Ymca Glenwood Afterschool

G.S. 110-90 · Violation

Name of Operation: YMCA GLENWOOD AFTERSCHOOL Facility ID: 59000155 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/14/2026 Number Present: 13 Completed Date: 1/14/2026 Age: From 5 To 11 Total Minutes: 135 Time In: 02:00 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Angela Strickland, Administrator. This program currently operates with a Four-star license issued on June 9, 2025. The permit restrictions include 1st shift, enhanced ratios, enhanced space, enhanced ratios minus one, Preschool children served June to August only, and school age playground does not meet playground safety standards. The last annual compliance visit was conducted on January 23, 2025. The most recent sanitation inspection for your facility was conducted on November 20, 2025. A superior sanitation classification was issued with no demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on June 4, 2025 for daytime care only. The EPR annual review was completed December 17, 2025. The most recent monthly fire drill was conducted on January 6, 2026. The most recent quarterly shelter-in-place drill was conducted on December 9, 2025. The center's compliance history was reviewed with the operator. The program’s compliance history was 77 percent as of January 14, 2026. The NC Secretary of State website was reviewed on January 9, 2026 and The Young Men’s Christian Association of Western North Carolina, Inc. was listed as current-active. The facilities contact information was reviewed and confirmed with you. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in handwashing routines, snack, group story time, and group art activities. The caregivers were interacting and meeting the developmental needs for each of the children. A checklist was used to note the requirements I monitored today. The analysis date for the most recent lead water test was May 20, 2024 Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “enrollment started” for required asbestos and lead-based paint testing. You have requested to have preschool-aged children removed from this program’s license and are now serving school age children only. The program age range will now be 5-12 years of age. The program will be an out-of-school program serving school-age only operating in a public school, therefore, the restrictions of preschool children served June to August only and school-age playground doesn’t meet childcare safety standards will be removed from the license due to the statute change in Session Law 2025-36. You provided me with applicable program, staff, and children’s records for review. Files for one existing staff, and applicable records for all staff were reviewed. No new staff have been hired since the last annual compliance visit. A sample of two children’s records were reviewed. Rated License: We reviewed Pathway #1, #2, and #3, Family and Community Engagement Foundational Practices, Continuous Quality Improvement, self-study requirements, approved curriculum, formative assessment tools, and staff to child ratio options. I encouraged you to review this information more thoroughly by visiting https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. You stated that you have not received a decision from the YMCA Administration regarding the preferred Pathway option. I requested that you notify me of the program’s intended pathway option by no later than January 31, 2026. Program Standards: You reported that the program has implemented a new curriculum: Funny Daffer School Age Curriculum. This is an approved curriculum for school-age children. I suggested that you review Environment Rating Scale information and resources at www.ncrlap.org for the SACERS-U assessment as well as the self-study information if the Program Assessment Pathway #1 option is chosen. The violation observed today was discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. 1805 One staff member employed October 28, 2024 was not listed on the YMCA ABCMS provider portal facility rosters. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 28, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Beth Archer, Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 Beth.Archer@dhhs.nc.gov. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance was provided on the following: The ABCMS provider portal facility roster must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401. Your current employee roster must be updated in the ABCMS system within two weeks. Consultation: 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 and assistance 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 Beth.Archer@dhhs.nc.gov . If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA GLENWOOD AFTERSCHOOL Facility ID: 59000155 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/14/2026 Number Present: 13 Completed Date: 1/14/2026 Age: From 5 To 11 Total Minutes: 135 Time In: 02:00 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your program for compliance with applicable child care requirements for an annual compliance visit, including health and safety. The visit was conducted with you, Angela Strickland, Administrator. This program currently operates with a Four-star license issued on June 9, 2025. The permit restrictions include 1st shift, enhanced ratios, enhanced space, enhanced ratios minus one, Preschool children served June to August only, and school age playground does not meet playground safety standards. The last annual compliance visit was conducted on January 23, 2025. The most recent sanitation inspection for your facility was conducted on November 20, 2025. A superior sanitation classification was issued with no demerits noted on the grade card. The most recent approved fire inspection for your facility was conducted on June 4, 2025 for daytime care only. The EPR annual review was completed December 17, 2025. The most recent monthly fire drill was conducted on January 6, 2026. The most recent quarterly shelter-in-place drill was conducted on December 9, 2025. The center's compliance history was reviewed with the operator. The program’s compliance history was 77 percent as of January 14, 2026. The NC Secretary of State website was reviewed on January 9, 2026 and The Young Men’s Christian Association of Western North Carolina, Inc. was listed as current-active. The facilities contact information was reviewed and confirmed with you. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in handwashing routines, snack, group story time, and group art activities. The caregivers were interacting and meeting the developmental needs for each of the children. A checklist was used to note the requirements I monitored today. The analysis date for the most recent lead water test was May 20, 2024 Lead testing must be completed every three years. You may review your facilities results by visiting https://www.cleanwaterforuskids.org/en/carolina/. This website also indicated “enrollment started” for required asbestos and lead-based paint testing. You have requested to have preschool-aged children removed from this program’s license and are now serving school age children only. The program age range will now be 5-12 years of age. The program will be an out-of-school program serving school-age only operating in a public school, therefore, the restrictions of preschool children served June to August only and school-age playground doesn’t meet childcare safety standards will be removed from the license due to the statute change in Session Law 2025-36. You provided me with applicable program, staff, and children’s records for review. Files for one existing staff, and applicable records for all staff were reviewed. No new staff have been hired since the last annual compliance visit. A sample of two children’s records were reviewed. Rated License: We reviewed Pathway #1, #2, and #3, Family and Community Engagement Foundational Practices, Continuous Quality Improvement, self-study requirements, approved curriculum, formative assessment tools, and staff to child ratio options. I encouraged you to review this information more thoroughly by visiting https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization. You stated that you have not received a decision from the YMCA Administration regarding the preferred Pathway option. I requested that you notify me of the program’s intended pathway option by no later than January 31, 2026. Program Standards: You reported that the program has implemented a new curriculum: Funny Daffer School Age Curriculum. This is an approved curriculum for school-age children. I suggested that you review Environment Rating Scale information and resources at www.ncrlap.org for the SACERS-U assessment as well as the self-study information if the Program Assessment Pathway #1 option is chosen. The violation observed today was discussed with you and documented in the Visit Summary left with you at the conclusion of this visit. Violation Number Comment Rule 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. 1805 One staff member employed October 28, 2024 was not listed on the YMCA ABCMS provider portal facility rosters. G.S. 110-90.2 & .2703(r) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before January 28, 2026, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Beth Archer, Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 Beth.Archer@dhhs.nc.gov. If you email the compliance letter, it must be sent from the email address registered with the DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 Technical Assistance was provided on the following: The ABCMS provider portal facility roster must be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401. Your current employee roster must be updated in the ABCMS system within two weeks. Consultation: 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 and assistance 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 Beth.Archer@dhhs.nc.gov . If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: YMCA GLENWOOD AFTERSCHOOL Facility ID: 59000155 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 8/6/2025 Number Present: 70 Completed Date: 8/6/2025 Age: From 4 To 12 Total Minutes: 162 Time In: 09:18 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to monitor your compliance with all applicable child care requirements, including health and safety. The visit was conducted with you, Angela Strickland, Administrator. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit. The NC Secretary of State website was reviewed on August 5, 2025 and The Young Men’s Christian Association of Western North Carolina, Inc. was listed as current/active. This program currently operates with a Four star rated license effective June 9, 2025. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets enhanced ratios minus one, preschool served June to August only, and School age playground does not meet child care playground safety standard. The program’s compliance history was 84 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 walk-through of the facility was completed today. We observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in free play in activity centers, transitions to outdoor space, outdoor gross motor time, group art time, book mobile visit, and lunch. The following violation(s) were observed today Violation Number Comment Rule 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. In space #1, there was an electric fan, that did not have a mesh guard, on the floor accessible to children in care. 10A NCAC 09 .0604(d) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #3, there was one aerosol can of Hi-Clean Glass Cleaner, three aerosol cans of Athletic Field Paint Stripper, one aerosol can of Enforcer wasp and hornet spray, a gallon of interior wall paint, and one bottle of Super Sorb Instant Absorber on shelves in the entryway of the gym accessible to children in care. .2820(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #1, there was an electric slow cooker that was turned on and contained hot food sitting on a table accessible to preschool children in care. .0604(e) 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 27, 2025. Please send your letter to Beth.Archer@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 on violations was reviewed with you. Areas discussed included: All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. Have staff check all caregiving spaces thoroughly before children arrival or access the space to ensure all hazardous products are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. All electrical appliances must be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord may be accessible to preschool-age children. I suggested you review this rule with all staff members to ensure items with heating elements are not kept in the classrooms, auxiliary space, or in any other area where they are accessible to children. Electric fans must be mounted out of the reach of children or must be fitted with a mesh guard to prevent access by children. You removed the fan from the caregiving space during the visit. I suggested you purchase mesh covers for fans that are used during your summer program. Consultation or other topics discussed today: Outlets must be covered in areas where care is being provided to preschool age children, such as the gym. We discussed that preschool age children must play in outdoor space that has sufficient age appropriate equipment and meets fall zone requirements. Remind staff not to place coolers in front of the doors. Both exits to the cafeteria must be clear for emergency exit needs. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . 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. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA GLENWOOD AFTERSCHOOL Facility ID: 59000155 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 8/6/2025 Number Present: 70 Completed Date: 8/6/2025 Age: From 4 To 12 Total Minutes: 162 Time In: 09:18 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Unannounced Visit Follow-Up Announced/Unannounced: Unannounced The purpose of today’s unannounced follow-up visit was to monitor your compliance with all applicable child care requirements, including health and safety. The visit was conducted with you, Angela Strickland, Administrator. Tammy McGalliard, Licensing Supervisor, accompanied me on the visit. The NC Secretary of State website was reviewed on August 5, 2025 and The Young Men’s Christian Association of Western North Carolina, Inc. was listed as current/active. This program currently operates with a Four star rated license effective June 9, 2025. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets enhanced ratios minus one, preschool served June to August only, and School age playground does not meet child care playground safety standard. The program’s compliance history was 84 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 walk-through of the facility was completed today. We observed children in the indoor and outdoor learning environments and found supervision and staff/child ratios in compliance. Children throughout the facility were participating in free play in activity centers, transitions to outdoor space, outdoor gross motor time, group art time, book mobile visit, and lunch. The following violation(s) were observed today Violation Number Comment Rule 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. In space #1, there was an electric fan, that did not have a mesh guard, on the floor accessible to children in care. 10A NCAC 09 .0604(d) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #3, there was one aerosol can of Hi-Clean Glass Cleaner, three aerosol cans of Athletic Field Paint Stripper, one aerosol can of Enforcer wasp and hornet spray, a gallon of interior wall paint, and one bottle of Super Sorb Instant Absorber on shelves in the entryway of the gym accessible to children in care. .2820(b) 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. In space #1, there was an electric slow cooker that was turned on and contained hot food sitting on a table accessible to preschool children in care. .0604(e) 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 27, 2025. Please send your letter to Beth.Archer@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 on violations was reviewed with you. Areas discussed included: All hazardous items with multiple warnings and items in aerosol containers must be kept in locked storage. Items labeled “keep out of reach of children” with no other warnings may be stored five (5) feet off the ground. Have staff check all caregiving spaces thoroughly before children arrival or access the space to ensure all hazardous products are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. All electrical appliances must be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord may be accessible to preschool-age children. I suggested you review this rule with all staff members to ensure items with heating elements are not kept in the classrooms, auxiliary space, or in any other area where they are accessible to children. Electric fans must be mounted out of the reach of children or must be fitted with a mesh guard to prevent access by children. You removed the fan from the caregiving space during the visit. I suggested you purchase mesh covers for fans that are used during your summer program. Consultation or other topics discussed today: Outlets must be covered in areas where care is being provided to preschool age children, such as the gym. We discussed that preschool age children must play in outdoor space that has sufficient age appropriate equipment and meets fall zone requirements. Remind staff not to place coolers in front of the doors. Both exits to the cafeteria must be clear for emergency exit needs. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . 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. At the completion of the visit, this visit summary was reviewed and a copy was given to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 .0802 · Violation

Name of Operation: YMCA GLENWOOD AFTERSCHOOL Facility ID: 59000155 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/28/2025 Number Present: 75 Completed Date: 7/28/2025 Age: From 4 To 12 Total Minutes: 411 Time In: 09:39 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced 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. Upon arrival, Wendy Wisor, Program Coordinator, assisted me with the visit. You, Angela Strickland, Administrator, arrived after lunchtime to assist with the remainder of the visit. The NC Secretary of State website was viewed before the visit and The Young Mens Christian Association of Western North Carolina, Inc. was current/active as of July 25, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Four star rated license effective June 9, 2025. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets enhanced ratios minus one, preschool served June to August only, and School age playground does not meet child care playground safety standard. The program’s compliance history was 97 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments. Children and staff were participating in outdoor gross motor time, large group activities, free play in activity areas, lunch and rest time for preschool-aged children. Six new staff files and one volunteer file was reviewed. Limited monitoring of program and existing staff files were conducted for the purpose of reviewing training regarding CPR/First Aid, Emergency Medical Care Plan, Criminal Background Check and Special Training. The last monthly fire drill was practiced on July 9, 2025. The last lockdown drill was practiced on June 4, 2025 as a part of the afterschool program. No lockdown or shelter-in-place drill has been practiced for the summer program. The last monthly playground inspection was completed on July 18, 2025. 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 violation(s) were observed today: Violation Number Comment Rule 481 A list of all children participating in the off premise activity was not available at the center. Upon arrival, there was no list of the children participating in the off-premise activity available at the center. .1005(b)(6) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, there were 2 aerosol cans of Xtra Care Extra Moisturizing Shave Cream and 3 aerosol cans of Medicide Deodorant Spray in an unlocked cabinet under the sink, accessible to children four and five years of age. .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 Ventolin HFA inhaler with a prescription label for a nine year old child that enrolled 5/14/25 expired 6/2025. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. One staff member employed 3/5/25, did not have verification of a review of the program's EMC plan on file. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. Kim Brown began employment on 6/4/25 but did not have a completed criminal background check until 6/23/25. Marshall Lamb began employment on 6/4/25 but did not have a completed criminal background check until 7/21/25. Malinda Thomas was providing care as one-to-one staff for a four year old child that enrolled in care today, 7/28/25, with no completed criminal background check. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member hired 3/5/25 did not have verification of First Aid certification on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member hired 3/5/25 did not have verification of CPR certification on file. .1102(d) 1424 School-aged children were not adequately supervised. In a hallway not within seeing or hearing distance of the cafeteria, where care was being provided for children, I observed two school-age children that were unsupervised between 4:20-4:23pm. Staff were unaware of their whereabouts. .2506(d)(1-3) 1756 Enhanced staff/child ratios and group sizes were not met. In space #4, between 10:15-10:20am, 15 children, 4 and 5 years of age were being supervised by one staff member. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. There was no qualification letter on file for Malinda Thomas. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. As of today’s visit, your program has not completed the requirements to establish a facility roster in the ABCMS provider portal. G.S. 110-90.2 & .2703(r) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member employed 3/5/25 did not have documentation of the review of the program's EPR plan. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. In space #4, where children 4 and 5 years of age were being served, one staff member hired 3/5/25 and one staff member hired 6/4/25 did not have verification of a review of the Shaken Baby/Abusive Head Trauma policy on file. .0608(d)(1-4) 1888 On or before the first day of work, the operator did not verify the age of the volunteer and/or substitute provider and/or documentation of date of birth was not maintained in the individual's personnel file. Documentation was not provided to verify the age of the volunteer that began work on 6/23/25 during the visit. .0703(b) 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 6/8/24 did not have verification of completing Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. One staff member employed 6/8/24, did not have verification of BSAC training. .2510(j) The violation(s) documented must be corrected immediately. On or before August 11, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please send the information to beth.archer@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 on violations was reviewed with you. Areas discussed included: Supervision of School-Aged Children: 10A NCAC 09 .2506 (d)(1) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care. You and I both spoke with the staff member responsible for the two children in the hallway and reviewed requirements for adequate supervision for school-aged children. I suggested that you have a staff meeting to review supervision requirements to ensure staff's understanding of this requirement. Criminal Background Check: All staff members must complete the process for a criminal background check and have a valid qualifying letter on file prior to employment. Therapists and other Service providers, who are going to be alone with children in care, must complete the process for a criminal background check and have a valid qualifying letter on file prior to employment. Individuals should not be permitted to begin work or training at the facility until a criminal background check has been completed and a valid qualifying letter is on file. Enhanced Staff/Child Ratios: The staff/child ratio for the youngest member in each group must be maintained at all times. Staff should be scheduled to ensure proper coverage in each classroom to prevent any compliance issues regarding ratios. Your facility meets highest voluntary enhanced requirements. Hazardous Products: All hazardous items in aerosol containers must be kept in locked storage. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. Off-premise activity: 10A NCAC 09 .1005(b)(6) A list of all children participating in the off-premise activity shall also be available at the center. Upon arrival, there was a group of children on an off-premise activity and the person in charge was unable to provide a list of the children who were on the off-premise activity. Expired Medications: Any medication remaining after the medication has expired must be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of the medication’s expiration should be discarded. Standing permission to administer medications for chronic illnesses may be given for up to six months Additionally, I suggested you assign a staff member to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. CPR/First Aid Training: All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. I suggested you schedule CPR/First Aid Training for all new staff during their hiring process to ensure compliance with these requirements. ABCMS Facility Roster: Effective immediately, you will need to use the facility’s Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119 Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Shaken Baby/Abusive Head Trauma Policy: All staff members who care for children up to five years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. I suggested you have all summer staff review this policy and have the acknowledgement information on file to ensure that all individuals that may be assigned to work with children under five years of age will have fulfilled this requirement. BSAC Training: Staff, including the Administrator, in part-time, full day, or track-out school-age care programs required to complete BSAC training must do so within three months of becoming employed. I suggested you have all staff assigned to a school age classroom to register for BSAC training during the hiring process to ensure the training is completed in the required time frame. Emergency Medical Care Plan review: Each child care center must have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan must be reviewed with all staff annually and whenever the plan is revised. I suggested you review the facility’s Emergency Medical Care Plan with all staff at the same time that you review the facility’s Emergency Preparedness and Response Plan to ensure it is reviewed with staff at least annually or as changes are made. EPR Plan review: All staff members must review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis thereafter with the staff member trained in Emergency Preparedness and Response. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members at the same time you review the facility’s Emergency Medical Care Plan. I suggested you create a calendar reminder to ensure this meeting and review is conducted prior to the previous years’ review. Recognizing and Responding to Suspicions of Child Maltreatment Training: All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Volunteer: You must have a copy of a driver's license, birth certificate, or ID on file to verify that age of the volunteer. Consultation or other topics discussed today: -I observed school age children in the Auditorium that your program is now using for the first time this summer. Moving forward, please let me know at the beginning of the visit the spaces you are using for caring activities. These spaces must be monitored for health and safety requirements. -Upon arrival, there were multiple fans in use in the cafeteria. You reported that the air conditioning unit for the cafeteria has not been functional for several weeks as the school system has had difficulty finding professionals to repair the HVAC unit. I requested that you call Environmental Health to discuss recommendations for children in care in a space without functional air conditioning. There was no way to verify the exact temperature of the cafeteria during the visit. -We discussed handwashing best practices for school age children in care. -When food is provided by the center, at least one dated copy of the current week's menu must be posted where it can be seen by parents. -We reviewed screen time requirements for preschool children. 10A NCAC 09 .510(d)(2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. - We discussed that the program handbook serves as a guide for parents, but does not serve as permission for specific off-premise activities. Per the YMCA operational handbook, Field Trip Paperwork and Posting Requirements: A schedule of all offsite activities will be posted and a copy of the schedule will be given to parents/ guardians. Any alterations of plans due to weather or unforeseen circumstances will be communicated to parents/guardians through text alerts and will be documented on site in the activity plan in the field trip binder. A transportation plan, including departure schedule and driving directions, will be available at site and submitted to the child care office before children are transported. This documentation will be stored on site in the field trip binder for the duration of the license. Parents will sign all appropriate permission forms for offsite activities before their child is transported on a YMCA vehicle. 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (d) Written permission from parents shall be obtained before transporting children on off-premises activities. (e) Blanket permissions from parents for off-premises activities shall be acceptable only when a plan of activities to be conducted off the premises is posted in a place for review by parents and staff in advance on a weekly basis. -Children in Leadership Training: You reported that there are two children 12 years of age and one child 13 years of age that are currently enrolled in the Children in Leadership Training unlicensed program 3-week session that operates at this location. I observed two staff members provide care for children in the both the licensed and unlicensed programs participating in the same activities. We discussed that children enrolled in licensed and unlicensed YMCA programs cannot be cared for together in the same group and building. If the children enrolled in your YMCA Children in Leadership Training program are going to be cared for at your licensed programs, then the children must be enrolled in the license program and have all applicable paperwork as required. -There must be a staff member on site at all times that can access children's records and staff emergency information. Reminders and Resources: 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.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1005 · Violation

Name of Operation: YMCA GLENWOOD AFTERSCHOOL Facility ID: 59000155 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/28/2025 Number Present: 75 Completed Date: 7/28/2025 Age: From 4 To 12 Total Minutes: 411 Time In: 09:39 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced 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. Upon arrival, Wendy Wisor, Program Coordinator, assisted me with the visit. You, Angela Strickland, Administrator, arrived after lunchtime to assist with the remainder of the visit. The NC Secretary of State website was viewed before the visit and The Young Mens Christian Association of Western North Carolina, Inc. was current/active as of July 25, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Four star rated license effective June 9, 2025. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets enhanced ratios minus one, preschool served June to August only, and School age playground does not meet child care playground safety standard. The program’s compliance history was 97 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments. Children and staff were participating in outdoor gross motor time, large group activities, free play in activity areas, lunch and rest time for preschool-aged children. Six new staff files and one volunteer file was reviewed. Limited monitoring of program and existing staff files were conducted for the purpose of reviewing training regarding CPR/First Aid, Emergency Medical Care Plan, Criminal Background Check and Special Training. The last monthly fire drill was practiced on July 9, 2025. The last lockdown drill was practiced on June 4, 2025 as a part of the afterschool program. No lockdown or shelter-in-place drill has been practiced for the summer program. The last monthly playground inspection was completed on July 18, 2025. 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 violation(s) were observed today: Violation Number Comment Rule 481 A list of all children participating in the off premise activity was not available at the center. Upon arrival, there was no list of the children participating in the off-premise activity available at the center. .1005(b)(6) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, there were 2 aerosol cans of Xtra Care Extra Moisturizing Shave Cream and 3 aerosol cans of Medicide Deodorant Spray in an unlocked cabinet under the sink, accessible to children four and five years of age. .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 Ventolin HFA inhaler with a prescription label for a nine year old child that enrolled 5/14/25 expired 6/2025. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. One staff member employed 3/5/25, did not have verification of a review of the program's EMC plan on file. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. Kim Brown began employment on 6/4/25 but did not have a completed criminal background check until 6/23/25. Marshall Lamb began employment on 6/4/25 but did not have a completed criminal background check until 7/21/25. Malinda Thomas was providing care as one-to-one staff for a four year old child that enrolled in care today, 7/28/25, with no completed criminal background check. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member hired 3/5/25 did not have verification of First Aid certification on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member hired 3/5/25 did not have verification of CPR certification on file. .1102(d) 1424 School-aged children were not adequately supervised. In a hallway not within seeing or hearing distance of the cafeteria, where care was being provided for children, I observed two school-age children that were unsupervised between 4:20-4:23pm. Staff were unaware of their whereabouts. .2506(d)(1-3) 1756 Enhanced staff/child ratios and group sizes were not met. In space #4, between 10:15-10:20am, 15 children, 4 and 5 years of age were being supervised by one staff member. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. There was no qualification letter on file for Malinda Thomas. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. As of today’s visit, your program has not completed the requirements to establish a facility roster in the ABCMS provider portal. G.S. 110-90.2 & .2703(r) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member employed 3/5/25 did not have documentation of the review of the program's EPR plan. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. In space #4, where children 4 and 5 years of age were being served, one staff member hired 3/5/25 and one staff member hired 6/4/25 did not have verification of a review of the Shaken Baby/Abusive Head Trauma policy on file. .0608(d)(1-4) 1888 On or before the first day of work, the operator did not verify the age of the volunteer and/or substitute provider and/or documentation of date of birth was not maintained in the individual's personnel file. Documentation was not provided to verify the age of the volunteer that began work on 6/23/25 during the visit. .0703(b) 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 6/8/24 did not have verification of completing Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. One staff member employed 6/8/24, did not have verification of BSAC training. .2510(j) The violation(s) documented must be corrected immediately. On or before August 11, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please send the information to beth.archer@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 on violations was reviewed with you. Areas discussed included: Supervision of School-Aged Children: 10A NCAC 09 .2506 (d)(1) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care. You and I both spoke with the staff member responsible for the two children in the hallway and reviewed requirements for adequate supervision for school-aged children. I suggested that you have a staff meeting to review supervision requirements to ensure staff's understanding of this requirement. Criminal Background Check: All staff members must complete the process for a criminal background check and have a valid qualifying letter on file prior to employment. Therapists and other Service providers, who are going to be alone with children in care, must complete the process for a criminal background check and have a valid qualifying letter on file prior to employment. Individuals should not be permitted to begin work or training at the facility until a criminal background check has been completed and a valid qualifying letter is on file. Enhanced Staff/Child Ratios: The staff/child ratio for the youngest member in each group must be maintained at all times. Staff should be scheduled to ensure proper coverage in each classroom to prevent any compliance issues regarding ratios. Your facility meets highest voluntary enhanced requirements. Hazardous Products: All hazardous items in aerosol containers must be kept in locked storage. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. Off-premise activity: 10A NCAC 09 .1005(b)(6) A list of all children participating in the off-premise activity shall also be available at the center. Upon arrival, there was a group of children on an off-premise activity and the person in charge was unable to provide a list of the children who were on the off-premise activity. Expired Medications: Any medication remaining after the medication has expired must be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of the medication’s expiration should be discarded. Standing permission to administer medications for chronic illnesses may be given for up to six months Additionally, I suggested you assign a staff member to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. CPR/First Aid Training: All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. I suggested you schedule CPR/First Aid Training for all new staff during their hiring process to ensure compliance with these requirements. ABCMS Facility Roster: Effective immediately, you will need to use the facility’s Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119 Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Shaken Baby/Abusive Head Trauma Policy: All staff members who care for children up to five years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. I suggested you have all summer staff review this policy and have the acknowledgement information on file to ensure that all individuals that may be assigned to work with children under five years of age will have fulfilled this requirement. BSAC Training: Staff, including the Administrator, in part-time, full day, or track-out school-age care programs required to complete BSAC training must do so within three months of becoming employed. I suggested you have all staff assigned to a school age classroom to register for BSAC training during the hiring process to ensure the training is completed in the required time frame. Emergency Medical Care Plan review: Each child care center must have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan must be reviewed with all staff annually and whenever the plan is revised. I suggested you review the facility’s Emergency Medical Care Plan with all staff at the same time that you review the facility’s Emergency Preparedness and Response Plan to ensure it is reviewed with staff at least annually or as changes are made. EPR Plan review: All staff members must review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis thereafter with the staff member trained in Emergency Preparedness and Response. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members at the same time you review the facility’s Emergency Medical Care Plan. I suggested you create a calendar reminder to ensure this meeting and review is conducted prior to the previous years’ review. Recognizing and Responding to Suspicions of Child Maltreatment Training: All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Volunteer: You must have a copy of a driver's license, birth certificate, or ID on file to verify that age of the volunteer. Consultation or other topics discussed today: -I observed school age children in the Auditorium that your program is now using for the first time this summer. Moving forward, please let me know at the beginning of the visit the spaces you are using for caring activities. These spaces must be monitored for health and safety requirements. -Upon arrival, there were multiple fans in use in the cafeteria. You reported that the air conditioning unit for the cafeteria has not been functional for several weeks as the school system has had difficulty finding professionals to repair the HVAC unit. I requested that you call Environmental Health to discuss recommendations for children in care in a space without functional air conditioning. There was no way to verify the exact temperature of the cafeteria during the visit. -We discussed handwashing best practices for school age children in care. -When food is provided by the center, at least one dated copy of the current week's menu must be posted where it can be seen by parents. -We reviewed screen time requirements for preschool children. 10A NCAC 09 .510(d)(2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. - We discussed that the program handbook serves as a guide for parents, but does not serve as permission for specific off-premise activities. Per the YMCA operational handbook, Field Trip Paperwork and Posting Requirements: A schedule of all offsite activities will be posted and a copy of the schedule will be given to parents/ guardians. Any alterations of plans due to weather or unforeseen circumstances will be communicated to parents/guardians through text alerts and will be documented on site in the activity plan in the field trip binder. A transportation plan, including departure schedule and driving directions, will be available at site and submitted to the child care office before children are transported. This documentation will be stored on site in the field trip binder for the duration of the license. Parents will sign all appropriate permission forms for offsite activities before their child is transported on a YMCA vehicle. 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (d) Written permission from parents shall be obtained before transporting children on off-premises activities. (e) Blanket permissions from parents for off-premises activities shall be acceptable only when a plan of activities to be conducted off the premises is posted in a place for review by parents and staff in advance on a weekly basis. -Children in Leadership Training: You reported that there are two children 12 years of age and one child 13 years of age that are currently enrolled in the Children in Leadership Training unlicensed program 3-week session that operates at this location. I observed two staff members provide care for children in the both the licensed and unlicensed programs participating in the same activities. We discussed that children enrolled in licensed and unlicensed YMCA programs cannot be cared for together in the same group and building. If the children enrolled in your YMCA Children in Leadership Training program are going to be cared for at your licensed programs, then the children must be enrolled in the license program and have all applicable paperwork as required. -There must be a staff member on site at all times that can access children's records and staff emergency information. Reminders and Resources: 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.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2506 · Violation

Name of Operation: YMCA GLENWOOD AFTERSCHOOL Facility ID: 59000155 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/28/2025 Number Present: 75 Completed Date: 7/28/2025 Age: From 4 To 12 Total Minutes: 411 Time In: 09:39 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced 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. Upon arrival, Wendy Wisor, Program Coordinator, assisted me with the visit. You, Angela Strickland, Administrator, arrived after lunchtime to assist with the remainder of the visit. The NC Secretary of State website was viewed before the visit and The Young Mens Christian Association of Western North Carolina, Inc. was current/active as of July 25, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Four star rated license effective June 9, 2025. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets enhanced ratios minus one, preschool served June to August only, and School age playground does not meet child care playground safety standard. The program’s compliance history was 97 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments. Children and staff were participating in outdoor gross motor time, large group activities, free play in activity areas, lunch and rest time for preschool-aged children. Six new staff files and one volunteer file was reviewed. Limited monitoring of program and existing staff files were conducted for the purpose of reviewing training regarding CPR/First Aid, Emergency Medical Care Plan, Criminal Background Check and Special Training. The last monthly fire drill was practiced on July 9, 2025. The last lockdown drill was practiced on June 4, 2025 as a part of the afterschool program. No lockdown or shelter-in-place drill has been practiced for the summer program. The last monthly playground inspection was completed on July 18, 2025. 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 violation(s) were observed today: Violation Number Comment Rule 481 A list of all children participating in the off premise activity was not available at the center. Upon arrival, there was no list of the children participating in the off-premise activity available at the center. .1005(b)(6) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, there were 2 aerosol cans of Xtra Care Extra Moisturizing Shave Cream and 3 aerosol cans of Medicide Deodorant Spray in an unlocked cabinet under the sink, accessible to children four and five years of age. .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 Ventolin HFA inhaler with a prescription label for a nine year old child that enrolled 5/14/25 expired 6/2025. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. One staff member employed 3/5/25, did not have verification of a review of the program's EMC plan on file. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. Kim Brown began employment on 6/4/25 but did not have a completed criminal background check until 6/23/25. Marshall Lamb began employment on 6/4/25 but did not have a completed criminal background check until 7/21/25. Malinda Thomas was providing care as one-to-one staff for a four year old child that enrolled in care today, 7/28/25, with no completed criminal background check. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member hired 3/5/25 did not have verification of First Aid certification on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member hired 3/5/25 did not have verification of CPR certification on file. .1102(d) 1424 School-aged children were not adequately supervised. In a hallway not within seeing or hearing distance of the cafeteria, where care was being provided for children, I observed two school-age children that were unsupervised between 4:20-4:23pm. Staff were unaware of their whereabouts. .2506(d)(1-3) 1756 Enhanced staff/child ratios and group sizes were not met. In space #4, between 10:15-10:20am, 15 children, 4 and 5 years of age were being supervised by one staff member. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. There was no qualification letter on file for Malinda Thomas. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. As of today’s visit, your program has not completed the requirements to establish a facility roster in the ABCMS provider portal. G.S. 110-90.2 & .2703(r) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member employed 3/5/25 did not have documentation of the review of the program's EPR plan. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. In space #4, where children 4 and 5 years of age were being served, one staff member hired 3/5/25 and one staff member hired 6/4/25 did not have verification of a review of the Shaken Baby/Abusive Head Trauma policy on file. .0608(d)(1-4) 1888 On or before the first day of work, the operator did not verify the age of the volunteer and/or substitute provider and/or documentation of date of birth was not maintained in the individual's personnel file. Documentation was not provided to verify the age of the volunteer that began work on 6/23/25 during the visit. .0703(b) 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 6/8/24 did not have verification of completing Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. One staff member employed 6/8/24, did not have verification of BSAC training. .2510(j) The violation(s) documented must be corrected immediately. On or before August 11, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please send the information to beth.archer@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 on violations was reviewed with you. Areas discussed included: Supervision of School-Aged Children: 10A NCAC 09 .2506 (d)(1) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care. You and I both spoke with the staff member responsible for the two children in the hallway and reviewed requirements for adequate supervision for school-aged children. I suggested that you have a staff meeting to review supervision requirements to ensure staff's understanding of this requirement. Criminal Background Check: All staff members must complete the process for a criminal background check and have a valid qualifying letter on file prior to employment. Therapists and other Service providers, who are going to be alone with children in care, must complete the process for a criminal background check and have a valid qualifying letter on file prior to employment. Individuals should not be permitted to begin work or training at the facility until a criminal background check has been completed and a valid qualifying letter is on file. Enhanced Staff/Child Ratios: The staff/child ratio for the youngest member in each group must be maintained at all times. Staff should be scheduled to ensure proper coverage in each classroom to prevent any compliance issues regarding ratios. Your facility meets highest voluntary enhanced requirements. Hazardous Products: All hazardous items in aerosol containers must be kept in locked storage. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. Off-premise activity: 10A NCAC 09 .1005(b)(6) A list of all children participating in the off-premise activity shall also be available at the center. Upon arrival, there was a group of children on an off-premise activity and the person in charge was unable to provide a list of the children who were on the off-premise activity. Expired Medications: Any medication remaining after the medication has expired must be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of the medication’s expiration should be discarded. Standing permission to administer medications for chronic illnesses may be given for up to six months Additionally, I suggested you assign a staff member to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. CPR/First Aid Training: All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. I suggested you schedule CPR/First Aid Training for all new staff during their hiring process to ensure compliance with these requirements. ABCMS Facility Roster: Effective immediately, you will need to use the facility’s Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119 Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Shaken Baby/Abusive Head Trauma Policy: All staff members who care for children up to five years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. I suggested you have all summer staff review this policy and have the acknowledgement information on file to ensure that all individuals that may be assigned to work with children under five years of age will have fulfilled this requirement. BSAC Training: Staff, including the Administrator, in part-time, full day, or track-out school-age care programs required to complete BSAC training must do so within three months of becoming employed. I suggested you have all staff assigned to a school age classroom to register for BSAC training during the hiring process to ensure the training is completed in the required time frame. Emergency Medical Care Plan review: Each child care center must have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan must be reviewed with all staff annually and whenever the plan is revised. I suggested you review the facility’s Emergency Medical Care Plan with all staff at the same time that you review the facility’s Emergency Preparedness and Response Plan to ensure it is reviewed with staff at least annually or as changes are made. EPR Plan review: All staff members must review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis thereafter with the staff member trained in Emergency Preparedness and Response. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members at the same time you review the facility’s Emergency Medical Care Plan. I suggested you create a calendar reminder to ensure this meeting and review is conducted prior to the previous years’ review. Recognizing and Responding to Suspicions of Child Maltreatment Training: All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Volunteer: You must have a copy of a driver's license, birth certificate, or ID on file to verify that age of the volunteer. Consultation or other topics discussed today: -I observed school age children in the Auditorium that your program is now using for the first time this summer. Moving forward, please let me know at the beginning of the visit the spaces you are using for caring activities. These spaces must be monitored for health and safety requirements. -Upon arrival, there were multiple fans in use in the cafeteria. You reported that the air conditioning unit for the cafeteria has not been functional for several weeks as the school system has had difficulty finding professionals to repair the HVAC unit. I requested that you call Environmental Health to discuss recommendations for children in care in a space without functional air conditioning. There was no way to verify the exact temperature of the cafeteria during the visit. -We discussed handwashing best practices for school age children in care. -When food is provided by the center, at least one dated copy of the current week's menu must be posted where it can be seen by parents. -We reviewed screen time requirements for preschool children. 10A NCAC 09 .510(d)(2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. - We discussed that the program handbook serves as a guide for parents, but does not serve as permission for specific off-premise activities. Per the YMCA operational handbook, Field Trip Paperwork and Posting Requirements: A schedule of all offsite activities will be posted and a copy of the schedule will be given to parents/ guardians. Any alterations of plans due to weather or unforeseen circumstances will be communicated to parents/guardians through text alerts and will be documented on site in the activity plan in the field trip binder. A transportation plan, including departure schedule and driving directions, will be available at site and submitted to the child care office before children are transported. This documentation will be stored on site in the field trip binder for the duration of the license. Parents will sign all appropriate permission forms for offsite activities before their child is transported on a YMCA vehicle. 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (d) Written permission from parents shall be obtained before transporting children on off-premises activities. (e) Blanket permissions from parents for off-premises activities shall be acceptable only when a plan of activities to be conducted off the premises is posted in a place for review by parents and staff in advance on a weekly basis. -Children in Leadership Training: You reported that there are two children 12 years of age and one child 13 years of age that are currently enrolled in the Children in Leadership Training unlicensed program 3-week session that operates at this location. I observed two staff members provide care for children in the both the licensed and unlicensed programs participating in the same activities. We discussed that children enrolled in licensed and unlicensed YMCA programs cannot be cared for together in the same group and building. If the children enrolled in your YMCA Children in Leadership Training program are going to be cared for at your licensed programs, then the children must be enrolled in the license program and have all applicable paperwork as required. -There must be a staff member on site at all times that can access children's records and staff emergency information. Reminders and Resources: 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.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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 .2509 · Violation

Name of Operation: YMCA GLENWOOD AFTERSCHOOL Facility ID: 59000155 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/28/2025 Number Present: 75 Completed Date: 7/28/2025 Age: From 4 To 12 Total Minutes: 411 Time In: 09:39 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced 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. Upon arrival, Wendy Wisor, Program Coordinator, assisted me with the visit. You, Angela Strickland, Administrator, arrived after lunchtime to assist with the remainder of the visit. The NC Secretary of State website was viewed before the visit and The Young Mens Christian Association of Western North Carolina, Inc. was current/active as of July 25, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Four star rated license effective June 9, 2025. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets enhanced ratios minus one, preschool served June to August only, and School age playground does not meet child care playground safety standard. The program’s compliance history was 97 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments. Children and staff were participating in outdoor gross motor time, large group activities, free play in activity areas, lunch and rest time for preschool-aged children. Six new staff files and one volunteer file was reviewed. Limited monitoring of program and existing staff files were conducted for the purpose of reviewing training regarding CPR/First Aid, Emergency Medical Care Plan, Criminal Background Check and Special Training. The last monthly fire drill was practiced on July 9, 2025. The last lockdown drill was practiced on June 4, 2025 as a part of the afterschool program. No lockdown or shelter-in-place drill has been practiced for the summer program. The last monthly playground inspection was completed on July 18, 2025. 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 violation(s) were observed today: Violation Number Comment Rule 481 A list of all children participating in the off premise activity was not available at the center. Upon arrival, there was no list of the children participating in the off-premise activity available at the center. .1005(b)(6) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, there were 2 aerosol cans of Xtra Care Extra Moisturizing Shave Cream and 3 aerosol cans of Medicide Deodorant Spray in an unlocked cabinet under the sink, accessible to children four and five years of age. .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 Ventolin HFA inhaler with a prescription label for a nine year old child that enrolled 5/14/25 expired 6/2025. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. One staff member employed 3/5/25, did not have verification of a review of the program's EMC plan on file. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. Kim Brown began employment on 6/4/25 but did not have a completed criminal background check until 6/23/25. Marshall Lamb began employment on 6/4/25 but did not have a completed criminal background check until 7/21/25. Malinda Thomas was providing care as one-to-one staff for a four year old child that enrolled in care today, 7/28/25, with no completed criminal background check. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member hired 3/5/25 did not have verification of First Aid certification on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member hired 3/5/25 did not have verification of CPR certification on file. .1102(d) 1424 School-aged children were not adequately supervised. In a hallway not within seeing or hearing distance of the cafeteria, where care was being provided for children, I observed two school-age children that were unsupervised between 4:20-4:23pm. Staff were unaware of their whereabouts. .2506(d)(1-3) 1756 Enhanced staff/child ratios and group sizes were not met. In space #4, between 10:15-10:20am, 15 children, 4 and 5 years of age were being supervised by one staff member. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. There was no qualification letter on file for Malinda Thomas. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. As of today’s visit, your program has not completed the requirements to establish a facility roster in the ABCMS provider portal. G.S. 110-90.2 & .2703(r) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member employed 3/5/25 did not have documentation of the review of the program's EPR plan. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. In space #4, where children 4 and 5 years of age were being served, one staff member hired 3/5/25 and one staff member hired 6/4/25 did not have verification of a review of the Shaken Baby/Abusive Head Trauma policy on file. .0608(d)(1-4) 1888 On or before the first day of work, the operator did not verify the age of the volunteer and/or substitute provider and/or documentation of date of birth was not maintained in the individual's personnel file. Documentation was not provided to verify the age of the volunteer that began work on 6/23/25 during the visit. .0703(b) 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 6/8/24 did not have verification of completing Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. One staff member employed 6/8/24, did not have verification of BSAC training. .2510(j) The violation(s) documented must be corrected immediately. On or before August 11, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please send the information to beth.archer@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 on violations was reviewed with you. Areas discussed included: Supervision of School-Aged Children: 10A NCAC 09 .2506 (d)(1) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care. You and I both spoke with the staff member responsible for the two children in the hallway and reviewed requirements for adequate supervision for school-aged children. I suggested that you have a staff meeting to review supervision requirements to ensure staff's understanding of this requirement. Criminal Background Check: All staff members must complete the process for a criminal background check and have a valid qualifying letter on file prior to employment. Therapists and other Service providers, who are going to be alone with children in care, must complete the process for a criminal background check and have a valid qualifying letter on file prior to employment. Individuals should not be permitted to begin work or training at the facility until a criminal background check has been completed and a valid qualifying letter is on file. Enhanced Staff/Child Ratios: The staff/child ratio for the youngest member in each group must be maintained at all times. Staff should be scheduled to ensure proper coverage in each classroom to prevent any compliance issues regarding ratios. Your facility meets highest voluntary enhanced requirements. Hazardous Products: All hazardous items in aerosol containers must be kept in locked storage. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. Off-premise activity: 10A NCAC 09 .1005(b)(6) A list of all children participating in the off-premise activity shall also be available at the center. Upon arrival, there was a group of children on an off-premise activity and the person in charge was unable to provide a list of the children who were on the off-premise activity. Expired Medications: Any medication remaining after the medication has expired must be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of the medication’s expiration should be discarded. Standing permission to administer medications for chronic illnesses may be given for up to six months Additionally, I suggested you assign a staff member to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. CPR/First Aid Training: All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. I suggested you schedule CPR/First Aid Training for all new staff during their hiring process to ensure compliance with these requirements. ABCMS Facility Roster: Effective immediately, you will need to use the facility’s Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119 Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Shaken Baby/Abusive Head Trauma Policy: All staff members who care for children up to five years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. I suggested you have all summer staff review this policy and have the acknowledgement information on file to ensure that all individuals that may be assigned to work with children under five years of age will have fulfilled this requirement. BSAC Training: Staff, including the Administrator, in part-time, full day, or track-out school-age care programs required to complete BSAC training must do so within three months of becoming employed. I suggested you have all staff assigned to a school age classroom to register for BSAC training during the hiring process to ensure the training is completed in the required time frame. Emergency Medical Care Plan review: Each child care center must have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan must be reviewed with all staff annually and whenever the plan is revised. I suggested you review the facility’s Emergency Medical Care Plan with all staff at the same time that you review the facility’s Emergency Preparedness and Response Plan to ensure it is reviewed with staff at least annually or as changes are made. EPR Plan review: All staff members must review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis thereafter with the staff member trained in Emergency Preparedness and Response. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members at the same time you review the facility’s Emergency Medical Care Plan. I suggested you create a calendar reminder to ensure this meeting and review is conducted prior to the previous years’ review. Recognizing and Responding to Suspicions of Child Maltreatment Training: All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Volunteer: You must have a copy of a driver's license, birth certificate, or ID on file to verify that age of the volunteer. Consultation or other topics discussed today: -I observed school age children in the Auditorium that your program is now using for the first time this summer. Moving forward, please let me know at the beginning of the visit the spaces you are using for caring activities. These spaces must be monitored for health and safety requirements. -Upon arrival, there were multiple fans in use in the cafeteria. You reported that the air conditioning unit for the cafeteria has not been functional for several weeks as the school system has had difficulty finding professionals to repair the HVAC unit. I requested that you call Environmental Health to discuss recommendations for children in care in a space without functional air conditioning. There was no way to verify the exact temperature of the cafeteria during the visit. -We discussed handwashing best practices for school age children in care. -When food is provided by the center, at least one dated copy of the current week's menu must be posted where it can be seen by parents. -We reviewed screen time requirements for preschool children. 10A NCAC 09 .510(d)(2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. - We discussed that the program handbook serves as a guide for parents, but does not serve as permission for specific off-premise activities. Per the YMCA operational handbook, Field Trip Paperwork and Posting Requirements: A schedule of all offsite activities will be posted and a copy of the schedule will be given to parents/ guardians. Any alterations of plans due to weather or unforeseen circumstances will be communicated to parents/guardians through text alerts and will be documented on site in the activity plan in the field trip binder. A transportation plan, including departure schedule and driving directions, will be available at site and submitted to the child care office before children are transported. This documentation will be stored on site in the field trip binder for the duration of the license. Parents will sign all appropriate permission forms for offsite activities before their child is transported on a YMCA vehicle. 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (d) Written permission from parents shall be obtained before transporting children on off-premises activities. (e) Blanket permissions from parents for off-premises activities shall be acceptable only when a plan of activities to be conducted off the premises is posted in a place for review by parents and staff in advance on a weekly basis. -Children in Leadership Training: You reported that there are two children 12 years of age and one child 13 years of age that are currently enrolled in the Children in Leadership Training unlicensed program 3-week session that operates at this location. I observed two staff members provide care for children in the both the licensed and unlicensed programs participating in the same activities. We discussed that children enrolled in licensed and unlicensed YMCA programs cannot be cared for together in the same group and building. If the children enrolled in your YMCA Children in Leadership Training program are going to be cared for at your licensed programs, then the children must be enrolled in the license program and have all applicable paperwork as required. -There must be a staff member on site at all times that can access children's records and staff emergency information. Reminders and Resources: 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.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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 .2818 · Violation

Name of Operation: YMCA GLENWOOD AFTERSCHOOL Facility ID: 59000155 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/28/2025 Number Present: 75 Completed Date: 7/28/2025 Age: From 4 To 12 Total Minutes: 411 Time In: 09:39 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced 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. Upon arrival, Wendy Wisor, Program Coordinator, assisted me with the visit. You, Angela Strickland, Administrator, arrived after lunchtime to assist with the remainder of the visit. The NC Secretary of State website was viewed before the visit and The Young Mens Christian Association of Western North Carolina, Inc. was current/active as of July 25, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Four star rated license effective June 9, 2025. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets enhanced ratios minus one, preschool served June to August only, and School age playground does not meet child care playground safety standard. The program’s compliance history was 97 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments. Children and staff were participating in outdoor gross motor time, large group activities, free play in activity areas, lunch and rest time for preschool-aged children. Six new staff files and one volunteer file was reviewed. Limited monitoring of program and existing staff files were conducted for the purpose of reviewing training regarding CPR/First Aid, Emergency Medical Care Plan, Criminal Background Check and Special Training. The last monthly fire drill was practiced on July 9, 2025. The last lockdown drill was practiced on June 4, 2025 as a part of the afterschool program. No lockdown or shelter-in-place drill has been practiced for the summer program. The last monthly playground inspection was completed on July 18, 2025. 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 violation(s) were observed today: Violation Number Comment Rule 481 A list of all children participating in the off premise activity was not available at the center. Upon arrival, there was no list of the children participating in the off-premise activity available at the center. .1005(b)(6) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, there were 2 aerosol cans of Xtra Care Extra Moisturizing Shave Cream and 3 aerosol cans of Medicide Deodorant Spray in an unlocked cabinet under the sink, accessible to children four and five years of age. .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 Ventolin HFA inhaler with a prescription label for a nine year old child that enrolled 5/14/25 expired 6/2025. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. One staff member employed 3/5/25, did not have verification of a review of the program's EMC plan on file. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. Kim Brown began employment on 6/4/25 but did not have a completed criminal background check until 6/23/25. Marshall Lamb began employment on 6/4/25 but did not have a completed criminal background check until 7/21/25. Malinda Thomas was providing care as one-to-one staff for a four year old child that enrolled in care today, 7/28/25, with no completed criminal background check. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member hired 3/5/25 did not have verification of First Aid certification on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member hired 3/5/25 did not have verification of CPR certification on file. .1102(d) 1424 School-aged children were not adequately supervised. In a hallway not within seeing or hearing distance of the cafeteria, where care was being provided for children, I observed two school-age children that were unsupervised between 4:20-4:23pm. Staff were unaware of their whereabouts. .2506(d)(1-3) 1756 Enhanced staff/child ratios and group sizes were not met. In space #4, between 10:15-10:20am, 15 children, 4 and 5 years of age were being supervised by one staff member. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. There was no qualification letter on file for Malinda Thomas. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. As of today’s visit, your program has not completed the requirements to establish a facility roster in the ABCMS provider portal. G.S. 110-90.2 & .2703(r) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member employed 3/5/25 did not have documentation of the review of the program's EPR plan. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. In space #4, where children 4 and 5 years of age were being served, one staff member hired 3/5/25 and one staff member hired 6/4/25 did not have verification of a review of the Shaken Baby/Abusive Head Trauma policy on file. .0608(d)(1-4) 1888 On or before the first day of work, the operator did not verify the age of the volunteer and/or substitute provider and/or documentation of date of birth was not maintained in the individual's personnel file. Documentation was not provided to verify the age of the volunteer that began work on 6/23/25 during the visit. .0703(b) 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 6/8/24 did not have verification of completing Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. One staff member employed 6/8/24, did not have verification of BSAC training. .2510(j) The violation(s) documented must be corrected immediately. On or before August 11, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please send the information to beth.archer@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 on violations was reviewed with you. Areas discussed included: Supervision of School-Aged Children: 10A NCAC 09 .2506 (d)(1) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care. You and I both spoke with the staff member responsible for the two children in the hallway and reviewed requirements for adequate supervision for school-aged children. I suggested that you have a staff meeting to review supervision requirements to ensure staff's understanding of this requirement. Criminal Background Check: All staff members must complete the process for a criminal background check and have a valid qualifying letter on file prior to employment. Therapists and other Service providers, who are going to be alone with children in care, must complete the process for a criminal background check and have a valid qualifying letter on file prior to employment. Individuals should not be permitted to begin work or training at the facility until a criminal background check has been completed and a valid qualifying letter is on file. Enhanced Staff/Child Ratios: The staff/child ratio for the youngest member in each group must be maintained at all times. Staff should be scheduled to ensure proper coverage in each classroom to prevent any compliance issues regarding ratios. Your facility meets highest voluntary enhanced requirements. Hazardous Products: All hazardous items in aerosol containers must be kept in locked storage. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. Off-premise activity: 10A NCAC 09 .1005(b)(6) A list of all children participating in the off-premise activity shall also be available at the center. Upon arrival, there was a group of children on an off-premise activity and the person in charge was unable to provide a list of the children who were on the off-premise activity. Expired Medications: Any medication remaining after the medication has expired must be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of the medication’s expiration should be discarded. Standing permission to administer medications for chronic illnesses may be given for up to six months Additionally, I suggested you assign a staff member to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. CPR/First Aid Training: All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. I suggested you schedule CPR/First Aid Training for all new staff during their hiring process to ensure compliance with these requirements. ABCMS Facility Roster: Effective immediately, you will need to use the facility’s Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119 Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Shaken Baby/Abusive Head Trauma Policy: All staff members who care for children up to five years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. I suggested you have all summer staff review this policy and have the acknowledgement information on file to ensure that all individuals that may be assigned to work with children under five years of age will have fulfilled this requirement. BSAC Training: Staff, including the Administrator, in part-time, full day, or track-out school-age care programs required to complete BSAC training must do so within three months of becoming employed. I suggested you have all staff assigned to a school age classroom to register for BSAC training during the hiring process to ensure the training is completed in the required time frame. Emergency Medical Care Plan review: Each child care center must have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan must be reviewed with all staff annually and whenever the plan is revised. I suggested you review the facility’s Emergency Medical Care Plan with all staff at the same time that you review the facility’s Emergency Preparedness and Response Plan to ensure it is reviewed with staff at least annually or as changes are made. EPR Plan review: All staff members must review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis thereafter with the staff member trained in Emergency Preparedness and Response. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members at the same time you review the facility’s Emergency Medical Care Plan. I suggested you create a calendar reminder to ensure this meeting and review is conducted prior to the previous years’ review. Recognizing and Responding to Suspicions of Child Maltreatment Training: All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Volunteer: You must have a copy of a driver's license, birth certificate, or ID on file to verify that age of the volunteer. Consultation or other topics discussed today: -I observed school age children in the Auditorium that your program is now using for the first time this summer. Moving forward, please let me know at the beginning of the visit the spaces you are using for caring activities. These spaces must be monitored for health and safety requirements. -Upon arrival, there were multiple fans in use in the cafeteria. You reported that the air conditioning unit for the cafeteria has not been functional for several weeks as the school system has had difficulty finding professionals to repair the HVAC unit. I requested that you call Environmental Health to discuss recommendations for children in care in a space without functional air conditioning. There was no way to verify the exact temperature of the cafeteria during the visit. -We discussed handwashing best practices for school age children in care. -When food is provided by the center, at least one dated copy of the current week's menu must be posted where it can be seen by parents. -We reviewed screen time requirements for preschool children. 10A NCAC 09 .510(d)(2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. - We discussed that the program handbook serves as a guide for parents, but does not serve as permission for specific off-premise activities. Per the YMCA operational handbook, Field Trip Paperwork and Posting Requirements: A schedule of all offsite activities will be posted and a copy of the schedule will be given to parents/ guardians. Any alterations of plans due to weather or unforeseen circumstances will be communicated to parents/guardians through text alerts and will be documented on site in the activity plan in the field trip binder. A transportation plan, including departure schedule and driving directions, will be available at site and submitted to the child care office before children are transported. This documentation will be stored on site in the field trip binder for the duration of the license. Parents will sign all appropriate permission forms for offsite activities before their child is transported on a YMCA vehicle. 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (d) Written permission from parents shall be obtained before transporting children on off-premises activities. (e) Blanket permissions from parents for off-premises activities shall be acceptable only when a plan of activities to be conducted off the premises is posted in a place for review by parents and staff in advance on a weekly basis. -Children in Leadership Training: You reported that there are two children 12 years of age and one child 13 years of age that are currently enrolled in the Children in Leadership Training unlicensed program 3-week session that operates at this location. I observed two staff members provide care for children in the both the licensed and unlicensed programs participating in the same activities. We discussed that children enrolled in licensed and unlicensed YMCA programs cannot be cared for together in the same group and building. If the children enrolled in your YMCA Children in Leadership Training program are going to be cared for at your licensed programs, then the children must be enrolled in the license program and have all applicable paperwork as required. -There must be a staff member on site at all times that can access children's records and staff emergency information. Reminders and Resources: 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.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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 .510 · Violation

Name of Operation: YMCA GLENWOOD AFTERSCHOOL Facility ID: 59000155 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/28/2025 Number Present: 75 Completed Date: 7/28/2025 Age: From 4 To 12 Total Minutes: 411 Time In: 09:39 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced 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. Upon arrival, Wendy Wisor, Program Coordinator, assisted me with the visit. You, Angela Strickland, Administrator, arrived after lunchtime to assist with the remainder of the visit. The NC Secretary of State website was viewed before the visit and The Young Mens Christian Association of Western North Carolina, Inc. was current/active as of July 25, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Four star rated license effective June 9, 2025. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets enhanced ratios minus one, preschool served June to August only, and School age playground does not meet child care playground safety standard. The program’s compliance history was 97 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments. Children and staff were participating in outdoor gross motor time, large group activities, free play in activity areas, lunch and rest time for preschool-aged children. Six new staff files and one volunteer file was reviewed. Limited monitoring of program and existing staff files were conducted for the purpose of reviewing training regarding CPR/First Aid, Emergency Medical Care Plan, Criminal Background Check and Special Training. The last monthly fire drill was practiced on July 9, 2025. The last lockdown drill was practiced on June 4, 2025 as a part of the afterschool program. No lockdown or shelter-in-place drill has been practiced for the summer program. The last monthly playground inspection was completed on July 18, 2025. 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 violation(s) were observed today: Violation Number Comment Rule 481 A list of all children participating in the off premise activity was not available at the center. Upon arrival, there was no list of the children participating in the off-premise activity available at the center. .1005(b)(6) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, there were 2 aerosol cans of Xtra Care Extra Moisturizing Shave Cream and 3 aerosol cans of Medicide Deodorant Spray in an unlocked cabinet under the sink, accessible to children four and five years of age. .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 Ventolin HFA inhaler with a prescription label for a nine year old child that enrolled 5/14/25 expired 6/2025. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. One staff member employed 3/5/25, did not have verification of a review of the program's EMC plan on file. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. Kim Brown began employment on 6/4/25 but did not have a completed criminal background check until 6/23/25. Marshall Lamb began employment on 6/4/25 but did not have a completed criminal background check until 7/21/25. Malinda Thomas was providing care as one-to-one staff for a four year old child that enrolled in care today, 7/28/25, with no completed criminal background check. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member hired 3/5/25 did not have verification of First Aid certification on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member hired 3/5/25 did not have verification of CPR certification on file. .1102(d) 1424 School-aged children were not adequately supervised. In a hallway not within seeing or hearing distance of the cafeteria, where care was being provided for children, I observed two school-age children that were unsupervised between 4:20-4:23pm. Staff were unaware of their whereabouts. .2506(d)(1-3) 1756 Enhanced staff/child ratios and group sizes were not met. In space #4, between 10:15-10:20am, 15 children, 4 and 5 years of age were being supervised by one staff member. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. There was no qualification letter on file for Malinda Thomas. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. As of today’s visit, your program has not completed the requirements to establish a facility roster in the ABCMS provider portal. G.S. 110-90.2 & .2703(r) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member employed 3/5/25 did not have documentation of the review of the program's EPR plan. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. In space #4, where children 4 and 5 years of age were being served, one staff member hired 3/5/25 and one staff member hired 6/4/25 did not have verification of a review of the Shaken Baby/Abusive Head Trauma policy on file. .0608(d)(1-4) 1888 On or before the first day of work, the operator did not verify the age of the volunteer and/or substitute provider and/or documentation of date of birth was not maintained in the individual's personnel file. Documentation was not provided to verify the age of the volunteer that began work on 6/23/25 during the visit. .0703(b) 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 6/8/24 did not have verification of completing Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. One staff member employed 6/8/24, did not have verification of BSAC training. .2510(j) The violation(s) documented must be corrected immediately. On or before August 11, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please send the information to beth.archer@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 on violations was reviewed with you. Areas discussed included: Supervision of School-Aged Children: 10A NCAC 09 .2506 (d)(1) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care. You and I both spoke with the staff member responsible for the two children in the hallway and reviewed requirements for adequate supervision for school-aged children. I suggested that you have a staff meeting to review supervision requirements to ensure staff's understanding of this requirement. Criminal Background Check: All staff members must complete the process for a criminal background check and have a valid qualifying letter on file prior to employment. Therapists and other Service providers, who are going to be alone with children in care, must complete the process for a criminal background check and have a valid qualifying letter on file prior to employment. Individuals should not be permitted to begin work or training at the facility until a criminal background check has been completed and a valid qualifying letter is on file. Enhanced Staff/Child Ratios: The staff/child ratio for the youngest member in each group must be maintained at all times. Staff should be scheduled to ensure proper coverage in each classroom to prevent any compliance issues regarding ratios. Your facility meets highest voluntary enhanced requirements. Hazardous Products: All hazardous items in aerosol containers must be kept in locked storage. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. Off-premise activity: 10A NCAC 09 .1005(b)(6) A list of all children participating in the off-premise activity shall also be available at the center. Upon arrival, there was a group of children on an off-premise activity and the person in charge was unable to provide a list of the children who were on the off-premise activity. Expired Medications: Any medication remaining after the medication has expired must be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of the medication’s expiration should be discarded. Standing permission to administer medications for chronic illnesses may be given for up to six months Additionally, I suggested you assign a staff member to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. CPR/First Aid Training: All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. I suggested you schedule CPR/First Aid Training for all new staff during their hiring process to ensure compliance with these requirements. ABCMS Facility Roster: Effective immediately, you will need to use the facility’s Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119 Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Shaken Baby/Abusive Head Trauma Policy: All staff members who care for children up to five years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. I suggested you have all summer staff review this policy and have the acknowledgement information on file to ensure that all individuals that may be assigned to work with children under five years of age will have fulfilled this requirement. BSAC Training: Staff, including the Administrator, in part-time, full day, or track-out school-age care programs required to complete BSAC training must do so within three months of becoming employed. I suggested you have all staff assigned to a school age classroom to register for BSAC training during the hiring process to ensure the training is completed in the required time frame. Emergency Medical Care Plan review: Each child care center must have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan must be reviewed with all staff annually and whenever the plan is revised. I suggested you review the facility’s Emergency Medical Care Plan with all staff at the same time that you review the facility’s Emergency Preparedness and Response Plan to ensure it is reviewed with staff at least annually or as changes are made. EPR Plan review: All staff members must review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis thereafter with the staff member trained in Emergency Preparedness and Response. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members at the same time you review the facility’s Emergency Medical Care Plan. I suggested you create a calendar reminder to ensure this meeting and review is conducted prior to the previous years’ review. Recognizing and Responding to Suspicions of Child Maltreatment Training: All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Volunteer: You must have a copy of a driver's license, birth certificate, or ID on file to verify that age of the volunteer. Consultation or other topics discussed today: -I observed school age children in the Auditorium that your program is now using for the first time this summer. Moving forward, please let me know at the beginning of the visit the spaces you are using for caring activities. These spaces must be monitored for health and safety requirements. -Upon arrival, there were multiple fans in use in the cafeteria. You reported that the air conditioning unit for the cafeteria has not been functional for several weeks as the school system has had difficulty finding professionals to repair the HVAC unit. I requested that you call Environmental Health to discuss recommendations for children in care in a space without functional air conditioning. There was no way to verify the exact temperature of the cafeteria during the visit. -We discussed handwashing best practices for school age children in care. -When food is provided by the center, at least one dated copy of the current week's menu must be posted where it can be seen by parents. -We reviewed screen time requirements for preschool children. 10A NCAC 09 .510(d)(2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. - We discussed that the program handbook serves as a guide for parents, but does not serve as permission for specific off-premise activities. Per the YMCA operational handbook, Field Trip Paperwork and Posting Requirements: A schedule of all offsite activities will be posted and a copy of the schedule will be given to parents/ guardians. Any alterations of plans due to weather or unforeseen circumstances will be communicated to parents/guardians through text alerts and will be documented on site in the activity plan in the field trip binder. A transportation plan, including departure schedule and driving directions, will be available at site and submitted to the child care office before children are transported. This documentation will be stored on site in the field trip binder for the duration of the license. Parents will sign all appropriate permission forms for offsite activities before their child is transported on a YMCA vehicle. 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (d) Written permission from parents shall be obtained before transporting children on off-premises activities. (e) Blanket permissions from parents for off-premises activities shall be acceptable only when a plan of activities to be conducted off the premises is posted in a place for review by parents and staff in advance on a weekly basis. -Children in Leadership Training: You reported that there are two children 12 years of age and one child 13 years of age that are currently enrolled in the Children in Leadership Training unlicensed program 3-week session that operates at this location. I observed two staff members provide care for children in the both the licensed and unlicensed programs participating in the same activities. We discussed that children enrolled in licensed and unlicensed YMCA programs cannot be cared for together in the same group and building. If the children enrolled in your YMCA Children in Leadership Training program are going to be cared for at your licensed programs, then the children must be enrolled in the license program and have all applicable paperwork as required. -There must be a staff member on site at all times that can access children's records and staff emergency information. Reminders and Resources: 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.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: YMCA GLENWOOD AFTERSCHOOL Facility ID: 59000155 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/28/2025 Number Present: 75 Completed Date: 7/28/2025 Age: From 4 To 12 Total Minutes: 411 Time In: 09:39 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced 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. Upon arrival, Wendy Wisor, Program Coordinator, assisted me with the visit. You, Angela Strickland, Administrator, arrived after lunchtime to assist with the remainder of the visit. The NC Secretary of State website was viewed before the visit and The Young Mens Christian Association of Western North Carolina, Inc. was current/active as of July 25, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Four star rated license effective June 9, 2025. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets enhanced ratios minus one, preschool served June to August only, and School age playground does not meet child care playground safety standard. The program’s compliance history was 97 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments. Children and staff were participating in outdoor gross motor time, large group activities, free play in activity areas, lunch and rest time for preschool-aged children. Six new staff files and one volunteer file was reviewed. Limited monitoring of program and existing staff files were conducted for the purpose of reviewing training regarding CPR/First Aid, Emergency Medical Care Plan, Criminal Background Check and Special Training. The last monthly fire drill was practiced on July 9, 2025. The last lockdown drill was practiced on June 4, 2025 as a part of the afterschool program. No lockdown or shelter-in-place drill has been practiced for the summer program. The last monthly playground inspection was completed on July 18, 2025. 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 violation(s) were observed today: Violation Number Comment Rule 481 A list of all children participating in the off premise activity was not available at the center. Upon arrival, there was no list of the children participating in the off-premise activity available at the center. .1005(b)(6) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, there were 2 aerosol cans of Xtra Care Extra Moisturizing Shave Cream and 3 aerosol cans of Medicide Deodorant Spray in an unlocked cabinet under the sink, accessible to children four and five years of age. .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 Ventolin HFA inhaler with a prescription label for a nine year old child that enrolled 5/14/25 expired 6/2025. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. One staff member employed 3/5/25, did not have verification of a review of the program's EMC plan on file. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. Kim Brown began employment on 6/4/25 but did not have a completed criminal background check until 6/23/25. Marshall Lamb began employment on 6/4/25 but did not have a completed criminal background check until 7/21/25. Malinda Thomas was providing care as one-to-one staff for a four year old child that enrolled in care today, 7/28/25, with no completed criminal background check. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member hired 3/5/25 did not have verification of First Aid certification on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member hired 3/5/25 did not have verification of CPR certification on file. .1102(d) 1424 School-aged children were not adequately supervised. In a hallway not within seeing or hearing distance of the cafeteria, where care was being provided for children, I observed two school-age children that were unsupervised between 4:20-4:23pm. Staff were unaware of their whereabouts. .2506(d)(1-3) 1756 Enhanced staff/child ratios and group sizes were not met. In space #4, between 10:15-10:20am, 15 children, 4 and 5 years of age were being supervised by one staff member. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. There was no qualification letter on file for Malinda Thomas. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. As of today’s visit, your program has not completed the requirements to establish a facility roster in the ABCMS provider portal. G.S. 110-90.2 & .2703(r) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member employed 3/5/25 did not have documentation of the review of the program's EPR plan. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. In space #4, where children 4 and 5 years of age were being served, one staff member hired 3/5/25 and one staff member hired 6/4/25 did not have verification of a review of the Shaken Baby/Abusive Head Trauma policy on file. .0608(d)(1-4) 1888 On or before the first day of work, the operator did not verify the age of the volunteer and/or substitute provider and/or documentation of date of birth was not maintained in the individual's personnel file. Documentation was not provided to verify the age of the volunteer that began work on 6/23/25 during the visit. .0703(b) 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 6/8/24 did not have verification of completing Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. One staff member employed 6/8/24, did not have verification of BSAC training. .2510(j) The violation(s) documented must be corrected immediately. On or before August 11, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please send the information to beth.archer@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 on violations was reviewed with you. Areas discussed included: Supervision of School-Aged Children: 10A NCAC 09 .2506 (d)(1) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care. You and I both spoke with the staff member responsible for the two children in the hallway and reviewed requirements for adequate supervision for school-aged children. I suggested that you have a staff meeting to review supervision requirements to ensure staff's understanding of this requirement. Criminal Background Check: All staff members must complete the process for a criminal background check and have a valid qualifying letter on file prior to employment. Therapists and other Service providers, who are going to be alone with children in care, must complete the process for a criminal background check and have a valid qualifying letter on file prior to employment. Individuals should not be permitted to begin work or training at the facility until a criminal background check has been completed and a valid qualifying letter is on file. Enhanced Staff/Child Ratios: The staff/child ratio for the youngest member in each group must be maintained at all times. Staff should be scheduled to ensure proper coverage in each classroom to prevent any compliance issues regarding ratios. Your facility meets highest voluntary enhanced requirements. Hazardous Products: All hazardous items in aerosol containers must be kept in locked storage. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. Off-premise activity: 10A NCAC 09 .1005(b)(6) A list of all children participating in the off-premise activity shall also be available at the center. Upon arrival, there was a group of children on an off-premise activity and the person in charge was unable to provide a list of the children who were on the off-premise activity. Expired Medications: Any medication remaining after the medication has expired must be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of the medication’s expiration should be discarded. Standing permission to administer medications for chronic illnesses may be given for up to six months Additionally, I suggested you assign a staff member to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. CPR/First Aid Training: All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. I suggested you schedule CPR/First Aid Training for all new staff during their hiring process to ensure compliance with these requirements. ABCMS Facility Roster: Effective immediately, you will need to use the facility’s Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119 Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Shaken Baby/Abusive Head Trauma Policy: All staff members who care for children up to five years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. I suggested you have all summer staff review this policy and have the acknowledgement information on file to ensure that all individuals that may be assigned to work with children under five years of age will have fulfilled this requirement. BSAC Training: Staff, including the Administrator, in part-time, full day, or track-out school-age care programs required to complete BSAC training must do so within three months of becoming employed. I suggested you have all staff assigned to a school age classroom to register for BSAC training during the hiring process to ensure the training is completed in the required time frame. Emergency Medical Care Plan review: Each child care center must have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan must be reviewed with all staff annually and whenever the plan is revised. I suggested you review the facility’s Emergency Medical Care Plan with all staff at the same time that you review the facility’s Emergency Preparedness and Response Plan to ensure it is reviewed with staff at least annually or as changes are made. EPR Plan review: All staff members must review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis thereafter with the staff member trained in Emergency Preparedness and Response. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members at the same time you review the facility’s Emergency Medical Care Plan. I suggested you create a calendar reminder to ensure this meeting and review is conducted prior to the previous years’ review. Recognizing and Responding to Suspicions of Child Maltreatment Training: All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Volunteer: You must have a copy of a driver's license, birth certificate, or ID on file to verify that age of the volunteer. Consultation or other topics discussed today: -I observed school age children in the Auditorium that your program is now using for the first time this summer. Moving forward, please let me know at the beginning of the visit the spaces you are using for caring activities. These spaces must be monitored for health and safety requirements. -Upon arrival, there were multiple fans in use in the cafeteria. You reported that the air conditioning unit for the cafeteria has not been functional for several weeks as the school system has had difficulty finding professionals to repair the HVAC unit. I requested that you call Environmental Health to discuss recommendations for children in care in a space without functional air conditioning. There was no way to verify the exact temperature of the cafeteria during the visit. -We discussed handwashing best practices for school age children in care. -When food is provided by the center, at least one dated copy of the current week's menu must be posted where it can be seen by parents. -We reviewed screen time requirements for preschool children. 10A NCAC 09 .510(d)(2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. - We discussed that the program handbook serves as a guide for parents, but does not serve as permission for specific off-premise activities. Per the YMCA operational handbook, Field Trip Paperwork and Posting Requirements: A schedule of all offsite activities will be posted and a copy of the schedule will be given to parents/ guardians. Any alterations of plans due to weather or unforeseen circumstances will be communicated to parents/guardians through text alerts and will be documented on site in the activity plan in the field trip binder. A transportation plan, including departure schedule and driving directions, will be available at site and submitted to the child care office before children are transported. This documentation will be stored on site in the field trip binder for the duration of the license. Parents will sign all appropriate permission forms for offsite activities before their child is transported on a YMCA vehicle. 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (d) Written permission from parents shall be obtained before transporting children on off-premises activities. (e) Blanket permissions from parents for off-premises activities shall be acceptable only when a plan of activities to be conducted off the premises is posted in a place for review by parents and staff in advance on a weekly basis. -Children in Leadership Training: You reported that there are two children 12 years of age and one child 13 years of age that are currently enrolled in the Children in Leadership Training unlicensed program 3-week session that operates at this location. I observed two staff members provide care for children in the both the licensed and unlicensed programs participating in the same activities. We discussed that children enrolled in licensed and unlicensed YMCA programs cannot be cared for together in the same group and building. If the children enrolled in your YMCA Children in Leadership Training program are going to be cared for at your licensed programs, then the children must be enrolled in the license program and have all applicable paperwork as required. -There must be a staff member on site at all times that can access children's records and staff emergency information. Reminders and Resources: 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.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA GLENWOOD AFTERSCHOOL Facility ID: 59000155 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 7/28/2025 Number Present: 75 Completed Date: 7/28/2025 Age: From 4 To 12 Total Minutes: 411 Time In: 09:39 AM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced 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. Upon arrival, Wendy Wisor, Program Coordinator, assisted me with the visit. You, Angela Strickland, Administrator, arrived after lunchtime to assist with the remainder of the visit. The NC Secretary of State website was viewed before the visit and The Young Mens Christian Association of Western North Carolina, Inc. was current/active as of July 25, 2025. The facilities contact information was reviewed and confirmed with you. This program currently operates with a Four star rated license effective June 9, 2025. The permit restrictions were in compliance including 1st shift, meets enhanced ratios, meets enhanced space, meets enhanced ratios minus one, preschool served June to August only, and School age playground does not meet child care playground safety standard. The program’s compliance history was 97 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 walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in both the indoor and outdoor learning environments. Children and staff were participating in outdoor gross motor time, large group activities, free play in activity areas, lunch and rest time for preschool-aged children. Six new staff files and one volunteer file was reviewed. Limited monitoring of program and existing staff files were conducted for the purpose of reviewing training regarding CPR/First Aid, Emergency Medical Care Plan, Criminal Background Check and Special Training. The last monthly fire drill was practiced on July 9, 2025. The last lockdown drill was practiced on June 4, 2025 as a part of the afterschool program. No lockdown or shelter-in-place drill has been practiced for the summer program. The last monthly playground inspection was completed on July 18, 2025. 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 violation(s) were observed today: Violation Number Comment Rule 481 A list of all children participating in the off premise activity was not available at the center. Upon arrival, there was no list of the children participating in the off-premise activity available at the center. .1005(b)(6) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #4, there were 2 aerosol cans of Xtra Care Extra Moisturizing Shave Cream and 3 aerosol cans of Medicide Deodorant Spray in an unlocked cabinet under the sink, accessible to children four and five years of age. .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 Ventolin HFA inhaler with a prescription label for a nine year old child that enrolled 5/14/25 expired 6/2025. .0803(12) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. One staff member employed 3/5/25, did not have verification of a review of the program's EMC plan on file. 10A NCAC 09 .0802(a) 1041 Prior to employment a Criminal Background Check was not completed. Kim Brown began employment on 6/4/25 but did not have a completed criminal background check until 6/23/25. Marshall Lamb began employment on 6/4/25 but did not have a completed criminal background check until 7/21/25. Malinda Thomas was providing care as one-to-one staff for a four year old child that enrolled in care today, 7/28/25, with no completed criminal background check. G.S. 110-90.2(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. One staff member hired 3/5/25 did not have verification of First Aid certification on file. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member hired 3/5/25 did not have verification of CPR certification on file. .1102(d) 1424 School-aged children were not adequately supervised. In a hallway not within seeing or hearing distance of the cafeteria, where care was being provided for children, I observed two school-age children that were unsupervised between 4:20-4:23pm. Staff were unaware of their whereabouts. .2506(d)(1-3) 1756 Enhanced staff/child ratios and group sizes were not met. In space #4, between 10:15-10:20am, 15 children, 4 and 5 years of age were being supervised by one staff member. 10A NCAC 09 .2818 1757 A valid qualification letter was not on file and available to review at the facility. There was no qualification letter on file for Malinda Thomas. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. As of today’s visit, your program has not completed the requirements to establish a facility roster in the ABCMS provider portal. G.S. 110-90.2 & .2703(r) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. One staff member employed 3/5/25 did not have documentation of the review of the program's EPR plan. .0607(f) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. In space #4, where children 4 and 5 years of age were being served, one staff member hired 3/5/25 and one staff member hired 6/4/25 did not have verification of a review of the Shaken Baby/Abusive Head Trauma policy on file. .0608(d)(1-4) 1888 On or before the first day of work, the operator did not verify the age of the volunteer and/or substitute provider and/or documentation of date of birth was not maintained in the individual's personnel file. Documentation was not provided to verify the age of the volunteer that began work on 6/23/25 during the visit. .0703(b) 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 6/8/24 did not have verification of completing Recognizing and Responding to Suspicions of Child Maltreatment training on file. .1102(g) 1921 Staff working in part-time, full-day or track out school age care programs required to complete BSAC training, did not complete it within three months of employment. One staff member employed 6/8/24, did not have verification of BSAC training. .2510(j) The violation(s) documented must be corrected immediately. On or before August 11, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please send the information to beth.archer@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 on violations was reviewed with you. Areas discussed included: Supervision of School-Aged Children: 10A NCAC 09 .2506 (d)(1) All children shall be adequately supervised. Adequate supervision means staff shall be with the group of children and able to hear or see each child in his or her care. You and I both spoke with the staff member responsible for the two children in the hallway and reviewed requirements for adequate supervision for school-aged children. I suggested that you have a staff meeting to review supervision requirements to ensure staff's understanding of this requirement. Criminal Background Check: All staff members must complete the process for a criminal background check and have a valid qualifying letter on file prior to employment. Therapists and other Service providers, who are going to be alone with children in care, must complete the process for a criminal background check and have a valid qualifying letter on file prior to employment. Individuals should not be permitted to begin work or training at the facility until a criminal background check has been completed and a valid qualifying letter is on file. Enhanced Staff/Child Ratios: The staff/child ratio for the youngest member in each group must be maintained at all times. Staff should be scheduled to ensure proper coverage in each classroom to prevent any compliance issues regarding ratios. Your facility meets highest voluntary enhanced requirements. Hazardous Products: All hazardous items in aerosol containers must be kept in locked storage. I suggested you have staff members check the classrooms thoroughly each morning, prior to children arriving, to ensure all items are stored properly. I also suggested you review this information with all staff members to ensure they can understand which items need to be locked based on warning labels. Off-premise activity: 10A NCAC 09 .1005(b)(6) A list of all children participating in the off-premise activity shall also be available at the center. Upon arrival, there was a group of children on an off-premise activity and the person in charge was unable to provide a list of the children who were on the off-premise activity. Expired Medications: Any medication remaining after the medication has expired must be returned to the child's parents. Any medication the parent fails to retrieve within 72 hours of the medication’s expiration should be discarded. Standing permission to administer medications for chronic illnesses may be given for up to six months Additionally, I suggested you assign a staff member to check all medications and Permission to Administer Medication Forms at least once a month to prevent further non-compliance regarding medication. CPR/First Aid Training: All staff members must maintain active CPR/First Aid certification. New staff members have ninety days from their date of hire to complete the training. I suggested you schedule CPR/First Aid Training for all new staff during their hiring process to ensure compliance with these requirements. ABCMS Facility Roster: Effective immediately, you will need to use the facility’s Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119 Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Shaken Baby/Abusive Head Trauma Policy: All staff members who care for children up to five years of age must review the facility’s Prevention of Shaken Baby and Abusive Head Trauma Policy prior to the staff member caring for children. An acknowledgment of receipt and review must be on file. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. I suggested you have all summer staff review this policy and have the acknowledgement information on file to ensure that all individuals that may be assigned to work with children under five years of age will have fulfilled this requirement. BSAC Training: Staff, including the Administrator, in part-time, full day, or track-out school-age care programs required to complete BSAC training must do so within three months of becoming employed. I suggested you have all staff assigned to a school age classroom to register for BSAC training during the hiring process to ensure the training is completed in the required time frame. Emergency Medical Care Plan review: Each child care center must have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan must be reviewed with all staff annually and whenever the plan is revised. I suggested you review the facility’s Emergency Medical Care Plan with all staff at the same time that you review the facility’s Emergency Preparedness and Response Plan to ensure it is reviewed with staff at least annually or as changes are made. EPR Plan review: All staff members must review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis thereafter with the staff member trained in Emergency Preparedness and Response. Documentation of the review must be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. I suggested you review your facility’s Emergency Preparedness and Response Plan during a staff meeting with all staff members at the same time you review the facility’s Emergency Medical Care Plan. I suggested you create a calendar reminder to ensure this meeting and review is conducted prior to the previous years’ review. Recognizing and Responding to Suspicions of Child Maltreatment Training: All staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. I suggested you use the Health and Safety Training Record to keep track of required trainings and to ensure trainings are completed on time. This form can be found on the DCDEE website under the “Provider” tab. Additionally, I suggested you use the staff file checklist found on the DCDEE website under the “Provider” tab to ensure all required documentation is on file. Volunteer: You must have a copy of a driver's license, birth certificate, or ID on file to verify that age of the volunteer. Consultation or other topics discussed today: -I observed school age children in the Auditorium that your program is now using for the first time this summer. Moving forward, please let me know at the beginning of the visit the spaces you are using for caring activities. These spaces must be monitored for health and safety requirements. -Upon arrival, there were multiple fans in use in the cafeteria. You reported that the air conditioning unit for the cafeteria has not been functional for several weeks as the school system has had difficulty finding professionals to repair the HVAC unit. I requested that you call Environmental Health to discuss recommendations for children in care in a space without functional air conditioning. There was no way to verify the exact temperature of the cafeteria during the visit. -We discussed handwashing best practices for school age children in care. -When food is provided by the center, at least one dated copy of the current week's menu must be posted where it can be seen by parents. -We reviewed screen time requirements for preschool children. 10A NCAC 09 .510(d)(2) when screen time is provided on any electronic media device with a visual display, it shall be: (A) offered to stimulate a developmental domain in accordance with the North Carolina Foundations for Early Learning and Development as referenced in Rule .0508 of this Section; (B) limited to 30 minutes per day and no more than a total of two and a half hours per week, per child; (C) documented on a cumulative log or the activity plan that shall be available for review by the Division. - We discussed that the program handbook serves as a guide for parents, but does not serve as permission for specific off-premise activities. Per the YMCA operational handbook, Field Trip Paperwork and Posting Requirements: A schedule of all offsite activities will be posted and a copy of the schedule will be given to parents/ guardians. Any alterations of plans due to weather or unforeseen circumstances will be communicated to parents/guardians through text alerts and will be documented on site in the activity plan in the field trip binder. A transportation plan, including departure schedule and driving directions, will be available at site and submitted to the child care office before children are transported. This documentation will be stored on site in the field trip binder for the duration of the license. Parents will sign all appropriate permission forms for offsite activities before their child is transported on a YMCA vehicle. 10A NCAC 09 .2509 ACTIVITIES: OFF-PREMISES (d) Written permission from parents shall be obtained before transporting children on off-premises activities. (e) Blanket permissions from parents for off-premises activities shall be acceptable only when a plan of activities to be conducted off the premises is posted in a place for review by parents and staff in advance on a weekly basis. -Children in Leadership Training: You reported that there are two children 12 years of age and one child 13 years of age that are currently enrolled in the Children in Leadership Training unlicensed program 3-week session that operates at this location. I observed two staff members provide care for children in the both the licensed and unlicensed programs participating in the same activities. We discussed that children enrolled in licensed and unlicensed YMCA programs cannot be cared for together in the same group and building. If the children enrolled in your YMCA Children in Leadership Training program are going to be cared for at your licensed programs, then the children must be enrolled in the license program and have all applicable paperwork as required. -There must be a staff member on site at all times that can access children's records and staff emergency information. Reminders and Resources: 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.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: YMCA GLENWOOD AFTERSCHOOL Facility ID: 59000155 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/23/2025 Number Present: 13 Completed Date: 1/23/2025 Age: From 6 To 11 Total Minutes: 140 Time In: 02:10 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Kyra Knighton, Program Coordinator. Your program currently operates with a five star license effective March 1, 2018. The permit restrictions were in compliance including 1st shift, School age only, meets enhanced ratios, meets enhanced space and playground does not meet child care playground safety standards. The Secretary of State website was checked on January 16, 2025, and your business, The Young Men’s Christian Association of Western North Carolina., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were participating in transitions, handwashing protocol, snack, and free play in activity centers. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history prior to today’s visit was 97%. 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 sample of two children’s files were reviewed. An additional visit was scheduled for January 28, 2025 to complete the review of staff records. Any additional violations cited during this visit will be added to the Annual Compliance visit violations. The most recent lead water testing results were completed on May 20, 2024. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on November 18, 2024. A supervisor sanitation classification was issued with five demerits. The most recent fire inspection report was not available during the visit. You stated that you will ask the Program Director to make the most recent report available at the scheduled visit on January 28, 2025. The following violation(s) were observed today: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. M. Laney, who began employment on October 28, 2024, did not have a completed a Criminal Background Check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. M. Laney did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) The violation(s) documented must be corrected immediately. On or before February 6, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please send the information to beth.archer@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 on violations was reviewed with you. Areas discussed included: Criminal Background Check: M. Laney did not complete a Criminal Background Check prior to employment beginning on October 28, 2024. A valid qualification letter was not on file and available for review at the facility. I reminded you that employees may not begin working until a valid qualification letter is on file at the facility. I reviewed the "ncabcsm" system during the visit, and “No applicants that match your search criteria were found in the background checking system” was found for M. Laney. I suggested that you use the Staff File Checklist on DCDEE’s website under provider documents as a guideline for staff requirements and when documents are due. I spoke via telephone with Wendy Wisor, Assistant Program Director, who stated she will work with the staff member to begin the criminal background check tomorrow. The program was in staff/child ratio with one staff member; therefore, M. Laney left the facility and does not plan to return until a valid qualification letter is received. Consultation or other topics discussed today: The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Rated License Reassessments: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . 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. 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 on January 24, 2025. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA GLENWOOD AFTERSCHOOL Facility ID: 59000155 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 1/23/2025 Number Present: 13 Completed Date: 1/23/2025 Age: From 6 To 11 Total Minutes: 140 Time In: 02:10 PM Time Out: 04:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Kyra Knighton, Program Coordinator. Your program currently operates with a five star license effective March 1, 2018. The permit restrictions were in compliance including 1st shift, School age only, meets enhanced ratios, meets enhanced space and playground does not meet child care playground safety standards. The Secretary of State website was checked on January 16, 2025, and your business, The Young Men’s Christian Association of Western North Carolina., is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were participating in transitions, handwashing protocol, snack, and free play in activity centers. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history prior to today’s visit was 97%. 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 sample of two children’s files were reviewed. An additional visit was scheduled for January 28, 2025 to complete the review of staff records. Any additional violations cited during this visit will be added to the Annual Compliance visit violations. The most recent lead water testing results were completed on May 20, 2024. Lead testing must be completed every three years. The most recent sanitation inspection for your facility was conducted on November 18, 2024. A supervisor sanitation classification was issued with five demerits. The most recent fire inspection report was not available during the visit. You stated that you will ask the Program Director to make the most recent report available at the scheduled visit on January 28, 2025. The following violation(s) were observed today: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. M. Laney, who began employment on October 28, 2024, did not have a completed a Criminal Background Check. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. M. Laney did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) The violation(s) documented must be corrected immediately. On or before February 6, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Please send the information to beth.archer@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 on violations was reviewed with you. Areas discussed included: Criminal Background Check: M. Laney did not complete a Criminal Background Check prior to employment beginning on October 28, 2024. A valid qualification letter was not on file and available for review at the facility. I reminded you that employees may not begin working until a valid qualification letter is on file at the facility. I reviewed the "ncabcsm" system during the visit, and “No applicants that match your search criteria were found in the background checking system” was found for M. Laney. I suggested that you use the Staff File Checklist on DCDEE’s website under provider documents as a guideline for staff requirements and when documents are due. I spoke via telephone with Wendy Wisor, Assistant Program Director, who stated she will work with the staff member to begin the criminal background check tomorrow. The program was in staff/child ratio with one staff member; therefore, M. Laney left the facility and does not plan to return until a valid qualification letter is received. Consultation or other topics discussed today: The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Rated License Reassessments: Hold harmless has been extended until the new QRIS system is implemented. Programs still have the option to choose to voluntarily complete the star rated license reassessment if they so desire. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . 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. 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 on January 24, 2025. Thank you for your time today. If you have any questions about today’s visit, please contact me or my supervisor, Tammy McGalliard, Tammy.McGallaird@dhhs.nc.gov . If I can be of further assistance, you may contact me at: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: YMCA GLENWOOD AFTERSCHOOL Facility ID: 59000155 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 12 Completed Date: 2/7/2024 Age: From 6 To 11 Total Minutes: 125 Time In: 02:00 PM Time Out: 04:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Lyndsey Woody, Program Coordinator, assisted me with the visit. Wendy Wisor, Program Coordinator Lead, joined us during the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective March 1, 2018. The permit restrictions were in compliance including 1st shift, school age, meets enhanced ratios, meets enhanced space and playground does not meet child care playground safety standards. The Secretary of State website was checked on February 6, 2024, and your business The Young Men’s Christian Association of Western North Carolina, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were participating in handwashing protocols and snack time. The center's compliance history was at 96% 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 sample of two children’s files were reviewed. There are no new staff since the last monitoring visit. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 2/6/24. The last lockdown drill was practiced on 12/4/23. The most recent sanitation inspection for your facility was conducted on October 4, 2023. A superior sanitation classification was issued with no demerits. The most recent fire inspection for your facility was conducted on September 27, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 853 Incident logs were not completed and maintained as required. There was no incident log available for review at the time of the visit. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The most recent emergency information verification was dated 3/16/22 for a staff member employed 9/1/21. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member employed 9/1/21, had verification of one hour of the twenty required on-going training hours. .1103(a) The violation(s) documented must be corrected immediately. On or before February 21, 2024, a dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected must be received. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Incident Log: We reviewed requirements for incident logs per 10A NCAC 09.0802(g)(1-6). I reminded you that all incidents are to be recorded on the log. Emergency Information: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. I suggested you keep a copy of all updated emergency information verifications available on site. 10A NCAC 09 .0701(a) On-Going Training: Staff must receive the required number of on-going training hours, according to their education/experience. 10A NCAC 09.1103(a). Staff may receive training in person or on-line. The staff member employed 9/1/21, is required to complete a total of 20 hrs of on-going training. Verification of training hours will need to be provided within the next 2 weeks. Consultation or other topics discussed today: We discussed that the play structure on the outdoor playground has exposed metal that can be hot to the touch. Please contact school maintenance to ask for these exposed areas to be covered. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. 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 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. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . 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. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 09.0802 · Violation

Name of Operation: YMCA GLENWOOD AFTERSCHOOL Facility ID: 59000155 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 12 Completed Date: 2/7/2024 Age: From 6 To 11 Total Minutes: 125 Time In: 02:00 PM Time Out: 04:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Lyndsey Woody, Program Coordinator, assisted me with the visit. Wendy Wisor, Program Coordinator Lead, joined us during the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective March 1, 2018. The permit restrictions were in compliance including 1st shift, school age, meets enhanced ratios, meets enhanced space and playground does not meet child care playground safety standards. The Secretary of State website was checked on February 6, 2024, and your business The Young Men’s Christian Association of Western North Carolina, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were participating in handwashing protocols and snack time. The center's compliance history was at 96% 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 sample of two children’s files were reviewed. There are no new staff since the last monitoring visit. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 2/6/24. The last lockdown drill was practiced on 12/4/23. The most recent sanitation inspection for your facility was conducted on October 4, 2023. A superior sanitation classification was issued with no demerits. The most recent fire inspection for your facility was conducted on September 27, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 853 Incident logs were not completed and maintained as required. There was no incident log available for review at the time of the visit. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The most recent emergency information verification was dated 3/16/22 for a staff member employed 9/1/21. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member employed 9/1/21, had verification of one hour of the twenty required on-going training hours. .1103(a) The violation(s) documented must be corrected immediately. On or before February 21, 2024, a dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected must be received. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Incident Log: We reviewed requirements for incident logs per 10A NCAC 09.0802(g)(1-6). I reminded you that all incidents are to be recorded on the log. Emergency Information: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. I suggested you keep a copy of all updated emergency information verifications available on site. 10A NCAC 09 .0701(a) On-Going Training: Staff must receive the required number of on-going training hours, according to their education/experience. 10A NCAC 09.1103(a). Staff may receive training in person or on-line. The staff member employed 9/1/21, is required to complete a total of 20 hrs of on-going training. Verification of training hours will need to be provided within the next 2 weeks. Consultation or other topics discussed today: We discussed that the play structure on the outdoor playground has exposed metal that can be hot to the touch. Please contact school maintenance to ask for these exposed areas to be covered. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. 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 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. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . 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. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@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 09.1103 · Violation

Name of Operation: YMCA GLENWOOD AFTERSCHOOL Facility ID: 59000155 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 12 Completed Date: 2/7/2024 Age: From 6 To 11 Total Minutes: 125 Time In: 02:00 PM Time Out: 04:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Lyndsey Woody, Program Coordinator, assisted me with the visit. Wendy Wisor, Program Coordinator Lead, joined us during the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective March 1, 2018. The permit restrictions were in compliance including 1st shift, school age, meets enhanced ratios, meets enhanced space and playground does not meet child care playground safety standards. The Secretary of State website was checked on February 6, 2024, and your business The Young Men’s Christian Association of Western North Carolina, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were participating in handwashing protocols and snack time. The center's compliance history was at 96% 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 sample of two children’s files were reviewed. There are no new staff since the last monitoring visit. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 2/6/24. The last lockdown drill was practiced on 12/4/23. The most recent sanitation inspection for your facility was conducted on October 4, 2023. A superior sanitation classification was issued with no demerits. The most recent fire inspection for your facility was conducted on September 27, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 853 Incident logs were not completed and maintained as required. There was no incident log available for review at the time of the visit. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The most recent emergency information verification was dated 3/16/22 for a staff member employed 9/1/21. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member employed 9/1/21, had verification of one hour of the twenty required on-going training hours. .1103(a) The violation(s) documented must be corrected immediately. On or before February 21, 2024, a dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected must be received. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Incident Log: We reviewed requirements for incident logs per 10A NCAC 09.0802(g)(1-6). I reminded you that all incidents are to be recorded on the log. Emergency Information: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. I suggested you keep a copy of all updated emergency information verifications available on site. 10A NCAC 09 .0701(a) On-Going Training: Staff must receive the required number of on-going training hours, according to their education/experience. 10A NCAC 09.1103(a). Staff may receive training in person or on-line. The staff member employed 9/1/21, is required to complete a total of 20 hrs of on-going training. Verification of training hours will need to be provided within the next 2 weeks. Consultation or other topics discussed today: We discussed that the play structure on the outdoor playground has exposed metal that can be hot to the touch. Please contact school maintenance to ask for these exposed areas to be covered. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. 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 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. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . 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. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA GLENWOOD AFTERSCHOOL Facility ID: 59000155 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 2/7/2024 Number Present: 12 Completed Date: 2/7/2024 Age: From 6 To 11 Total Minutes: 125 Time In: 02:00 PM Time Out: 04:05 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced annual compliance visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival you, Lyndsey Woody, Program Coordinator, assisted me with the visit. Wendy Wisor, Program Coordinator Lead, joined us during the visit. A checklist was used to note the requirements I monitored today. Your program currently operates with a five star license effective March 1, 2018. The permit restrictions were in compliance including 1st shift, school age, meets enhanced ratios, meets enhanced space and playground does not meet child care playground safety standards. The Secretary of State website was checked on February 6, 2024, and your business The Young Men’s Christian Association of Western North Carolina, is active and in good standing. If any changes to the corporation need to be made or you decide to sell your business, then you must notify me, your consultant at least thirty days prior to any changes occurring. The license cannot be bought, sold, subleased, transferred to another person or location, or inherited. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios in compliance. Children were participating in handwashing protocols and snack time. The center's compliance history was at 96% 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 sample of two children’s files were reviewed. There are no new staff since the last monitoring visit. A sample of one existing staff file was reviewed. The last monthly fire drill was practiced on 2/6/24. The last lockdown drill was practiced on 12/4/23. The most recent sanitation inspection for your facility was conducted on October 4, 2023. A superior sanitation classification was issued with no demerits. The most recent fire inspection for your facility was conducted on September 27, 2023. The facility was approved for day time care. The following violation(s) were observed and discussed with you today: Violation Number Comment Rule 853 Incident logs were not completed and maintained as required. There was no incident log available for review at the time of the visit. .0802(g)(1-6) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The most recent emergency information verification was dated 3/16/22 for a staff member employed 9/1/21. .0701(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One staff member employed 9/1/21, had verification of one hour of the twenty required on-going training hours. .1103(a) The violation(s) documented must be corrected immediately. On or before February 21, 2024, a dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected must be received. If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. 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. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov Technical assistance on violations was reviewed with you. Areas discussed included: Incident Log: We reviewed requirements for incident logs per 10A NCAC 09.0802(g)(1-6). I reminded you that all incidents are to be recorded on the log. Emergency Information: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers, must have an Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional on file on or before the first day of work. The emergency information must be updated as changes occur and at least annually. I suggested you keep a copy of all updated emergency information verifications available on site. 10A NCAC 09 .0701(a) On-Going Training: Staff must receive the required number of on-going training hours, according to their education/experience. 10A NCAC 09.1103(a). Staff may receive training in person or on-line. The staff member employed 9/1/21, is required to complete a total of 20 hrs of on-going training. Verification of training hours will need to be provided within the next 2 weeks. Consultation or other topics discussed today: We discussed that the play structure on the outdoor playground has exposed metal that can be hot to the touch. Please contact school maintenance to ask for these exposed areas to be covered. Qualifying letters are now valid for five (5) years from the date of issue. Please begin the criminal background re-check at least two (2) months prior to the expiration of the current qualifying letter. Resuming Star Rated License Reassessment Information: As a reminder your facility is in cohort 1 for resuming the star rated license reassessment. Your child care program’s prep year will begin on July 1, 2023, through June 30, 2024. Your child care program’s reassessment year will begin on July 1, 2024, through June 30, 2025. For more information, please visit the DCDEE website under the providers tab. The link is https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/Resuming-StarRated-License We discussed information pertaining to COVID-19. 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 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. The Healthy Social Behavior Project is offering technical assistance with challenging behaviors to programs. Please see the link below for more information. Website Link: https://www.childcareresourcesinc.org/challenging-behaviors-helpline To speak to a Healthy Social Behavior Specialist, please contact the helpline at 1-888-600-1685 Option 1. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . 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. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 (828)748-7893 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA GLENWOOD AFTERSCHOOL Facility ID: 59000155 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/5/2023 Number Present: 14 Completed Date: 9/6/2023 Age: From 5 To 10 Total Minutes: 77 Time In: 03:00 PM Time Out: 04:17 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Lyndsay Woody, Program Coordinator. Your program currently operates with a five star license effective March 1, 2018. The permit restrictions were in compliance including 1st shift, school age care, meets enhanced ratios, meets enhanced space and playground does not meet child care playground safety standards. The NC Secretary of State website was reviewed on September 5, 2023 and THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF WESTERN NC, Inc was listed as current/active. You reported no changes to the ownership of the facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in snack time and free play in activity areas. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 99 percent as of September 5, 2023. 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. One staff member with the YMCA organization is now serving as a new group leader at this facility. The staff member’s file was not available for review during the visit. You reported that all file information is housed virtually, and that site staff members do not have access to the staff files on the virtual system. The most recent sanitation inspection for your facility was conducted on October 3, 2022. A supervisor sanitation classification was issued with no demerits. The most recent fire inspection for your facility was conducted on August 2, 2022. The following violation(s) were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility’s latest fire inspection was completed August 2, 2022. 10A NCAC 09 .0304(a) 1043 All staff records, except financial records, were not made available for review. One new staff file was not available for review during the visit. G.S. 110-91( 9) The violation(s) documented must be corrected immediately. On or before September 19, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 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 on violations was reviewed with you. Areas discussed included: Fire Inspection: Each operator must schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator must notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. 10A NCAC 09 .0304(a) You reported that you plan to talk to the Program Director about whether or not this inspection has occurred. Staff Files: All Staff records, except financial records, must be made available for review. G.S. 110-91(9) You reported that all file information is housed virtually, and that site staff members do not have access to the staff files on the virtual system. I spoke with Angela Strickland, Program Director via telephone, who was unable to come and make files available for review. Consultation or other topics discussed today (the following items reviewed were in compliance today): We discussed that your facility is in Cohort 1. Your preparatory year is July1, 2023-June 30, 2024 and your assessment year is July 1, 2024-June 30, 2025. We discussed that facilities may begin to prepare for future rated license assessments by making sure that all staff have updated WORKS education evaluations and begin to monitor classrooms for appropriate materials. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . 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. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: YMCA GLENWOOD AFTERSCHOOL Facility ID: 59000155 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/5/2023 Number Present: 14 Completed Date: 9/6/2023 Age: From 5 To 10 Total Minutes: 77 Time In: 03:00 PM Time Out: 04:17 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Lyndsay Woody, Program Coordinator. Your program currently operates with a five star license effective March 1, 2018. The permit restrictions were in compliance including 1st shift, school age care, meets enhanced ratios, meets enhanced space and playground does not meet child care playground safety standards. The NC Secretary of State website was reviewed on September 5, 2023 and THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF WESTERN NC, Inc was listed as current/active. You reported no changes to the ownership of the facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in snack time and free play in activity areas. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 99 percent as of September 5, 2023. 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. One staff member with the YMCA organization is now serving as a new group leader at this facility. The staff member’s file was not available for review during the visit. You reported that all file information is housed virtually, and that site staff members do not have access to the staff files on the virtual system. The most recent sanitation inspection for your facility was conducted on October 3, 2022. A supervisor sanitation classification was issued with no demerits. The most recent fire inspection for your facility was conducted on August 2, 2022. The following violation(s) were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility’s latest fire inspection was completed August 2, 2022. 10A NCAC 09 .0304(a) 1043 All staff records, except financial records, were not made available for review. One new staff file was not available for review during the visit. G.S. 110-91( 9) The violation(s) documented must be corrected immediately. On or before September 19, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 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 on violations was reviewed with you. Areas discussed included: Fire Inspection: Each operator must schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator must notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. 10A NCAC 09 .0304(a) You reported that you plan to talk to the Program Director about whether or not this inspection has occurred. Staff Files: All Staff records, except financial records, must be made available for review. G.S. 110-91(9) You reported that all file information is housed virtually, and that site staff members do not have access to the staff files on the virtual system. I spoke with Angela Strickland, Program Director via telephone, who was unable to come and make files available for review. Consultation or other topics discussed today (the following items reviewed were in compliance today): We discussed that your facility is in Cohort 1. Your preparatory year is July1, 2023-June 30, 2024 and your assessment year is July 1, 2024-June 30, 2025. We discussed that facilities may begin to prepare for future rated license assessments by making sure that all staff have updated WORKS education evaluations and begin to monitor classrooms for appropriate materials. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . 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. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA GLENWOOD AFTERSCHOOL Facility ID: 59000155 Consultant: BETH ARCHER Operation Type: Center Case Number: Visit Date: 9/5/2023 Number Present: 14 Completed Date: 9/6/2023 Age: From 5 To 10 Total Minutes: 77 Time In: 03:00 PM Time Out: 04:17 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced routine unannounced visit was to monitor your compliance with all applicable child care requirements, including health and safety. Upon arrival, the purpose of today’s visit was reviewed with you, Lyndsay Woody, Program Coordinator. Your program currently operates with a five star license effective March 1, 2018. The permit restrictions were in compliance including 1st shift, school age care, meets enhanced ratios, meets enhanced space and playground does not meet child care playground safety standards. The NC Secretary of State website was reviewed on September 5, 2023 and THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF WESTERN NC, Inc was listed as current/active. You reported no changes to the ownership of the facility. A walk-through of the facility was completed today, all indoor and outdoor areas were monitored. You conducted the walkthrough of the facility with me. I observed children in the indoor learning environment and found supervision and staff/child ratios to be in compliance. Children throughout the facility were participating in snack time and free play in activity areas. The center's compliance history prior to today’s visit was reviewed with the operator. The program’s compliance history was 99 percent as of September 5, 2023. 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. One staff member with the YMCA organization is now serving as a new group leader at this facility. The staff member’s file was not available for review during the visit. You reported that all file information is housed virtually, and that site staff members do not have access to the staff files on the virtual system. The most recent sanitation inspection for your facility was conducted on October 3, 2022. A supervisor sanitation classification was issued with no demerits. The most recent fire inspection for your facility was conducted on August 2, 2022. The following violation(s) were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility’s latest fire inspection was completed August 2, 2022. 10A NCAC 09 .0304(a) 1043 All staff records, except financial records, were not made available for review. One new staff file was not available for review during the visit. G.S. 110-91( 9) The violation(s) documented must be corrected immediately. On or before September 19, 2023, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is considered legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit may be completed. Mail or email the information to: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@dhhs.nc.gov If you email the compliance letter, it must be sent from the email address on file with DCDEE (this serves as your signature) and the following information must be included: name, position, facility name, and facility ID number. An example is: Jane Doe, Administrator AAA Child Care ID # 12345678 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 on violations was reviewed with you. Areas discussed included: Fire Inspection: Each operator must schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator must notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. 10A NCAC 09 .0304(a) You reported that you plan to talk to the Program Director about whether or not this inspection has occurred. Staff Files: All Staff records, except financial records, must be made available for review. G.S. 110-91(9) You reported that all file information is housed virtually, and that site staff members do not have access to the staff files on the virtual system. I spoke with Angela Strickland, Program Director via telephone, who was unable to come and make files available for review. Consultation or other topics discussed today (the following items reviewed were in compliance today): We discussed that your facility is in Cohort 1. Your preparatory year is July1, 2023-June 30, 2024 and your assessment year is July 1, 2024-June 30, 2025. We discussed that facilities may begin to prepare for future rated license assessments by making sure that all staff have updated WORKS education evaluations and begin to monitor classrooms for appropriate materials. For the latest information on child care rules and regulations, please visit the Division of Child Development and Early Education's website at https://ncchildcare.ncdhhs.gov/ . 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. At the completion of the visit, this visit summary was reviewed and a copy was emailed to you for your records. 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: Beth Archer Child Care Consultant P.O. Box 64 Rutherfordton, NC 28139 beth.archer@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