Ymca Early Learning Center AT Little Hands

GS 110-102 · Violation

Name of Operation: YMCA EARLY LEARNING CENTER AT LITTLE HANDS Facility ID: 25000619 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 6/9/2026 Number Present: 35 Completed Date: 6/9/2026 Age: From 0 To 4 Total Minutes: 270 Time In: 09:15 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance rated license visit. Your program currently operates with a 2-Star license issued July 15, 2023. The last annual compliance was conducted on December 12, 2025. The sanitation inspection was completed April 10, 2026, with a “Superior” classification. The last fire inspection was conducted on January 13, 2026. Your facility was approved for 1st shift care, and the facility meets enhanced ratios and enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of June 9, 2026. The NC Secretary of State website was reviewed on June 9, 2026, and Eastern Carolina Young Men’s Christian Association was listed as current-active. Shelby Moen, Administrator, was present and available for consultation. Forty (40) children, between the ages of zero (0) and four (4) years old are enrolled and thirty-five (35) were present today. There are four (4) approved indoor spaces and five (5) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Permit restrictions, adequate supervision, and staff child ratios were in compliance. Infants and toddlers assigned to indoor space#4 received routine care based on their individual needs. Diaper changing, bottle feeding, and safe sleep checks were monitored and found to be in compliance. Younger preschool children assigned to indoor space #2 were observed during morning movement time. The staff members and the children were dancing to the “Wiggle Wiggle” song. Older preschool children assigned to indoor space #1 were engaged in a variety free play activities which included sensory noodles, kinetic sand, colored rice, cooking and dress up play in the dramatic area. One staff member in indoor space #3 had the children seated on the carpet for a group reading. The staff member read “The Very Lonely Firefly” to the children. All staff members were actively engaged with the children. The outdoor spaces had a variety of gross motor equipment which included small and large basketball goals, playhouses, stepping stones, push toys, riding cars, tricycles, a variety of balls, sidewalk chalk, stationary riding equipment, soccer goals, and large musical wind chimes. Shade was provided in the outdoor spaces. Two (2) new staff members have been hired since December 11, 2025. Both staff files were reviewed today, in addition to required existing staff files. Health and safety trainings were monitored, and requirements were met. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Five (5) out of five (5) children records reviewed did not have documentation that parents were given a summary of the NC Child Care Law. GS 110-102 849 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. In indoor space #2 Desitin Maximum Strength diaper cream with an expiration date of 05-2026, was not discarded within 72 hours. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In indoor space #2, two (2) plastic bags were handing in the bottom of cubbies accessible to one- and two-year-old children. .0604(q) 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 violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Thursday, June 18, 2026, the agreed upon date, 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: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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 Choosing a Pathway to the Stars: Your facility has chosen to apply for Pathway #1, Program Assessment, and you have requested to have the ERS completed. Pathway 1 – Program Assessment: You are eligible for this pathway, which allows your program to demonstrate quality through best practices using the Environment Rating scale. This includes completing a Continuous Quality Improvement (CQI) Plan, meeting Family and Community Engagement Standards, implementing a Curriculum for 4 years olds in 4 and 5-Star programs, and Enhanced Staff/Child Ratios. Family and Community Engagement: The facility has completed the Family and Community Engagement Standards Worksheet selecting the applicable items. Items selected must be verifiable. Continuous Quality Improvement (CQI): A CQI plan has been completed for the facility and each staff member. The CQI Plan includes the following: Identification of goal(s), necessary resources, supports and actions needed to accomplish the goal(s), documentation of the reason for the goal(s). A review of efforts toward completion of the goal(s) will be conducted annually. Staff Education: Ms. Moen has submitted Staff Education Worksheets and WORKS Status letters for all staff members. Once all your staff’s education has been evaluated, your facility will earn their Star Rated License based on the following: 50% of Lead Teachers and 50% of other educators. (“Educator” means all classroom teaching staff and administrative positions, including education coordinators, curriculum specialists and any staff who have responsibility for planning, caregiving, mentoring or training. To count as an educator meeting 50% of the education standards, an individual must meet the requirements of a position and work on-site, full-time.) Environmental Rating Scales: An assessment will be requested on June 12, 2026, for a 4-wwek window in August 2026 in which your assessment will be conducted. Once the official results are received from NCRLAP, I will contact you to discuss results and next steps to process your new license. Once the star level has been determined for the Program Assessment and for Staff Education, the overall Star level will be issued. Technical Assistance: Medication Administration: All medications must be accompanied by written authorizations from parents with complete instructions for administration. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care provider and the child’s parent. Plastic Bags: For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Outdoor Sand Box and Sand Toys: As we discussed today, you should be going through the sandbox toys daily to ensure that there are not any broken plastic toys present. Broken plastic may cause a child to pinch or possibly cut their fingers. When toys become broken, they must be removed from the play area. Also, sand needs to be added to the covered sandbox area in outdoor space #1. Clean Classrooms for Carolina Kids: Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on February 12, 2024. Water testing must be completed every three (3) years. • Lead-Based Paint-Section Complete/ Results Ready • Asbestos- Section Complete/ Results Ready Reminders: For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance rated license visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor at kim.sherry@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 EARLY LEARNING CENTER AT LITTLE HANDS Facility ID: 25000619 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 6/9/2026 Number Present: 35 Completed Date: 6/9/2026 Age: From 0 To 4 Total Minutes: 270 Time In: 09:15 AM Time Out: 01:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Announced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance rated license visit. Your program currently operates with a 2-Star license issued July 15, 2023. The last annual compliance was conducted on December 12, 2025. The sanitation inspection was completed April 10, 2026, with a “Superior” classification. The last fire inspection was conducted on January 13, 2026. Your facility was approved for 1st shift care, and the facility meets enhanced ratios and enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-one (91) percent as of June 9, 2026. The NC Secretary of State website was reviewed on June 9, 2026, and Eastern Carolina Young Men’s Christian Association was listed as current-active. Shelby Moen, Administrator, was present and available for consultation. Forty (40) children, between the ages of zero (0) and four (4) years old are enrolled and thirty-five (35) were present today. There are four (4) approved indoor spaces and five (5) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Permit restrictions, adequate supervision, and staff child ratios were in compliance. Infants and toddlers assigned to indoor space#4 received routine care based on their individual needs. Diaper changing, bottle feeding, and safe sleep checks were monitored and found to be in compliance. Younger preschool children assigned to indoor space #2 were observed during morning movement time. The staff members and the children were dancing to the “Wiggle Wiggle” song. Older preschool children assigned to indoor space #1 were engaged in a variety free play activities which included sensory noodles, kinetic sand, colored rice, cooking and dress up play in the dramatic area. One staff member in indoor space #3 had the children seated on the carpet for a group reading. The staff member read “The Very Lonely Firefly” to the children. All staff members were actively engaged with the children. The outdoor spaces had a variety of gross motor equipment which included small and large basketball goals, playhouses, stepping stones, push toys, riding cars, tricycles, a variety of balls, sidewalk chalk, stationary riding equipment, soccer goals, and large musical wind chimes. Shade was provided in the outdoor spaces. Two (2) new staff members have been hired since December 11, 2025. Both staff files were reviewed today, in addition to required existing staff files. Health and safety trainings were monitored, and requirements were met. Violation Number Comment Rule 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Five (5) out of five (5) children records reviewed did not have documentation that parents were given a summary of the NC Child Care Law. GS 110-102 849 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. In indoor space #2 Desitin Maximum Strength diaper cream with an expiration date of 05-2026, was not discarded within 72 hours. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In indoor space #2, two (2) plastic bags were handing in the bottom of cubbies accessible to one- and two-year-old children. .0604(q) 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 violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Thursday, June 18, 2026, the agreed upon date, 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: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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 Choosing a Pathway to the Stars: Your facility has chosen to apply for Pathway #1, Program Assessment, and you have requested to have the ERS completed. Pathway 1 – Program Assessment: You are eligible for this pathway, which allows your program to demonstrate quality through best practices using the Environment Rating scale. This includes completing a Continuous Quality Improvement (CQI) Plan, meeting Family and Community Engagement Standards, implementing a Curriculum for 4 years olds in 4 and 5-Star programs, and Enhanced Staff/Child Ratios. Family and Community Engagement: The facility has completed the Family and Community Engagement Standards Worksheet selecting the applicable items. Items selected must be verifiable. Continuous Quality Improvement (CQI): A CQI plan has been completed for the facility and each staff member. The CQI Plan includes the following: Identification of goal(s), necessary resources, supports and actions needed to accomplish the goal(s), documentation of the reason for the goal(s). A review of efforts toward completion of the goal(s) will be conducted annually. Staff Education: Ms. Moen has submitted Staff Education Worksheets and WORKS Status letters for all staff members. Once all your staff’s education has been evaluated, your facility will earn their Star Rated License based on the following: 50% of Lead Teachers and 50% of other educators. (“Educator” means all classroom teaching staff and administrative positions, including education coordinators, curriculum specialists and any staff who have responsibility for planning, caregiving, mentoring or training. To count as an educator meeting 50% of the education standards, an individual must meet the requirements of a position and work on-site, full-time.) Environmental Rating Scales: An assessment will be requested on June 12, 2026, for a 4-wwek window in August 2026 in which your assessment will be conducted. Once the official results are received from NCRLAP, I will contact you to discuss results and next steps to process your new license. Once the star level has been determined for the Program Assessment and for Staff Education, the overall Star level will be issued. Technical Assistance: Medication Administration: All medications must be accompanied by written authorizations from parents with complete instructions for administration. Today I suggested that you review medication requirements with staff and periodically check behind them to ensure all requirements are met. For licensing, it is required to obtain written parental permission to give prescription and over-the-counter medication. Providers must obtain written permission and instructions for giving OTC and prescription medication from a health care provider and the child’s parent. Plastic Bags: For the safety of the children, ensure any plastic bags used for storage are kept inaccessible to children under the age of three years old by keeping them at a minimum height of five feet off the floor. Outdoor Sand Box and Sand Toys: As we discussed today, you should be going through the sandbox toys daily to ensure that there are not any broken plastic toys present. Broken plastic may cause a child to pinch or possibly cut their fingers. When toys become broken, they must be removed from the play area. Also, sand needs to be added to the covered sandbox area in outdoor space #1. Clean Classrooms for Carolina Kids: Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on February 12, 2024. Water testing must be completed every three (3) years. • Lead-Based Paint-Section Complete/ Results Ready • Asbestos- Section Complete/ Results Ready Reminders: For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance rated license visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor at kim.sherry@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 EARLY LEARNING CENTER AT LITTLE HANDS Facility ID: 25000619 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 36 Completed Date: 12/11/2025 Age: From 0 To 5 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 2-Star license issued July 15, 2023. The last annual compliance was conducted on December 18, 2024. The sanitation inspection was completed September 25, 2025, with a “Superior” classification. The last fire inspection was conducted on January 16, 2025. Your facility was approved for 1st shift care, enhanced ratios, and enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of December 11, 2025. The NC Secretary of State website was reviewed on December 11, 2025, and Eastern Young Men’s Christian Association was listed as current-active. Shelby Moen, Administrator, was present and available for consultation. Thirty-six (36) children, between the ages of zero (0) and five (5) years old are enrolled and thirty-six (36) were present today. There are four (4) approved indoor spaces and four (4) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Preschool children assigned to indoor space #1 were engaged in free play activities which included coloring with crayons and markers, cooking, bugs, frogs, and sensory toys. Preschool children assigned to indoor space #2 were observed in the outdoor space playing basketball, riding scooters, and looking at leaves with magnifying glasses. Younger preschool children assigned to indoor space #3 were in the outdoor space pushing cars and throwing balls. Infants and toddlers assigned to indoor space #4 received routine care based on their individual needs and played with soft toys on the floor. All staff members were actively engaged with the children. Today’s lunch consisted of corn dogs, green beans, pears, and milk. Toileting, diapering, handwashing, and food service procedures were monitored, and requirements were met. The outdoor spaces had a variety of gross motor equipment which included small and large basketball goals, playhouses, stepping stones, push toys, riding cars, tricycles, a variety of balls, sidewalk chalk, stationary riding equipment, soccer goals, and large musical wind chimes. Shade was provided in the outdoor spaces. Outdoor spaces #1 and #2 are currently closed due to repairs for surfacing. Health and safety trainings were monitored, and requirements were met. Today, you reported that your facility currently is not transporting children. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The closet door in indoor space # 2 had chipped paint which was accessible to children. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. The green carpet surface in outdoor space #1 is torn and has large holes in it. G.S. 110-91(6); .0601(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Dawn Platinum Plus Power Suds that was labeled keep out of the reach of children was stored on the counter accessible to the children. .0604(a) 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 violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Monday, January 5, 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: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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: Provider Portal for ABCMS (the criminal records check database): As stated in G.S. 110-90.2 & .2703(r), child care operators are to notify the Division of any new child care providers working who were hired within five business days. Today, you provided me with your facility’s roster from the ABCMS Provider Portal. Choosing a Pathway to the Stars: Today, I completed a QRIS Conversation Template for your facility. You reported that your facility is choosing Pathway #1, and you plan to apply for a rated license in July 2026. A copy of this template is attached to this visit summary. Clean Classrooms for Carolina Kids: Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on November 2, 2024. Lead in Water-In progress (Enrollment Completed: 10/01/2025) No Results Ready. Water testing must be completed every three (3) years. • Lead-Based Paint-Section Complete-Hazards Identified • Asbestos- Mitigation Pending-Hazards Identified Today, you reported that you have submitted required documentation received from Craven County Health Department to RTI for Asbestos Mitigation. Reminders: For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. 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 EARLY LEARNING CENTER AT LITTLE HANDS Facility ID: 25000619 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 36 Completed Date: 12/11/2025 Age: From 0 To 5 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 2-Star license issued July 15, 2023. The last annual compliance was conducted on December 18, 2024. The sanitation inspection was completed September 25, 2025, with a “Superior” classification. The last fire inspection was conducted on January 16, 2025. Your facility was approved for 1st shift care, enhanced ratios, and enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of December 11, 2025. The NC Secretary of State website was reviewed on December 11, 2025, and Eastern Young Men’s Christian Association was listed as current-active. Shelby Moen, Administrator, was present and available for consultation. Thirty-six (36) children, between the ages of zero (0) and five (5) years old are enrolled and thirty-six (36) were present today. There are four (4) approved indoor spaces and four (4) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Preschool children assigned to indoor space #1 were engaged in free play activities which included coloring with crayons and markers, cooking, bugs, frogs, and sensory toys. Preschool children assigned to indoor space #2 were observed in the outdoor space playing basketball, riding scooters, and looking at leaves with magnifying glasses. Younger preschool children assigned to indoor space #3 were in the outdoor space pushing cars and throwing balls. Infants and toddlers assigned to indoor space #4 received routine care based on their individual needs and played with soft toys on the floor. All staff members were actively engaged with the children. Today’s lunch consisted of corn dogs, green beans, pears, and milk. Toileting, diapering, handwashing, and food service procedures were monitored, and requirements were met. The outdoor spaces had a variety of gross motor equipment which included small and large basketball goals, playhouses, stepping stones, push toys, riding cars, tricycles, a variety of balls, sidewalk chalk, stationary riding equipment, soccer goals, and large musical wind chimes. Shade was provided in the outdoor spaces. Outdoor spaces #1 and #2 are currently closed due to repairs for surfacing. Health and safety trainings were monitored, and requirements were met. Today, you reported that your facility currently is not transporting children. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The closet door in indoor space # 2 had chipped paint which was accessible to children. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. The green carpet surface in outdoor space #1 is torn and has large holes in it. G.S. 110-91(6); .0601(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Dawn Platinum Plus Power Suds that was labeled keep out of the reach of children was stored on the counter accessible to the children. .0604(a) 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 violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Monday, January 5, 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: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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: Provider Portal for ABCMS (the criminal records check database): As stated in G.S. 110-90.2 & .2703(r), child care operators are to notify the Division of any new child care providers working who were hired within five business days. Today, you provided me with your facility’s roster from the ABCMS Provider Portal. Choosing a Pathway to the Stars: Today, I completed a QRIS Conversation Template for your facility. You reported that your facility is choosing Pathway #1, and you plan to apply for a rated license in July 2026. A copy of this template is attached to this visit summary. Clean Classrooms for Carolina Kids: Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on November 2, 2024. Lead in Water-In progress (Enrollment Completed: 10/01/2025) No Results Ready. Water testing must be completed every three (3) years. • Lead-Based Paint-Section Complete-Hazards Identified • Asbestos- Mitigation Pending-Hazards Identified Today, you reported that you have submitted required documentation received from Craven County Health Department to RTI for Asbestos Mitigation. Reminders: For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. 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 EARLY LEARNING CENTER AT LITTLE HANDS Facility ID: 25000619 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/11/2025 Number Present: 36 Completed Date: 12/11/2025 Age: From 0 To 5 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 2-Star license issued July 15, 2023. The last annual compliance was conducted on December 18, 2024. The sanitation inspection was completed September 25, 2025, with a “Superior” classification. The last fire inspection was conducted on January 16, 2025. Your facility was approved for 1st shift care, enhanced ratios, and enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of December 11, 2025. The NC Secretary of State website was reviewed on December 11, 2025, and Eastern Young Men’s Christian Association was listed as current-active. Shelby Moen, Administrator, was present and available for consultation. Thirty-six (36) children, between the ages of zero (0) and five (5) years old are enrolled and thirty-six (36) were present today. There are four (4) approved indoor spaces and four (4) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Preschool children assigned to indoor space #1 were engaged in free play activities which included coloring with crayons and markers, cooking, bugs, frogs, and sensory toys. Preschool children assigned to indoor space #2 were observed in the outdoor space playing basketball, riding scooters, and looking at leaves with magnifying glasses. Younger preschool children assigned to indoor space #3 were in the outdoor space pushing cars and throwing balls. Infants and toddlers assigned to indoor space #4 received routine care based on their individual needs and played with soft toys on the floor. All staff members were actively engaged with the children. Today’s lunch consisted of corn dogs, green beans, pears, and milk. Toileting, diapering, handwashing, and food service procedures were monitored, and requirements were met. The outdoor spaces had a variety of gross motor equipment which included small and large basketball goals, playhouses, stepping stones, push toys, riding cars, tricycles, a variety of balls, sidewalk chalk, stationary riding equipment, soccer goals, and large musical wind chimes. Shade was provided in the outdoor spaces. Outdoor spaces #1 and #2 are currently closed due to repairs for surfacing. Health and safety trainings were monitored, and requirements were met. Today, you reported that your facility currently is not transporting children. Violation Number Comment Rule 620 All walls and ceilings including doors and windows were not kept clean, free of visible fungal growth, and in good repair. The closet door in indoor space # 2 had chipped paint which was accessible to children. 15A NCAC 18A .2825(a) 721 All equipment and furnishings were not in good repair. The green carpet surface in outdoor space #1 is torn and has large holes in it. G.S. 110-91(6); .0601(b) 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Dawn Platinum Plus Power Suds that was labeled keep out of the reach of children was stored on the counter accessible to the children. .0604(a) 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 violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Monday, January 5, 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: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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: Provider Portal for ABCMS (the criminal records check database): As stated in G.S. 110-90.2 & .2703(r), child care operators are to notify the Division of any new child care providers working who were hired within five business days. Today, you provided me with your facility’s roster from the ABCMS Provider Portal. Choosing a Pathway to the Stars: Today, I completed a QRIS Conversation Template for your facility. You reported that your facility is choosing Pathway #1, and you plan to apply for a rated license in July 2026. A copy of this template is attached to this visit summary. Clean Classrooms for Carolina Kids: Your facility’s status, according to the Clean Classrooms for Carolina Kids website, shows the following: • Water Testing-Completed on November 2, 2024. Lead in Water-In progress (Enrollment Completed: 10/01/2025) No Results Ready. Water testing must be completed every three (3) years. • Lead-Based Paint-Section Complete-Hazards Identified • Asbestos- Mitigation Pending-Hazards Identified Today, you reported that you have submitted required documentation received from Craven County Health Department to RTI for Asbestos Mitigation. Reminders: For the latest information on childcare rules and regulations, please visit the Division of Child Development and Early Education's website at: https://ncchildcare.ncdhhs.gov/ At the completion of the visit, this visit summary was reviewed with you, printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. 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 .0601 · Violation

Name of Operation: YMCA EARLY LEARNING CENTER AT LITTLE HANDS Facility ID: 25000619 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/18/2024 Number Present: 30 Completed Date: 12/18/2024 Age: From 0 To 5 Total Minutes: 208 Time In: 08:47 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 2-Star license issued July 15, 2023. The last annual compliance was conducted on January 5, 2024. The sanitation inspection was completed November 7, 2024, with a “Superior” classification. The last fire inspection was conducted on January 17, 2024. Your facility was approved for 1st shift care and the facility meets enhanced ratios and enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent. The NC Secretary of State website was reviewed on December 18, 2024, and Eastern Carolina Young Men’s Christian Association, Inc. was listed as current-active. Thirty (30) children, between the ages of zero (0) and five (5) years old are enrolled and thirty (30) were present today. There are four (4) approved indoor spaces and four (4) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Older and younger preschool children assigned to indoor spaces #1 and #2 were engaged in a variety of free play activities which included coloring with crayons, baby dolls, bristle blocks, legos, trucks, Mr. Potato Head, and blow dyers in the dramatic play area. Two (2) toddlers assigned to indoor space #3 were seated at the table eating morning snack which consisted of waffles, applesauce, and milk. The remaining toddlers were singing ring around the rosies with a staff member. Infants assigned to indoor space #4 were receiving routine care based on their individual needs. One (1) infant was asleep in a crib. Safe sleep checks and food service were monitored, and requirements were met. The outdoor spaces had a variety of gross motor equipment which included small and large basketball goals, playhouses, steppingstones, push toys, riding cars, tricycles, a variety of balls, sidewalk chalk, stationary riding equipment, soccer goals, hula hoops, and large musical wind chimes. Shade was provided in the outdoor spaces. Health and safety trainings were monitored, and requirements were met. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A large broken plastic flowerpot was in the outdoor space accessible to children. The flowerpot had broken edges completely around the top rim, causing a potential cutting/scraping injury to a child. 10A NCAC 09 .0601(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The posted EMC plan was not updated annually. 10A NCAC 09 .0802(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A staff member in indoor space #1 had a Dunkin coffee drink in the presence of children in care. .0901(i) 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 documented may impact the compliance history score. The violation documented must be corrected immediately. Violations 1792 and 862 were corrected during the visit; therefore, a compliance letter is not required for them. On or before Monday, December 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violation was 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 will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant PO Box 904 Beaufort, NC 28516 Andrea.johnson@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: Staff Nutrition Child Care Rule 10A NCAC 09 .0901(j) GENERAL NUTRITION REQUIREMENTS states that staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in this Rule in the presence of children in care. Fast Food or coffee drinks that staff might consume do not follow these requirements and should not be consumed in the classroom or in the presence of children. Checking Playground for Hazards Daily: Child Care Rule 10A NCAC 09 .0604 (p) SAFETY REQUIREMENTS FOR CHILD CARE CENTERS states that once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. The large plastic flowerpot is cracked around the rim. Before children enter the outdoor area each day, you must take time to observe the outdoor area and ensure there are no safety hazards or debris in the area. If there are any hazards, they must be addressed before children can enter the area. 2024 Annual License Fees: Invoices were emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. QRIS Update: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Background Checks: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. Reminders: Annual Fire Inspection Report: Your facility’s annual fire inspection must be conducted and approved on or before January 17, 2025. Please remember to send me a copy of your new fires inspection report when you receive it. 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/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 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 EARLY LEARNING CENTER AT LITTLE HANDS Facility ID: 25000619 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/18/2024 Number Present: 30 Completed Date: 12/18/2024 Age: From 0 To 5 Total Minutes: 208 Time In: 08:47 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 2-Star license issued July 15, 2023. The last annual compliance was conducted on January 5, 2024. The sanitation inspection was completed November 7, 2024, with a “Superior” classification. The last fire inspection was conducted on January 17, 2024. Your facility was approved for 1st shift care and the facility meets enhanced ratios and enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent. The NC Secretary of State website was reviewed on December 18, 2024, and Eastern Carolina Young Men’s Christian Association, Inc. was listed as current-active. Thirty (30) children, between the ages of zero (0) and five (5) years old are enrolled and thirty (30) were present today. There are four (4) approved indoor spaces and four (4) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Older and younger preschool children assigned to indoor spaces #1 and #2 were engaged in a variety of free play activities which included coloring with crayons, baby dolls, bristle blocks, legos, trucks, Mr. Potato Head, and blow dyers in the dramatic play area. Two (2) toddlers assigned to indoor space #3 were seated at the table eating morning snack which consisted of waffles, applesauce, and milk. The remaining toddlers were singing ring around the rosies with a staff member. Infants assigned to indoor space #4 were receiving routine care based on their individual needs. One (1) infant was asleep in a crib. Safe sleep checks and food service were monitored, and requirements were met. The outdoor spaces had a variety of gross motor equipment which included small and large basketball goals, playhouses, steppingstones, push toys, riding cars, tricycles, a variety of balls, sidewalk chalk, stationary riding equipment, soccer goals, hula hoops, and large musical wind chimes. Shade was provided in the outdoor spaces. Health and safety trainings were monitored, and requirements were met. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A large broken plastic flowerpot was in the outdoor space accessible to children. The flowerpot had broken edges completely around the top rim, causing a potential cutting/scraping injury to a child. 10A NCAC 09 .0601(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The posted EMC plan was not updated annually. 10A NCAC 09 .0802(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A staff member in indoor space #1 had a Dunkin coffee drink in the presence of children in care. .0901(i) 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 documented may impact the compliance history score. The violation documented must be corrected immediately. Violations 1792 and 862 were corrected during the visit; therefore, a compliance letter is not required for them. On or before Monday, December 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violation was 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 will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant PO Box 904 Beaufort, NC 28516 Andrea.johnson@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: Staff Nutrition Child Care Rule 10A NCAC 09 .0901(j) GENERAL NUTRITION REQUIREMENTS states that staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in this Rule in the presence of children in care. Fast Food or coffee drinks that staff might consume do not follow these requirements and should not be consumed in the classroom or in the presence of children. Checking Playground for Hazards Daily: Child Care Rule 10A NCAC 09 .0604 (p) SAFETY REQUIREMENTS FOR CHILD CARE CENTERS states that once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. The large plastic flowerpot is cracked around the rim. Before children enter the outdoor area each day, you must take time to observe the outdoor area and ensure there are no safety hazards or debris in the area. If there are any hazards, they must be addressed before children can enter the area. 2024 Annual License Fees: Invoices were emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. QRIS Update: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Background Checks: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. Reminders: Annual Fire Inspection Report: Your facility’s annual fire inspection must be conducted and approved on or before January 17, 2025. Please remember to send me a copy of your new fires inspection report when you receive it. 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/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 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 EARLY LEARNING CENTER AT LITTLE HANDS Facility ID: 25000619 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/18/2024 Number Present: 30 Completed Date: 12/18/2024 Age: From 0 To 5 Total Minutes: 208 Time In: 08:47 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 2-Star license issued July 15, 2023. The last annual compliance was conducted on January 5, 2024. The sanitation inspection was completed November 7, 2024, with a “Superior” classification. The last fire inspection was conducted on January 17, 2024. Your facility was approved for 1st shift care and the facility meets enhanced ratios and enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent. The NC Secretary of State website was reviewed on December 18, 2024, and Eastern Carolina Young Men’s Christian Association, Inc. was listed as current-active. Thirty (30) children, between the ages of zero (0) and five (5) years old are enrolled and thirty (30) were present today. There are four (4) approved indoor spaces and four (4) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Older and younger preschool children assigned to indoor spaces #1 and #2 were engaged in a variety of free play activities which included coloring with crayons, baby dolls, bristle blocks, legos, trucks, Mr. Potato Head, and blow dyers in the dramatic play area. Two (2) toddlers assigned to indoor space #3 were seated at the table eating morning snack which consisted of waffles, applesauce, and milk. The remaining toddlers were singing ring around the rosies with a staff member. Infants assigned to indoor space #4 were receiving routine care based on their individual needs. One (1) infant was asleep in a crib. Safe sleep checks and food service were monitored, and requirements were met. The outdoor spaces had a variety of gross motor equipment which included small and large basketball goals, playhouses, steppingstones, push toys, riding cars, tricycles, a variety of balls, sidewalk chalk, stationary riding equipment, soccer goals, hula hoops, and large musical wind chimes. Shade was provided in the outdoor spaces. Health and safety trainings were monitored, and requirements were met. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A large broken plastic flowerpot was in the outdoor space accessible to children. The flowerpot had broken edges completely around the top rim, causing a potential cutting/scraping injury to a child. 10A NCAC 09 .0601(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The posted EMC plan was not updated annually. 10A NCAC 09 .0802(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A staff member in indoor space #1 had a Dunkin coffee drink in the presence of children in care. .0901(i) 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 documented may impact the compliance history score. The violation documented must be corrected immediately. Violations 1792 and 862 were corrected during the visit; therefore, a compliance letter is not required for them. On or before Monday, December 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violation was 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 will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant PO Box 904 Beaufort, NC 28516 Andrea.johnson@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: Staff Nutrition Child Care Rule 10A NCAC 09 .0901(j) GENERAL NUTRITION REQUIREMENTS states that staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in this Rule in the presence of children in care. Fast Food or coffee drinks that staff might consume do not follow these requirements and should not be consumed in the classroom or in the presence of children. Checking Playground for Hazards Daily: Child Care Rule 10A NCAC 09 .0604 (p) SAFETY REQUIREMENTS FOR CHILD CARE CENTERS states that once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. The large plastic flowerpot is cracked around the rim. Before children enter the outdoor area each day, you must take time to observe the outdoor area and ensure there are no safety hazards or debris in the area. If there are any hazards, they must be addressed before children can enter the area. 2024 Annual License Fees: Invoices were emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. QRIS Update: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Background Checks: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. Reminders: Annual Fire Inspection Report: Your facility’s annual fire inspection must be conducted and approved on or before January 17, 2025. Please remember to send me a copy of your new fires inspection report when you receive it. 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/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: YMCA EARLY LEARNING CENTER AT LITTLE HANDS Facility ID: 25000619 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/18/2024 Number Present: 30 Completed Date: 12/18/2024 Age: From 0 To 5 Total Minutes: 208 Time In: 08:47 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 2-Star license issued July 15, 2023. The last annual compliance was conducted on January 5, 2024. The sanitation inspection was completed November 7, 2024, with a “Superior” classification. The last fire inspection was conducted on January 17, 2024. Your facility was approved for 1st shift care and the facility meets enhanced ratios and enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent. The NC Secretary of State website was reviewed on December 18, 2024, and Eastern Carolina Young Men’s Christian Association, Inc. was listed as current-active. Thirty (30) children, between the ages of zero (0) and five (5) years old are enrolled and thirty (30) were present today. There are four (4) approved indoor spaces and four (4) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Older and younger preschool children assigned to indoor spaces #1 and #2 were engaged in a variety of free play activities which included coloring with crayons, baby dolls, bristle blocks, legos, trucks, Mr. Potato Head, and blow dyers in the dramatic play area. Two (2) toddlers assigned to indoor space #3 were seated at the table eating morning snack which consisted of waffles, applesauce, and milk. The remaining toddlers were singing ring around the rosies with a staff member. Infants assigned to indoor space #4 were receiving routine care based on their individual needs. One (1) infant was asleep in a crib. Safe sleep checks and food service were monitored, and requirements were met. The outdoor spaces had a variety of gross motor equipment which included small and large basketball goals, playhouses, steppingstones, push toys, riding cars, tricycles, a variety of balls, sidewalk chalk, stationary riding equipment, soccer goals, hula hoops, and large musical wind chimes. Shade was provided in the outdoor spaces. Health and safety trainings were monitored, and requirements were met. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A large broken plastic flowerpot was in the outdoor space accessible to children. The flowerpot had broken edges completely around the top rim, causing a potential cutting/scraping injury to a child. 10A NCAC 09 .0601(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The posted EMC plan was not updated annually. 10A NCAC 09 .0802(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A staff member in indoor space #1 had a Dunkin coffee drink in the presence of children in care. .0901(i) 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 documented may impact the compliance history score. The violation documented must be corrected immediately. Violations 1792 and 862 were corrected during the visit; therefore, a compliance letter is not required for them. On or before Monday, December 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violation was 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 will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant PO Box 904 Beaufort, NC 28516 Andrea.johnson@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: Staff Nutrition Child Care Rule 10A NCAC 09 .0901(j) GENERAL NUTRITION REQUIREMENTS states that staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in this Rule in the presence of children in care. Fast Food or coffee drinks that staff might consume do not follow these requirements and should not be consumed in the classroom or in the presence of children. Checking Playground for Hazards Daily: Child Care Rule 10A NCAC 09 .0604 (p) SAFETY REQUIREMENTS FOR CHILD CARE CENTERS states that once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. The large plastic flowerpot is cracked around the rim. Before children enter the outdoor area each day, you must take time to observe the outdoor area and ensure there are no safety hazards or debris in the area. If there are any hazards, they must be addressed before children can enter the area. 2024 Annual License Fees: Invoices were emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. QRIS Update: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Background Checks: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. Reminders: Annual Fire Inspection Report: Your facility’s annual fire inspection must be conducted and approved on or before January 17, 2025. Please remember to send me a copy of your new fires inspection report when you receive it. 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/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 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 EARLY LEARNING CENTER AT LITTLE HANDS Facility ID: 25000619 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 12/18/2024 Number Present: 30 Completed Date: 12/18/2024 Age: From 0 To 5 Total Minutes: 208 Time In: 08:47 AM Time Out: 12:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 2-Star license issued July 15, 2023. The last annual compliance was conducted on January 5, 2024. The sanitation inspection was completed November 7, 2024, with a “Superior” classification. The last fire inspection was conducted on January 17, 2024. Your facility was approved for 1st shift care and the facility meets enhanced ratios and enhanced space. The center's compliance history was reviewed with the operator. The program’s compliance history was eighty-eight (88) percent. The NC Secretary of State website was reviewed on December 18, 2024, and Eastern Carolina Young Men’s Christian Association, Inc. was listed as current-active. Thirty (30) children, between the ages of zero (0) and five (5) years old are enrolled and thirty (30) were present today. There are four (4) approved indoor spaces and four (4) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Older and younger preschool children assigned to indoor spaces #1 and #2 were engaged in a variety of free play activities which included coloring with crayons, baby dolls, bristle blocks, legos, trucks, Mr. Potato Head, and blow dyers in the dramatic play area. Two (2) toddlers assigned to indoor space #3 were seated at the table eating morning snack which consisted of waffles, applesauce, and milk. The remaining toddlers were singing ring around the rosies with a staff member. Infants assigned to indoor space #4 were receiving routine care based on their individual needs. One (1) infant was asleep in a crib. Safe sleep checks and food service were monitored, and requirements were met. The outdoor spaces had a variety of gross motor equipment which included small and large basketball goals, playhouses, steppingstones, push toys, riding cars, tricycles, a variety of balls, sidewalk chalk, stationary riding equipment, soccer goals, hula hoops, and large musical wind chimes. Shade was provided in the outdoor spaces. Health and safety trainings were monitored, and requirements were met. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. A large broken plastic flowerpot was in the outdoor space accessible to children. The flowerpot had broken edges completely around the top rim, causing a potential cutting/scraping injury to a child. 10A NCAC 09 .0601(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The posted EMC plan was not updated annually. 10A NCAC 09 .0802(a) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. A staff member in indoor space #1 had a Dunkin coffee drink in the presence of children in care. .0901(i) 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 documented may impact the compliance history score. The violation documented must be corrected immediately. Violations 1792 and 862 were corrected during the visit; therefore, a compliance letter is not required for them. On or before Monday, December 30, 2024, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violation was 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 will be conducted. Mail or email the information to: Andrea Johnson, Child Care Consultant PO Box 904 Beaufort, NC 28516 Andrea.johnson@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: Staff Nutrition Child Care Rule 10A NCAC 09 .0901(j) GENERAL NUTRITION REQUIREMENTS states that staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in this Rule in the presence of children in care. Fast Food or coffee drinks that staff might consume do not follow these requirements and should not be consumed in the classroom or in the presence of children. Checking Playground for Hazards Daily: Child Care Rule 10A NCAC 09 .0604 (p) SAFETY REQUIREMENTS FOR CHILD CARE CENTERS states that once a day, prior to initial use, the indoor and outdoor premises shall be checked for debris, vandalism, and broken equipment. Debris shall be removed and disposed of. The large plastic flowerpot is cracked around the rim. Before children enter the outdoor area each day, you must take time to observe the outdoor area and ensure there are no safety hazards or debris in the area. If there are any hazards, they must be addressed before children can enter the area. 2024 Annual License Fees: Invoices were emailed to the facility addresses on file by November 30, 2024. Online payments will be due by December 31, 2024. QRIS Update: Starting on February 1, 2025, the ECERS-3, ITERS-3, and FCCERS-3—also known as the "3s"—will be used for DCDEE environment rating scale assessments. The DCDEE and the North Carolina Rated License Assessment Project (NCRLAP) are collaboratively working on preparations for the transition to the third editions. These third editions come with a spiral binding at the top, replacing the current revised editions. Visit the NCRLAP’s website for more information about updated resources, credit hour trainings, and outreach assessment opportunities to help you become familiar with these tools. For official environment rating scale assessments for a NC Star Rated License, the NCRLAP will use the Revised editions until February 1, 2025. Background Checks: North Carolina child care administrators can now view and edit their facility’s staff roster in ABCMS, the DCDEE’s criminal background check system. Provider Access to ABCMS allows administrators to: • See the real-time background check status of staff members. • Run a printable report of the staff roster to assist with compliance visits. • See new background check applicants and add to staff roster. To get started, complete the ABCMS Child Care Provider Portal Training in Moodle—a video tutorial followed by a few questions. Reminders: Annual Fire Inspection Report: Your facility’s annual fire inspection must be conducted and approved on or before January 17, 2025. Please remember to send me a copy of your new fires inspection report when you receive it. 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/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: YMCA EARLY LEARNING CENTER AT LITTLE HANDS Facility ID: 25000619 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 7/1/2024 Number Present: 26 Completed Date: 7/1/2024 Age: From 0 To 5 Total Minutes: 154 Time In: 08:56 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates with a 2-Star license effective July 15, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percent as of July 1, 2024. The NC Secretary of State website was reviewed on July 1, 2024, and Eastern Carolina Young Men’s Christian Association, Inc. was listed as current-active. The license was posted, and the restrictions were in compliance. Administrator, Shelby Moen, was available for consultation during the visit. There are four (4) approved indoor spaces and four (4) approved outdoor spaces. Twenty-nine (29) children are enrolled, and twenty-six (26) children between the ages of zero (0) and five (5) were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in your classrooms. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today. All indoor and outdoor areas were monitored. Activity plans were observed posted in all classrooms. Toddlers observed in indoor space #1 were engaged in free play activities which included baby dolls, animals, and push toys. One (1) child was seated at the table for breakfast. Breakfast consisted of cereal, applesauce, and milk. Older preschool children assigned to indoor space #2 were in free play centers. Their activities included baby dolls, farm animals, cooking, colored blocks, and doctor play dress up. Younger preschool children assigned to indoor space #3 played with magnetic, colored squares, puzzles, dramatic play cooking, and coloring with crayons. Infants in indoor space #4 received routine care based on their individual needs. Safe sleep checks, handwashing, and food service was monitored, and requirement were met. The outdoor spaces had a variety of gross motor equipment including small and large basketball goals, playhouses, stepping stones, push toys, riding cars, tricycles, a variety of balls, sidewalk chalk, stationary riding equipment, soccer goals, and large musical wind chimes. Shade was provided in the outdoor spaces. Health and Safety trainings, Safe Sleep Policy, and the Shaken Baby and Abusive Head Trauma Policy were monitored today and found to be in compliance. The following violations were observed and must be corrected immediately. Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on May 2, 2024. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) staff members did not have a medical report on file prior to employment. One (1) staff member was employed on May 15, 2024, and the other staff member was employed on June 17, 2024. 10A NCAC 09 .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. A criminal Background Check for one (1) staff member was not completed. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) staff member did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) Comments: 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 documented may impact the compliance history score. The violation documented must be corrected immediately. On or before Wednesday, July 10, 2024. 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: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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: Criminal Background Checks Requirements: A criminal background check for staff member, De’ Asia Newkirk, was not completed. I informed you; Ms. Newkirk will be allowed fifteen(15) days (July 16, 2024) to complete the criminal background check process and obtain a qualification letter. I shared with you that Ms. Newkirk cannot be around/oversee the children at your facility until a criminal background check is completed and qualification letter received. A compliance letter regarding criminal background checks and all qualification letters must be submitted to me on or before July 16, 2024, verifying correction. Staff Medical Report: Childcare providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director must have a Medical Report prior to employment. Using the staff file checklist which is available on the DCDEE website under the Provider Documents tab will help ensure that you have all documents required for newly hired staff. Monthly Playground Inspections: A monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at: https://ncchildcare.ncdhhs.gov/providers/credent.asp The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Childcare Rules: North Carolina Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Some of these rule changes may impact your facility. Please ensure you are using the updated January 2024 rule book, and you view information in the DCDEE Moodle. Water, Lead, and Asbestos Testing: It’s time to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years and to have inspections for lead paint and asbestos if applicable. Steps: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship to your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paintreimbursementprogram-arpa. Reminders: Staff Qualifications: Staff member, M. Gibbs, must complete CPR and First Aid on or before August 24, 2024. Ms. Gibbs must also complete Recognizing and Responding to Suspicious of Child Maltreatment on or before August 24, 2024. Staff member, D. Newkirk, must complete CPR and First Aid on or before June 17, 2024. Ms. Newkirk must also complete Recognizing and Responding to Suspicious of Child Maltreatment on or before September 17, 2024. 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/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 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 EARLY LEARNING CENTER AT LITTLE HANDS Facility ID: 25000619 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 7/1/2024 Number Present: 26 Completed Date: 7/1/2024 Age: From 0 To 5 Total Minutes: 154 Time In: 08:56 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates with a 2-Star license effective July 15, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percent as of July 1, 2024. The NC Secretary of State website was reviewed on July 1, 2024, and Eastern Carolina Young Men’s Christian Association, Inc. was listed as current-active. The license was posted, and the restrictions were in compliance. Administrator, Shelby Moen, was available for consultation during the visit. There are four (4) approved indoor spaces and four (4) approved outdoor spaces. Twenty-nine (29) children are enrolled, and twenty-six (26) children between the ages of zero (0) and five (5) were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in your classrooms. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today. All indoor and outdoor areas were monitored. Activity plans were observed posted in all classrooms. Toddlers observed in indoor space #1 were engaged in free play activities which included baby dolls, animals, and push toys. One (1) child was seated at the table for breakfast. Breakfast consisted of cereal, applesauce, and milk. Older preschool children assigned to indoor space #2 were in free play centers. Their activities included baby dolls, farm animals, cooking, colored blocks, and doctor play dress up. Younger preschool children assigned to indoor space #3 played with magnetic, colored squares, puzzles, dramatic play cooking, and coloring with crayons. Infants in indoor space #4 received routine care based on their individual needs. Safe sleep checks, handwashing, and food service was monitored, and requirement were met. The outdoor spaces had a variety of gross motor equipment including small and large basketball goals, playhouses, stepping stones, push toys, riding cars, tricycles, a variety of balls, sidewalk chalk, stationary riding equipment, soccer goals, and large musical wind chimes. Shade was provided in the outdoor spaces. Health and Safety trainings, Safe Sleep Policy, and the Shaken Baby and Abusive Head Trauma Policy were monitored today and found to be in compliance. The following violations were observed and must be corrected immediately. Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on May 2, 2024. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) staff members did not have a medical report on file prior to employment. One (1) staff member was employed on May 15, 2024, and the other staff member was employed on June 17, 2024. 10A NCAC 09 .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. A criminal Background Check for one (1) staff member was not completed. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) staff member did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) Comments: 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 documented may impact the compliance history score. The violation documented must be corrected immediately. On or before Wednesday, July 10, 2024. 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: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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: Criminal Background Checks Requirements: A criminal background check for staff member, De’ Asia Newkirk, was not completed. I informed you; Ms. Newkirk will be allowed fifteen(15) days (July 16, 2024) to complete the criminal background check process and obtain a qualification letter. I shared with you that Ms. Newkirk cannot be around/oversee the children at your facility until a criminal background check is completed and qualification letter received. A compliance letter regarding criminal background checks and all qualification letters must be submitted to me on or before July 16, 2024, verifying correction. Staff Medical Report: Childcare providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director must have a Medical Report prior to employment. Using the staff file checklist which is available on the DCDEE website under the Provider Documents tab will help ensure that you have all documents required for newly hired staff. Monthly Playground Inspections: A monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at: https://ncchildcare.ncdhhs.gov/providers/credent.asp The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Childcare Rules: North Carolina Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Some of these rule changes may impact your facility. Please ensure you are using the updated January 2024 rule book, and you view information in the DCDEE Moodle. Water, Lead, and Asbestos Testing: It’s time to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years and to have inspections for lead paint and asbestos if applicable. Steps: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship to your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paintreimbursementprogram-arpa. Reminders: Staff Qualifications: Staff member, M. Gibbs, must complete CPR and First Aid on or before August 24, 2024. Ms. Gibbs must also complete Recognizing and Responding to Suspicious of Child Maltreatment on or before August 24, 2024. Staff member, D. Newkirk, must complete CPR and First Aid on or before June 17, 2024. Ms. Newkirk must also complete Recognizing and Responding to Suspicious of Child Maltreatment on or before September 17, 2024. 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/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 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 EARLY LEARNING CENTER AT LITTLE HANDS Facility ID: 25000619 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 7/1/2024 Number Present: 26 Completed Date: 7/1/2024 Age: From 0 To 5 Total Minutes: 154 Time In: 08:56 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates with a 2-Star license effective July 15, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percent as of July 1, 2024. The NC Secretary of State website was reviewed on July 1, 2024, and Eastern Carolina Young Men’s Christian Association, Inc. was listed as current-active. The license was posted, and the restrictions were in compliance. Administrator, Shelby Moen, was available for consultation during the visit. There are four (4) approved indoor spaces and four (4) approved outdoor spaces. Twenty-nine (29) children are enrolled, and twenty-six (26) children between the ages of zero (0) and five (5) were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in your classrooms. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today. All indoor and outdoor areas were monitored. Activity plans were observed posted in all classrooms. Toddlers observed in indoor space #1 were engaged in free play activities which included baby dolls, animals, and push toys. One (1) child was seated at the table for breakfast. Breakfast consisted of cereal, applesauce, and milk. Older preschool children assigned to indoor space #2 were in free play centers. Their activities included baby dolls, farm animals, cooking, colored blocks, and doctor play dress up. Younger preschool children assigned to indoor space #3 played with magnetic, colored squares, puzzles, dramatic play cooking, and coloring with crayons. Infants in indoor space #4 received routine care based on their individual needs. Safe sleep checks, handwashing, and food service was monitored, and requirement were met. The outdoor spaces had a variety of gross motor equipment including small and large basketball goals, playhouses, stepping stones, push toys, riding cars, tricycles, a variety of balls, sidewalk chalk, stationary riding equipment, soccer goals, and large musical wind chimes. Shade was provided in the outdoor spaces. Health and Safety trainings, Safe Sleep Policy, and the Shaken Baby and Abusive Head Trauma Policy were monitored today and found to be in compliance. The following violations were observed and must be corrected immediately. Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on May 2, 2024. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) staff members did not have a medical report on file prior to employment. One (1) staff member was employed on May 15, 2024, and the other staff member was employed on June 17, 2024. 10A NCAC 09 .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. A criminal Background Check for one (1) staff member was not completed. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) staff member did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) Comments: 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 documented may impact the compliance history score. The violation documented must be corrected immediately. On or before Wednesday, July 10, 2024. 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: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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: Criminal Background Checks Requirements: A criminal background check for staff member, De’ Asia Newkirk, was not completed. I informed you; Ms. Newkirk will be allowed fifteen(15) days (July 16, 2024) to complete the criminal background check process and obtain a qualification letter. I shared with you that Ms. Newkirk cannot be around/oversee the children at your facility until a criminal background check is completed and qualification letter received. A compliance letter regarding criminal background checks and all qualification letters must be submitted to me on or before July 16, 2024, verifying correction. Staff Medical Report: Childcare providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director must have a Medical Report prior to employment. Using the staff file checklist which is available on the DCDEE website under the Provider Documents tab will help ensure that you have all documents required for newly hired staff. Monthly Playground Inspections: A monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at: https://ncchildcare.ncdhhs.gov/providers/credent.asp The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Childcare Rules: North Carolina Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Some of these rule changes may impact your facility. Please ensure you are using the updated January 2024 rule book, and you view information in the DCDEE Moodle. Water, Lead, and Asbestos Testing: It’s time to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years and to have inspections for lead paint and asbestos if applicable. Steps: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship to your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paintreimbursementprogram-arpa. Reminders: Staff Qualifications: Staff member, M. Gibbs, must complete CPR and First Aid on or before August 24, 2024. Ms. Gibbs must also complete Recognizing and Responding to Suspicious of Child Maltreatment on or before August 24, 2024. Staff member, D. Newkirk, must complete CPR and First Aid on or before June 17, 2024. Ms. Newkirk must also complete Recognizing and Responding to Suspicious of Child Maltreatment on or before September 17, 2024. 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/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 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 EARLY LEARNING CENTER AT LITTLE HANDS Facility ID: 25000619 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 7/1/2024 Number Present: 26 Completed Date: 7/1/2024 Age: From 0 To 5 Total Minutes: 154 Time In: 08:56 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Your program currently operates with a 2-Star license effective July 15, 2023. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-five (95) percent as of July 1, 2024. The NC Secretary of State website was reviewed on July 1, 2024, and Eastern Carolina Young Men’s Christian Association, Inc. was listed as current-active. The license was posted, and the restrictions were in compliance. Administrator, Shelby Moen, was available for consultation during the visit. There are four (4) approved indoor spaces and four (4) approved outdoor spaces. Twenty-nine (29) children are enrolled, and twenty-six (26) children between the ages of zero (0) and five (5) were present today. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in your classrooms. Age-appropriate materials and activities were provided for all children. A walk-through of the facility was completed today. All indoor and outdoor areas were monitored. Activity plans were observed posted in all classrooms. Toddlers observed in indoor space #1 were engaged in free play activities which included baby dolls, animals, and push toys. One (1) child was seated at the table for breakfast. Breakfast consisted of cereal, applesauce, and milk. Older preschool children assigned to indoor space #2 were in free play centers. Their activities included baby dolls, farm animals, cooking, colored blocks, and doctor play dress up. Younger preschool children assigned to indoor space #3 played with magnetic, colored squares, puzzles, dramatic play cooking, and coloring with crayons. Infants in indoor space #4 received routine care based on their individual needs. Safe sleep checks, handwashing, and food service was monitored, and requirement were met. The outdoor spaces had a variety of gross motor equipment including small and large basketball goals, playhouses, stepping stones, push toys, riding cars, tricycles, a variety of balls, sidewalk chalk, stationary riding equipment, soccer goals, and large musical wind chimes. Shade was provided in the outdoor spaces. Health and Safety trainings, Safe Sleep Policy, and the Shaken Baby and Abusive Head Trauma Policy were monitored today and found to be in compliance. The following violations were observed and must be corrected immediately. Violation Number Comment Rule 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on May 2, 2024. .0605(q) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Two (2) staff members did not have a medical report on file prior to employment. One (1) staff member was employed on May 15, 2024, and the other staff member was employed on June 17, 2024. 10A NCAC 09 .0701(a) 1041 Prior to employment a Criminal Background Check was not completed. A criminal Background Check for one (1) staff member was not completed. G.S. 110-90.2(b) 1757 A valid qualification letter was not on file and available to review at the facility. One (1) staff member did not have a valid qualification letter on file. G.S. 110-90.2(b) & (d) & .2703(e) Comments: 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 documented may impact the compliance history score. The violation documented must be corrected immediately. On or before Wednesday, July 10, 2024. 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: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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: Criminal Background Checks Requirements: A criminal background check for staff member, De’ Asia Newkirk, was not completed. I informed you; Ms. Newkirk will be allowed fifteen(15) days (July 16, 2024) to complete the criminal background check process and obtain a qualification letter. I shared with you that Ms. Newkirk cannot be around/oversee the children at your facility until a criminal background check is completed and qualification letter received. A compliance letter regarding criminal background checks and all qualification letters must be submitted to me on or before July 16, 2024, verifying correction. Staff Medical Report: Childcare providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director must have a Medical Report prior to employment. Using the staff file checklist which is available on the DCDEE website under the Provider Documents tab will help ensure that you have all documents required for newly hired staff. Monthly Playground Inspections: A monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at: https://ncchildcare.ncdhhs.gov/providers/credent.asp The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Childcare Rules: North Carolina Child Care Commission adopted child care rule changes in January 2024. Changes relate to definitions; lead and asbestos for centers and family child care homes; building requirements for family child care homes; multi-unit child care centers; and criminal background checks. Some of these rule changes may impact your facility. Please ensure you are using the updated January 2024 rule book, and you view information in the DCDEE Moodle. Water, Lead, and Asbestos Testing: It’s time to enroll your facility in the Clean Classrooms for Carolina Kids program to identify and eliminate exposure to lead and asbestos hazards in building infrastructure. This program is an expansion of Clean Water for Carolina Kids, which previously tested all child care centers in the state for lead in water at drinking and food preparation taps. As this is a legislatively mandated effort, facilities are required to meet rule requirements to have tap water tested every three years and to have inspections for lead paint and asbestos if applicable. Steps: 1. Sign Up – Pre-enrollment webinars are available at cleanwaterforUSkids.org/carolina or paste https://bit.ly/3CK-webinar into your web browser to see available dates and times for the next month. 2. Enroll – At www.cleanwaterforUSkids.org/carolina using the PIN and complete the enrollment surveys for three program sections: 1) lead in water, 2) lead-based paint, and 3) asbestos. 3. Evaluate Hazards - The program will ship to your facility a water sample kit and may coordinate an on-site visit by a professional to assess for lead-based paint and asbestos hazards, if needed. 4. Receive Results – Receive your results, recommendations, and water mitigation support, if needed. 5. Request Reimbursement - If you choose to conduct lead-based paint or asbestos mitigation, you can request reimbursement from NC DHHS. Visit the web site at: https://www.ncdhhs.gov/divisions/public-health/asbestos-and-leadbased-paintreimbursementprogram-arpa. Reminders: Staff Qualifications: Staff member, M. Gibbs, must complete CPR and First Aid on or before August 24, 2024. Ms. Gibbs must also complete Recognizing and Responding to Suspicious of Child Maltreatment on or before August 24, 2024. Staff member, D. Newkirk, must complete CPR and First Aid on or before June 17, 2024. Ms. Newkirk must also complete Recognizing and Responding to Suspicious of Child Maltreatment on or before September 17, 2024. 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/ At the completion of the visit, this visit summary was reviewed with you, emailed to you, copies printed and signed. As we discussed, this computer-generated visit summary serves as completion of the routine unannounced visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov Office: 910-824-0235 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0901 · Violation

Name of Operation: YMCA EARLY LEARNING CENTER AT LITTLE HANDS Facility ID: 25000619 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 1/5/2024 Number Present: 14 Completed Date: 1/5/2024 Age: From 0 To 4 Total Minutes: 315 Time In: 08:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 2-Star license issued July 15, 2023. The last annual compliance was conducted on January 14, 2023. The sanitation inspection was completed October 10, 2023, with a “Superior” classification. The last fire inspection was conducted on January 19, 2023. Your facility was approved for 1st shift care, and the facility meets enhanced ratios and space. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99) percent. The NC Secretary of State website was reviewed on January 5, 2024, and Eastern Carolina Young Men’s Christian Association, Inc. was listed as current-active. Twenty-one (21) children , between the ages of zero (0) and five (5) years old are enrolled and fourteen (14) were present today. There are four (4) approved indoor spaces and four (4) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Toddlers and staff members assigned to indoor space #1 were playing with a variety of toys on the floor. Toddlers transitioned to water play activities. Handwashing routines were monitored, and requirements were met. Older preschool children were engaged in a variety of free play activities which included coloring with markers and colored pencils, connecting tubes, and magnetic doll dressing. Infants assigned to indoor space #4 were on the carpet playing with soft toys. A staff member assisted the infants as they played. The outdoor spaces had a variety of gross motor equipment including small and large basketball goals, playhouses, stepping stones, push toys, riding cars, tricycles, a variety of balls, sidewalk chalk, stationary riding equipment, soccer goals, and large musical wind chimes. Shade was provided in the outdoor spaces. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menus for meals and snacks were not posted where easily seen by parents. 10A NCAC 09 .0901(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence that enclosed outdoor space #1 was previously damaged and measured a height of 3 feet and 8 inches. GS 110-91(6); .0605((i) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) out of two (2) children’s records reviewed did not have a health assessment on file. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. An over-the-counter topical medication, Medline Remedy Clear-Aid Skin Protectant, in indoor space #1 was administered to a child after permission from the parent had expired. Permission was valid from January 24, 2023, until August 1, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-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. Four (4) out of eight (8) staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Friday, January 12, 2024, 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: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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: Medication Administration: All medications must be accompanied by written authorizations from parents with complete instructions for administration. Medications for children who are no longer enrolled should be returned to the parent or discarded, and expired permission forms should be filed. I strongly encourage you to review the child care rules regarding medication and share them with staff. It may be helpful to create a checklist for staff to assist them in making sure requirements regarding permission, storage and administration are met. I also encourage you to check the classroom medicine boxes on a regular basis as an additional monitoring measure. Children Records: The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive, and social needs. Recognizing and Responding to Suspicions of Child Maltreatment: Four (4) staff members did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training within ninety (90) days of hire. Remember, the Recognizing and Responding to Suspicions of Child Maltreatment training must be taken at: www.preventchildabusenc.org The link is available on Moodle. Reminders: Annual Fire Inspection: Your facility’s annual fire inspection must be conducted on or before January 19, 2024. Please set a reminder on your calendar to ensure this inspection is conducted. Staff Development/Staff Evaluation: Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Child Care Rule 10A NCAC 09 .2805(f) requires that each employee’s personnel file contains an annual staff evaluation and staff development plan. I encourage you to streamline this process by selecting certain months to conduct evaluations and update staff development plans. This will result in easy tracking and ensure that all evaluations and development plans are completed within the yearly timeframe. Your staff development plans, and annual evaluations are due on or before January 14, 2024. Update Emergency Preparedness Response Plan: EPR Plan - Technical Assistance & On-going Support For technical assistance and on-going support regarding emergency preparedness and response in child care, contact the North Carolina Child Care Health and Safety Resource Center or 1-800-367-2229. 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/ At the completion of the visit, this visit summary was reviewed with you, signed, emailed to you, and copies were printed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 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 .2805 · Violation

Name of Operation: YMCA EARLY LEARNING CENTER AT LITTLE HANDS Facility ID: 25000619 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 1/5/2024 Number Present: 14 Completed Date: 1/5/2024 Age: From 0 To 4 Total Minutes: 315 Time In: 08:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 2-Star license issued July 15, 2023. The last annual compliance was conducted on January 14, 2023. The sanitation inspection was completed October 10, 2023, with a “Superior” classification. The last fire inspection was conducted on January 19, 2023. Your facility was approved for 1st shift care, and the facility meets enhanced ratios and space. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99) percent. The NC Secretary of State website was reviewed on January 5, 2024, and Eastern Carolina Young Men’s Christian Association, Inc. was listed as current-active. Twenty-one (21) children , between the ages of zero (0) and five (5) years old are enrolled and fourteen (14) were present today. There are four (4) approved indoor spaces and four (4) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Toddlers and staff members assigned to indoor space #1 were playing with a variety of toys on the floor. Toddlers transitioned to water play activities. Handwashing routines were monitored, and requirements were met. Older preschool children were engaged in a variety of free play activities which included coloring with markers and colored pencils, connecting tubes, and magnetic doll dressing. Infants assigned to indoor space #4 were on the carpet playing with soft toys. A staff member assisted the infants as they played. The outdoor spaces had a variety of gross motor equipment including small and large basketball goals, playhouses, stepping stones, push toys, riding cars, tricycles, a variety of balls, sidewalk chalk, stationary riding equipment, soccer goals, and large musical wind chimes. Shade was provided in the outdoor spaces. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menus for meals and snacks were not posted where easily seen by parents. 10A NCAC 09 .0901(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence that enclosed outdoor space #1 was previously damaged and measured a height of 3 feet and 8 inches. GS 110-91(6); .0605((i) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) out of two (2) children’s records reviewed did not have a health assessment on file. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. An over-the-counter topical medication, Medline Remedy Clear-Aid Skin Protectant, in indoor space #1 was administered to a child after permission from the parent had expired. Permission was valid from January 24, 2023, until August 1, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-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. Four (4) out of eight (8) staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Friday, January 12, 2024, 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: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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: Medication Administration: All medications must be accompanied by written authorizations from parents with complete instructions for administration. Medications for children who are no longer enrolled should be returned to the parent or discarded, and expired permission forms should be filed. I strongly encourage you to review the child care rules regarding medication and share them with staff. It may be helpful to create a checklist for staff to assist them in making sure requirements regarding permission, storage and administration are met. I also encourage you to check the classroom medicine boxes on a regular basis as an additional monitoring measure. Children Records: The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive, and social needs. Recognizing and Responding to Suspicions of Child Maltreatment: Four (4) staff members did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training within ninety (90) days of hire. Remember, the Recognizing and Responding to Suspicions of Child Maltreatment training must be taken at: www.preventchildabusenc.org The link is available on Moodle. Reminders: Annual Fire Inspection: Your facility’s annual fire inspection must be conducted on or before January 19, 2024. Please set a reminder on your calendar to ensure this inspection is conducted. Staff Development/Staff Evaluation: Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Child Care Rule 10A NCAC 09 .2805(f) requires that each employee’s personnel file contains an annual staff evaluation and staff development plan. I encourage you to streamline this process by selecting certain months to conduct evaluations and update staff development plans. This will result in easy tracking and ensure that all evaluations and development plans are completed within the yearly timeframe. Your staff development plans, and annual evaluations are due on or before January 14, 2024. Update Emergency Preparedness Response Plan: EPR Plan - Technical Assistance & On-going Support For technical assistance and on-going support regarding emergency preparedness and response in child care, contact the North Carolina Child Care Health and Safety Resource Center or 1-800-367-2229. 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/ At the completion of the visit, this visit summary was reviewed with you, signed, emailed to you, and copies were printed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: YMCA EARLY LEARNING CENTER AT LITTLE HANDS Facility ID: 25000619 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 1/5/2024 Number Present: 14 Completed Date: 1/5/2024 Age: From 0 To 4 Total Minutes: 315 Time In: 08:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 2-Star license issued July 15, 2023. The last annual compliance was conducted on January 14, 2023. The sanitation inspection was completed October 10, 2023, with a “Superior” classification. The last fire inspection was conducted on January 19, 2023. Your facility was approved for 1st shift care, and the facility meets enhanced ratios and space. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99) percent. The NC Secretary of State website was reviewed on January 5, 2024, and Eastern Carolina Young Men’s Christian Association, Inc. was listed as current-active. Twenty-one (21) children , between the ages of zero (0) and five (5) years old are enrolled and fourteen (14) were present today. There are four (4) approved indoor spaces and four (4) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Toddlers and staff members assigned to indoor space #1 were playing with a variety of toys on the floor. Toddlers transitioned to water play activities. Handwashing routines were monitored, and requirements were met. Older preschool children were engaged in a variety of free play activities which included coloring with markers and colored pencils, connecting tubes, and magnetic doll dressing. Infants assigned to indoor space #4 were on the carpet playing with soft toys. A staff member assisted the infants as they played. The outdoor spaces had a variety of gross motor equipment including small and large basketball goals, playhouses, stepping stones, push toys, riding cars, tricycles, a variety of balls, sidewalk chalk, stationary riding equipment, soccer goals, and large musical wind chimes. Shade was provided in the outdoor spaces. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menus for meals and snacks were not posted where easily seen by parents. 10A NCAC 09 .0901(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence that enclosed outdoor space #1 was previously damaged and measured a height of 3 feet and 8 inches. GS 110-91(6); .0605((i) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) out of two (2) children’s records reviewed did not have a health assessment on file. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. An over-the-counter topical medication, Medline Remedy Clear-Aid Skin Protectant, in indoor space #1 was administered to a child after permission from the parent had expired. Permission was valid from January 24, 2023, until August 1, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-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. Four (4) out of eight (8) staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Friday, January 12, 2024, 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: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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: Medication Administration: All medications must be accompanied by written authorizations from parents with complete instructions for administration. Medications for children who are no longer enrolled should be returned to the parent or discarded, and expired permission forms should be filed. I strongly encourage you to review the child care rules regarding medication and share them with staff. It may be helpful to create a checklist for staff to assist them in making sure requirements regarding permission, storage and administration are met. I also encourage you to check the classroom medicine boxes on a regular basis as an additional monitoring measure. Children Records: The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive, and social needs. Recognizing and Responding to Suspicions of Child Maltreatment: Four (4) staff members did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training within ninety (90) days of hire. Remember, the Recognizing and Responding to Suspicions of Child Maltreatment training must be taken at: www.preventchildabusenc.org The link is available on Moodle. Reminders: Annual Fire Inspection: Your facility’s annual fire inspection must be conducted on or before January 19, 2024. Please set a reminder on your calendar to ensure this inspection is conducted. Staff Development/Staff Evaluation: Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Child Care Rule 10A NCAC 09 .2805(f) requires that each employee’s personnel file contains an annual staff evaluation and staff development plan. I encourage you to streamline this process by selecting certain months to conduct evaluations and update staff development plans. This will result in easy tracking and ensure that all evaluations and development plans are completed within the yearly timeframe. Your staff development plans, and annual evaluations are due on or before January 14, 2024. Update Emergency Preparedness Response Plan: EPR Plan - Technical Assistance & On-going Support For technical assistance and on-going support regarding emergency preparedness and response in child care, contact the North Carolina Child Care Health and Safety Resource Center or 1-800-367-2229. 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/ At the completion of the visit, this visit summary was reviewed with you, signed, emailed to you, and copies were printed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 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

GS110-91 · Violation

Name of Operation: YMCA EARLY LEARNING CENTER AT LITTLE HANDS Facility ID: 25000619 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 1/5/2024 Number Present: 14 Completed Date: 1/5/2024 Age: From 0 To 4 Total Minutes: 315 Time In: 08:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 2-Star license issued July 15, 2023. The last annual compliance was conducted on January 14, 2023. The sanitation inspection was completed October 10, 2023, with a “Superior” classification. The last fire inspection was conducted on January 19, 2023. Your facility was approved for 1st shift care, and the facility meets enhanced ratios and space. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99) percent. The NC Secretary of State website was reviewed on January 5, 2024, and Eastern Carolina Young Men’s Christian Association, Inc. was listed as current-active. Twenty-one (21) children , between the ages of zero (0) and five (5) years old are enrolled and fourteen (14) were present today. There are four (4) approved indoor spaces and four (4) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Toddlers and staff members assigned to indoor space #1 were playing with a variety of toys on the floor. Toddlers transitioned to water play activities. Handwashing routines were monitored, and requirements were met. Older preschool children were engaged in a variety of free play activities which included coloring with markers and colored pencils, connecting tubes, and magnetic doll dressing. Infants assigned to indoor space #4 were on the carpet playing with soft toys. A staff member assisted the infants as they played. The outdoor spaces had a variety of gross motor equipment including small and large basketball goals, playhouses, stepping stones, push toys, riding cars, tricycles, a variety of balls, sidewalk chalk, stationary riding equipment, soccer goals, and large musical wind chimes. Shade was provided in the outdoor spaces. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menus for meals and snacks were not posted where easily seen by parents. 10A NCAC 09 .0901(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence that enclosed outdoor space #1 was previously damaged and measured a height of 3 feet and 8 inches. GS 110-91(6); .0605((i) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) out of two (2) children’s records reviewed did not have a health assessment on file. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. An over-the-counter topical medication, Medline Remedy Clear-Aid Skin Protectant, in indoor space #1 was administered to a child after permission from the parent had expired. Permission was valid from January 24, 2023, until August 1, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-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. Four (4) out of eight (8) staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Friday, January 12, 2024, 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: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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: Medication Administration: All medications must be accompanied by written authorizations from parents with complete instructions for administration. Medications for children who are no longer enrolled should be returned to the parent or discarded, and expired permission forms should be filed. I strongly encourage you to review the child care rules regarding medication and share them with staff. It may be helpful to create a checklist for staff to assist them in making sure requirements regarding permission, storage and administration are met. I also encourage you to check the classroom medicine boxes on a regular basis as an additional monitoring measure. Children Records: The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive, and social needs. Recognizing and Responding to Suspicions of Child Maltreatment: Four (4) staff members did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training within ninety (90) days of hire. Remember, the Recognizing and Responding to Suspicions of Child Maltreatment training must be taken at: www.preventchildabusenc.org The link is available on Moodle. Reminders: Annual Fire Inspection: Your facility’s annual fire inspection must be conducted on or before January 19, 2024. Please set a reminder on your calendar to ensure this inspection is conducted. Staff Development/Staff Evaluation: Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Child Care Rule 10A NCAC 09 .2805(f) requires that each employee’s personnel file contains an annual staff evaluation and staff development plan. I encourage you to streamline this process by selecting certain months to conduct evaluations and update staff development plans. This will result in easy tracking and ensure that all evaluations and development plans are completed within the yearly timeframe. Your staff development plans, and annual evaluations are due on or before January 14, 2024. Update Emergency Preparedness Response Plan: EPR Plan - Technical Assistance & On-going Support For technical assistance and on-going support regarding emergency preparedness and response in child care, contact the North Carolina Child Care Health and Safety Resource Center or 1-800-367-2229. 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/ At the completion of the visit, this visit summary was reviewed with you, signed, emailed to you, and copies were printed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 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 EARLY LEARNING CENTER AT LITTLE HANDS Facility ID: 25000619 Consultant: ANDREA JOHNSON Operation Type: Center Case Number: Visit Date: 1/5/2024 Number Present: 14 Completed Date: 1/5/2024 Age: From 0 To 4 Total Minutes: 315 Time In: 08:45 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance with applicable childcare requirements pertinent to an annual compliance visit. Your program currently operates with a 2-Star license issued July 15, 2023. The last annual compliance was conducted on January 14, 2023. The sanitation inspection was completed October 10, 2023, with a “Superior” classification. The last fire inspection was conducted on January 19, 2023. Your facility was approved for 1st shift care, and the facility meets enhanced ratios and space. The center's compliance history was reviewed with the operator. The program’s compliance history was ninety-nine (99) percent. The NC Secretary of State website was reviewed on January 5, 2024, and Eastern Carolina Young Men’s Christian Association, Inc. was listed as current-active. Twenty-one (21) children , between the ages of zero (0) and five (5) years old are enrolled and fourteen (14) were present today. There are four (4) approved indoor spaces and four (4) approved outdoor spaces. At least five (5) activity areas including language, blocks, manipulatives, dramatic play, and art were available in the classroom. Age-appropriate materials and activities were provided for all children. Toddlers and staff members assigned to indoor space #1 were playing with a variety of toys on the floor. Toddlers transitioned to water play activities. Handwashing routines were monitored, and requirements were met. Older preschool children were engaged in a variety of free play activities which included coloring with markers and colored pencils, connecting tubes, and magnetic doll dressing. Infants assigned to indoor space #4 were on the carpet playing with soft toys. A staff member assisted the infants as they played. The outdoor spaces had a variety of gross motor equipment including small and large basketball goals, playhouses, stepping stones, push toys, riding cars, tricycles, a variety of balls, sidewalk chalk, stationary riding equipment, soccer goals, and large musical wind chimes. Shade was provided in the outdoor spaces. Violation Number Comment Rule 526 Menus for all meals and snacks were not current or posted where easily seen by parents and cook. Menus for meals and snacks were not posted where easily seen by parents. 10A NCAC 09 .0901(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. The fence that enclosed outdoor space #1 was previously damaged and measured a height of 3 feet and 8 inches. GS 110-91(6); .0605((i) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) out of two (2) children’s records reviewed did not have a health assessment on file. GS110-91(1) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. An over-the-counter topical medication, Medline Remedy Clear-Aid Skin Protectant, in indoor space #1 was administered to a child after permission from the parent had expired. Permission was valid from January 24, 2023, until August 1, 2023. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-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. Four (4) out of eight (8) staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. .1102(g) 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 violations documented may impact the compliance history score. Any violations documented must be corrected immediately. On or before Friday, January 12, 2024, 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: Andrea Johnson, Child Care Consultant andrea.johnson@dhhs.nc.gov PO Box 904 Beaufort, NC 28516 252-732-0183 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: Medication Administration: All medications must be accompanied by written authorizations from parents with complete instructions for administration. Medications for children who are no longer enrolled should be returned to the parent or discarded, and expired permission forms should be filed. I strongly encourage you to review the child care rules regarding medication and share them with staff. It may be helpful to create a checklist for staff to assist them in making sure requirements regarding permission, storage and administration are met. I also encourage you to check the classroom medicine boxes on a regular basis as an additional monitoring measure. Children Records: The health and safety of individual children requires that information regarding each child in care be kept and available when needed. Children's records consist of various documentation such as a child's medical and immunization history, emergency medical care information and parental permission to participate in specific activities. This information is the basis for meeting each child's physical, emotional, cognitive, and social needs. Recognizing and Responding to Suspicions of Child Maltreatment: Four (4) staff members did not complete the Recognizing and Responding to Suspicions of Child Maltreatment Training within ninety (90) days of hire. Remember, the Recognizing and Responding to Suspicions of Child Maltreatment training must be taken at: www.preventchildabusenc.org The link is available on Moodle. Reminders: Annual Fire Inspection: Your facility’s annual fire inspection must be conducted on or before January 19, 2024. Please set a reminder on your calendar to ensure this inspection is conducted. Staff Development/Staff Evaluation: Each employee's personnel file shall contain an annual staff evaluation and staff development plan. These are to be completed annually. Child Care Rule 10A NCAC 09 .2805(f) requires that each employee’s personnel file contains an annual staff evaluation and staff development plan. I encourage you to streamline this process by selecting certain months to conduct evaluations and update staff development plans. This will result in easy tracking and ensure that all evaluations and development plans are completed within the yearly timeframe. Your staff development plans, and annual evaluations are due on or before January 14, 2024. Update Emergency Preparedness Response Plan: EPR Plan - Technical Assistance & On-going Support For technical assistance and on-going support regarding emergency preparedness and response in child care, contact the North Carolina Child Care Health and Safety Resource Center or 1-800-367-2229. 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/ At the completion of the visit, this visit summary was reviewed with you, signed, emailed to you, and copies were printed. As we discussed, this computer-generated visit summary serves as completion of the annual compliance visit. If you have any questions and/or concerns, you have my contact information. You may also contact my supervisor, Lynette Robbins Lynette.Robbins@dhhs.nc.gov PMB 361 Office: 910-824-0235 3600 S. College Road, Suite E Wilmington, NC 28412 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