G.S. 110-91 · Violation

Name of Operation: DAVIE FAMILY YMCA Facility ID: 30000101 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 3/6/2024 Number Present: 34 Completed Date: 3/6/2024 Age: From 5 To 11 Total Minutes: 285 Time In: 01:15 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance during an annual compliance visit using the "Annual Compliance Monitoring Visit Checklist for Child Care Centers". I conducted your last ACV on April 11, 2023. Your facility’s compliance history score prior to today’s visit was 85%. You, Chelsea Byers, Administrator, assisted me with the visit. I observed your Five-Star License, Sanitation placard, Emergency Medical Care Plan, daily schedule, activity plan, staff-child ratio worksheet, First Aid poster, tobacco free policy signage, Summary of NC Child Care Rules, menu, and evacuation plans posted as required. I observed children adequately supervised during today’s visit. I observed enhanced staff-child ratios minus one, and enhanced space requirements maintained during today’s visit. I observed children engaged transitioning from school to the afterschool classrooms, toileting, and snack. I observed activity areas set up in the designated afterschool care classroom including blocks, manipulatives, art, books, and games. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. Drills/Inspections/Logs Fire Drill-February 9, 2024 Emergency Drill-February 15, 2024 Sanitation Inspection-December 13, 2023, with a Superior rating and two demerits. Fire Inspection- May 10, 2023 Playground Inspection-February 5, 2024 Incident Log-Completed as required I monitored general safety throughout the center. I observed electrical cords secured. I observed no hazardous materials accessible to the children. In Space 1 I observed a hole in the back of the shelf with puzzles and accessible to the children. Also, in this space there was a storage container which was cracked. Due to the weather, I did not monitor the equipment and materials in the outdoor play spaces. You stated that you do not provide transportation. I monitored a random selection of four children’s files. There were fourteen paper copies of children’s files. Most children’s files are maintained electronically and were not able to be reviewed for the required information. No new staff have been hired since the last annual compliance visit. I monitored a total of two staff files. One staff member with a hire date of September 26, 2023, did not complete CPR/FA, BSAC or Recognizing and Responding to Suspicions of Child Maltreatment within the required timeframes. Your signature on all forms served and will serve as verification that the information provided was accurate and complete. The following violations were observed and cited during this visit: Violation Number Comment Rule 707 Equipment and furnishings not meeting the requirements outlined in child care .0601(b) and (c) were not removed or made inaccessible. In Space 1, a shelf had a large piece broken off the back and was accessible to the children. In the same space there was a container which was cracked and broken. .0601(d) 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. A staff with a hire date of 9/26/23 did not have a valid First Aid. .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. A staff with a hire date of 9/26/23 did not have a valid CPR certification. .1102(d) 1327 Accurate records were not maintained for all children. Children's records are maintained electronically, however, the required documents were not accessible and available for review. G.S. 110-91(9) 1890 Each staff member did not have the required medical report, proof of tuberculosis test or screening and/or completed health questionnaire in a medical file, maintained separately from the staff member's individual personnel file. Medical information was not maintained in a file separate from the staff member's personnel file. .0701(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. A staff with a hire date of 9/26/23 did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training with the first 90 days of employment. .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 with a hire date of 9/26/23 has not completed BSAC training. .2510(j) Technical Assistance was provided in the following areas. 1. If electronic files are going to be maintained, they must always be readily available to all staff. You may refer to the staff file check list for all information which is required to be included to maintain compliance. I would suggest that if policy allows, you print the state form for families to complete and develop a signature page which includes the child’s name, date of enrollment, and required policy receipt documentation. Have each parent sign and date. Maintain the form in a file in your office along with the child’s immunization report and any medical information so it will be easily reviewed by the division. 2. Medical, Tb skin test and Health Questionnaires are to be maintained in a file separate from the personnel file. They may be stored in the same cabinet but not the same file. 3. When you arrive in the afternoon or before leaving in the evening check all furnishings for broken items and remove them immediately to ensure there is no risk of injury. 4. Consider utilizing a white board, or calendar reminders in addition to the staff file checklist to track time sensitive staff information in order to meet the 3 month, and 90 day deadlines. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Provide any documentation that will show compliance with the violation. 7. Your signature Your letter may be mailed to me at: Deborah K. Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than March 20, 2024. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. Thank you for your time today. Feel free to contact me by phone at (704)798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or my supervisor, Erin Pickard, at erin.pickard@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0604 · Violation

Name of Operation: DAVIE FAMILY YMCA Facility ID: 30000101 Consultant: DEBORAH HOWELL Operation Type: Center Case Number: Visit Date: 10/5/2023 Number Present: 32 Completed Date: 10/5/2023 Age: From 5 To 10 Total Minutes: 165 Time In: 02:15 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor for compliance during a Routine Unannounced (RU) visit. I conducted your last ACV on April 11, 2023. Your facility’s compliance history score prior to today’s visit was 87%. You, Chelsea Byers, Program Coordinator, assisted me with today's visit. I observed your Five Star License, Sanitation placard, Emergency Numbers, Emergency Medical Care Plan, tobacco free facility signage, evacuation plans, activity plan and daily schedules posted as required. I observed children adequately supervised during today’s visit. I observed permit restrictions to include, enhanced staff-child ratios minus one, daytime care only, enhanced space requirements, and school age only. I observed adequate approved space used during today’s visit. I observed children arriving from school to the after-school program, engaged in teacher-directed whole group activities, routine toileting practices, outdoor play, washing hands and homework time. I observed activity areas including books, blocks, manipulatives, art, and science. I observed toys and equipment to be of sufficient quantity. I observed toys and equipment to be developmentally appropriate in all spaces. I observed bathrooms stocked with necessary supplies with handwashing procedure signs posted as required. I observed your emergency drills being conducted and documented as required. You stated there are currently no medications or Medical Action Plans. I monitored a total of four staff files. I observed all staff to have current Criminal Background checks. Your signature on all forms served and will serve as verification the information provided was accurate and complete. There were three violations cited during this visit: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last documented fire drill was August 25, 2023. .0604(t); .0302(d)(5) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Space 1 had a power strip with missing outlet covers. 10A NCAC 09 .0604(c) 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 1 and 2 there were items under pressure and cleaners in unlocked closets. .2820(b) Technical Assistance was provided on the following: 1. Remind staff to check cabinets prior to picking up children to ensure they are locked, and all outlets are covered. 2. Please schedule fire drills so they occur every month and are documented. 3. We discussed your need to request copies of your BSAC and EPR certificates for your file. 4. You had questions about Health and Safety training courses. When staff receive Health and Safety training from other sources, they will need to make sure each topic area is covered, and a transcript or certificate is available to document those topic areas. I also showed you how to navigate the DCDEE website to find the Health and Safety training courses. 5. I was able to provide you with a division copy of an incident log and reviewed the procedure for documentation and storage of information. 6. Your facility is in Cohort 1 for the Star Rated License Assessment. This means you are currently in your prep year. We discussed the need to ensure all staff have updated accounts in WORKS (Workforce Online Reporting Knowledge System) and are working toward maintaining high quality classrooms. Your assessment year will begin on July 1, 2024. Compliance Plan: All violations cited must be corrected immediately. Please submit a written, signed, and dated statement to me at the email/address below detailing the steps taken to correct each violation. Your letter must include the following: 1. The name of your center 2. The center’s ID number 3. The date you write the letter 4. Address each violation stating how you corrected the violation and are now in compliance. 5. Address your plan to ensure that you will not have that violation again. 6. Your signature I advise you to be prepared to provide supporting documentation in the form of photos, documents, certificates, etc. should I request them in order to clarify or verify compliance. Your letter may be mailed to me at: Deborah Howell PO Box 629 Granite Quarry, NC 28072 For your convenience, your letter may be sent by email to: Deborah.k.howell@dhhs.nc.gov I must receive your compliance letter no later than October 19, 2023. Please Note: If you state in your letter that corrections have been made when they have not, it will be considered falsification of information. If you cannot meet the requirements by this date you shall contact me with a timeline of the corrections. In some cases, this timeline may be extended. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted or an administrative action may be recommended. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development and Early Education 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. Compliance History: You are required to maintain compliance with all applicable child care rules and regulations at all times. North Carolina General Statute 110-90(4)(d) requires all child care facilities to maintain a compliance history of at least seventy-five percent (75%) for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action against the facility's license. Any violations cited during a visit may affect your score. If you have any questions, feel free to contact me by phone at (704) 798-5220 or by email at Deborah.k.howell@dhhs.nc.gov or Lead Consultant Erin Pickard at erin.pickard@dhhs.nc.gov. Thank you for your time today. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.