10A NCAC 09 .0302 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 31 Completed Date: 11/20/2025 Age: From 5 To 12 Total Minutes: 195 Time In: 02:30 PM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kat Lathrop, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with to you. Kat Lathrop, Program Coordinator, was available during the visit. Samantha Applegate, Site Supervisor, and Delaney Burke, Senior Director of Operations, was available to review staff files and children’s files via TEAMS. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 11/20/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 11/17/2025. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school-age only, meets enhanced space, meets reduced ratios. Playground area does not meet child care safety standards. We discussed that removal of the restriction playground area does not meet child care safety standards is needed per Session Law 2025-36. A permit change packet will be completed and sent in to the Raleigh office. Once you receive the new license in the mail, you will take down the previous license and post the new license. When you remove the previous license, you will mail it to me as it is property of the State and must be mailed into the Raleigh office. During today’s visit, we discussed the removal of the restriction playground area does not meet child care safety standards per Session Law 2025-36. The last annual compliance visit was conducted on 11/26/2024. The last fire drill was practiced on 10/31/2025. The last shelter-in-place drill was practiced on 8/28/2025. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/11/2024 without hazards. The Clean Classrooms for Carolina Kids™ team determined that YMCA W.D. WILLIAMS AFTERSCHOOL was exempt from the lead-based paint assessment requirements. The facility provided the appropriate documentation to show all buildings were built after 1978 and no lead-based paint was used in order to meet the building age exemption criteria per 10A NCAC 41C.1004.. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all buses are at adequate depth. When I arrived at 2:33pm, I was greeted by Kat Lathrop, Program Coordinator. The group of five to twelve year olds were located in the gym. There were twenty-eight (28) children and two (2) staff. The children entered the gym, putting their belongings away, using the restroom and going to their assigned group. Group 2 was located on the left side of the gym and group 1 was located on the right side of the gym. The groups gathered sitting in a line to review the plan for the day. After the plan for the day was reviewed with the children. Group 1 had one (1) staff member with thirteen (13) children aged five to eight years old. At 2:47p the group lined up to transition outside. Once outside side, the group was offered snack outdoors and then the children transitioned to free play with the climbing structures, and gaga pit. Group 2 had one (1) staff member with fifteen (15) children ages eight to twelve years old transitioned to free paly centers in the gym. At 3:18 three (3) children arrived from their afterschool clubs bringing the total for group 2 to eighteen (18) children ages eight to twelve years old. At 3:27p the group lined up to transition outdoors for gross motor play. Snack today was Beef jack links, sunflower seed, crackers, applesauce, and juice. At 4:30p group 1 returned to the gym for free play. The staff and training worksheet was not received prior to the visit. A blank staff and training worksheet was completed for my records to track what items were viewed for the two (2) new staff members and the one (1) existing staff member. I stated that Ms. Burke will need to submit the completed staff and training worksheet signed within twenty-four (24) hours. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation, the facility will pursue Classroom and Instructional Quality Pathway. We reviewed Classroom and Instructional Quality Pathway. A new curriculum is needed. The next steps include buying the approved curriculum materials, training staff to use the curriculum, putting the curriculum into practice in classrooms, and making sure the administrator gets coaching and training. The program is currently considering the Funny Daffers curriculum, which was recently approved by the Division. The facility plans to apply for a rated license by September 30, 2026. Administrator Delaney Burke explained that the program will need time to: obtain the new curriculum, Train staff on its use, begin classroom implementation, and hire additional staff for the site. All facility licenses are to be reassessed by December 31, 2026. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure time for 11/19/2025 was not completed on the hard copy sign-in and out sheet and the staff member was unable to show me electronically when the children were signed out on 11/19/2025. 10A NCAC 09 .0302(d)(4) 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. Staff member hired 10/13/2025 did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 10/13/2025 did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 9/10/2018 did not have an annual health questionnaire on file following the initial medical statement. The last annual health questionnaire on file was dated 9/18/2024. .0701(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the three (3) staff, including the administrator, that are hired by YMCA WD Williams Afterschool. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 125- Departure time for 11/19/2025 was not completed on the hard copy sign-in and out sheet and the staff member was unable to show me electronically when the children were signed out on 11/19/2025. We discussed that the staff member would need to complete the sign-in and out times on the hard copy until they have been trained on how to access the report to show the sign-in and out times electronically for each child. It is also best practice to keep the sign-in and out times on the hard copy should the electronic system is down. Rule Reference: 10A NCAC 09.0302(d)(4) Item 1032- Staff member hired 10/13/2025 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. We discussed prior to staff member being employed by the facility, the staff member would need to submit a complete medical report that is no more than twelve (12) months old. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 10/13/2025 did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. We discussed prior to staff member being employed by the facility, the staff member would need to submit a negative TB that is no more than twelve (12) months old. Rule Reference: .0701(a) Item 1034- Staff member hired 9/10/2018 did not have an annual health questionnaire on file following the initial medical statement. The last annual health questionnaire on file was dated 9/18/2024. We discussed that all staff should complete the annual health questionnaire during the opening meetings to prevent issues from happening again. The administrator noted that she has completed the questionnaire but is unsure why it is not uploaded in the system. She explained that the program is using a new system and she is still learning how to navigate it. Rule Reference: 10A NCAC 09.0701(a) Item 1805- The child care operator has not notified the Division of the three (3) staff, including the administrator, that are hired by YMCA WD Williams Afterschool. We discussed that after completion of the ABCMS provider portal training, the staff who completed the training must verify the currently employed staff roster. The administrator stated that all staff are listed under YMCA Oakley. However, we discussed per rule each YMCA facility must verify its staff roster in the ABCMS portal to ensure only currently employed staff members are listed. Rosters must reflect the staff currently assigned to care for children at each location. New and terminated staff notification requirement: 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 or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/4/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed that an updated legal designee is needed. -ABCMS portal will need to be updated to reflect the staff members that are hired and assigned to YMCA WD Williams. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0701 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 31 Completed Date: 11/20/2025 Age: From 5 To 12 Total Minutes: 195 Time In: 02:30 PM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kat Lathrop, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with to you. Kat Lathrop, Program Coordinator, was available during the visit. Samantha Applegate, Site Supervisor, and Delaney Burke, Senior Director of Operations, was available to review staff files and children’s files via TEAMS. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 11/20/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 11/17/2025. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school-age only, meets enhanced space, meets reduced ratios. Playground area does not meet child care safety standards. We discussed that removal of the restriction playground area does not meet child care safety standards is needed per Session Law 2025-36. A permit change packet will be completed and sent in to the Raleigh office. Once you receive the new license in the mail, you will take down the previous license and post the new license. When you remove the previous license, you will mail it to me as it is property of the State and must be mailed into the Raleigh office. During today’s visit, we discussed the removal of the restriction playground area does not meet child care safety standards per Session Law 2025-36. The last annual compliance visit was conducted on 11/26/2024. The last fire drill was practiced on 10/31/2025. The last shelter-in-place drill was practiced on 8/28/2025. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/11/2024 without hazards. The Clean Classrooms for Carolina Kids™ team determined that YMCA W.D. WILLIAMS AFTERSCHOOL was exempt from the lead-based paint assessment requirements. The facility provided the appropriate documentation to show all buildings were built after 1978 and no lead-based paint was used in order to meet the building age exemption criteria per 10A NCAC 41C.1004.. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all buses are at adequate depth. When I arrived at 2:33pm, I was greeted by Kat Lathrop, Program Coordinator. The group of five to twelve year olds were located in the gym. There were twenty-eight (28) children and two (2) staff. The children entered the gym, putting their belongings away, using the restroom and going to their assigned group. Group 2 was located on the left side of the gym and group 1 was located on the right side of the gym. The groups gathered sitting in a line to review the plan for the day. After the plan for the day was reviewed with the children. Group 1 had one (1) staff member with thirteen (13) children aged five to eight years old. At 2:47p the group lined up to transition outside. Once outside side, the group was offered snack outdoors and then the children transitioned to free play with the climbing structures, and gaga pit. Group 2 had one (1) staff member with fifteen (15) children ages eight to twelve years old transitioned to free paly centers in the gym. At 3:18 three (3) children arrived from their afterschool clubs bringing the total for group 2 to eighteen (18) children ages eight to twelve years old. At 3:27p the group lined up to transition outdoors for gross motor play. Snack today was Beef jack links, sunflower seed, crackers, applesauce, and juice. At 4:30p group 1 returned to the gym for free play. The staff and training worksheet was not received prior to the visit. A blank staff and training worksheet was completed for my records to track what items were viewed for the two (2) new staff members and the one (1) existing staff member. I stated that Ms. Burke will need to submit the completed staff and training worksheet signed within twenty-four (24) hours. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation, the facility will pursue Classroom and Instructional Quality Pathway. We reviewed Classroom and Instructional Quality Pathway. A new curriculum is needed. The next steps include buying the approved curriculum materials, training staff to use the curriculum, putting the curriculum into practice in classrooms, and making sure the administrator gets coaching and training. The program is currently considering the Funny Daffers curriculum, which was recently approved by the Division. The facility plans to apply for a rated license by September 30, 2026. Administrator Delaney Burke explained that the program will need time to: obtain the new curriculum, Train staff on its use, begin classroom implementation, and hire additional staff for the site. All facility licenses are to be reassessed by December 31, 2026. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure time for 11/19/2025 was not completed on the hard copy sign-in and out sheet and the staff member was unable to show me electronically when the children were signed out on 11/19/2025. 10A NCAC 09 .0302(d)(4) 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. Staff member hired 10/13/2025 did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 10/13/2025 did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 9/10/2018 did not have an annual health questionnaire on file following the initial medical statement. The last annual health questionnaire on file was dated 9/18/2024. .0701(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the three (3) staff, including the administrator, that are hired by YMCA WD Williams Afterschool. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 125- Departure time for 11/19/2025 was not completed on the hard copy sign-in and out sheet and the staff member was unable to show me electronically when the children were signed out on 11/19/2025. We discussed that the staff member would need to complete the sign-in and out times on the hard copy until they have been trained on how to access the report to show the sign-in and out times electronically for each child. It is also best practice to keep the sign-in and out times on the hard copy should the electronic system is down. Rule Reference: 10A NCAC 09.0302(d)(4) Item 1032- Staff member hired 10/13/2025 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. We discussed prior to staff member being employed by the facility, the staff member would need to submit a complete medical report that is no more than twelve (12) months old. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 10/13/2025 did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. We discussed prior to staff member being employed by the facility, the staff member would need to submit a negative TB that is no more than twelve (12) months old. Rule Reference: .0701(a) Item 1034- Staff member hired 9/10/2018 did not have an annual health questionnaire on file following the initial medical statement. The last annual health questionnaire on file was dated 9/18/2024. We discussed that all staff should complete the annual health questionnaire during the opening meetings to prevent issues from happening again. The administrator noted that she has completed the questionnaire but is unsure why it is not uploaded in the system. She explained that the program is using a new system and she is still learning how to navigate it. Rule Reference: 10A NCAC 09.0701(a) Item 1805- The child care operator has not notified the Division of the three (3) staff, including the administrator, that are hired by YMCA WD Williams Afterschool. We discussed that after completion of the ABCMS provider portal training, the staff who completed the training must verify the currently employed staff roster. The administrator stated that all staff are listed under YMCA Oakley. However, we discussed per rule each YMCA facility must verify its staff roster in the ABCMS portal to ensure only currently employed staff members are listed. Rosters must reflect the staff currently assigned to care for children at each location. New and terminated staff notification requirement: 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 or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/4/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed that an updated legal designee is needed. -ABCMS portal will need to be updated to reflect the staff members that are hired and assigned to YMCA WD Williams. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 31 Completed Date: 11/20/2025 Age: From 5 To 12 Total Minutes: 195 Time In: 02:30 PM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kat Lathrop, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with to you. Kat Lathrop, Program Coordinator, was available during the visit. Samantha Applegate, Site Supervisor, and Delaney Burke, Senior Director of Operations, was available to review staff files and children’s files via TEAMS. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 11/20/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 11/17/2025. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school-age only, meets enhanced space, meets reduced ratios. Playground area does not meet child care safety standards. We discussed that removal of the restriction playground area does not meet child care safety standards is needed per Session Law 2025-36. A permit change packet will be completed and sent in to the Raleigh office. Once you receive the new license in the mail, you will take down the previous license and post the new license. When you remove the previous license, you will mail it to me as it is property of the State and must be mailed into the Raleigh office. During today’s visit, we discussed the removal of the restriction playground area does not meet child care safety standards per Session Law 2025-36. The last annual compliance visit was conducted on 11/26/2024. The last fire drill was practiced on 10/31/2025. The last shelter-in-place drill was practiced on 8/28/2025. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/11/2024 without hazards. The Clean Classrooms for Carolina Kids™ team determined that YMCA W.D. WILLIAMS AFTERSCHOOL was exempt from the lead-based paint assessment requirements. The facility provided the appropriate documentation to show all buildings were built after 1978 and no lead-based paint was used in order to meet the building age exemption criteria per 10A NCAC 41C.1004.. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all buses are at adequate depth. When I arrived at 2:33pm, I was greeted by Kat Lathrop, Program Coordinator. The group of five to twelve year olds were located in the gym. There were twenty-eight (28) children and two (2) staff. The children entered the gym, putting their belongings away, using the restroom and going to their assigned group. Group 2 was located on the left side of the gym and group 1 was located on the right side of the gym. The groups gathered sitting in a line to review the plan for the day. After the plan for the day was reviewed with the children. Group 1 had one (1) staff member with thirteen (13) children aged five to eight years old. At 2:47p the group lined up to transition outside. Once outside side, the group was offered snack outdoors and then the children transitioned to free play with the climbing structures, and gaga pit. Group 2 had one (1) staff member with fifteen (15) children ages eight to twelve years old transitioned to free paly centers in the gym. At 3:18 three (3) children arrived from their afterschool clubs bringing the total for group 2 to eighteen (18) children ages eight to twelve years old. At 3:27p the group lined up to transition outdoors for gross motor play. Snack today was Beef jack links, sunflower seed, crackers, applesauce, and juice. At 4:30p group 1 returned to the gym for free play. The staff and training worksheet was not received prior to the visit. A blank staff and training worksheet was completed for my records to track what items were viewed for the two (2) new staff members and the one (1) existing staff member. I stated that Ms. Burke will need to submit the completed staff and training worksheet signed within twenty-four (24) hours. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation, the facility will pursue Classroom and Instructional Quality Pathway. We reviewed Classroom and Instructional Quality Pathway. A new curriculum is needed. The next steps include buying the approved curriculum materials, training staff to use the curriculum, putting the curriculum into practice in classrooms, and making sure the administrator gets coaching and training. The program is currently considering the Funny Daffers curriculum, which was recently approved by the Division. The facility plans to apply for a rated license by September 30, 2026. Administrator Delaney Burke explained that the program will need time to: obtain the new curriculum, Train staff on its use, begin classroom implementation, and hire additional staff for the site. All facility licenses are to be reassessed by December 31, 2026. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure time for 11/19/2025 was not completed on the hard copy sign-in and out sheet and the staff member was unable to show me electronically when the children were signed out on 11/19/2025. 10A NCAC 09 .0302(d)(4) 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. Staff member hired 10/13/2025 did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 10/13/2025 did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 9/10/2018 did not have an annual health questionnaire on file following the initial medical statement. The last annual health questionnaire on file was dated 9/18/2024. .0701(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the three (3) staff, including the administrator, that are hired by YMCA WD Williams Afterschool. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 125- Departure time for 11/19/2025 was not completed on the hard copy sign-in and out sheet and the staff member was unable to show me electronically when the children were signed out on 11/19/2025. We discussed that the staff member would need to complete the sign-in and out times on the hard copy until they have been trained on how to access the report to show the sign-in and out times electronically for each child. It is also best practice to keep the sign-in and out times on the hard copy should the electronic system is down. Rule Reference: 10A NCAC 09.0302(d)(4) Item 1032- Staff member hired 10/13/2025 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. We discussed prior to staff member being employed by the facility, the staff member would need to submit a complete medical report that is no more than twelve (12) months old. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 10/13/2025 did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. We discussed prior to staff member being employed by the facility, the staff member would need to submit a negative TB that is no more than twelve (12) months old. Rule Reference: .0701(a) Item 1034- Staff member hired 9/10/2018 did not have an annual health questionnaire on file following the initial medical statement. The last annual health questionnaire on file was dated 9/18/2024. We discussed that all staff should complete the annual health questionnaire during the opening meetings to prevent issues from happening again. The administrator noted that she has completed the questionnaire but is unsure why it is not uploaded in the system. She explained that the program is using a new system and she is still learning how to navigate it. Rule Reference: 10A NCAC 09.0701(a) Item 1805- The child care operator has not notified the Division of the three (3) staff, including the administrator, that are hired by YMCA WD Williams Afterschool. We discussed that after completion of the ABCMS provider portal training, the staff who completed the training must verify the currently employed staff roster. The administrator stated that all staff are listed under YMCA Oakley. However, we discussed per rule each YMCA facility must verify its staff roster in the ABCMS portal to ensure only currently employed staff members are listed. Rosters must reflect the staff currently assigned to care for children at each location. New and terminated staff notification requirement: 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 or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/4/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed that an updated legal designee is needed. -ABCMS portal will need to be updated to reflect the staff members that are hired and assigned to YMCA WD Williams. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 31 Completed Date: 11/20/2025 Age: From 5 To 12 Total Minutes: 195 Time In: 02:30 PM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kat Lathrop, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with to you. Kat Lathrop, Program Coordinator, was available during the visit. Samantha Applegate, Site Supervisor, and Delaney Burke, Senior Director of Operations, was available to review staff files and children’s files via TEAMS. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 11/20/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 11/17/2025. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school-age only, meets enhanced space, meets reduced ratios. Playground area does not meet child care safety standards. We discussed that removal of the restriction playground area does not meet child care safety standards is needed per Session Law 2025-36. A permit change packet will be completed and sent in to the Raleigh office. Once you receive the new license in the mail, you will take down the previous license and post the new license. When you remove the previous license, you will mail it to me as it is property of the State and must be mailed into the Raleigh office. During today’s visit, we discussed the removal of the restriction playground area does not meet child care safety standards per Session Law 2025-36. The last annual compliance visit was conducted on 11/26/2024. The last fire drill was practiced on 10/31/2025. The last shelter-in-place drill was practiced on 8/28/2025. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/11/2024 without hazards. The Clean Classrooms for Carolina Kids™ team determined that YMCA W.D. WILLIAMS AFTERSCHOOL was exempt from the lead-based paint assessment requirements. The facility provided the appropriate documentation to show all buildings were built after 1978 and no lead-based paint was used in order to meet the building age exemption criteria per 10A NCAC 41C.1004.. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all buses are at adequate depth. When I arrived at 2:33pm, I was greeted by Kat Lathrop, Program Coordinator. The group of five to twelve year olds were located in the gym. There were twenty-eight (28) children and two (2) staff. The children entered the gym, putting their belongings away, using the restroom and going to their assigned group. Group 2 was located on the left side of the gym and group 1 was located on the right side of the gym. The groups gathered sitting in a line to review the plan for the day. After the plan for the day was reviewed with the children. Group 1 had one (1) staff member with thirteen (13) children aged five to eight years old. At 2:47p the group lined up to transition outside. Once outside side, the group was offered snack outdoors and then the children transitioned to free play with the climbing structures, and gaga pit. Group 2 had one (1) staff member with fifteen (15) children ages eight to twelve years old transitioned to free paly centers in the gym. At 3:18 three (3) children arrived from their afterschool clubs bringing the total for group 2 to eighteen (18) children ages eight to twelve years old. At 3:27p the group lined up to transition outdoors for gross motor play. Snack today was Beef jack links, sunflower seed, crackers, applesauce, and juice. At 4:30p group 1 returned to the gym for free play. The staff and training worksheet was not received prior to the visit. A blank staff and training worksheet was completed for my records to track what items were viewed for the two (2) new staff members and the one (1) existing staff member. I stated that Ms. Burke will need to submit the completed staff and training worksheet signed within twenty-four (24) hours. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation, the facility will pursue Classroom and Instructional Quality Pathway. We reviewed Classroom and Instructional Quality Pathway. A new curriculum is needed. The next steps include buying the approved curriculum materials, training staff to use the curriculum, putting the curriculum into practice in classrooms, and making sure the administrator gets coaching and training. The program is currently considering the Funny Daffers curriculum, which was recently approved by the Division. The facility plans to apply for a rated license by September 30, 2026. Administrator Delaney Burke explained that the program will need time to: obtain the new curriculum, Train staff on its use, begin classroom implementation, and hire additional staff for the site. All facility licenses are to be reassessed by December 31, 2026. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure time for 11/19/2025 was not completed on the hard copy sign-in and out sheet and the staff member was unable to show me electronically when the children were signed out on 11/19/2025. 10A NCAC 09 .0302(d)(4) 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. Staff member hired 10/13/2025 did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 10/13/2025 did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 9/10/2018 did not have an annual health questionnaire on file following the initial medical statement. The last annual health questionnaire on file was dated 9/18/2024. .0701(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the three (3) staff, including the administrator, that are hired by YMCA WD Williams Afterschool. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 125- Departure time for 11/19/2025 was not completed on the hard copy sign-in and out sheet and the staff member was unable to show me electronically when the children were signed out on 11/19/2025. We discussed that the staff member would need to complete the sign-in and out times on the hard copy until they have been trained on how to access the report to show the sign-in and out times electronically for each child. It is also best practice to keep the sign-in and out times on the hard copy should the electronic system is down. Rule Reference: 10A NCAC 09.0302(d)(4) Item 1032- Staff member hired 10/13/2025 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. We discussed prior to staff member being employed by the facility, the staff member would need to submit a complete medical report that is no more than twelve (12) months old. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 10/13/2025 did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. We discussed prior to staff member being employed by the facility, the staff member would need to submit a negative TB that is no more than twelve (12) months old. Rule Reference: .0701(a) Item 1034- Staff member hired 9/10/2018 did not have an annual health questionnaire on file following the initial medical statement. The last annual health questionnaire on file was dated 9/18/2024. We discussed that all staff should complete the annual health questionnaire during the opening meetings to prevent issues from happening again. The administrator noted that she has completed the questionnaire but is unsure why it is not uploaded in the system. She explained that the program is using a new system and she is still learning how to navigate it. Rule Reference: 10A NCAC 09.0701(a) Item 1805- The child care operator has not notified the Division of the three (3) staff, including the administrator, that are hired by YMCA WD Williams Afterschool. We discussed that after completion of the ABCMS provider portal training, the staff who completed the training must verify the currently employed staff roster. The administrator stated that all staff are listed under YMCA Oakley. However, we discussed per rule each YMCA facility must verify its staff roster in the ABCMS portal to ensure only currently employed staff members are listed. Rosters must reflect the staff currently assigned to care for children at each location. New and terminated staff notification requirement: 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 or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/4/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed that an updated legal designee is needed. -ABCMS portal will need to be updated to reflect the staff members that are hired and assigned to YMCA WD Williams. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 31 Completed Date: 11/20/2025 Age: From 5 To 12 Total Minutes: 195 Time In: 02:30 PM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kat Lathrop, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with to you. Kat Lathrop, Program Coordinator, was available during the visit. Samantha Applegate, Site Supervisor, and Delaney Burke, Senior Director of Operations, was available to review staff files and children’s files via TEAMS. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 11/20/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 11/17/2025. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school-age only, meets enhanced space, meets reduced ratios. Playground area does not meet child care safety standards. We discussed that removal of the restriction playground area does not meet child care safety standards is needed per Session Law 2025-36. A permit change packet will be completed and sent in to the Raleigh office. Once you receive the new license in the mail, you will take down the previous license and post the new license. When you remove the previous license, you will mail it to me as it is property of the State and must be mailed into the Raleigh office. During today’s visit, we discussed the removal of the restriction playground area does not meet child care safety standards per Session Law 2025-36. The last annual compliance visit was conducted on 11/26/2024. The last fire drill was practiced on 10/31/2025. The last shelter-in-place drill was practiced on 8/28/2025. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/11/2024 without hazards. The Clean Classrooms for Carolina Kids™ team determined that YMCA W.D. WILLIAMS AFTERSCHOOL was exempt from the lead-based paint assessment requirements. The facility provided the appropriate documentation to show all buildings were built after 1978 and no lead-based paint was used in order to meet the building age exemption criteria per 10A NCAC 41C.1004.. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all buses are at adequate depth. When I arrived at 2:33pm, I was greeted by Kat Lathrop, Program Coordinator. The group of five to twelve year olds were located in the gym. There were twenty-eight (28) children and two (2) staff. The children entered the gym, putting their belongings away, using the restroom and going to their assigned group. Group 2 was located on the left side of the gym and group 1 was located on the right side of the gym. The groups gathered sitting in a line to review the plan for the day. After the plan for the day was reviewed with the children. Group 1 had one (1) staff member with thirteen (13) children aged five to eight years old. At 2:47p the group lined up to transition outside. Once outside side, the group was offered snack outdoors and then the children transitioned to free play with the climbing structures, and gaga pit. Group 2 had one (1) staff member with fifteen (15) children ages eight to twelve years old transitioned to free paly centers in the gym. At 3:18 three (3) children arrived from their afterschool clubs bringing the total for group 2 to eighteen (18) children ages eight to twelve years old. At 3:27p the group lined up to transition outdoors for gross motor play. Snack today was Beef jack links, sunflower seed, crackers, applesauce, and juice. At 4:30p group 1 returned to the gym for free play. The staff and training worksheet was not received prior to the visit. A blank staff and training worksheet was completed for my records to track what items were viewed for the two (2) new staff members and the one (1) existing staff member. I stated that Ms. Burke will need to submit the completed staff and training worksheet signed within twenty-four (24) hours. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation, the facility will pursue Classroom and Instructional Quality Pathway. We reviewed Classroom and Instructional Quality Pathway. A new curriculum is needed. The next steps include buying the approved curriculum materials, training staff to use the curriculum, putting the curriculum into practice in classrooms, and making sure the administrator gets coaching and training. The program is currently considering the Funny Daffers curriculum, which was recently approved by the Division. The facility plans to apply for a rated license by September 30, 2026. Administrator Delaney Burke explained that the program will need time to: obtain the new curriculum, Train staff on its use, begin classroom implementation, and hire additional staff for the site. All facility licenses are to be reassessed by December 31, 2026. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure time for 11/19/2025 was not completed on the hard copy sign-in and out sheet and the staff member was unable to show me electronically when the children were signed out on 11/19/2025. 10A NCAC 09 .0302(d)(4) 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. Staff member hired 10/13/2025 did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 10/13/2025 did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 9/10/2018 did not have an annual health questionnaire on file following the initial medical statement. The last annual health questionnaire on file was dated 9/18/2024. .0701(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the three (3) staff, including the administrator, that are hired by YMCA WD Williams Afterschool. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 125- Departure time for 11/19/2025 was not completed on the hard copy sign-in and out sheet and the staff member was unable to show me electronically when the children were signed out on 11/19/2025. We discussed that the staff member would need to complete the sign-in and out times on the hard copy until they have been trained on how to access the report to show the sign-in and out times electronically for each child. It is also best practice to keep the sign-in and out times on the hard copy should the electronic system is down. Rule Reference: 10A NCAC 09.0302(d)(4) Item 1032- Staff member hired 10/13/2025 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. We discussed prior to staff member being employed by the facility, the staff member would need to submit a complete medical report that is no more than twelve (12) months old. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 10/13/2025 did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. We discussed prior to staff member being employed by the facility, the staff member would need to submit a negative TB that is no more than twelve (12) months old. Rule Reference: .0701(a) Item 1034- Staff member hired 9/10/2018 did not have an annual health questionnaire on file following the initial medical statement. The last annual health questionnaire on file was dated 9/18/2024. We discussed that all staff should complete the annual health questionnaire during the opening meetings to prevent issues from happening again. The administrator noted that she has completed the questionnaire but is unsure why it is not uploaded in the system. She explained that the program is using a new system and she is still learning how to navigate it. Rule Reference: 10A NCAC 09.0701(a) Item 1805- The child care operator has not notified the Division of the three (3) staff, including the administrator, that are hired by YMCA WD Williams Afterschool. We discussed that after completion of the ABCMS provider portal training, the staff who completed the training must verify the currently employed staff roster. The administrator stated that all staff are listed under YMCA Oakley. However, we discussed per rule each YMCA facility must verify its staff roster in the ABCMS portal to ensure only currently employed staff members are listed. Rosters must reflect the staff currently assigned to care for children at each location. New and terminated staff notification requirement: 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 or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/4/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed that an updated legal designee is needed. -ABCMS portal will need to be updated to reflect the staff members that are hired and assigned to YMCA WD Williams. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0302 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 31 Completed Date: 11/20/2025 Age: From 5 To 12 Total Minutes: 195 Time In: 02:30 PM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kat Lathrop, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with to you. Kat Lathrop, Program Coordinator, was available during the visit. Samantha Applegate, Site Supervisor, and Delaney Burke, Senior Director of Operations, was available to review staff files and children’s files via TEAMS. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 11/20/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 11/17/2025. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school-age only, meets enhanced space, meets reduced ratios. Playground area does not meet child care safety standards. We discussed that removal of the restriction playground area does not meet child care safety standards is needed per Session Law 2025-36. A permit change packet will be completed and sent in to the Raleigh office. Once you receive the new license in the mail, you will take down the previous license and post the new license. When you remove the previous license, you will mail it to me as it is property of the State and must be mailed into the Raleigh office. During today’s visit, we discussed the removal of the restriction playground area does not meet child care safety standards per Session Law 2025-36. The last annual compliance visit was conducted on 11/26/2024. The last fire drill was practiced on 10/31/2025. The last shelter-in-place drill was practiced on 8/28/2025. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/11/2024 without hazards. The Clean Classrooms for Carolina Kids™ team determined that YMCA W.D. WILLIAMS AFTERSCHOOL was exempt from the lead-based paint assessment requirements. The facility provided the appropriate documentation to show all buildings were built after 1978 and no lead-based paint was used in order to meet the building age exemption criteria per 10A NCAC 41C.1004.. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all buses are at adequate depth. When I arrived at 2:33pm, I was greeted by Kat Lathrop, Program Coordinator. The group of five to twelve year olds were located in the gym. There were twenty-eight (28) children and two (2) staff. The children entered the gym, putting their belongings away, using the restroom and going to their assigned group. Group 2 was located on the left side of the gym and group 1 was located on the right side of the gym. The groups gathered sitting in a line to review the plan for the day. After the plan for the day was reviewed with the children. Group 1 had one (1) staff member with thirteen (13) children aged five to eight years old. At 2:47p the group lined up to transition outside. Once outside side, the group was offered snack outdoors and then the children transitioned to free play with the climbing structures, and gaga pit. Group 2 had one (1) staff member with fifteen (15) children ages eight to twelve years old transitioned to free paly centers in the gym. At 3:18 three (3) children arrived from their afterschool clubs bringing the total for group 2 to eighteen (18) children ages eight to twelve years old. At 3:27p the group lined up to transition outdoors for gross motor play. Snack today was Beef jack links, sunflower seed, crackers, applesauce, and juice. At 4:30p group 1 returned to the gym for free play. The staff and training worksheet was not received prior to the visit. A blank staff and training worksheet was completed for my records to track what items were viewed for the two (2) new staff members and the one (1) existing staff member. I stated that Ms. Burke will need to submit the completed staff and training worksheet signed within twenty-four (24) hours. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation, the facility will pursue Classroom and Instructional Quality Pathway. We reviewed Classroom and Instructional Quality Pathway. A new curriculum is needed. The next steps include buying the approved curriculum materials, training staff to use the curriculum, putting the curriculum into practice in classrooms, and making sure the administrator gets coaching and training. The program is currently considering the Funny Daffers curriculum, which was recently approved by the Division. The facility plans to apply for a rated license by September 30, 2026. Administrator Delaney Burke explained that the program will need time to: obtain the new curriculum, Train staff on its use, begin classroom implementation, and hire additional staff for the site. All facility licenses are to be reassessed by December 31, 2026. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure time for 11/19/2025 was not completed on the hard copy sign-in and out sheet and the staff member was unable to show me electronically when the children were signed out on 11/19/2025. 10A NCAC 09 .0302(d)(4) 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. Staff member hired 10/13/2025 did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 10/13/2025 did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 9/10/2018 did not have an annual health questionnaire on file following the initial medical statement. The last annual health questionnaire on file was dated 9/18/2024. .0701(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the three (3) staff, including the administrator, that are hired by YMCA WD Williams Afterschool. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 125- Departure time for 11/19/2025 was not completed on the hard copy sign-in and out sheet and the staff member was unable to show me electronically when the children were signed out on 11/19/2025. We discussed that the staff member would need to complete the sign-in and out times on the hard copy until they have been trained on how to access the report to show the sign-in and out times electronically for each child. It is also best practice to keep the sign-in and out times on the hard copy should the electronic system is down. Rule Reference: 10A NCAC 09.0302(d)(4) Item 1032- Staff member hired 10/13/2025 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. We discussed prior to staff member being employed by the facility, the staff member would need to submit a complete medical report that is no more than twelve (12) months old. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 10/13/2025 did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. We discussed prior to staff member being employed by the facility, the staff member would need to submit a negative TB that is no more than twelve (12) months old. Rule Reference: .0701(a) Item 1034- Staff member hired 9/10/2018 did not have an annual health questionnaire on file following the initial medical statement. The last annual health questionnaire on file was dated 9/18/2024. We discussed that all staff should complete the annual health questionnaire during the opening meetings to prevent issues from happening again. The administrator noted that she has completed the questionnaire but is unsure why it is not uploaded in the system. She explained that the program is using a new system and she is still learning how to navigate it. Rule Reference: 10A NCAC 09.0701(a) Item 1805- The child care operator has not notified the Division of the three (3) staff, including the administrator, that are hired by YMCA WD Williams Afterschool. We discussed that after completion of the ABCMS provider portal training, the staff who completed the training must verify the currently employed staff roster. The administrator stated that all staff are listed under YMCA Oakley. However, we discussed per rule each YMCA facility must verify its staff roster in the ABCMS portal to ensure only currently employed staff members are listed. Rosters must reflect the staff currently assigned to care for children at each location. New and terminated staff notification requirement: 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 or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/4/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed that an updated legal designee is needed. -ABCMS portal will need to be updated to reflect the staff members that are hired and assigned to YMCA WD Williams. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09.0701 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 31 Completed Date: 11/20/2025 Age: From 5 To 12 Total Minutes: 195 Time In: 02:30 PM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kat Lathrop, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with to you. Kat Lathrop, Program Coordinator, was available during the visit. Samantha Applegate, Site Supervisor, and Delaney Burke, Senior Director of Operations, was available to review staff files and children’s files via TEAMS. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 11/20/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 11/17/2025. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school-age only, meets enhanced space, meets reduced ratios. Playground area does not meet child care safety standards. We discussed that removal of the restriction playground area does not meet child care safety standards is needed per Session Law 2025-36. A permit change packet will be completed and sent in to the Raleigh office. Once you receive the new license in the mail, you will take down the previous license and post the new license. When you remove the previous license, you will mail it to me as it is property of the State and must be mailed into the Raleigh office. During today’s visit, we discussed the removal of the restriction playground area does not meet child care safety standards per Session Law 2025-36. The last annual compliance visit was conducted on 11/26/2024. The last fire drill was practiced on 10/31/2025. The last shelter-in-place drill was practiced on 8/28/2025. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/11/2024 without hazards. The Clean Classrooms for Carolina Kids™ team determined that YMCA W.D. WILLIAMS AFTERSCHOOL was exempt from the lead-based paint assessment requirements. The facility provided the appropriate documentation to show all buildings were built after 1978 and no lead-based paint was used in order to meet the building age exemption criteria per 10A NCAC 41C.1004.. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all buses are at adequate depth. When I arrived at 2:33pm, I was greeted by Kat Lathrop, Program Coordinator. The group of five to twelve year olds were located in the gym. There were twenty-eight (28) children and two (2) staff. The children entered the gym, putting their belongings away, using the restroom and going to their assigned group. Group 2 was located on the left side of the gym and group 1 was located on the right side of the gym. The groups gathered sitting in a line to review the plan for the day. After the plan for the day was reviewed with the children. Group 1 had one (1) staff member with thirteen (13) children aged five to eight years old. At 2:47p the group lined up to transition outside. Once outside side, the group was offered snack outdoors and then the children transitioned to free play with the climbing structures, and gaga pit. Group 2 had one (1) staff member with fifteen (15) children ages eight to twelve years old transitioned to free paly centers in the gym. At 3:18 three (3) children arrived from their afterschool clubs bringing the total for group 2 to eighteen (18) children ages eight to twelve years old. At 3:27p the group lined up to transition outdoors for gross motor play. Snack today was Beef jack links, sunflower seed, crackers, applesauce, and juice. At 4:30p group 1 returned to the gym for free play. The staff and training worksheet was not received prior to the visit. A blank staff and training worksheet was completed for my records to track what items were viewed for the two (2) new staff members and the one (1) existing staff member. I stated that Ms. Burke will need to submit the completed staff and training worksheet signed within twenty-four (24) hours. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation, the facility will pursue Classroom and Instructional Quality Pathway. We reviewed Classroom and Instructional Quality Pathway. A new curriculum is needed. The next steps include buying the approved curriculum materials, training staff to use the curriculum, putting the curriculum into practice in classrooms, and making sure the administrator gets coaching and training. The program is currently considering the Funny Daffers curriculum, which was recently approved by the Division. The facility plans to apply for a rated license by September 30, 2026. Administrator Delaney Burke explained that the program will need time to: obtain the new curriculum, Train staff on its use, begin classroom implementation, and hire additional staff for the site. All facility licenses are to be reassessed by December 31, 2026. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure time for 11/19/2025 was not completed on the hard copy sign-in and out sheet and the staff member was unable to show me electronically when the children were signed out on 11/19/2025. 10A NCAC 09 .0302(d)(4) 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. Staff member hired 10/13/2025 did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 10/13/2025 did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 9/10/2018 did not have an annual health questionnaire on file following the initial medical statement. The last annual health questionnaire on file was dated 9/18/2024. .0701(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the three (3) staff, including the administrator, that are hired by YMCA WD Williams Afterschool. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 125- Departure time for 11/19/2025 was not completed on the hard copy sign-in and out sheet and the staff member was unable to show me electronically when the children were signed out on 11/19/2025. We discussed that the staff member would need to complete the sign-in and out times on the hard copy until they have been trained on how to access the report to show the sign-in and out times electronically for each child. It is also best practice to keep the sign-in and out times on the hard copy should the electronic system is down. Rule Reference: 10A NCAC 09.0302(d)(4) Item 1032- Staff member hired 10/13/2025 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. We discussed prior to staff member being employed by the facility, the staff member would need to submit a complete medical report that is no more than twelve (12) months old. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 10/13/2025 did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. We discussed prior to staff member being employed by the facility, the staff member would need to submit a negative TB that is no more than twelve (12) months old. Rule Reference: .0701(a) Item 1034- Staff member hired 9/10/2018 did not have an annual health questionnaire on file following the initial medical statement. The last annual health questionnaire on file was dated 9/18/2024. We discussed that all staff should complete the annual health questionnaire during the opening meetings to prevent issues from happening again. The administrator noted that she has completed the questionnaire but is unsure why it is not uploaded in the system. She explained that the program is using a new system and she is still learning how to navigate it. Rule Reference: 10A NCAC 09.0701(a) Item 1805- The child care operator has not notified the Division of the three (3) staff, including the administrator, that are hired by YMCA WD Williams Afterschool. We discussed that after completion of the ABCMS provider portal training, the staff who completed the training must verify the currently employed staff roster. The administrator stated that all staff are listed under YMCA Oakley. However, we discussed per rule each YMCA facility must verify its staff roster in the ABCMS portal to ensure only currently employed staff members are listed. Rosters must reflect the staff currently assigned to care for children at each location. New and terminated staff notification requirement: 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 or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/4/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed that an updated legal designee is needed. -ABCMS portal will need to be updated to reflect the staff members that are hired and assigned to YMCA WD Williams. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 31 Completed Date: 11/20/2025 Age: From 5 To 12 Total Minutes: 195 Time In: 02:30 PM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kat Lathrop, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with to you. Kat Lathrop, Program Coordinator, was available during the visit. Samantha Applegate, Site Supervisor, and Delaney Burke, Senior Director of Operations, was available to review staff files and children’s files via TEAMS. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 11/20/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 11/17/2025. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school-age only, meets enhanced space, meets reduced ratios. Playground area does not meet child care safety standards. We discussed that removal of the restriction playground area does not meet child care safety standards is needed per Session Law 2025-36. A permit change packet will be completed and sent in to the Raleigh office. Once you receive the new license in the mail, you will take down the previous license and post the new license. When you remove the previous license, you will mail it to me as it is property of the State and must be mailed into the Raleigh office. During today’s visit, we discussed the removal of the restriction playground area does not meet child care safety standards per Session Law 2025-36. The last annual compliance visit was conducted on 11/26/2024. The last fire drill was practiced on 10/31/2025. The last shelter-in-place drill was practiced on 8/28/2025. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/11/2024 without hazards. The Clean Classrooms for Carolina Kids™ team determined that YMCA W.D. WILLIAMS AFTERSCHOOL was exempt from the lead-based paint assessment requirements. The facility provided the appropriate documentation to show all buildings were built after 1978 and no lead-based paint was used in order to meet the building age exemption criteria per 10A NCAC 41C.1004.. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all buses are at adequate depth. When I arrived at 2:33pm, I was greeted by Kat Lathrop, Program Coordinator. The group of five to twelve year olds were located in the gym. There were twenty-eight (28) children and two (2) staff. The children entered the gym, putting their belongings away, using the restroom and going to their assigned group. Group 2 was located on the left side of the gym and group 1 was located on the right side of the gym. The groups gathered sitting in a line to review the plan for the day. After the plan for the day was reviewed with the children. Group 1 had one (1) staff member with thirteen (13) children aged five to eight years old. At 2:47p the group lined up to transition outside. Once outside side, the group was offered snack outdoors and then the children transitioned to free play with the climbing structures, and gaga pit. Group 2 had one (1) staff member with fifteen (15) children ages eight to twelve years old transitioned to free paly centers in the gym. At 3:18 three (3) children arrived from their afterschool clubs bringing the total for group 2 to eighteen (18) children ages eight to twelve years old. At 3:27p the group lined up to transition outdoors for gross motor play. Snack today was Beef jack links, sunflower seed, crackers, applesauce, and juice. At 4:30p group 1 returned to the gym for free play. The staff and training worksheet was not received prior to the visit. A blank staff and training worksheet was completed for my records to track what items were viewed for the two (2) new staff members and the one (1) existing staff member. I stated that Ms. Burke will need to submit the completed staff and training worksheet signed within twenty-four (24) hours. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation, the facility will pursue Classroom and Instructional Quality Pathway. We reviewed Classroom and Instructional Quality Pathway. A new curriculum is needed. The next steps include buying the approved curriculum materials, training staff to use the curriculum, putting the curriculum into practice in classrooms, and making sure the administrator gets coaching and training. The program is currently considering the Funny Daffers curriculum, which was recently approved by the Division. The facility plans to apply for a rated license by September 30, 2026. Administrator Delaney Burke explained that the program will need time to: obtain the new curriculum, Train staff on its use, begin classroom implementation, and hire additional staff for the site. All facility licenses are to be reassessed by December 31, 2026. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure time for 11/19/2025 was not completed on the hard copy sign-in and out sheet and the staff member was unable to show me electronically when the children were signed out on 11/19/2025. 10A NCAC 09 .0302(d)(4) 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. Staff member hired 10/13/2025 did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 10/13/2025 did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 9/10/2018 did not have an annual health questionnaire on file following the initial medical statement. The last annual health questionnaire on file was dated 9/18/2024. .0701(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the three (3) staff, including the administrator, that are hired by YMCA WD Williams Afterschool. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 125- Departure time for 11/19/2025 was not completed on the hard copy sign-in and out sheet and the staff member was unable to show me electronically when the children were signed out on 11/19/2025. We discussed that the staff member would need to complete the sign-in and out times on the hard copy until they have been trained on how to access the report to show the sign-in and out times electronically for each child. It is also best practice to keep the sign-in and out times on the hard copy should the electronic system is down. Rule Reference: 10A NCAC 09.0302(d)(4) Item 1032- Staff member hired 10/13/2025 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. We discussed prior to staff member being employed by the facility, the staff member would need to submit a complete medical report that is no more than twelve (12) months old. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 10/13/2025 did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. We discussed prior to staff member being employed by the facility, the staff member would need to submit a negative TB that is no more than twelve (12) months old. Rule Reference: .0701(a) Item 1034- Staff member hired 9/10/2018 did not have an annual health questionnaire on file following the initial medical statement. The last annual health questionnaire on file was dated 9/18/2024. We discussed that all staff should complete the annual health questionnaire during the opening meetings to prevent issues from happening again. The administrator noted that she has completed the questionnaire but is unsure why it is not uploaded in the system. She explained that the program is using a new system and she is still learning how to navigate it. Rule Reference: 10A NCAC 09.0701(a) Item 1805- The child care operator has not notified the Division of the three (3) staff, including the administrator, that are hired by YMCA WD Williams Afterschool. We discussed that after completion of the ABCMS provider portal training, the staff who completed the training must verify the currently employed staff roster. The administrator stated that all staff are listed under YMCA Oakley. However, we discussed per rule each YMCA facility must verify its staff roster in the ABCMS portal to ensure only currently employed staff members are listed. Rosters must reflect the staff currently assigned to care for children at each location. New and terminated staff notification requirement: 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 or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/4/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed that an updated legal designee is needed. -ABCMS portal will need to be updated to reflect the staff members that are hired and assigned to YMCA WD Williams. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 31 Completed Date: 11/20/2025 Age: From 5 To 12 Total Minutes: 195 Time In: 02:30 PM Time Out: 05:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Kat Lathrop, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with to you. Kat Lathrop, Program Coordinator, was available during the visit. Samantha Applegate, Site Supervisor, and Delaney Burke, Senior Director of Operations, was available to review staff files and children’s files via TEAMS. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 11/20/2025. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men`s Christian Association of Western North Carolina, Inc., is current/active as of 11/17/2025. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school-age only, meets enhanced space, meets reduced ratios. Playground area does not meet child care safety standards. We discussed that removal of the restriction playground area does not meet child care safety standards is needed per Session Law 2025-36. A permit change packet will be completed and sent in to the Raleigh office. Once you receive the new license in the mail, you will take down the previous license and post the new license. When you remove the previous license, you will mail it to me as it is property of the State and must be mailed into the Raleigh office. During today’s visit, we discussed the removal of the restriction playground area does not meet child care safety standards per Session Law 2025-36. The last annual compliance visit was conducted on 11/26/2024. The last fire drill was practiced on 10/31/2025. The last shelter-in-place drill was practiced on 8/28/2025. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 7/11/2024 without hazards. The Clean Classrooms for Carolina Kids™ team determined that YMCA W.D. WILLIAMS AFTERSCHOOL was exempt from the lead-based paint assessment requirements. The facility provided the appropriate documentation to show all buildings were built after 1978 and no lead-based paint was used in order to meet the building age exemption criteria per 10A NCAC 41C.1004.. The program does provide transportation. Buses were monitored on 6/4/2025 by Kaitlyn Marshall, Child Care Consultant at Beaverdam Location at 201 Beaverdam Rd., Asheville, NC 28804. The following buses were monitored: 1) M4 2) M7 3) M12 4) M16 5) B11 6) B4 7) B2- currently not used, awaiting repairs 8) B5 9) B1- currently not used, awaiting repairs All working buses have valid insurance from West Bend Mutual Insurance expiring on 10/1/25. Three (3) working vehicles had valid registration cards. Fire extinguishers and first aid kits are all accessible in all working buses. Fire extinguishers are mounted securely, and first aid kits are either mounted or stored in compartments. The condition of the interior of each vehicle was monitored. Tears are temporarily repaired with duct/vinyl tape. Tears accessible to children are noted in the violation customization below. Windows are in good repair on all working vehicles. The tread on the tires on all buses are at adequate depth. When I arrived at 2:33pm, I was greeted by Kat Lathrop, Program Coordinator. The group of five to twelve year olds were located in the gym. There were twenty-eight (28) children and two (2) staff. The children entered the gym, putting their belongings away, using the restroom and going to their assigned group. Group 2 was located on the left side of the gym and group 1 was located on the right side of the gym. The groups gathered sitting in a line to review the plan for the day. After the plan for the day was reviewed with the children. Group 1 had one (1) staff member with thirteen (13) children aged five to eight years old. At 2:47p the group lined up to transition outside. Once outside side, the group was offered snack outdoors and then the children transitioned to free play with the climbing structures, and gaga pit. Group 2 had one (1) staff member with fifteen (15) children ages eight to twelve years old transitioned to free paly centers in the gym. At 3:18 three (3) children arrived from their afterschool clubs bringing the total for group 2 to eighteen (18) children ages eight to twelve years old. At 3:27p the group lined up to transition outdoors for gross motor play. Snack today was Beef jack links, sunflower seed, crackers, applesauce, and juice. At 4:30p group 1 returned to the gym for free play. The staff and training worksheet was not received prior to the visit. A blank staff and training worksheet was completed for my records to track what items were viewed for the two (2) new staff members and the one (1) existing staff member. I stated that Ms. Burke will need to submit the completed staff and training worksheet signed within twenty-four (24) hours. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation, the facility will pursue Classroom and Instructional Quality Pathway. We reviewed Classroom and Instructional Quality Pathway. A new curriculum is needed. The next steps include buying the approved curriculum materials, training staff to use the curriculum, putting the curriculum into practice in classrooms, and making sure the administrator gets coaching and training. The program is currently considering the Funny Daffers curriculum, which was recently approved by the Division. The facility plans to apply for a rated license by September 30, 2026. Administrator Delaney Burke explained that the program will need time to: obtain the new curriculum, Train staff on its use, begin classroom implementation, and hire additional staff for the site. All facility licenses are to be reassessed by December 31, 2026. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. Departure time for 11/19/2025 was not completed on the hard copy sign-in and out sheet and the staff member was unable to show me electronically when the children were signed out on 11/19/2025. 10A NCAC 09 .0302(d)(4) 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. Staff member hired 10/13/2025 did not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Staff member hired 10/13/2025 did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 9/10/2018 did not have an annual health questionnaire on file following the initial medical statement. The last annual health questionnaire on file was dated 9/18/2024. .0701(a) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. The child care operator has not notified the Division of the three (3) staff, including the administrator, that are hired by YMCA WD Williams Afterschool. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item 125- Departure time for 11/19/2025 was not completed on the hard copy sign-in and out sheet and the staff member was unable to show me electronically when the children were signed out on 11/19/2025. We discussed that the staff member would need to complete the sign-in and out times on the hard copy until they have been trained on how to access the report to show the sign-in and out times electronically for each child. It is also best practice to keep the sign-in and out times on the hard copy should the electronic system is down. Rule Reference: 10A NCAC 09.0302(d)(4) Item 1032- Staff member hired 10/13/2025 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. We discussed prior to staff member being employed by the facility, the staff member would need to submit a complete medical report that is no more than twelve (12) months old. Rule Reference: 10A NCAC 09.0701(a) Item 1033- Staff member hired 10/13/2025 did not provide results indicating they were free of active TB and/or TB test or screening was older than 12 months. We discussed prior to staff member being employed by the facility, the staff member would need to submit a negative TB that is no more than twelve (12) months old. Rule Reference: .0701(a) Item 1034- Staff member hired 9/10/2018 did not have an annual health questionnaire on file following the initial medical statement. The last annual health questionnaire on file was dated 9/18/2024. We discussed that all staff should complete the annual health questionnaire during the opening meetings to prevent issues from happening again. The administrator noted that she has completed the questionnaire but is unsure why it is not uploaded in the system. She explained that the program is using a new system and she is still learning how to navigate it. Rule Reference: 10A NCAC 09.0701(a) Item 1805- The child care operator has not notified the Division of the three (3) staff, including the administrator, that are hired by YMCA WD Williams Afterschool. We discussed that after completion of the ABCMS provider portal training, the staff who completed the training must verify the currently employed staff roster. The administrator stated that all staff are listed under YMCA Oakley. However, we discussed per rule each YMCA facility must verify its staff roster in the ABCMS portal to ensure only currently employed staff members are listed. Rosters must reflect the staff currently assigned to care for children at each location. New and terminated staff notification requirement: 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 or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 12/4/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952 or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: -We discussed that an updated legal designee is needed. -ABCMS portal will need to be updated to reflect the staff members that are hired and assigned to YMCA WD Williams. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/7/2025 Number Present: 31 Completed Date: 4/7/2025 Age: From 5 To 11 Total Minutes: 90 Time In: 02:45 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with you. Alexis McCall, Program Coordinator, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/26/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The facility closed on 9/27/2024 to 10/28/2024 due to Tropical Storm Helene. The facility reopened on 10/16/2024 at an emergency relocation site due to damage sustained at the permanent location. On 10/28/2024, the facility was able to reopen at its permanent location. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – First shift, meets enhanced space, school-age only, meets reduced ratios; playground area does not meet child care safety standards. The last fire drill was practiced on 3/26/2025. The last emergency drill, shelter in place drill, was practiced on 2/5/2025. The last fire inspection was approved on 9/16/2024. The program’s most recent sanitation inspection was completed on 3/4/2025, with two (2) demerits. The Emergency Medical Care Plan is current and posted. When I arrived at 2:45pm, I was greeted by Alexis McCall, Program Coordinator. The group of five to twelve year olds were located in the gym. There were twenty-eight (28) children and two (2) staff. The children were observed gathered in a circle together having share time. The children shared what they did this weekend and how their day was going. Group 1 had twelve (12) children ages five to seven years old, and group 2 had sixteen (16) children ages eight to eleven years old. At 3:00p the groups separated out into centers. Once in centers, the children engaged in play with free art, dinosaurs, blocks, and games. Ms. McCall gave a five (5) minute warning at 3:30p. At. 3:33p the group began cleaning up, using the restroom, and preparing for snack. At 3:40pm, three (3) children arrived from clubs. At 3:45p, the group transitioned to the cafeteria for snack. Snack today was WOW butter, sunflower kernels, WG tortilla, jelly, applesauce, juice and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. While monitoring the playground for safety hazards, I observed the pea gravel low at the slide exit, and climbing walls. We discussed that more surfacing is needed. All medications on-site were monitored, and one (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. We reviewed that the action plans are required to updated yearly. Ms. McCall stated that she will get that to the parents tomorrow. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. 10A NCAC 09 .0803(1)(a & b) Technical assistance was provided as follows: Item 842 One (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. We reviewed that the action plans are required to be updated yearly. Ms. McCall stated that she will get that to the parents tomorrow. Rule reference: 10A NCAC 09 .0803(1)(a)&(b) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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 or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/7/2025 Number Present: 31 Completed Date: 4/7/2025 Age: From 5 To 11 Total Minutes: 90 Time In: 02:45 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with you. Alexis McCall, Program Coordinator, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/26/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The facility closed on 9/27/2024 to 10/28/2024 due to Tropical Storm Helene. The facility reopened on 10/16/2024 at an emergency relocation site due to damage sustained at the permanent location. On 10/28/2024, the facility was able to reopen at its permanent location. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – First shift, meets enhanced space, school-age only, meets reduced ratios; playground area does not meet child care safety standards. The last fire drill was practiced on 3/26/2025. The last emergency drill, shelter in place drill, was practiced on 2/5/2025. The last fire inspection was approved on 9/16/2024. The program’s most recent sanitation inspection was completed on 3/4/2025, with two (2) demerits. The Emergency Medical Care Plan is current and posted. When I arrived at 2:45pm, I was greeted by Alexis McCall, Program Coordinator. The group of five to twelve year olds were located in the gym. There were twenty-eight (28) children and two (2) staff. The children were observed gathered in a circle together having share time. The children shared what they did this weekend and how their day was going. Group 1 had twelve (12) children ages five to seven years old, and group 2 had sixteen (16) children ages eight to eleven years old. At 3:00p the groups separated out into centers. Once in centers, the children engaged in play with free art, dinosaurs, blocks, and games. Ms. McCall gave a five (5) minute warning at 3:30p. At. 3:33p the group began cleaning up, using the restroom, and preparing for snack. At 3:40pm, three (3) children arrived from clubs. At 3:45p, the group transitioned to the cafeteria for snack. Snack today was WOW butter, sunflower kernels, WG tortilla, jelly, applesauce, juice and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. While monitoring the playground for safety hazards, I observed the pea gravel low at the slide exit, and climbing walls. We discussed that more surfacing is needed. All medications on-site were monitored, and one (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. We reviewed that the action plans are required to updated yearly. Ms. McCall stated that she will get that to the parents tomorrow. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. 10A NCAC 09 .0803(1)(a & b) Technical assistance was provided as follows: Item 842 One (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. We reviewed that the action plans are required to be updated yearly. Ms. McCall stated that she will get that to the parents tomorrow. Rule reference: 10A NCAC 09 .0803(1)(a)&(b) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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 or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/7/2025 Number Present: 31 Completed Date: 4/7/2025 Age: From 5 To 11 Total Minutes: 90 Time In: 02:45 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with you. Alexis McCall, Program Coordinator, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/26/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The facility closed on 9/27/2024 to 10/28/2024 due to Tropical Storm Helene. The facility reopened on 10/16/2024 at an emergency relocation site due to damage sustained at the permanent location. On 10/28/2024, the facility was able to reopen at its permanent location. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – First shift, meets enhanced space, school-age only, meets reduced ratios; playground area does not meet child care safety standards. The last fire drill was practiced on 3/26/2025. The last emergency drill, shelter in place drill, was practiced on 2/5/2025. The last fire inspection was approved on 9/16/2024. The program’s most recent sanitation inspection was completed on 3/4/2025, with two (2) demerits. The Emergency Medical Care Plan is current and posted. When I arrived at 2:45pm, I was greeted by Alexis McCall, Program Coordinator. The group of five to twelve year olds were located in the gym. There were twenty-eight (28) children and two (2) staff. The children were observed gathered in a circle together having share time. The children shared what they did this weekend and how their day was going. Group 1 had twelve (12) children ages five to seven years old, and group 2 had sixteen (16) children ages eight to eleven years old. At 3:00p the groups separated out into centers. Once in centers, the children engaged in play with free art, dinosaurs, blocks, and games. Ms. McCall gave a five (5) minute warning at 3:30p. At. 3:33p the group began cleaning up, using the restroom, and preparing for snack. At 3:40pm, three (3) children arrived from clubs. At 3:45p, the group transitioned to the cafeteria for snack. Snack today was WOW butter, sunflower kernels, WG tortilla, jelly, applesauce, juice and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. While monitoring the playground for safety hazards, I observed the pea gravel low at the slide exit, and climbing walls. We discussed that more surfacing is needed. All medications on-site were monitored, and one (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. We reviewed that the action plans are required to updated yearly. Ms. McCall stated that she will get that to the parents tomorrow. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. 10A NCAC 09 .0803(1)(a & b) Technical assistance was provided as follows: Item 842 One (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. We reviewed that the action plans are required to be updated yearly. Ms. McCall stated that she will get that to the parents tomorrow. Rule reference: 10A NCAC 09 .0803(1)(a)&(b) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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 or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/7/2025 Number Present: 31 Completed Date: 4/7/2025 Age: From 5 To 11 Total Minutes: 90 Time In: 02:45 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with you. Alexis McCall, Program Coordinator, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/26/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The facility closed on 9/27/2024 to 10/28/2024 due to Tropical Storm Helene. The facility reopened on 10/16/2024 at an emergency relocation site due to damage sustained at the permanent location. On 10/28/2024, the facility was able to reopen at its permanent location. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – First shift, meets enhanced space, school-age only, meets reduced ratios; playground area does not meet child care safety standards. The last fire drill was practiced on 3/26/2025. The last emergency drill, shelter in place drill, was practiced on 2/5/2025. The last fire inspection was approved on 9/16/2024. The program’s most recent sanitation inspection was completed on 3/4/2025, with two (2) demerits. The Emergency Medical Care Plan is current and posted. When I arrived at 2:45pm, I was greeted by Alexis McCall, Program Coordinator. The group of five to twelve year olds were located in the gym. There were twenty-eight (28) children and two (2) staff. The children were observed gathered in a circle together having share time. The children shared what they did this weekend and how their day was going. Group 1 had twelve (12) children ages five to seven years old, and group 2 had sixteen (16) children ages eight to eleven years old. At 3:00p the groups separated out into centers. Once in centers, the children engaged in play with free art, dinosaurs, blocks, and games. Ms. McCall gave a five (5) minute warning at 3:30p. At. 3:33p the group began cleaning up, using the restroom, and preparing for snack. At 3:40pm, three (3) children arrived from clubs. At 3:45p, the group transitioned to the cafeteria for snack. Snack today was WOW butter, sunflower kernels, WG tortilla, jelly, applesauce, juice and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. While monitoring the playground for safety hazards, I observed the pea gravel low at the slide exit, and climbing walls. We discussed that more surfacing is needed. All medications on-site were monitored, and one (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. We reviewed that the action plans are required to updated yearly. Ms. McCall stated that she will get that to the parents tomorrow. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. 10A NCAC 09 .0803(1)(a & b) Technical assistance was provided as follows: Item 842 One (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. We reviewed that the action plans are required to be updated yearly. Ms. McCall stated that she will get that to the parents tomorrow. Rule reference: 10A NCAC 09 .0803(1)(a)&(b) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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 or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/7/2025 Number Present: 31 Completed Date: 4/7/2025 Age: From 5 To 11 Total Minutes: 90 Time In: 02:45 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with you. Alexis McCall, Program Coordinator, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/26/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The facility closed on 9/27/2024 to 10/28/2024 due to Tropical Storm Helene. The facility reopened on 10/16/2024 at an emergency relocation site due to damage sustained at the permanent location. On 10/28/2024, the facility was able to reopen at its permanent location. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – First shift, meets enhanced space, school-age only, meets reduced ratios; playground area does not meet child care safety standards. The last fire drill was practiced on 3/26/2025. The last emergency drill, shelter in place drill, was practiced on 2/5/2025. The last fire inspection was approved on 9/16/2024. The program’s most recent sanitation inspection was completed on 3/4/2025, with two (2) demerits. The Emergency Medical Care Plan is current and posted. When I arrived at 2:45pm, I was greeted by Alexis McCall, Program Coordinator. The group of five to twelve year olds were located in the gym. There were twenty-eight (28) children and two (2) staff. The children were observed gathered in a circle together having share time. The children shared what they did this weekend and how their day was going. Group 1 had twelve (12) children ages five to seven years old, and group 2 had sixteen (16) children ages eight to eleven years old. At 3:00p the groups separated out into centers. Once in centers, the children engaged in play with free art, dinosaurs, blocks, and games. Ms. McCall gave a five (5) minute warning at 3:30p. At. 3:33p the group began cleaning up, using the restroom, and preparing for snack. At 3:40pm, three (3) children arrived from clubs. At 3:45p, the group transitioned to the cafeteria for snack. Snack today was WOW butter, sunflower kernels, WG tortilla, jelly, applesauce, juice and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. While monitoring the playground for safety hazards, I observed the pea gravel low at the slide exit, and climbing walls. We discussed that more surfacing is needed. All medications on-site were monitored, and one (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. We reviewed that the action plans are required to updated yearly. Ms. McCall stated that she will get that to the parents tomorrow. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. 10A NCAC 09 .0803(1)(a & b) Technical assistance was provided as follows: Item 842 One (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. We reviewed that the action plans are required to be updated yearly. Ms. McCall stated that she will get that to the parents tomorrow. Rule reference: 10A NCAC 09 .0803(1)(a)&(b) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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 or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/7/2025 Number Present: 31 Completed Date: 4/7/2025 Age: From 5 To 11 Total Minutes: 90 Time In: 02:45 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with you. Alexis McCall, Program Coordinator, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/26/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The facility closed on 9/27/2024 to 10/28/2024 due to Tropical Storm Helene. The facility reopened on 10/16/2024 at an emergency relocation site due to damage sustained at the permanent location. On 10/28/2024, the facility was able to reopen at its permanent location. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – First shift, meets enhanced space, school-age only, meets reduced ratios; playground area does not meet child care safety standards. The last fire drill was practiced on 3/26/2025. The last emergency drill, shelter in place drill, was practiced on 2/5/2025. The last fire inspection was approved on 9/16/2024. The program’s most recent sanitation inspection was completed on 3/4/2025, with two (2) demerits. The Emergency Medical Care Plan is current and posted. When I arrived at 2:45pm, I was greeted by Alexis McCall, Program Coordinator. The group of five to twelve year olds were located in the gym. There were twenty-eight (28) children and two (2) staff. The children were observed gathered in a circle together having share time. The children shared what they did this weekend and how their day was going. Group 1 had twelve (12) children ages five to seven years old, and group 2 had sixteen (16) children ages eight to eleven years old. At 3:00p the groups separated out into centers. Once in centers, the children engaged in play with free art, dinosaurs, blocks, and games. Ms. McCall gave a five (5) minute warning at 3:30p. At. 3:33p the group began cleaning up, using the restroom, and preparing for snack. At 3:40pm, three (3) children arrived from clubs. At 3:45p, the group transitioned to the cafeteria for snack. Snack today was WOW butter, sunflower kernels, WG tortilla, jelly, applesauce, juice and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. While monitoring the playground for safety hazards, I observed the pea gravel low at the slide exit, and climbing walls. We discussed that more surfacing is needed. All medications on-site were monitored, and one (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. We reviewed that the action plans are required to updated yearly. Ms. McCall stated that she will get that to the parents tomorrow. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. 10A NCAC 09 .0803(1)(a & b) Technical assistance was provided as follows: Item 842 One (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. We reviewed that the action plans are required to be updated yearly. Ms. McCall stated that she will get that to the parents tomorrow. Rule reference: 10A NCAC 09 .0803(1)(a)&(b) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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 or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/7/2025 Number Present: 31 Completed Date: 4/7/2025 Age: From 5 To 11 Total Minutes: 90 Time In: 02:45 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with you. Alexis McCall, Program Coordinator, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/26/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The facility closed on 9/27/2024 to 10/28/2024 due to Tropical Storm Helene. The facility reopened on 10/16/2024 at an emergency relocation site due to damage sustained at the permanent location. On 10/28/2024, the facility was able to reopen at its permanent location. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – First shift, meets enhanced space, school-age only, meets reduced ratios; playground area does not meet child care safety standards. The last fire drill was practiced on 3/26/2025. The last emergency drill, shelter in place drill, was practiced on 2/5/2025. The last fire inspection was approved on 9/16/2024. The program’s most recent sanitation inspection was completed on 3/4/2025, with two (2) demerits. The Emergency Medical Care Plan is current and posted. When I arrived at 2:45pm, I was greeted by Alexis McCall, Program Coordinator. The group of five to twelve year olds were located in the gym. There were twenty-eight (28) children and two (2) staff. The children were observed gathered in a circle together having share time. The children shared what they did this weekend and how their day was going. Group 1 had twelve (12) children ages five to seven years old, and group 2 had sixteen (16) children ages eight to eleven years old. At 3:00p the groups separated out into centers. Once in centers, the children engaged in play with free art, dinosaurs, blocks, and games. Ms. McCall gave a five (5) minute warning at 3:30p. At. 3:33p the group began cleaning up, using the restroom, and preparing for snack. At 3:40pm, three (3) children arrived from clubs. At 3:45p, the group transitioned to the cafeteria for snack. Snack today was WOW butter, sunflower kernels, WG tortilla, jelly, applesauce, juice and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. While monitoring the playground for safety hazards, I observed the pea gravel low at the slide exit, and climbing walls. We discussed that more surfacing is needed. All medications on-site were monitored, and one (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. We reviewed that the action plans are required to updated yearly. Ms. McCall stated that she will get that to the parents tomorrow. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. 10A NCAC 09 .0803(1)(a & b) Technical assistance was provided as follows: Item 842 One (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. We reviewed that the action plans are required to be updated yearly. Ms. McCall stated that she will get that to the parents tomorrow. Rule reference: 10A NCAC 09 .0803(1)(a)&(b) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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 or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/7/2025 Number Present: 31 Completed Date: 4/7/2025 Age: From 5 To 11 Total Minutes: 90 Time In: 02:45 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. A signed copy of the visit summary was left on-site with you. Alexis McCall, Program Coordinator, was on-site and available to assist with questions. The program’s annual compliance visit was conducted on 11/26/2024. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions The facility closed on 9/27/2024 to 10/28/2024 due to Tropical Storm Helene. The facility reopened on 10/16/2024 at an emergency relocation site due to damage sustained at the permanent location. On 10/28/2024, the facility was able to reopen at its permanent location. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – First shift, meets enhanced space, school-age only, meets reduced ratios; playground area does not meet child care safety standards. The last fire drill was practiced on 3/26/2025. The last emergency drill, shelter in place drill, was practiced on 2/5/2025. The last fire inspection was approved on 9/16/2024. The program’s most recent sanitation inspection was completed on 3/4/2025, with two (2) demerits. The Emergency Medical Care Plan is current and posted. When I arrived at 2:45pm, I was greeted by Alexis McCall, Program Coordinator. The group of five to twelve year olds were located in the gym. There were twenty-eight (28) children and two (2) staff. The children were observed gathered in a circle together having share time. The children shared what they did this weekend and how their day was going. Group 1 had twelve (12) children ages five to seven years old, and group 2 had sixteen (16) children ages eight to eleven years old. At 3:00p the groups separated out into centers. Once in centers, the children engaged in play with free art, dinosaurs, blocks, and games. Ms. McCall gave a five (5) minute warning at 3:30p. At. 3:33p the group began cleaning up, using the restroom, and preparing for snack. At 3:40pm, three (3) children arrived from clubs. At 3:45p, the group transitioned to the cafeteria for snack. Snack today was WOW butter, sunflower kernels, WG tortilla, jelly, applesauce, juice and milk. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. While monitoring the playground for safety hazards, I observed the pea gravel low at the slide exit, and climbing walls. We discussed that more surfacing is needed. All medications on-site were monitored, and one (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. We reviewed that the action plans are required to updated yearly. Ms. McCall stated that she will get that to the parents tomorrow. The program does provide transportation. YMCA transportation was monitored on June 4, 2024, by Kaoru Eddins, Child Care Consultant at the Beaverdam location at 201 Beaverdam Road, Asheville, NC 28804. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations of child care requirements were observed today: Violation Number Comment Rule 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. One (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. 10A NCAC 09 .0803(1)(a & b) Technical assistance was provided as follows: Item 842 One (1) emergency medication action plan dated 9/6/2023 was due to be updated on or before 9/6/2024. We reviewed that the action plans are required to be updated yearly. Ms. McCall stated that she will get that to the parents tomorrow. Rule reference: 10A NCAC 09 .0803(1)(a)&(b) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/21/2025. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Lead Paint and Asbestos Testing- In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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 or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/26/2024 Number Present: 25 Completed Date: 11/26/2024 Age: From 5 To 12 Total Minutes: 135 Time In: 03:15 PM Time Out: 05:30 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 during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Alexis McCall, Program Coordinator was on-site and available during the visit. Delaney Burke, Administrator, was able to assist me with the electronic staff and children’s files via TEAMS. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96%) as of 11/25/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active 11/25/2024. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, and playground does not meet child care safety standards. The last annual compliance visit was conducted on 10/16/2023. The annual compliance visit was delayed due to Tropical Storm Helene. The last fire drill was practiced on 11/25/2024. The fire drill for September was not conducted due to Tropical Storm Helene. The last lockdown drill was practiced on 11/19/2024. The last fire inspection was approved on 9/16/2024. The last sanitation inspection was conducted on 2/29/2024 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility closed on 9/27/2024 due to Tropical Storm Helene. On 10/15/2024, Delaney Burke, Administrator, requested approval for emergency relocation. The facility’s temporary emergency child care relocation certificate was issued on 10/16/2024. The facility relocated to 2511 Hendersonville Rd., Arden, NC 28704. The facility began operation on 10/16/2024 and ended operation at the emergency relocation site on 10/24/2024. The facility resumed operation at their permanent location on 10/28/2024 under a boil water notice. The Emergency Operation Plan (EOP) was approved by the Division and Environmental Health on 10/23/2024. Environmental Health conducted a site visit on 10/24/2024 prior to re-opening at the permanent location. The boil water notice was lifted on 11/18/2024. Upon arrival, I checked in at the front office and walked down to the gym. Once at the gym, I was greeted by Alexis McCall, Program Coordinator. I observed the children engaged in free play with free art, books, legos, balls, and toy animals. When free play was over, the group cleaned up and prepared to go to the cafeteria for snack. After snack, the group transitioned outside for gross motor play. While monitoring, I observed one (1) emergency medication on-site that expired 8/2024. The program coordinator sent that home with the parent during the visit. The parent will bring in a new emergency medication when the child returns after the break. Also, I observed eight (8) individual laundry baskets with broken handles while the children were putting their belongings away and lining up. The program does provide transportation. The staff and children’s files were monitored. A staff and training worksheet was completed for the staff files received prior to today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Eight (8) individual laundry baskets with broken handles were observed while the children were putting their belongings away and lining up. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One (1) emergency medication was observed on-site that expired 8/2024. .0803(12) Technical assistance was provided as follows: Item 704- Eight (8) individual laundry baskets with broken handles were observed while the children were putting their belongings away and lining up. We discussed that the laundry baskets will need to be replaced to ensure that children do not get their hands pinched or cut on the broken plastic. Rule Reference: 10A NCAC 09 .0601 Item 849- One (1) emergency medication was observed on-site that expired 8/2024. The program coordinator sent that home with the parent during the visit. The parent will bring in a new emergency medication when the child returns after the break. Rule Reference: 10A NCAC 09 .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/10/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. Please ensure that you are using the most current staff and training worksheet as information has changed. A copy was provided in the upcoming visit email prior to today’s visit and a current copy can be found under the providers tab on the Divisions website. Reminder, staff member hired 8/28/2023 on-going training hours will be due by 8/28/2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0601 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/26/2024 Number Present: 25 Completed Date: 11/26/2024 Age: From 5 To 12 Total Minutes: 135 Time In: 03:15 PM Time Out: 05:30 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 during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Alexis McCall, Program Coordinator was on-site and available during the visit. Delaney Burke, Administrator, was able to assist me with the electronic staff and children’s files via TEAMS. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96%) as of 11/25/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active 11/25/2024. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, and playground does not meet child care safety standards. The last annual compliance visit was conducted on 10/16/2023. The annual compliance visit was delayed due to Tropical Storm Helene. The last fire drill was practiced on 11/25/2024. The fire drill for September was not conducted due to Tropical Storm Helene. The last lockdown drill was practiced on 11/19/2024. The last fire inspection was approved on 9/16/2024. The last sanitation inspection was conducted on 2/29/2024 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility closed on 9/27/2024 due to Tropical Storm Helene. On 10/15/2024, Delaney Burke, Administrator, requested approval for emergency relocation. The facility’s temporary emergency child care relocation certificate was issued on 10/16/2024. The facility relocated to 2511 Hendersonville Rd., Arden, NC 28704. The facility began operation on 10/16/2024 and ended operation at the emergency relocation site on 10/24/2024. The facility resumed operation at their permanent location on 10/28/2024 under a boil water notice. The Emergency Operation Plan (EOP) was approved by the Division and Environmental Health on 10/23/2024. Environmental Health conducted a site visit on 10/24/2024 prior to re-opening at the permanent location. The boil water notice was lifted on 11/18/2024. Upon arrival, I checked in at the front office and walked down to the gym. Once at the gym, I was greeted by Alexis McCall, Program Coordinator. I observed the children engaged in free play with free art, books, legos, balls, and toy animals. When free play was over, the group cleaned up and prepared to go to the cafeteria for snack. After snack, the group transitioned outside for gross motor play. While monitoring, I observed one (1) emergency medication on-site that expired 8/2024. The program coordinator sent that home with the parent during the visit. The parent will bring in a new emergency medication when the child returns after the break. Also, I observed eight (8) individual laundry baskets with broken handles while the children were putting their belongings away and lining up. The program does provide transportation. The staff and children’s files were monitored. A staff and training worksheet was completed for the staff files received prior to today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Eight (8) individual laundry baskets with broken handles were observed while the children were putting their belongings away and lining up. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One (1) emergency medication was observed on-site that expired 8/2024. .0803(12) Technical assistance was provided as follows: Item 704- Eight (8) individual laundry baskets with broken handles were observed while the children were putting their belongings away and lining up. We discussed that the laundry baskets will need to be replaced to ensure that children do not get their hands pinched or cut on the broken plastic. Rule Reference: 10A NCAC 09 .0601 Item 849- One (1) emergency medication was observed on-site that expired 8/2024. The program coordinator sent that home with the parent during the visit. The parent will bring in a new emergency medication when the child returns after the break. Rule Reference: 10A NCAC 09 .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/10/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. Please ensure that you are using the most current staff and training worksheet as information has changed. A copy was provided in the upcoming visit email prior to today’s visit and a current copy can be found under the providers tab on the Divisions website. Reminder, staff member hired 8/28/2023 on-going training hours will be due by 8/28/2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/26/2024 Number Present: 25 Completed Date: 11/26/2024 Age: From 5 To 12 Total Minutes: 135 Time In: 03:15 PM Time Out: 05:30 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 during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Alexis McCall, Program Coordinator was on-site and available during the visit. Delaney Burke, Administrator, was able to assist me with the electronic staff and children’s files via TEAMS. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96%) as of 11/25/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active 11/25/2024. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, and playground does not meet child care safety standards. The last annual compliance visit was conducted on 10/16/2023. The annual compliance visit was delayed due to Tropical Storm Helene. The last fire drill was practiced on 11/25/2024. The fire drill for September was not conducted due to Tropical Storm Helene. The last lockdown drill was practiced on 11/19/2024. The last fire inspection was approved on 9/16/2024. The last sanitation inspection was conducted on 2/29/2024 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility closed on 9/27/2024 due to Tropical Storm Helene. On 10/15/2024, Delaney Burke, Administrator, requested approval for emergency relocation. The facility’s temporary emergency child care relocation certificate was issued on 10/16/2024. The facility relocated to 2511 Hendersonville Rd., Arden, NC 28704. The facility began operation on 10/16/2024 and ended operation at the emergency relocation site on 10/24/2024. The facility resumed operation at their permanent location on 10/28/2024 under a boil water notice. The Emergency Operation Plan (EOP) was approved by the Division and Environmental Health on 10/23/2024. Environmental Health conducted a site visit on 10/24/2024 prior to re-opening at the permanent location. The boil water notice was lifted on 11/18/2024. Upon arrival, I checked in at the front office and walked down to the gym. Once at the gym, I was greeted by Alexis McCall, Program Coordinator. I observed the children engaged in free play with free art, books, legos, balls, and toy animals. When free play was over, the group cleaned up and prepared to go to the cafeteria for snack. After snack, the group transitioned outside for gross motor play. While monitoring, I observed one (1) emergency medication on-site that expired 8/2024. The program coordinator sent that home with the parent during the visit. The parent will bring in a new emergency medication when the child returns after the break. Also, I observed eight (8) individual laundry baskets with broken handles while the children were putting their belongings away and lining up. The program does provide transportation. The staff and children’s files were monitored. A staff and training worksheet was completed for the staff files received prior to today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Eight (8) individual laundry baskets with broken handles were observed while the children were putting their belongings away and lining up. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One (1) emergency medication was observed on-site that expired 8/2024. .0803(12) Technical assistance was provided as follows: Item 704- Eight (8) individual laundry baskets with broken handles were observed while the children were putting their belongings away and lining up. We discussed that the laundry baskets will need to be replaced to ensure that children do not get their hands pinched or cut on the broken plastic. Rule Reference: 10A NCAC 09 .0601 Item 849- One (1) emergency medication was observed on-site that expired 8/2024. The program coordinator sent that home with the parent during the visit. The parent will bring in a new emergency medication when the child returns after the break. Rule Reference: 10A NCAC 09 .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/10/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. Please ensure that you are using the most current staff and training worksheet as information has changed. A copy was provided in the upcoming visit email prior to today’s visit and a current copy can be found under the providers tab on the Divisions website. Reminder, staff member hired 8/28/2023 on-going training hours will be due by 8/28/2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/26/2024 Number Present: 25 Completed Date: 11/26/2024 Age: From 5 To 12 Total Minutes: 135 Time In: 03:15 PM Time Out: 05:30 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 during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Alexis McCall, Program Coordinator was on-site and available during the visit. Delaney Burke, Administrator, was able to assist me with the electronic staff and children’s files via TEAMS. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96%) as of 11/25/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active 11/25/2024. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, and playground does not meet child care safety standards. The last annual compliance visit was conducted on 10/16/2023. The annual compliance visit was delayed due to Tropical Storm Helene. The last fire drill was practiced on 11/25/2024. The fire drill for September was not conducted due to Tropical Storm Helene. The last lockdown drill was practiced on 11/19/2024. The last fire inspection was approved on 9/16/2024. The last sanitation inspection was conducted on 2/29/2024 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility closed on 9/27/2024 due to Tropical Storm Helene. On 10/15/2024, Delaney Burke, Administrator, requested approval for emergency relocation. The facility’s temporary emergency child care relocation certificate was issued on 10/16/2024. The facility relocated to 2511 Hendersonville Rd., Arden, NC 28704. The facility began operation on 10/16/2024 and ended operation at the emergency relocation site on 10/24/2024. The facility resumed operation at their permanent location on 10/28/2024 under a boil water notice. The Emergency Operation Plan (EOP) was approved by the Division and Environmental Health on 10/23/2024. Environmental Health conducted a site visit on 10/24/2024 prior to re-opening at the permanent location. The boil water notice was lifted on 11/18/2024. Upon arrival, I checked in at the front office and walked down to the gym. Once at the gym, I was greeted by Alexis McCall, Program Coordinator. I observed the children engaged in free play with free art, books, legos, balls, and toy animals. When free play was over, the group cleaned up and prepared to go to the cafeteria for snack. After snack, the group transitioned outside for gross motor play. While monitoring, I observed one (1) emergency medication on-site that expired 8/2024. The program coordinator sent that home with the parent during the visit. The parent will bring in a new emergency medication when the child returns after the break. Also, I observed eight (8) individual laundry baskets with broken handles while the children were putting their belongings away and lining up. The program does provide transportation. The staff and children’s files were monitored. A staff and training worksheet was completed for the staff files received prior to today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Eight (8) individual laundry baskets with broken handles were observed while the children were putting their belongings away and lining up. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One (1) emergency medication was observed on-site that expired 8/2024. .0803(12) Technical assistance was provided as follows: Item 704- Eight (8) individual laundry baskets with broken handles were observed while the children were putting their belongings away and lining up. We discussed that the laundry baskets will need to be replaced to ensure that children do not get their hands pinched or cut on the broken plastic. Rule Reference: 10A NCAC 09 .0601 Item 849- One (1) emergency medication was observed on-site that expired 8/2024. The program coordinator sent that home with the parent during the visit. The parent will bring in a new emergency medication when the child returns after the break. Rule Reference: 10A NCAC 09 .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/10/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. Please ensure that you are using the most current staff and training worksheet as information has changed. A copy was provided in the upcoming visit email prior to today’s visit and a current copy can be found under the providers tab on the Divisions website. Reminder, staff member hired 8/28/2023 on-going training hours will be due by 8/28/2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/26/2024 Number Present: 25 Completed Date: 11/26/2024 Age: From 5 To 12 Total Minutes: 135 Time In: 03:15 PM Time Out: 05:30 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 during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Alexis McCall, Program Coordinator was on-site and available during the visit. Delaney Burke, Administrator, was able to assist me with the electronic staff and children’s files via TEAMS. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96%) as of 11/25/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active 11/25/2024. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, and playground does not meet child care safety standards. The last annual compliance visit was conducted on 10/16/2023. The annual compliance visit was delayed due to Tropical Storm Helene. The last fire drill was practiced on 11/25/2024. The fire drill for September was not conducted due to Tropical Storm Helene. The last lockdown drill was practiced on 11/19/2024. The last fire inspection was approved on 9/16/2024. The last sanitation inspection was conducted on 2/29/2024 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility closed on 9/27/2024 due to Tropical Storm Helene. On 10/15/2024, Delaney Burke, Administrator, requested approval for emergency relocation. The facility’s temporary emergency child care relocation certificate was issued on 10/16/2024. The facility relocated to 2511 Hendersonville Rd., Arden, NC 28704. The facility began operation on 10/16/2024 and ended operation at the emergency relocation site on 10/24/2024. The facility resumed operation at their permanent location on 10/28/2024 under a boil water notice. The Emergency Operation Plan (EOP) was approved by the Division and Environmental Health on 10/23/2024. Environmental Health conducted a site visit on 10/24/2024 prior to re-opening at the permanent location. The boil water notice was lifted on 11/18/2024. Upon arrival, I checked in at the front office and walked down to the gym. Once at the gym, I was greeted by Alexis McCall, Program Coordinator. I observed the children engaged in free play with free art, books, legos, balls, and toy animals. When free play was over, the group cleaned up and prepared to go to the cafeteria for snack. After snack, the group transitioned outside for gross motor play. While monitoring, I observed one (1) emergency medication on-site that expired 8/2024. The program coordinator sent that home with the parent during the visit. The parent will bring in a new emergency medication when the child returns after the break. Also, I observed eight (8) individual laundry baskets with broken handles while the children were putting their belongings away and lining up. The program does provide transportation. The staff and children’s files were monitored. A staff and training worksheet was completed for the staff files received prior to today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Eight (8) individual laundry baskets with broken handles were observed while the children were putting their belongings away and lining up. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One (1) emergency medication was observed on-site that expired 8/2024. .0803(12) Technical assistance was provided as follows: Item 704- Eight (8) individual laundry baskets with broken handles were observed while the children were putting their belongings away and lining up. We discussed that the laundry baskets will need to be replaced to ensure that children do not get their hands pinched or cut on the broken plastic. Rule Reference: 10A NCAC 09 .0601 Item 849- One (1) emergency medication was observed on-site that expired 8/2024. The program coordinator sent that home with the parent during the visit. The parent will bring in a new emergency medication when the child returns after the break. Rule Reference: 10A NCAC 09 .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/10/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. Please ensure that you are using the most current staff and training worksheet as information has changed. A copy was provided in the upcoming visit email prior to today’s visit and a current copy can be found under the providers tab on the Divisions website. Reminder, staff member hired 8/28/2023 on-going training hours will be due by 8/28/2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/26/2024 Number Present: 25 Completed Date: 11/26/2024 Age: From 5 To 12 Total Minutes: 135 Time In: 03:15 PM Time Out: 05:30 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 during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Alexis McCall, Program Coordinator was on-site and available during the visit. Delaney Burke, Administrator, was able to assist me with the electronic staff and children’s files via TEAMS. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96%) as of 11/25/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active 11/25/2024. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, and playground does not meet child care safety standards. The last annual compliance visit was conducted on 10/16/2023. The annual compliance visit was delayed due to Tropical Storm Helene. The last fire drill was practiced on 11/25/2024. The fire drill for September was not conducted due to Tropical Storm Helene. The last lockdown drill was practiced on 11/19/2024. The last fire inspection was approved on 9/16/2024. The last sanitation inspection was conducted on 2/29/2024 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility closed on 9/27/2024 due to Tropical Storm Helene. On 10/15/2024, Delaney Burke, Administrator, requested approval for emergency relocation. The facility’s temporary emergency child care relocation certificate was issued on 10/16/2024. The facility relocated to 2511 Hendersonville Rd., Arden, NC 28704. The facility began operation on 10/16/2024 and ended operation at the emergency relocation site on 10/24/2024. The facility resumed operation at their permanent location on 10/28/2024 under a boil water notice. The Emergency Operation Plan (EOP) was approved by the Division and Environmental Health on 10/23/2024. Environmental Health conducted a site visit on 10/24/2024 prior to re-opening at the permanent location. The boil water notice was lifted on 11/18/2024. Upon arrival, I checked in at the front office and walked down to the gym. Once at the gym, I was greeted by Alexis McCall, Program Coordinator. I observed the children engaged in free play with free art, books, legos, balls, and toy animals. When free play was over, the group cleaned up and prepared to go to the cafeteria for snack. After snack, the group transitioned outside for gross motor play. While monitoring, I observed one (1) emergency medication on-site that expired 8/2024. The program coordinator sent that home with the parent during the visit. The parent will bring in a new emergency medication when the child returns after the break. Also, I observed eight (8) individual laundry baskets with broken handles while the children were putting their belongings away and lining up. The program does provide transportation. The staff and children’s files were monitored. A staff and training worksheet was completed for the staff files received prior to today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Eight (8) individual laundry baskets with broken handles were observed while the children were putting their belongings away and lining up. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One (1) emergency medication was observed on-site that expired 8/2024. .0803(12) Technical assistance was provided as follows: Item 704- Eight (8) individual laundry baskets with broken handles were observed while the children were putting their belongings away and lining up. We discussed that the laundry baskets will need to be replaced to ensure that children do not get their hands pinched or cut on the broken plastic. Rule Reference: 10A NCAC 09 .0601 Item 849- One (1) emergency medication was observed on-site that expired 8/2024. The program coordinator sent that home with the parent during the visit. The parent will bring in a new emergency medication when the child returns after the break. Rule Reference: 10A NCAC 09 .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/10/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. Please ensure that you are using the most current staff and training worksheet as information has changed. A copy was provided in the upcoming visit email prior to today’s visit and a current copy can be found under the providers tab on the Divisions website. Reminder, staff member hired 8/28/2023 on-going training hours will be due by 8/28/2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/26/2024 Number Present: 25 Completed Date: 11/26/2024 Age: From 5 To 12 Total Minutes: 135 Time In: 03:15 PM Time Out: 05:30 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 during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. An electronic signed copy of the visit summary was left on-site with you. Alexis McCall, Program Coordinator was on-site and available during the visit. Delaney Burke, Administrator, was able to assist me with the electronic staff and children’s files via TEAMS. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-six percent (96%) as of 11/25/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active 11/25/2024. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, and playground does not meet child care safety standards. The last annual compliance visit was conducted on 10/16/2023. The annual compliance visit was delayed due to Tropical Storm Helene. The last fire drill was practiced on 11/25/2024. The fire drill for September was not conducted due to Tropical Storm Helene. The last lockdown drill was practiced on 11/19/2024. The last fire inspection was approved on 9/16/2024. The last sanitation inspection was conducted on 2/29/2024 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The facility closed on 9/27/2024 due to Tropical Storm Helene. On 10/15/2024, Delaney Burke, Administrator, requested approval for emergency relocation. The facility’s temporary emergency child care relocation certificate was issued on 10/16/2024. The facility relocated to 2511 Hendersonville Rd., Arden, NC 28704. The facility began operation on 10/16/2024 and ended operation at the emergency relocation site on 10/24/2024. The facility resumed operation at their permanent location on 10/28/2024 under a boil water notice. The Emergency Operation Plan (EOP) was approved by the Division and Environmental Health on 10/23/2024. Environmental Health conducted a site visit on 10/24/2024 prior to re-opening at the permanent location. The boil water notice was lifted on 11/18/2024. Upon arrival, I checked in at the front office and walked down to the gym. Once at the gym, I was greeted by Alexis McCall, Program Coordinator. I observed the children engaged in free play with free art, books, legos, balls, and toy animals. When free play was over, the group cleaned up and prepared to go to the cafeteria for snack. After snack, the group transitioned outside for gross motor play. While monitoring, I observed one (1) emergency medication on-site that expired 8/2024. The program coordinator sent that home with the parent during the visit. The parent will bring in a new emergency medication when the child returns after the break. Also, I observed eight (8) individual laundry baskets with broken handles while the children were putting their belongings away and lining up. The program does provide transportation. The staff and children’s files were monitored. A staff and training worksheet was completed for the staff files received prior to today’s visit. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit. Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Eight (8) individual laundry baskets with broken handles were observed while the children were putting their belongings away and lining up. .0601(c) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. One (1) emergency medication was observed on-site that expired 8/2024. .0803(12) Technical assistance was provided as follows: Item 704- Eight (8) individual laundry baskets with broken handles were observed while the children were putting their belongings away and lining up. We discussed that the laundry baskets will need to be replaced to ensure that children do not get their hands pinched or cut on the broken plastic. Rule Reference: 10A NCAC 09 .0601 Item 849- One (1) emergency medication was observed on-site that expired 8/2024. The program coordinator sent that home with the parent during the visit. The parent will bring in a new emergency medication when the child returns after the break. Rule Reference: 10A NCAC 09 .0803(12) Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/10/2024. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed that all child care facility administrators are required to complete the new ABCMS criminal background check portal training on Moodle. Once the training is complete, the administrator will need to log into the ABCMS system to review the staff roster to ensure that all current staff members are listed. When someone is hired or terminated, the administrator will need to log into the ABCMS system to indicate the hire or termination date. Please ensure that you are using the most current staff and training worksheet as information has changed. A copy was provided in the upcoming visit email prior to today’s visit and a current copy can be found under the providers tab on the Divisions website. Reminder, staff member hired 8/28/2023 on-going training hours will be due by 8/28/2025. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 33 Completed Date: 4/10/2024 Age: From 5 To 12 Total Minutes: 135 Time In: 02:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Alexis McCall, Program Coordinator and Nick Erwin, Program Director. Your program currently operates with a Five (5) Star Rated License effective 1/9/2020. The permit restrictions were in compliance including first shift, school age only, enhanced space, meets reduced ratios, and playground does not meet child care safety standards. Alexis McCall, Program Coordinator, was available to assist with questions. Nick Erwin, Program Director, was available via TEAMS to assist with the electronic files. The program’s annual compliance visit was conducted on 10/16/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I was greeted by the Program Coordinator. I observed both groups gathered in the center of the gym completing the check-in process. After checking in, they separated into two (2) groups. Group one (1) five to six years old were gathering their belongings and getting in line to transition to the cafeteria for snack. Once in the cafeteria, the children were offered snack. After snack, the children transitioned to free play with Jenga, building cups, free art, and reading books. Group two (2) six to twelve years old were continuing their group meeting at the center of the gym. After the group meeting, the children transition to indoor group games. When group games concluded, the group prepared to transition to the cafeteria for snack. Snack today consisted of WOW butter, sunflower kernels, WG tortilla, jelly, apple sauce, and juice. The last fire drill was practiced on 3/29/2024. The last emergency drill, shelter in place drill, was practiced on 2/26/2024. The last fire inspection was approved on 1/31/2024. Program Director shared with me via TEAMS and will send the inspection to me for my file. The program’s most recent sanitation inspection was completed on 2/29/2024, with two (2) demerits. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There have been no new staff members hired since the last annual compliance visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility did not schedule and obtain a fire inspection within twelve (12) months of the previous inspection. The Operator did not submit the original approved report to DCDEE within one (1) week of the inspection visit. The previous inspection was dated 1/30/2023. I asked the Program Director about a current fire inspection; the Program Director was able to share with me via TEAMS the 1/31/2024 fire inspection. I also requested that he send it to me as well for my file. 10A NCAC 09 .0304(a) 9995 A violation was found for which there is no item number. In the cafeteria disinfectant wipes were located in an unlocked cabinet below five (5) feet. The Program Coordinator moved these to a locking cabinet during the visit. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/24/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - The facility did not schedule and obtain a fire inspection within twelve (12) months of the previous inspection. The Operator did not submit the original approved report to DCDEE within one (1) week of the inspection visit. The previous inspection was dated 1/30/2023. I asked the Program Director about a current fire inspection; the Program Director was able to share with me via TEAMS the 1/31/2024 fire inspection. I also requested that he send it to me as well for my file. I suggest reaching out to the Fire Marshal six (6) to eight (8) weeks prior to the previous inspection date. Then make a note to submit the original inspection to DCDEE within one (1) week of the inspection completion date. Item #9995 Disinfectant wipes were not inaccessible to children. 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. - In the cafeteria disinfectant wipes were located in an unlocked cabinet below five (5) feet. The Program Coordinator moved these to a locking cabinet during the visit. I suggest conducting a daily room/space check to ensure all hazardous products are stored appropriately. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Policies around items brought from home. We discussed reminding the parents and the children of the policies and procedures regarding items brought from home. - Current EPR plan needs to be printed and on-site for the staff to reference. - Current fire inspection needs to be on-site at the facility. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 33 Completed Date: 4/10/2024 Age: From 5 To 12 Total Minutes: 135 Time In: 02:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Alexis McCall, Program Coordinator and Nick Erwin, Program Director. Your program currently operates with a Five (5) Star Rated License effective 1/9/2020. The permit restrictions were in compliance including first shift, school age only, enhanced space, meets reduced ratios, and playground does not meet child care safety standards. Alexis McCall, Program Coordinator, was available to assist with questions. Nick Erwin, Program Director, was available via TEAMS to assist with the electronic files. The program’s annual compliance visit was conducted on 10/16/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I was greeted by the Program Coordinator. I observed both groups gathered in the center of the gym completing the check-in process. After checking in, they separated into two (2) groups. Group one (1) five to six years old were gathering their belongings and getting in line to transition to the cafeteria for snack. Once in the cafeteria, the children were offered snack. After snack, the children transitioned to free play with Jenga, building cups, free art, and reading books. Group two (2) six to twelve years old were continuing their group meeting at the center of the gym. After the group meeting, the children transition to indoor group games. When group games concluded, the group prepared to transition to the cafeteria for snack. Snack today consisted of WOW butter, sunflower kernels, WG tortilla, jelly, apple sauce, and juice. The last fire drill was practiced on 3/29/2024. The last emergency drill, shelter in place drill, was practiced on 2/26/2024. The last fire inspection was approved on 1/31/2024. Program Director shared with me via TEAMS and will send the inspection to me for my file. The program’s most recent sanitation inspection was completed on 2/29/2024, with two (2) demerits. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There have been no new staff members hired since the last annual compliance visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility did not schedule and obtain a fire inspection within twelve (12) months of the previous inspection. The Operator did not submit the original approved report to DCDEE within one (1) week of the inspection visit. The previous inspection was dated 1/30/2023. I asked the Program Director about a current fire inspection; the Program Director was able to share with me via TEAMS the 1/31/2024 fire inspection. I also requested that he send it to me as well for my file. 10A NCAC 09 .0304(a) 9995 A violation was found for which there is no item number. In the cafeteria disinfectant wipes were located in an unlocked cabinet below five (5) feet. The Program Coordinator moved these to a locking cabinet during the visit. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/24/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - The facility did not schedule and obtain a fire inspection within twelve (12) months of the previous inspection. The Operator did not submit the original approved report to DCDEE within one (1) week of the inspection visit. The previous inspection was dated 1/30/2023. I asked the Program Director about a current fire inspection; the Program Director was able to share with me via TEAMS the 1/31/2024 fire inspection. I also requested that he send it to me as well for my file. I suggest reaching out to the Fire Marshal six (6) to eight (8) weeks prior to the previous inspection date. Then make a note to submit the original inspection to DCDEE within one (1) week of the inspection completion date. Item #9995 Disinfectant wipes were not inaccessible to children. 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. - In the cafeteria disinfectant wipes were located in an unlocked cabinet below five (5) feet. The Program Coordinator moved these to a locking cabinet during the visit. I suggest conducting a daily room/space check to ensure all hazardous products are stored appropriately. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Policies around items brought from home. We discussed reminding the parents and the children of the policies and procedures regarding items brought from home. - Current EPR plan needs to be printed and on-site for the staff to reference. - Current fire inspection needs to be on-site at the facility. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 33 Completed Date: 4/10/2024 Age: From 5 To 12 Total Minutes: 135 Time In: 02:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Alexis McCall, Program Coordinator and Nick Erwin, Program Director. Your program currently operates with a Five (5) Star Rated License effective 1/9/2020. The permit restrictions were in compliance including first shift, school age only, enhanced space, meets reduced ratios, and playground does not meet child care safety standards. Alexis McCall, Program Coordinator, was available to assist with questions. Nick Erwin, Program Director, was available via TEAMS to assist with the electronic files. The program’s annual compliance visit was conducted on 10/16/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I was greeted by the Program Coordinator. I observed both groups gathered in the center of the gym completing the check-in process. After checking in, they separated into two (2) groups. Group one (1) five to six years old were gathering their belongings and getting in line to transition to the cafeteria for snack. Once in the cafeteria, the children were offered snack. After snack, the children transitioned to free play with Jenga, building cups, free art, and reading books. Group two (2) six to twelve years old were continuing their group meeting at the center of the gym. After the group meeting, the children transition to indoor group games. When group games concluded, the group prepared to transition to the cafeteria for snack. Snack today consisted of WOW butter, sunflower kernels, WG tortilla, jelly, apple sauce, and juice. The last fire drill was practiced on 3/29/2024. The last emergency drill, shelter in place drill, was practiced on 2/26/2024. The last fire inspection was approved on 1/31/2024. Program Director shared with me via TEAMS and will send the inspection to me for my file. The program’s most recent sanitation inspection was completed on 2/29/2024, with two (2) demerits. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There have been no new staff members hired since the last annual compliance visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility did not schedule and obtain a fire inspection within twelve (12) months of the previous inspection. The Operator did not submit the original approved report to DCDEE within one (1) week of the inspection visit. The previous inspection was dated 1/30/2023. I asked the Program Director about a current fire inspection; the Program Director was able to share with me via TEAMS the 1/31/2024 fire inspection. I also requested that he send it to me as well for my file. 10A NCAC 09 .0304(a) 9995 A violation was found for which there is no item number. In the cafeteria disinfectant wipes were located in an unlocked cabinet below five (5) feet. The Program Coordinator moved these to a locking cabinet during the visit. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/24/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - The facility did not schedule and obtain a fire inspection within twelve (12) months of the previous inspection. The Operator did not submit the original approved report to DCDEE within one (1) week of the inspection visit. The previous inspection was dated 1/30/2023. I asked the Program Director about a current fire inspection; the Program Director was able to share with me via TEAMS the 1/31/2024 fire inspection. I also requested that he send it to me as well for my file. I suggest reaching out to the Fire Marshal six (6) to eight (8) weeks prior to the previous inspection date. Then make a note to submit the original inspection to DCDEE within one (1) week of the inspection completion date. Item #9995 Disinfectant wipes were not inaccessible to children. 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. - In the cafeteria disinfectant wipes were located in an unlocked cabinet below five (5) feet. The Program Coordinator moved these to a locking cabinet during the visit. I suggest conducting a daily room/space check to ensure all hazardous products are stored appropriately. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Policies around items brought from home. We discussed reminding the parents and the children of the policies and procedures regarding items brought from home. - Current EPR plan needs to be printed and on-site for the staff to reference. - Current fire inspection needs to be on-site at the facility. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 33 Completed Date: 4/10/2024 Age: From 5 To 12 Total Minutes: 135 Time In: 02:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Alexis McCall, Program Coordinator and Nick Erwin, Program Director. Your program currently operates with a Five (5) Star Rated License effective 1/9/2020. The permit restrictions were in compliance including first shift, school age only, enhanced space, meets reduced ratios, and playground does not meet child care safety standards. Alexis McCall, Program Coordinator, was available to assist with questions. Nick Erwin, Program Director, was available via TEAMS to assist with the electronic files. The program’s annual compliance visit was conducted on 10/16/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I was greeted by the Program Coordinator. I observed both groups gathered in the center of the gym completing the check-in process. After checking in, they separated into two (2) groups. Group one (1) five to six years old were gathering their belongings and getting in line to transition to the cafeteria for snack. Once in the cafeteria, the children were offered snack. After snack, the children transitioned to free play with Jenga, building cups, free art, and reading books. Group two (2) six to twelve years old were continuing their group meeting at the center of the gym. After the group meeting, the children transition to indoor group games. When group games concluded, the group prepared to transition to the cafeteria for snack. Snack today consisted of WOW butter, sunflower kernels, WG tortilla, jelly, apple sauce, and juice. The last fire drill was practiced on 3/29/2024. The last emergency drill, shelter in place drill, was practiced on 2/26/2024. The last fire inspection was approved on 1/31/2024. Program Director shared with me via TEAMS and will send the inspection to me for my file. The program’s most recent sanitation inspection was completed on 2/29/2024, with two (2) demerits. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There have been no new staff members hired since the last annual compliance visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility did not schedule and obtain a fire inspection within twelve (12) months of the previous inspection. The Operator did not submit the original approved report to DCDEE within one (1) week of the inspection visit. The previous inspection was dated 1/30/2023. I asked the Program Director about a current fire inspection; the Program Director was able to share with me via TEAMS the 1/31/2024 fire inspection. I also requested that he send it to me as well for my file. 10A NCAC 09 .0304(a) 9995 A violation was found for which there is no item number. In the cafeteria disinfectant wipes were located in an unlocked cabinet below five (5) feet. The Program Coordinator moved these to a locking cabinet during the visit. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/24/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - The facility did not schedule and obtain a fire inspection within twelve (12) months of the previous inspection. The Operator did not submit the original approved report to DCDEE within one (1) week of the inspection visit. The previous inspection was dated 1/30/2023. I asked the Program Director about a current fire inspection; the Program Director was able to share with me via TEAMS the 1/31/2024 fire inspection. I also requested that he send it to me as well for my file. I suggest reaching out to the Fire Marshal six (6) to eight (8) weeks prior to the previous inspection date. Then make a note to submit the original inspection to DCDEE within one (1) week of the inspection completion date. Item #9995 Disinfectant wipes were not inaccessible to children. 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. - In the cafeteria disinfectant wipes were located in an unlocked cabinet below five (5) feet. The Program Coordinator moved these to a locking cabinet during the visit. I suggest conducting a daily room/space check to ensure all hazardous products are stored appropriately. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Policies around items brought from home. We discussed reminding the parents and the children of the policies and procedures regarding items brought from home. - Current EPR plan needs to be printed and on-site for the staff to reference. - Current fire inspection needs to be on-site at the facility. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 4/10/2024 Number Present: 33 Completed Date: 4/10/2024 Age: From 5 To 12 Total Minutes: 135 Time In: 02:45 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. Upon arrival, the purpose of today’s visit was reviewed with you, Alexis McCall, Program Coordinator and Nick Erwin, Program Director. Your program currently operates with a Five (5) Star Rated License effective 1/9/2020. The permit restrictions were in compliance including first shift, school age only, enhanced space, meets reduced ratios, and playground does not meet child care safety standards. Alexis McCall, Program Coordinator, was available to assist with questions. Nick Erwin, Program Director, was available via TEAMS to assist with the electronic files. The program’s annual compliance visit was conducted on 10/16/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification BSAC Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I was greeted by the Program Coordinator. I observed both groups gathered in the center of the gym completing the check-in process. After checking in, they separated into two (2) groups. Group one (1) five to six years old were gathering their belongings and getting in line to transition to the cafeteria for snack. Once in the cafeteria, the children were offered snack. After snack, the children transitioned to free play with Jenga, building cups, free art, and reading books. Group two (2) six to twelve years old were continuing their group meeting at the center of the gym. After the group meeting, the children transition to indoor group games. When group games concluded, the group prepared to transition to the cafeteria for snack. Snack today consisted of WOW butter, sunflower kernels, WG tortilla, jelly, apple sauce, and juice. The last fire drill was practiced on 3/29/2024. The last emergency drill, shelter in place drill, was practiced on 2/26/2024. The last fire inspection was approved on 1/31/2024. Program Director shared with me via TEAMS and will send the inspection to me for my file. The program’s most recent sanitation inspection was completed on 2/29/2024, with two (2) demerits. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, BSAC, Special Training including Health and Safety Training and Criminal Background Checks. There have been no new staff members hired since the last annual compliance visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The facility did not schedule and obtain a fire inspection within twelve (12) months of the previous inspection. The Operator did not submit the original approved report to DCDEE within one (1) week of the inspection visit. The previous inspection was dated 1/30/2023. I asked the Program Director about a current fire inspection; the Program Director was able to share with me via TEAMS the 1/31/2024 fire inspection. I also requested that he send it to me as well for my file. 10A NCAC 09 .0304(a) 9995 A violation was found for which there is no item number. In the cafeteria disinfectant wipes were located in an unlocked cabinet below five (5) feet. The Program Coordinator moved these to a locking cabinet during the visit. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/24/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. - The facility did not schedule and obtain a fire inspection within twelve (12) months of the previous inspection. The Operator did not submit the original approved report to DCDEE within one (1) week of the inspection visit. The previous inspection was dated 1/30/2023. I asked the Program Director about a current fire inspection; the Program Director was able to share with me via TEAMS the 1/31/2024 fire inspection. I also requested that he send it to me as well for my file. I suggest reaching out to the Fire Marshal six (6) to eight (8) weeks prior to the previous inspection date. Then make a note to submit the original inspection to DCDEE within one (1) week of the inspection completion date. Item #9995 Disinfectant wipes were not inaccessible to children. 15A NCAC 18A .2820 STORAGE (c) Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use, but are not required to be in locked storage. These solutions shall be labeled as sanitizing, disinfecting, or detergent solutions. Hand soap other than that which is in bulk containers is not required to be kept inaccessible to children or in locked storage. Bulk soaps shall be kept inaccessible to children. - In the cafeteria disinfectant wipes were located in an unlocked cabinet below five (5) feet. The Program Coordinator moved these to a locking cabinet during the visit. I suggest conducting a daily room/space check to ensure all hazardous products are stored appropriately. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. - Policies around items brought from home. We discussed reminding the parents and the children of the policies and procedures regarding items brought from home. - Current EPR plan needs to be printed and on-site for the staff to reference. - Current fire inspection needs to be on-site at the facility. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0102 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 36 Completed Date: 10/16/2023 Age: From 5 To 12 Total Minutes: 145 Time In: 02:35 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Alexis McCall, Program Coordinator, was on-site and avaliable to assist me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Delaney Burke, Administrator, met with me via virtual TEAMS call to review staff and children’s files. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percentage (87%) as of 10/6/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 10/6/2023. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, and playground does not meet child care safety standards. The last annual compliance visit was conducted on 10/26/2022. The last fire drill was practiced on 9/21/2023. The last shelter-in-place drill was practiced on 8/30/2023. The last fire inspection was approved on 1/30/2023. The last sanitation inspection was conducted on 9/12/2023 with three (3) demerits for a superior rating. The Emergency Preparedness and Response plan was reviewed on 8/30/2023. The Emergency Medical Care plan was last updated and reviewed on 10/5/2023. Transportation is approved to be provided. YMCA transportation monitoring was conducted on 4/27/23 by Kaoru Eddins, Child Care Licensing Consultant at the Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. Upon arrival, I introduced myself to the Program Coordinator. I observed one (1) group transitioning to the cafeteria for snack, and two (2) groups in the gym checking in and preparing to transition to free choice center play. Group one (1) five to eight years old was checking in and putting their belongings away in an individually labeled basket. Group two (2) seven to eight years old was checking in and transitioning to free choice centers. Group three (3) eight to twelve years old was transitioning to the cafeteria for snack. After snack, the group transitioned outdoors for gross motor play with the climbers and balls. The snack consisted of WOW Butter, sunflower kernels, apple cinnamon graham crackers, apple sauce, juice, and milk. All medications were monitored and in compliance with child care requirements. There are four (4) staff. Two (2) new staff files were monitored. One (1) existing staff files were monitored. There are forty-three (43) students enrolled. Four (4) student’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. A four month span was between the 12/14/2022 and 4/13/2023 emergency drills. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drills were not practiced every three (3) months. A four month span was between the 12/14/2022 and 4/13/2023 emergency drills. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/30/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. - Staff member RR and SM need to register for a DCDEE WORKS account and upload their education. - Emergency Drills, I recommend pre-planning your drills for the entire year and writing them in on your paper or electronic calendar to remind you when the drill is due in order to prevent any reoccurrences. - On-going training hours is due by 10/24/2023 for staff member AM hired 10/24/2022. - First Aid and CPR is due by 12/6/2023 for staff member SM hired 9/18/2023. - BSAC is due by 12/6/2023 for staff member SM hired 9/18/2023. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 36 Completed Date: 10/16/2023 Age: From 5 To 12 Total Minutes: 145 Time In: 02:35 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Alexis McCall, Program Coordinator, was on-site and avaliable to assist me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Delaney Burke, Administrator, met with me via virtual TEAMS call to review staff and children’s files. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percentage (87%) as of 10/6/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 10/6/2023. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, and playground does not meet child care safety standards. The last annual compliance visit was conducted on 10/26/2022. The last fire drill was practiced on 9/21/2023. The last shelter-in-place drill was practiced on 8/30/2023. The last fire inspection was approved on 1/30/2023. The last sanitation inspection was conducted on 9/12/2023 with three (3) demerits for a superior rating. The Emergency Preparedness and Response plan was reviewed on 8/30/2023. The Emergency Medical Care plan was last updated and reviewed on 10/5/2023. Transportation is approved to be provided. YMCA transportation monitoring was conducted on 4/27/23 by Kaoru Eddins, Child Care Licensing Consultant at the Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. Upon arrival, I introduced myself to the Program Coordinator. I observed one (1) group transitioning to the cafeteria for snack, and two (2) groups in the gym checking in and preparing to transition to free choice center play. Group one (1) five to eight years old was checking in and putting their belongings away in an individually labeled basket. Group two (2) seven to eight years old was checking in and transitioning to free choice centers. Group three (3) eight to twelve years old was transitioning to the cafeteria for snack. After snack, the group transitioned outdoors for gross motor play with the climbers and balls. The snack consisted of WOW Butter, sunflower kernels, apple cinnamon graham crackers, apple sauce, juice, and milk. All medications were monitored and in compliance with child care requirements. There are four (4) staff. Two (2) new staff files were monitored. One (1) existing staff files were monitored. There are forty-three (43) students enrolled. Four (4) student’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. A four month span was between the 12/14/2022 and 4/13/2023 emergency drills. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drills were not practiced every three (3) months. A four month span was between the 12/14/2022 and 4/13/2023 emergency drills. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/30/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. - Staff member RR and SM need to register for a DCDEE WORKS account and upload their education. - Emergency Drills, I recommend pre-planning your drills for the entire year and writing them in on your paper or electronic calendar to remind you when the drill is due in order to prevent any reoccurrences. - On-going training hours is due by 10/24/2023 for staff member AM hired 10/24/2022. - First Aid and CPR is due by 12/6/2023 for staff member SM hired 9/18/2023. - BSAC is due by 12/6/2023 for staff member SM hired 9/18/2023. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 36 Completed Date: 10/16/2023 Age: From 5 To 12 Total Minutes: 145 Time In: 02:35 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Alexis McCall, Program Coordinator, was on-site and avaliable to assist me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Delaney Burke, Administrator, met with me via virtual TEAMS call to review staff and children’s files. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percentage (87%) as of 10/6/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 10/6/2023. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, and playground does not meet child care safety standards. The last annual compliance visit was conducted on 10/26/2022. The last fire drill was practiced on 9/21/2023. The last shelter-in-place drill was practiced on 8/30/2023. The last fire inspection was approved on 1/30/2023. The last sanitation inspection was conducted on 9/12/2023 with three (3) demerits for a superior rating. The Emergency Preparedness and Response plan was reviewed on 8/30/2023. The Emergency Medical Care plan was last updated and reviewed on 10/5/2023. Transportation is approved to be provided. YMCA transportation monitoring was conducted on 4/27/23 by Kaoru Eddins, Child Care Licensing Consultant at the Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. Upon arrival, I introduced myself to the Program Coordinator. I observed one (1) group transitioning to the cafeteria for snack, and two (2) groups in the gym checking in and preparing to transition to free choice center play. Group one (1) five to eight years old was checking in and putting their belongings away in an individually labeled basket. Group two (2) seven to eight years old was checking in and transitioning to free choice centers. Group three (3) eight to twelve years old was transitioning to the cafeteria for snack. After snack, the group transitioned outdoors for gross motor play with the climbers and balls. The snack consisted of WOW Butter, sunflower kernels, apple cinnamon graham crackers, apple sauce, juice, and milk. All medications were monitored and in compliance with child care requirements. There are four (4) staff. Two (2) new staff files were monitored. One (1) existing staff files were monitored. There are forty-three (43) students enrolled. Four (4) student’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. A four month span was between the 12/14/2022 and 4/13/2023 emergency drills. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drills were not practiced every three (3) months. A four month span was between the 12/14/2022 and 4/13/2023 emergency drills. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/30/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. - Staff member RR and SM need to register for a DCDEE WORKS account and upload their education. - Emergency Drills, I recommend pre-planning your drills for the entire year and writing them in on your paper or electronic calendar to remind you when the drill is due in order to prevent any reoccurrences. - On-going training hours is due by 10/24/2023 for staff member AM hired 10/24/2022. - First Aid and CPR is due by 12/6/2023 for staff member SM hired 9/18/2023. - BSAC is due by 12/6/2023 for staff member SM hired 9/18/2023. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 36 Completed Date: 10/16/2023 Age: From 5 To 12 Total Minutes: 145 Time In: 02:35 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Alexis McCall, Program Coordinator, was on-site and avaliable to assist me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Delaney Burke, Administrator, met with me via virtual TEAMS call to review staff and children’s files. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percentage (87%) as of 10/6/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 10/6/2023. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, and playground does not meet child care safety standards. The last annual compliance visit was conducted on 10/26/2022. The last fire drill was practiced on 9/21/2023. The last shelter-in-place drill was practiced on 8/30/2023. The last fire inspection was approved on 1/30/2023. The last sanitation inspection was conducted on 9/12/2023 with three (3) demerits for a superior rating. The Emergency Preparedness and Response plan was reviewed on 8/30/2023. The Emergency Medical Care plan was last updated and reviewed on 10/5/2023. Transportation is approved to be provided. YMCA transportation monitoring was conducted on 4/27/23 by Kaoru Eddins, Child Care Licensing Consultant at the Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. Upon arrival, I introduced myself to the Program Coordinator. I observed one (1) group transitioning to the cafeteria for snack, and two (2) groups in the gym checking in and preparing to transition to free choice center play. Group one (1) five to eight years old was checking in and putting their belongings away in an individually labeled basket. Group two (2) seven to eight years old was checking in and transitioning to free choice centers. Group three (3) eight to twelve years old was transitioning to the cafeteria for snack. After snack, the group transitioned outdoors for gross motor play with the climbers and balls. The snack consisted of WOW Butter, sunflower kernels, apple cinnamon graham crackers, apple sauce, juice, and milk. All medications were monitored and in compliance with child care requirements. There are four (4) staff. Two (2) new staff files were monitored. One (1) existing staff files were monitored. There are forty-three (43) students enrolled. Four (4) student’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. A four month span was between the 12/14/2022 and 4/13/2023 emergency drills. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drills were not practiced every three (3) months. A four month span was between the 12/14/2022 and 4/13/2023 emergency drills. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/30/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. - Staff member RR and SM need to register for a DCDEE WORKS account and upload their education. - Emergency Drills, I recommend pre-planning your drills for the entire year and writing them in on your paper or electronic calendar to remind you when the drill is due in order to prevent any reoccurrences. - On-going training hours is due by 10/24/2023 for staff member AM hired 10/24/2022. - First Aid and CPR is due by 12/6/2023 for staff member SM hired 9/18/2023. - BSAC is due by 12/6/2023 for staff member SM hired 9/18/2023. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 36 Completed Date: 10/16/2023 Age: From 5 To 12 Total Minutes: 145 Time In: 02:35 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Alexis McCall, Program Coordinator, was on-site and avaliable to assist me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Delaney Burke, Administrator, met with me via virtual TEAMS call to review staff and children’s files. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percentage (87%) as of 10/6/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 10/6/2023. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, and playground does not meet child care safety standards. The last annual compliance visit was conducted on 10/26/2022. The last fire drill was practiced on 9/21/2023. The last shelter-in-place drill was practiced on 8/30/2023. The last fire inspection was approved on 1/30/2023. The last sanitation inspection was conducted on 9/12/2023 with three (3) demerits for a superior rating. The Emergency Preparedness and Response plan was reviewed on 8/30/2023. The Emergency Medical Care plan was last updated and reviewed on 10/5/2023. Transportation is approved to be provided. YMCA transportation monitoring was conducted on 4/27/23 by Kaoru Eddins, Child Care Licensing Consultant at the Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. Upon arrival, I introduced myself to the Program Coordinator. I observed one (1) group transitioning to the cafeteria for snack, and two (2) groups in the gym checking in and preparing to transition to free choice center play. Group one (1) five to eight years old was checking in and putting their belongings away in an individually labeled basket. Group two (2) seven to eight years old was checking in and transitioning to free choice centers. Group three (3) eight to twelve years old was transitioning to the cafeteria for snack. After snack, the group transitioned outdoors for gross motor play with the climbers and balls. The snack consisted of WOW Butter, sunflower kernels, apple cinnamon graham crackers, apple sauce, juice, and milk. All medications were monitored and in compliance with child care requirements. There are four (4) staff. Two (2) new staff files were monitored. One (1) existing staff files were monitored. There are forty-three (43) students enrolled. Four (4) student’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. A four month span was between the 12/14/2022 and 4/13/2023 emergency drills. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drills were not practiced every three (3) months. A four month span was between the 12/14/2022 and 4/13/2023 emergency drills. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/30/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. - Staff member RR and SM need to register for a DCDEE WORKS account and upload their education. - Emergency Drills, I recommend pre-planning your drills for the entire year and writing them in on your paper or electronic calendar to remind you when the drill is due in order to prevent any reoccurrences. - On-going training hours is due by 10/24/2023 for staff member AM hired 10/24/2022. - First Aid and CPR is due by 12/6/2023 for staff member SM hired 9/18/2023. - BSAC is due by 12/6/2023 for staff member SM hired 9/18/2023. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 36 Completed Date: 10/16/2023 Age: From 5 To 12 Total Minutes: 145 Time In: 02:35 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Alexis McCall, Program Coordinator, was on-site and avaliable to assist me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Delaney Burke, Administrator, met with me via virtual TEAMS call to review staff and children’s files. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percentage (87%) as of 10/6/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 10/6/2023. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, and playground does not meet child care safety standards. The last annual compliance visit was conducted on 10/26/2022. The last fire drill was practiced on 9/21/2023. The last shelter-in-place drill was practiced on 8/30/2023. The last fire inspection was approved on 1/30/2023. The last sanitation inspection was conducted on 9/12/2023 with three (3) demerits for a superior rating. The Emergency Preparedness and Response plan was reviewed on 8/30/2023. The Emergency Medical Care plan was last updated and reviewed on 10/5/2023. Transportation is approved to be provided. YMCA transportation monitoring was conducted on 4/27/23 by Kaoru Eddins, Child Care Licensing Consultant at the Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. Upon arrival, I introduced myself to the Program Coordinator. I observed one (1) group transitioning to the cafeteria for snack, and two (2) groups in the gym checking in and preparing to transition to free choice center play. Group one (1) five to eight years old was checking in and putting their belongings away in an individually labeled basket. Group two (2) seven to eight years old was checking in and transitioning to free choice centers. Group three (3) eight to twelve years old was transitioning to the cafeteria for snack. After snack, the group transitioned outdoors for gross motor play with the climbers and balls. The snack consisted of WOW Butter, sunflower kernels, apple cinnamon graham crackers, apple sauce, juice, and milk. All medications were monitored and in compliance with child care requirements. There are four (4) staff. Two (2) new staff files were monitored. One (1) existing staff files were monitored. There are forty-three (43) students enrolled. Four (4) student’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. A four month span was between the 12/14/2022 and 4/13/2023 emergency drills. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drills were not practiced every three (3) months. A four month span was between the 12/14/2022 and 4/13/2023 emergency drills. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/30/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. - Staff member RR and SM need to register for a DCDEE WORKS account and upload their education. - Emergency Drills, I recommend pre-planning your drills for the entire year and writing them in on your paper or electronic calendar to remind you when the drill is due in order to prevent any reoccurrences. - On-going training hours is due by 10/24/2023 for staff member AM hired 10/24/2022. - First Aid and CPR is due by 12/6/2023 for staff member SM hired 9/18/2023. - BSAC is due by 12/6/2023 for staff member SM hired 9/18/2023. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: YMCA W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 36 Completed Date: 10/16/2023 Age: From 5 To 12 Total Minutes: 145 Time In: 02:35 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Alexis McCall, Program Coordinator, was on-site and avaliable to assist me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Delaney Burke, Administrator, met with me via virtual TEAMS call to review staff and children’s files. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percentage (87%) as of 10/6/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 10/6/2023. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, and playground does not meet child care safety standards. The last annual compliance visit was conducted on 10/26/2022. The last fire drill was practiced on 9/21/2023. The last shelter-in-place drill was practiced on 8/30/2023. The last fire inspection was approved on 1/30/2023. The last sanitation inspection was conducted on 9/12/2023 with three (3) demerits for a superior rating. The Emergency Preparedness and Response plan was reviewed on 8/30/2023. The Emergency Medical Care plan was last updated and reviewed on 10/5/2023. Transportation is approved to be provided. YMCA transportation monitoring was conducted on 4/27/23 by Kaoru Eddins, Child Care Licensing Consultant at the Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. Upon arrival, I introduced myself to the Program Coordinator. I observed one (1) group transitioning to the cafeteria for snack, and two (2) groups in the gym checking in and preparing to transition to free choice center play. Group one (1) five to eight years old was checking in and putting their belongings away in an individually labeled basket. Group two (2) seven to eight years old was checking in and transitioning to free choice centers. Group three (3) eight to twelve years old was transitioning to the cafeteria for snack. After snack, the group transitioned outdoors for gross motor play with the climbers and balls. The snack consisted of WOW Butter, sunflower kernels, apple cinnamon graham crackers, apple sauce, juice, and milk. All medications were monitored and in compliance with child care requirements. There are four (4) staff. Two (2) new staff files were monitored. One (1) existing staff files were monitored. There are forty-three (43) students enrolled. Four (4) student’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. A four month span was between the 12/14/2022 and 4/13/2023 emergency drills. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drills were not practiced every three (3) months. A four month span was between the 12/14/2022 and 4/13/2023 emergency drills. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/30/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. - Staff member RR and SM need to register for a DCDEE WORKS account and upload their education. - Emergency Drills, I recommend pre-planning your drills for the entire year and writing them in on your paper or electronic calendar to remind you when the drill is due in order to prevent any reoccurrences. - On-going training hours is due by 10/24/2023 for staff member AM hired 10/24/2022. - First Aid and CPR is due by 12/6/2023 for staff member SM hired 9/18/2023. - BSAC is due by 12/6/2023 for staff member SM hired 9/18/2023. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 W.D. WILLIAMS AFTERSCHOOL Facility ID: 11000667 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 10/16/2023 Number Present: 36 Completed Date: 10/16/2023 Age: From 5 To 12 Total Minutes: 145 Time In: 02:35 PM Time Out: 05:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Alexis McCall, Program Coordinator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Alexis McCall, Program Coordinator, was on-site and avaliable to assist me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. Delaney Burke, Administrator, met with me via virtual TEAMS call to review staff and children’s files. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percentage (87%) as of 10/6/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, The Young Men’s Christian Association of Western North Carolina, Inc., is current/active as of 10/6/2023. Permit type – Five (5) Star Rated License, issued 1/9/2020. Special Services/Restrictions – first shift, school age only, meets enhanced space, meets reduced ratios, and playground does not meet child care safety standards. The last annual compliance visit was conducted on 10/26/2022. The last fire drill was practiced on 9/21/2023. The last shelter-in-place drill was practiced on 8/30/2023. The last fire inspection was approved on 1/30/2023. The last sanitation inspection was conducted on 9/12/2023 with three (3) demerits for a superior rating. The Emergency Preparedness and Response plan was reviewed on 8/30/2023. The Emergency Medical Care plan was last updated and reviewed on 10/5/2023. Transportation is approved to be provided. YMCA transportation monitoring was conducted on 4/27/23 by Kaoru Eddins, Child Care Licensing Consultant at the Beaverdam location at 201 Beaverdam Rd. Asheville, NC 28804 for 1) B-1, 2) B-2, 3) B-4, 4) B-5, 5) B-11, 6) M-2, 7) M-3, 8) M-4, 9) M-8, 10) M-9, 11) M-15. All buses have valid insurance from West Bend Mutual Insurance. All vehicles have valid registration cards, except for B1. The registration card for B1 License plate number KCH-4867 has been misplaced. However, the registration process has been completed and the sticker on the tag is dated December 2023. Upon arrival, I introduced myself to the Program Coordinator. I observed one (1) group transitioning to the cafeteria for snack, and two (2) groups in the gym checking in and preparing to transition to free choice center play. Group one (1) five to eight years old was checking in and putting their belongings away in an individually labeled basket. Group two (2) seven to eight years old was checking in and transitioning to free choice centers. Group three (3) eight to twelve years old was transitioning to the cafeteria for snack. After snack, the group transitioned outdoors for gross motor play with the climbers and balls. The snack consisted of WOW Butter, sunflower kernels, apple cinnamon graham crackers, apple sauce, juice, and milk. All medications were monitored and in compliance with child care requirements. There are four (4) staff. Two (2) new staff files were monitored. One (1) existing staff files were monitored. There are forty-three (43) students enrolled. Four (4) student’s files were monitored. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violation was documented during today’s visit: Violation Number Comment Rule 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Shelter in place or lockdown drills were not practiced every three (3) months. A four month span was between the 12/14/2022 and 4/13/2023 emergency drills. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (u) A "shelter in place drill" or "lockdown drill" as defined in 10A NCAC 09 .0102 shall be conducted at least every three months and records shall be maintained as required by 10A NCAC 09 .0302(d)(8). - Shelter in place or lockdown drills were not practiced every three (3) months. A four month span was between the 12/14/2022 and 4/13/2023 emergency drills. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 10/30/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: - We discussed that you are a part of Cohort 2 for rated license reassessments. The program’s year of preparation will begin 7/1/2024 and end 6/30/2025. The assessment year will begin 7/1/2025 and end 6/30/2026. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. - Staff member RR and SM need to register for a DCDEE WORKS account and upload their education. - Emergency Drills, I recommend pre-planning your drills for the entire year and writing them in on your paper or electronic calendar to remind you when the drill is due in order to prevent any reoccurrences. - On-going training hours is due by 10/24/2023 for staff member AM hired 10/24/2022. - First Aid and CPR is due by 12/6/2023 for staff member SM hired 9/18/2023. - BSAC is due by 12/6/2023 for staff member SM hired 9/18/2023. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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