification on or before to August 6, 2024. Vehicles used for transportation: I suggested that you monitor all vehicles used to transport children prior to taking field trips to ensure the vehicles do not contain hazards. I suggested, if possible, to not allow children to sit in the seats with exposed interior padding until the seats are repaired. Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. Emergency drills- 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). I suggested that you conduct emergency drills monthly or bi-monthly to ensure compliance with this requirement. I also requested that you include the month, date, and year for each fire drill and emergency drill completed moving forward. Consultation (the following items reviewed were in compliance today): -We reviewed nutrition requirement 10A NCAC 09 .0903. Meals and snacks shall be planned according to the number of hours a child is in the center. Children shall be provided a meal or snack a minimum of every four hours. -In space #6, the room used primarily for office space, two chairs with cracks on the seat were observed. I suggested that the chairs be discarded or repaired and to not be used for children. -I suggested that you rake the mulch under the swings at least once a week or as needed on the playground. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. Your facility is in cohort three. More information will be forthcoming once your cohort year approaches. Reminders and Resources: -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: HILDEBRAN ELEMENTARY YMCA CHILDCARE Facility ID: 12000447 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 7/15/2024 Number Present: 31 Completed Date: 7/15/2024 Age: From 6 To 11 Total Minutes: 195 Time In: 10:10 AM Time Out: 01:25 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 your program for compliance with applicable child care requirements for a routine unannounced visit. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, special training, criminal background checks, Emergency Medical Care Plan, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Cassidy Patton, Program Coordinator and Lead Teacher. Jennifer Hawkins, Regional Licensing and Compliance Director, and Heather Quintrell, Program Coordinator, arrived during the visit. You provided me with applicable program and staff records for review during the visit. This program currently operates with a Four star rated license effective December 21, 2022. The program’s compliance history was 88 percent prior to today’s visit. 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 NC Secretary of State website was viewed before the visit and YMCA of Catawba Valley, Inc. was current/active as of July 15, 2024. A walk-through of licensed space was completed today. Staff and children were observed during gross motor activities outdoors and free play activities indoors. During the visit, the lunch delivery was delayed. You stated children ate breakfast between 8:15am and 8:45am. At 12:45pm, a snack was offered to both groups of children. Lunch arrived at 1:19pm and was served to children. The most recent sanitation inspection for your facility was conducted on November 17, 2023. A superior sanitation classification was issued with 13 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on June 7, 2024. You stated three new staff have been employed since your most recent annual compliance visit conducted on November 16, 2023. The following violations of child care requirements were observed during the visit. Violations and technical assistance were thoroughly reviewed with you and documented in the handwritten Visit Summary given to you at the conclusion of the visit. The computer-generated visit summary was emailed to you following the visit on July 15, 2024. Violation Number Comment Rule 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. School age children in group #1 did not wash their hands after returning indoors from outdoor play before children began playing with toys in space #5. 15A NCAC 18A .2803(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. Cardiopulmonary resuscitation (CPR) certification was not on file for review for Cassidy Patton, employed on 6/14/2022. .1102(d) 1123 All vehicles used to transport children were not free of hazards. Bus #8047 contained holes or unstitched upholstery exposing the interior padding in the following seats: fourth row passenger side, sixth row drivers side, ninth row drivers side, and twelfth row both driver and passenger sides. 10A NCAC 09 .1002(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A previous emergency lockdown drill was recorded on the Emergency Drill Log as completed on October 25, 2023. A shelter-in-place emergency drill was recorded on the Emergency Drill Log as completed on "November 25, 2023", however, this was a Saturday. The next emergency drill was not completed until May 24, 2024. .0604(u);.0302(d)(8) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 29, 2024. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance regarding the violations observed: Handwashing- All children eventually washed hands after this was brought to your attention. I suggested that you review handwashing requirements with all staff and with children enrolled. Discuss with staff and children to go directly to the restrooms upon returning indoors from outdoor play to have all children wash hands before going to the classroom. Children must wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water play, after outside play, and/or after handling animals or animal cages. Cardiopulmonary resuscitation (CPR) certification- You emailed me a copy of Cassidy Patton’s CPR and First Aid training certificate, received on August 6, 2022, after the visit was completed. Verification of each staff member's completion of the Cardiopulmonary resuscitation (CPR) course and First Aid course from an approved training organization shall be maintained in the staff member's file in the center. I suggested that when staff members bring their CPR and First Aid certification cards to you, be sure to check and make sure both CPR and First Aid training was completed. Cassidy Patton is due for CPR and First Aid recertification on or before to August 6, 2024. Vehicles used for transportation: I suggested that you monitor all vehicles used to transport children prior to taking field trips to ensure the vehicles do not contain hazards. I suggested, if possible, to not allow children to sit in the seats with exposed interior padding until the seats are repaired. Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. Emergency drills- 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). I suggested that you conduct emergency drills monthly or bi-monthly to ensure compliance with this requirement. I also requested that you include the month, date, and year for each fire drill and emergency drill completed moving forward. Consultation (the following items reviewed were in compliance today): -We reviewed nutrition requirement 10A NCAC 09 .0903. Meals and snacks shall be planned according to the number of hours a child is in the center. Children shall be provided a meal or snack a minimum of every four hours. -In space #6, the room used primarily for office space, two chairs with cracks on the seat were observed. I suggested that the chairs be discarded or repaired and to not be used for children. -I suggested that you rake the mulch under the swings at least once a week or as needed on the playground. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. Your facility is in cohort three. More information will be forthcoming once your cohort year approaches. Reminders and Resources: -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@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 .0903 · Violation

Name of Operation: HILDEBRAN ELEMENTARY YMCA CHILDCARE Facility ID: 12000447 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 7/15/2024 Number Present: 31 Completed Date: 7/15/2024 Age: From 6 To 11 Total Minutes: 195 Time In: 10:10 AM Time Out: 01:25 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 your program for compliance with applicable child care requirements for a routine unannounced visit. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, special training, criminal background checks, Emergency Medical Care Plan, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Cassidy Patton, Program Coordinator and Lead Teacher. Jennifer Hawkins, Regional Licensing and Compliance Director, and Heather Quintrell, Program Coordinator, arrived during the visit. You provided me with applicable program and staff records for review during the visit. This program currently operates with a Four star rated license effective December 21, 2022. The program’s compliance history was 88 percent prior to today’s visit. 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 NC Secretary of State website was viewed before the visit and YMCA of Catawba Valley, Inc. was current/active as of July 15, 2024. A walk-through of licensed space was completed today. Staff and children were observed during gross motor activities outdoors and free play activities indoors. During the visit, the lunch delivery was delayed. You stated children ate breakfast between 8:15am and 8:45am. At 12:45pm, a snack was offered to both groups of children. Lunch arrived at 1:19pm and was served to children. The most recent sanitation inspection for your facility was conducted on November 17, 2023. A superior sanitation classification was issued with 13 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on June 7, 2024. You stated three new staff have been employed since your most recent annual compliance visit conducted on November 16, 2023. The following violations of child care requirements were observed during the visit. Violations and technical assistance were thoroughly reviewed with you and documented in the handwritten Visit Summary given to you at the conclusion of the visit. The computer-generated visit summary was emailed to you following the visit on July 15, 2024. Violation Number Comment Rule 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. School age children in group #1 did not wash their hands after returning indoors from outdoor play before children began playing with toys in space #5. 15A NCAC 18A .2803(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. Cardiopulmonary resuscitation (CPR) certification was not on file for review for Cassidy Patton, employed on 6/14/2022. .1102(d) 1123 All vehicles used to transport children were not free of hazards. Bus #8047 contained holes or unstitched upholstery exposing the interior padding in the following seats: fourth row passenger side, sixth row drivers side, ninth row drivers side, and twelfth row both driver and passenger sides. 10A NCAC 09 .1002(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A previous emergency lockdown drill was recorded on the Emergency Drill Log as completed on October 25, 2023. A shelter-in-place emergency drill was recorded on the Emergency Drill Log as completed on "November 25, 2023", however, this was a Saturday. The next emergency drill was not completed until May 24, 2024. .0604(u);.0302(d)(8) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 29, 2024. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance regarding the violations observed: Handwashing- All children eventually washed hands after this was brought to your attention. I suggested that you review handwashing requirements with all staff and with children enrolled. Discuss with staff and children to go directly to the restrooms upon returning indoors from outdoor play to have all children wash hands before going to the classroom. Children must wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water play, after outside play, and/or after handling animals or animal cages. Cardiopulmonary resuscitation (CPR) certification- You emailed me a copy of Cassidy Patton’s CPR and First Aid training certificate, received on August 6, 2022, after the visit was completed. Verification of each staff member's completion of the Cardiopulmonary resuscitation (CPR) course and First Aid course from an approved training organization shall be maintained in the staff member's file in the center. I suggested that when staff members bring their CPR and First Aid certification cards to you, be sure to check and make sure both CPR and First Aid training was completed. Cassidy Patton is due for CPR and First Aid recertification on or before to August 6, 2024. Vehicles used for transportation: I suggested that you monitor all vehicles used to transport children prior to taking field trips to ensure the vehicles do not contain hazards. I suggested, if possible, to not allow children to sit in the seats with exposed interior padding until the seats are repaired. Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. Emergency drills- 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). I suggested that you conduct emergency drills monthly or bi-monthly to ensure compliance with this requirement. I also requested that you include the month, date, and year for each fire drill and emergency drill completed moving forward. Consultation (the following items reviewed were in compliance today): -We reviewed nutrition requirement 10A NCAC 09 .0903. Meals and snacks shall be planned according to the number of hours a child is in the center. Children shall be provided a meal or snack a minimum of every four hours. -In space #6, the room used primarily for office space, two chairs with cracks on the seat were observed. I suggested that the chairs be discarded or repaired and to not be used for children. -I suggested that you rake the mulch under the swings at least once a week or as needed on the playground. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. Your facility is in cohort three. More information will be forthcoming once your cohort year approaches. Reminders and Resources: -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@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 .1002 · Violation

Name of Operation: HILDEBRAN ELEMENTARY YMCA CHILDCARE Facility ID: 12000447 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 7/15/2024 Number Present: 31 Completed Date: 7/15/2024 Age: From 6 To 11 Total Minutes: 195 Time In: 10:10 AM Time Out: 01:25 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 your program for compliance with applicable child care requirements for a routine unannounced visit. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, special training, criminal background checks, Emergency Medical Care Plan, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Cassidy Patton, Program Coordinator and Lead Teacher. Jennifer Hawkins, Regional Licensing and Compliance Director, and Heather Quintrell, Program Coordinator, arrived during the visit. You provided me with applicable program and staff records for review during the visit. This program currently operates with a Four star rated license effective December 21, 2022. The program’s compliance history was 88 percent prior to today’s visit. 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 NC Secretary of State website was viewed before the visit and YMCA of Catawba Valley, Inc. was current/active as of July 15, 2024. A walk-through of licensed space was completed today. Staff and children were observed during gross motor activities outdoors and free play activities indoors. During the visit, the lunch delivery was delayed. You stated children ate breakfast between 8:15am and 8:45am. At 12:45pm, a snack was offered to both groups of children. Lunch arrived at 1:19pm and was served to children. The most recent sanitation inspection for your facility was conducted on November 17, 2023. A superior sanitation classification was issued with 13 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on June 7, 2024. You stated three new staff have been employed since your most recent annual compliance visit conducted on November 16, 2023. The following violations of child care requirements were observed during the visit. Violations and technical assistance were thoroughly reviewed with you and documented in the handwritten Visit Summary given to you at the conclusion of the visit. The computer-generated visit summary was emailed to you following the visit on July 15, 2024. Violation Number Comment Rule 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. School age children in group #1 did not wash their hands after returning indoors from outdoor play before children began playing with toys in space #5. 15A NCAC 18A .2803(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. Cardiopulmonary resuscitation (CPR) certification was not on file for review for Cassidy Patton, employed on 6/14/2022. .1102(d) 1123 All vehicles used to transport children were not free of hazards. Bus #8047 contained holes or unstitched upholstery exposing the interior padding in the following seats: fourth row passenger side, sixth row drivers side, ninth row drivers side, and twelfth row both driver and passenger sides. 10A NCAC 09 .1002(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A previous emergency lockdown drill was recorded on the Emergency Drill Log as completed on October 25, 2023. A shelter-in-place emergency drill was recorded on the Emergency Drill Log as completed on "November 25, 2023", however, this was a Saturday. The next emergency drill was not completed until May 24, 2024. .0604(u);.0302(d)(8) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 29, 2024. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance regarding the violations observed: Handwashing- All children eventually washed hands after this was brought to your attention. I suggested that you review handwashing requirements with all staff and with children enrolled. Discuss with staff and children to go directly to the restrooms upon returning indoors from outdoor play to have all children wash hands before going to the classroom. Children must wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water play, after outside play, and/or after handling animals or animal cages. Cardiopulmonary resuscitation (CPR) certification- You emailed me a copy of Cassidy Patton’s CPR and First Aid training certificate, received on August 6, 2022, after the visit was completed. Verification of each staff member's completion of the Cardiopulmonary resuscitation (CPR) course and First Aid course from an approved training organization shall be maintained in the staff member's file in the center. I suggested that when staff members bring their CPR and First Aid certification cards to you, be sure to check and make sure both CPR and First Aid training was completed. Cassidy Patton is due for CPR and First Aid recertification on or before to August 6, 2024. Vehicles used for transportation: I suggested that you monitor all vehicles used to transport children prior to taking field trips to ensure the vehicles do not contain hazards. I suggested, if possible, to not allow children to sit in the seats with exposed interior padding until the seats are repaired. Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. Emergency drills- 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). I suggested that you conduct emergency drills monthly or bi-monthly to ensure compliance with this requirement. I also requested that you include the month, date, and year for each fire drill and emergency drill completed moving forward. Consultation (the following items reviewed were in compliance today): -We reviewed nutrition requirement 10A NCAC 09 .0903. Meals and snacks shall be planned according to the number of hours a child is in the center. Children shall be provided a meal or snack a minimum of every four hours. -In space #6, the room used primarily for office space, two chairs with cracks on the seat were observed. I suggested that the chairs be discarded or repaired and to not be used for children. -I suggested that you rake the mulch under the swings at least once a week or as needed on the playground. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. Your facility is in cohort three. More information will be forthcoming once your cohort year approaches. Reminders and Resources: -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@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: HILDEBRAN ELEMENTARY YMCA CHILDCARE Facility ID: 12000447 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 7/15/2024 Number Present: 31 Completed Date: 7/15/2024 Age: From 6 To 11 Total Minutes: 195 Time In: 10:10 AM Time Out: 01:25 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 your program for compliance with applicable child care requirements for a routine unannounced visit. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, special training, criminal background checks, Emergency Medical Care Plan, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Upon arrival, the purpose of today’s visit was reviewed with you, Cassidy Patton, Program Coordinator and Lead Teacher. Jennifer Hawkins, Regional Licensing and Compliance Director, and Heather Quintrell, Program Coordinator, arrived during the visit. You provided me with applicable program and staff records for review during the visit. This program currently operates with a Four star rated license effective December 21, 2022. The program’s compliance history was 88 percent prior to today’s visit. 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 NC Secretary of State website was viewed before the visit and YMCA of Catawba Valley, Inc. was current/active as of July 15, 2024. A walk-through of licensed space was completed today. Staff and children were observed during gross motor activities outdoors and free play activities indoors. During the visit, the lunch delivery was delayed. You stated children ate breakfast between 8:15am and 8:45am. At 12:45pm, a snack was offered to both groups of children. Lunch arrived at 1:19pm and was served to children. The most recent sanitation inspection for your facility was conducted on November 17, 2023. A superior sanitation classification was issued with 13 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on June 7, 2024. You stated three new staff have been employed since your most recent annual compliance visit conducted on November 16, 2023. The following violations of child care requirements were observed during the visit. Violations and technical assistance were thoroughly reviewed with you and documented in the handwritten Visit Summary given to you at the conclusion of the visit. The computer-generated visit summary was emailed to you following the visit on July 15, 2024. Violation Number Comment Rule 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. School age children in group #1 did not wash their hands after returning indoors from outdoor play before children began playing with toys in space #5. 15A NCAC 18A .2803(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. Cardiopulmonary resuscitation (CPR) certification was not on file for review for Cassidy Patton, employed on 6/14/2022. .1102(d) 1123 All vehicles used to transport children were not free of hazards. Bus #8047 contained holes or unstitched upholstery exposing the interior padding in the following seats: fourth row passenger side, sixth row drivers side, ninth row drivers side, and twelfth row both driver and passenger sides. 10A NCAC 09 .1002(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A previous emergency lockdown drill was recorded on the Emergency Drill Log as completed on October 25, 2023. A shelter-in-place emergency drill was recorded on the Emergency Drill Log as completed on "November 25, 2023", however, this was a Saturday. The next emergency drill was not completed until May 24, 2024. .0604(u);.0302(d)(8) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by July 29, 2024. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. If you state in your violation correction letter that corrections have been made when they have not, it will be considered falsification of information. Technical Assistance regarding the violations observed: Handwashing- All children eventually washed hands after this was brought to your attention. I suggested that you review handwashing requirements with all staff and with children enrolled. Discuss with staff and children to go directly to the restrooms upon returning indoors from outdoor play to have all children wash hands before going to the classroom. Children must wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water play, after outside play, and/or after handling animals or animal cages. Cardiopulmonary resuscitation (CPR) certification- You emailed me a copy of Cassidy Patton’s CPR and First Aid training certificate, received on August 6, 2022, after the visit was completed. Verification of each staff member's completion of the Cardiopulmonary resuscitation (CPR) course and First Aid course from an approved training organization shall be maintained in the staff member's file in the center. I suggested that when staff members bring their CPR and First Aid certification cards to you, be sure to check and make sure both CPR and First Aid training was completed. Cassidy Patton is due for CPR and First Aid recertification on or before to August 6, 2024. Vehicles used for transportation: I suggested that you monitor all vehicles used to transport children prior to taking field trips to ensure the vehicles do not contain hazards. I suggested, if possible, to not allow children to sit in the seats with exposed interior padding until the seats are repaired. Vehicles used to transport children enrolled in child care centers shall be free of hazards such as, but not limited to, torn upholstery that allows children to remove the interior padding, broken windows, holes in the floor or roof, or tire treads of less than 2/32 of an inch. Emergency drills- 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). I suggested that you conduct emergency drills monthly or bi-monthly to ensure compliance with this requirement. I also requested that you include the month, date, and year for each fire drill and emergency drill completed moving forward. Consultation (the following items reviewed were in compliance today): -We reviewed nutrition requirement 10A NCAC 09 .0903. Meals and snacks shall be planned according to the number of hours a child is in the center. Children shall be provided a meal or snack a minimum of every four hours. -In space #6, the room used primarily for office space, two chairs with cracks on the seat were observed. I suggested that the chairs be discarded or repaired and to not be used for children. -I suggested that you rake the mulch under the swings at least once a week or as needed on the playground. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. Your facility is in cohort three. More information will be forthcoming once your cohort year approaches. Reminders and Resources: -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@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: HILDEBRAN ELEMENTARY YMCA CHILDCARE Facility ID: 12000447 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 11/16/2023 Number Present: 24 Completed Date: 11/17/2023 Age: From 5 To 12 Total Minutes: 165 Time In: 02:25 PM Time Out: 05:10 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 your program for compliance with applicable child care requirements, including health and safety training, for an annual compliance visit. The visit was conducted with you, Isaac Gallman, Program Coordinator, and Cassidy Dale, Regional Director. You provided me with applicable program, staff, and children’s records for review. The North Carolina Secretary of State website was viewed before the visit and Young Men’s Christian Association of Catawba Valley, Inc. was current/active as of November 15, 2023. This program currently operates with a Four star rated license effective December 21, 2022. The program’s compliance history was 90 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. Children and staff were observed during arrival, snack, and free play activities indoors. The most recent sanitation inspection for your facility was conducted on November 28, 2022. A superior sanitation classification was issued with 8 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on June 20, 2023. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was sent to you on November 17, 2023. The following violations were observed: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. The daily schedule was not posted in the facility for three groups of school age children. GS 110-91(12);.0508(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report dated 8/29/2023 and one incident report dated 9/25/2023 did not include the first aid that was given to the child as a result of the injury. .0802 (e) 1303 Application was not signed by the parent. The application for one child enrolled on 10/30/2023 was not signed by the child's parent or guardian. 10A NCAC 09 .0801(a) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on 8/28/2023 did not have immunization records on file until 10/9/2023. One child enrolled on 8/28/2023 did not have immunization records on file until 10/11/2023. 10A NCAC 09 .0302(d)(2) 1325 Parent's statement includes the child's name and date of enrollment and the date the parent signed the statement. The discipline policy for one child enrolled on 10/30/2023 did not include the date of the child's enrollment. .1804(b) 1445 All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training. One staff member employed on 5/16/2023 did not complete BSAC Training until 9/12/2023. .2510(c) 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. One staff member employed on 5/16/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 9/12/2023. .1102(g) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 30, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance was provided on the following: Daily Schedule- -The daily schedule was posted in both caregiving spaces during the visit by the Regional Director. I recommended that you monitor each space daily to ensure the current activity plan and daily schedule is posted in each space. If group leaders need to keep a copy of the daily schedule on their clipboard, please make a copy for them and keep the original posted for reference. Incident Reports- -I recommended that the Program Coordinator or an administrative staff review each incident report completed to ensure all information is recorded as required. Per child care rule .0802(e), the child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Children’s Records- -The child’s parent signed the child’s application for enrollment during today’s visit. I recommended that you review each child’s application prior to enrollment to ensure all required information is obtained, including the parent’s signature. -I recommended that you request immunization records from the parent prior to each child’s first day of enrollment. This will ensure compliance with the requirement to have immunization records on file within 30 days of enrollment. -The Regional Director added the child’s enrollment date to the discipline policy acknowledgement form during the visit. We discussed reviewing all policies with parents prior to the first day of enrollment to ensure acknowledgment is received within the required timeframe and that all required information is recorded. Staff Records- -New staff must complete BSAC training and Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I recommended having all new staff complete these online trainings within the first month of employment to ensure compliance with these training requirements. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. Your facility is in cohort three. More information will be forthcoming once your cohort year approaches. Consultation: -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0801 · Violation

Name of Operation: HILDEBRAN ELEMENTARY YMCA CHILDCARE Facility ID: 12000447 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 11/16/2023 Number Present: 24 Completed Date: 11/17/2023 Age: From 5 To 12 Total Minutes: 165 Time In: 02:25 PM Time Out: 05:10 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 your program for compliance with applicable child care requirements, including health and safety training, for an annual compliance visit. The visit was conducted with you, Isaac Gallman, Program Coordinator, and Cassidy Dale, Regional Director. You provided me with applicable program, staff, and children’s records for review. The North Carolina Secretary of State website was viewed before the visit and Young Men’s Christian Association of Catawba Valley, Inc. was current/active as of November 15, 2023. This program currently operates with a Four star rated license effective December 21, 2022. The program’s compliance history was 90 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. Children and staff were observed during arrival, snack, and free play activities indoors. The most recent sanitation inspection for your facility was conducted on November 28, 2022. A superior sanitation classification was issued with 8 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on June 20, 2023. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was sent to you on November 17, 2023. The following violations were observed: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. The daily schedule was not posted in the facility for three groups of school age children. GS 110-91(12);.0508(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report dated 8/29/2023 and one incident report dated 9/25/2023 did not include the first aid that was given to the child as a result of the injury. .0802 (e) 1303 Application was not signed by the parent. The application for one child enrolled on 10/30/2023 was not signed by the child's parent or guardian. 10A NCAC 09 .0801(a) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on 8/28/2023 did not have immunization records on file until 10/9/2023. One child enrolled on 8/28/2023 did not have immunization records on file until 10/11/2023. 10A NCAC 09 .0302(d)(2) 1325 Parent's statement includes the child's name and date of enrollment and the date the parent signed the statement. The discipline policy for one child enrolled on 10/30/2023 did not include the date of the child's enrollment. .1804(b) 1445 All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training. One staff member employed on 5/16/2023 did not complete BSAC Training until 9/12/2023. .2510(c) 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. One staff member employed on 5/16/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 9/12/2023. .1102(g) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 30, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance was provided on the following: Daily Schedule- -The daily schedule was posted in both caregiving spaces during the visit by the Regional Director. I recommended that you monitor each space daily to ensure the current activity plan and daily schedule is posted in each space. If group leaders need to keep a copy of the daily schedule on their clipboard, please make a copy for them and keep the original posted for reference. Incident Reports- -I recommended that the Program Coordinator or an administrative staff review each incident report completed to ensure all information is recorded as required. Per child care rule .0802(e), the child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Children’s Records- -The child’s parent signed the child’s application for enrollment during today’s visit. I recommended that you review each child’s application prior to enrollment to ensure all required information is obtained, including the parent’s signature. -I recommended that you request immunization records from the parent prior to each child’s first day of enrollment. This will ensure compliance with the requirement to have immunization records on file within 30 days of enrollment. -The Regional Director added the child’s enrollment date to the discipline policy acknowledgement form during the visit. We discussed reviewing all policies with parents prior to the first day of enrollment to ensure acknowledgment is received within the required timeframe and that all required information is recorded. Staff Records- -New staff must complete BSAC training and Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I recommended having all new staff complete these online trainings within the first month of employment to ensure compliance with these training requirements. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. Your facility is in cohort three. More information will be forthcoming once your cohort year approaches. Consultation: -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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

GS 110-91 · Violation

Name of Operation: HILDEBRAN ELEMENTARY YMCA CHILDCARE Facility ID: 12000447 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 11/16/2023 Number Present: 24 Completed Date: 11/17/2023 Age: From 5 To 12 Total Minutes: 165 Time In: 02:25 PM Time Out: 05:10 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 your program for compliance with applicable child care requirements, including health and safety training, for an annual compliance visit. The visit was conducted with you, Isaac Gallman, Program Coordinator, and Cassidy Dale, Regional Director. You provided me with applicable program, staff, and children’s records for review. The North Carolina Secretary of State website was viewed before the visit and Young Men’s Christian Association of Catawba Valley, Inc. was current/active as of November 15, 2023. This program currently operates with a Four star rated license effective December 21, 2022. The program’s compliance history was 90 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. Children and staff were observed during arrival, snack, and free play activities indoors. The most recent sanitation inspection for your facility was conducted on November 28, 2022. A superior sanitation classification was issued with 8 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on June 20, 2023. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was sent to you on November 17, 2023. The following violations were observed: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. The daily schedule was not posted in the facility for three groups of school age children. GS 110-91(12);.0508(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report dated 8/29/2023 and one incident report dated 9/25/2023 did not include the first aid that was given to the child as a result of the injury. .0802 (e) 1303 Application was not signed by the parent. The application for one child enrolled on 10/30/2023 was not signed by the child's parent or guardian. 10A NCAC 09 .0801(a) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on 8/28/2023 did not have immunization records on file until 10/9/2023. One child enrolled on 8/28/2023 did not have immunization records on file until 10/11/2023. 10A NCAC 09 .0302(d)(2) 1325 Parent's statement includes the child's name and date of enrollment and the date the parent signed the statement. The discipline policy for one child enrolled on 10/30/2023 did not include the date of the child's enrollment. .1804(b) 1445 All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training. One staff member employed on 5/16/2023 did not complete BSAC Training until 9/12/2023. .2510(c) 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. One staff member employed on 5/16/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 9/12/2023. .1102(g) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 30, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance was provided on the following: Daily Schedule- -The daily schedule was posted in both caregiving spaces during the visit by the Regional Director. I recommended that you monitor each space daily to ensure the current activity plan and daily schedule is posted in each space. If group leaders need to keep a copy of the daily schedule on their clipboard, please make a copy for them and keep the original posted for reference. Incident Reports- -I recommended that the Program Coordinator or an administrative staff review each incident report completed to ensure all information is recorded as required. Per child care rule .0802(e), the child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Children’s Records- -The child’s parent signed the child’s application for enrollment during today’s visit. I recommended that you review each child’s application prior to enrollment to ensure all required information is obtained, including the parent’s signature. -I recommended that you request immunization records from the parent prior to each child’s first day of enrollment. This will ensure compliance with the requirement to have immunization records on file within 30 days of enrollment. -The Regional Director added the child’s enrollment date to the discipline policy acknowledgement form during the visit. We discussed reviewing all policies with parents prior to the first day of enrollment to ensure acknowledgment is received within the required timeframe and that all required information is recorded. Staff Records- -New staff must complete BSAC training and Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I recommended having all new staff complete these online trainings within the first month of employment to ensure compliance with these training requirements. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. Your facility is in cohort three. More information will be forthcoming once your cohort year approaches. Consultation: -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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: HILDEBRAN ELEMENTARY YMCA CHILDCARE Facility ID: 12000447 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 11/16/2023 Number Present: 24 Completed Date: 11/17/2023 Age: From 5 To 12 Total Minutes: 165 Time In: 02:25 PM Time Out: 05:10 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 your program for compliance with applicable child care requirements, including health and safety training, for an annual compliance visit. The visit was conducted with you, Isaac Gallman, Program Coordinator, and Cassidy Dale, Regional Director. You provided me with applicable program, staff, and children’s records for review. The North Carolina Secretary of State website was viewed before the visit and Young Men’s Christian Association of Catawba Valley, Inc. was current/active as of November 15, 2023. This program currently operates with a Four star rated license effective December 21, 2022. The program’s compliance history was 90 percent prior to today’s visit. 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. A checklist was used to note the requirements I monitored today. Children and staff were observed during arrival, snack, and free play activities indoors. The most recent sanitation inspection for your facility was conducted on November 28, 2022. A superior sanitation classification was issued with 8 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on June 20, 2023. The violations observed today were discussed with you and documented in the handwritten Visit Summary left with you at the conclusion of this visit. The computer-generated Visit Summary was sent to you on November 17, 2023. The following violations were observed: Violation Number Comment Rule 415 A current schedule was not posted for each group of children for reference. The daily schedule was not posted in the facility for three groups of school age children. GS 110-91(12);.0508(a) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. One incident report dated 8/29/2023 and one incident report dated 9/25/2023 did not include the first aid that was given to the child as a result of the injury. .0802 (e) 1303 Application was not signed by the parent. The application for one child enrolled on 10/30/2023 was not signed by the child's parent or guardian. 10A NCAC 09 .0801(a) 1323 Each child was not immunized as per Article 6 of Chapter 130A and an immunization record was not on file before or within 30 days after admission. One child enrolled on 8/28/2023 did not have immunization records on file until 10/9/2023. One child enrolled on 8/28/2023 did not have immunization records on file until 10/11/2023. 10A NCAC 09 .0302(d)(2) 1325 Parent's statement includes the child's name and date of enrollment and the date the parent signed the statement. The discipline policy for one child enrolled on 10/30/2023 did not include the date of the child's enrollment. .1804(b) 1445 All group leaders were not at least 18 years of age, have a high school diploma, and/or had not completed Basic School Age Care (BSAC) training. One staff member employed on 5/16/2023 did not complete BSAC Training until 9/12/2023. .2510(c) 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. One staff member employed on 5/16/2023 did not complete Recognizing and Responding to Suspicions of Child Maltreatment training until 9/12/2023. .1102(g) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by November 30, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance was provided on the following: Daily Schedule- -The daily schedule was posted in both caregiving spaces during the visit by the Regional Director. I recommended that you monitor each space daily to ensure the current activity plan and daily schedule is posted in each space. If group leaders need to keep a copy of the daily schedule on their clipboard, please make a copy for them and keep the original posted for reference. Incident Reports- -I recommended that the Program Coordinator or an administrative staff review each incident report completed to ensure all information is recorded as required. Per child care rule .0802(e), the child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or a parent signature declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website at http://ncchildcare.ncdhhs.gov/pdf_forms/DCDEE-0058.pdf. Children’s Records- -The child’s parent signed the child’s application for enrollment during today’s visit. I recommended that you review each child’s application prior to enrollment to ensure all required information is obtained, including the parent’s signature. -I recommended that you request immunization records from the parent prior to each child’s first day of enrollment. This will ensure compliance with the requirement to have immunization records on file within 30 days of enrollment. -The Regional Director added the child’s enrollment date to the discipline policy acknowledgement form during the visit. We discussed reviewing all policies with parents prior to the first day of enrollment to ensure acknowledgment is received within the required timeframe and that all required information is recorded. Staff Records- -New staff must complete BSAC training and Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I recommended having all new staff complete these online trainings within the first month of employment to ensure compliance with these training requirements. Rated License Reassessment: -To prepare for the reassessment process, DCDEE has developed a cohort system. There are three cohorts, and each includes a preparation year and a reassessment year. Your facility is in cohort three. More information will be forthcoming once your cohort year approaches. Consultation: -Here is the link for the current resources and information regarding COVID-19. https://covid19.ncdhhs.gov/materials-and-resources/materials-about-covid-19-symptoms-and-treatment -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674, Denver, NC 28037 Kristen.Mauney@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: HILDEBRAN ELEMENTARY YMCA CHILDCARE Facility ID: 12000447 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 8/3/2023 Number Present: 41 Completed Date: 8/4/2023 Age: From 6 To 11 Total Minutes: 106 Time In: 01:44 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit and to measure and approve indoor space. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, special training, criminal background checks, Emergency Medical Care Plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Jennifer Roberts, Lead Consultant, accompanied me. Upon arrival, the purpose of today’s visit was reviewed with you, Jadren Butler, Program Coordinator. You provided me with applicable program and staff records during the visit. This program currently operates with a Four star rated license effective December 21, 2022. The program’s compliance history was 90 percent prior to today’s visit. 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 NC Secretary of State website was viewed before the visit and YMCA of Catawba Valley, Inc. was current/active as of August 3, 2023. A walk-through of licensed space was completed today. Staff and children were observed during gross motor activities in the gym and free play activities indoors in space #1. The most recent sanitation inspection for your facility was conducted on November 28, 2022. A superior sanitation classification was issued with 8 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on June 20, 2023. You stated four new staff have been employed since your most recent annual compliance visit conducted on December 12, 2022. Four new staff files were reviewed during the visit. The approved fire inspection was completed on June 20, 2023, by Fire Marshal, Matthew Chapman, approving the facility and new spaces for daytime care only. The approved building inspection was completed on July 5, 2023, approving four spaces including the gym (previously approved), and room number 43, 44, and 45. The sanitation inspection was completed on June 29, 2023, by sanitation inspector, Anna Watkins. Items of concern were addressed on the report and corrections were confirmed in an email from Mrs. Watkins on July 17, 2023. Three (3) new spaces, room #43, room #44 and room #45, were measured during the visit and are approved for school age children only. Room #43 will be referred to as space #5. Twenty-five (25) children are approved for space #5 at 30 square feet per child. Room #44 will be referred to as space #6. Twenty-four (24) children are approved for space #6 at 30 square feet per child. Room #45 will be referred to as space #7. Twenty-five (25) children are approved for space #7 at 30 square feet per child. This 4-star facility is currently following enhanced space requirements, therefore, 30 square feet per child is required. This facilities floor plan will be updated to include approved space #5, space #6, and space #7. I will send you a copy of the updated floor plan once completed. The following violations of child care requirements were observed during the visit. Violations and technical assistance were thoroughly reviewed with you and documented on the handwritten Visit Summary given to you at the conclusion of the visit. The computer-generated Visit Summary was emailed to you on August 4, 2023. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Three children were not signed out on July 14, 2023. 10A NCAC 09 .0302(d)(4) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #1, one child's Epi-pen and one child's inhaler were observed on a shelf behind the staff's desk below five feet from the floor in a box with the key in the lock. In space #1, one staff's Mucinex cough drops were observed on top of the staff's desk accessible to children. In space #1, one bottle of Australian Gold sunscreen was observed on top of the staff's desk accessible to children. 15A NCAC 18A .2820(d) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by August 17, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance regarding the violations observed: Storage of Medications- -The Program Coordinator moved the emergency medications on top of a shelf higher than five feet from the floor, during the visit. Mucinex cough drops were removed from the facility and taken to the staff persons vehicle. The sunscreen was discarded and taken to the dumpster outdoors during the visit. Medications for staff and children must be kept in locked storage. Sunscreen and designated emergency medications shall be stored out of reach of children but are not required to be in locked storage. Out of reach of children is a location of five feet or above the finished floor. I recommended that you monitor each space used by children to ensure all medications are stored appropriately. Arrival and Departure Records- -I recommended that you review all arrival and departure records at the end of each day to ensure each child has been signed out. Consultation (the following items reviewed were in compliance today): -We discussed storage of hazardous products located within the public school but not in licensed space. -Soap is needed in the boy’s restroom adjacent to the new spaces. Prior to using these new spaces, be sure a sufficient supply of soap, paper towels, and toilet paper is available to children. -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: HILDEBRAN ELEMENTARY YMCA CHILDCARE Facility ID: 12000447 Consultant: KRISTEN R. MAUNEY Operation Type: Center Case Number: Visit Date: 8/3/2023 Number Present: 41 Completed Date: 8/4/2023 Age: From 6 To 11 Total Minutes: 106 Time In: 01:44 PM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit and to measure and approve indoor space. The following areas were monitored during the visit: supervision, staff/child ratio, CPR, first aid, special training, criminal background checks, Emergency Medical Care Plan, administering of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate/approved space, program records, license posted, and permit restrictions. Jennifer Roberts, Lead Consultant, accompanied me. Upon arrival, the purpose of today’s visit was reviewed with you, Jadren Butler, Program Coordinator. You provided me with applicable program and staff records during the visit. This program currently operates with a Four star rated license effective December 21, 2022. The program’s compliance history was 90 percent prior to today’s visit. 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 NC Secretary of State website was viewed before the visit and YMCA of Catawba Valley, Inc. was current/active as of August 3, 2023. A walk-through of licensed space was completed today. Staff and children were observed during gross motor activities in the gym and free play activities indoors in space #1. The most recent sanitation inspection for your facility was conducted on November 28, 2022. A superior sanitation classification was issued with 8 demerits noted on the grade card. The most recent fire inspection for your facility was conducted on June 20, 2023. You stated four new staff have been employed since your most recent annual compliance visit conducted on December 12, 2022. Four new staff files were reviewed during the visit. The approved fire inspection was completed on June 20, 2023, by Fire Marshal, Matthew Chapman, approving the facility and new spaces for daytime care only. The approved building inspection was completed on July 5, 2023, approving four spaces including the gym (previously approved), and room number 43, 44, and 45. The sanitation inspection was completed on June 29, 2023, by sanitation inspector, Anna Watkins. Items of concern were addressed on the report and corrections were confirmed in an email from Mrs. Watkins on July 17, 2023. Three (3) new spaces, room #43, room #44 and room #45, were measured during the visit and are approved for school age children only. Room #43 will be referred to as space #5. Twenty-five (25) children are approved for space #5 at 30 square feet per child. Room #44 will be referred to as space #6. Twenty-four (24) children are approved for space #6 at 30 square feet per child. Room #45 will be referred to as space #7. Twenty-five (25) children are approved for space #7 at 30 square feet per child. This 4-star facility is currently following enhanced space requirements, therefore, 30 square feet per child is required. This facilities floor plan will be updated to include approved space #5, space #6, and space #7. I will send you a copy of the updated floor plan once completed. The following violations of child care requirements were observed during the visit. Violations and technical assistance were thoroughly reviewed with you and documented on the handwritten Visit Summary given to you at the conclusion of the visit. The computer-generated Visit Summary was emailed to you on August 4, 2023. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Three children were not signed out on July 14, 2023. 10A NCAC 09 .0302(d)(4) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In space #1, one child's Epi-pen and one child's inhaler were observed on a shelf behind the staff's desk below five feet from the floor in a box with the key in the lock. In space #1, one staff's Mucinex cough drops were observed on top of the staff's desk accessible to children. In space #1, one bottle of Australian Gold sunscreen was observed on top of the staff's desk accessible to children. 15A NCAC 18A .2820(d) 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 violation item number, statement of compliance, date of the visit and license ID number in the letter. I must receive your compliance statement by August 17, 2023. Please send your letter to Kristen.Mauney@dhhs.nc.gov. Failure to correct the violations and send the written statement by the due date may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. The Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Technical Assistance regarding the violations observed: Storage of Medications- -The Program Coordinator moved the emergency medications on top of a shelf higher than five feet from the floor, during the visit. Mucinex cough drops were removed from the facility and taken to the staff persons vehicle. The sunscreen was discarded and taken to the dumpster outdoors during the visit. Medications for staff and children must be kept in locked storage. Sunscreen and designated emergency medications shall be stored out of reach of children but are not required to be in locked storage. Out of reach of children is a location of five feet or above the finished floor. I recommended that you monitor each space used by children to ensure all medications are stored appropriately. Arrival and Departure Records- -I recommended that you review all arrival and departure records at the end of each day to ensure each child has been signed out. Consultation (the following items reviewed were in compliance today): -We discussed storage of hazardous products located within the public school but not in licensed space. -Soap is needed in the boy’s restroom adjacent to the new spaces. Prior to using these new spaces, be sure a sufficient supply of soap, paper towels, and toilet paper is available to children. -Providers can speak to a Behavior Support Advisor for advice and resources specific to the challenging behaviors in their classroom by calling 1-888-600-1685 Option 1. -Moodle Support: The Division offers early childhood professionals a wide range of professional development opportunities through our online learning platform Moodle. As we continue expanding our training offerings, DCDEE has established a new email address and phone number for Moodle support. To get help with Moodle, email at DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-6326. Stay up to date with the Division of Child Development and Early Education by visiting https://ncchildcare.ncdhhs.gov. This website enables you to view the entire Law and Child Care Requirements for North Carolina as well as download required forms. I encourage you to click on the "What's New" tab for important updates impacting child care in North Carolina. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, at Tammy.McGalliard@dhhs.nc.gov. If I can be of further assistance, you may contact me at 704-853-9196. Kristen Mauney, Child Care Consultant PO Box 674 Denver, NC 28037 Kristen.Mauney@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