GS 110-91 · Violation

Name of Operation: WESCARE AFTERSCHOOL PROGRAM Facility ID: 62000077 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 2/21/2025 Number Present: 24 Completed Date: 2/21/2025 Age: From 5 To 12 Total Minutes: 130 Time In: 02:30 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this unannounced annual compliance visit was to monitor compliance with child care requirements. The facility has a 4-star license. The facility’s compliance history prior to today's visit was 83%. The last annual compliance was conducted on 2/23/24. The facility currently serves school age children only. Upon arrival there was no one present. I contacted Lisha Lilly, Director, and she arrived shortly after the call ended. There are currently thirty-nine (39) children enrolled; twenty-four (24) children were present today. The children were observed eating snacks, participating in indoor free play, and handwashing/bathroom routines. All applicable requirements were monitored today. Four (4) children’s files were monitored today for 10% of children's files. I monitored the children’s indoor and outdoor areas. One (1) existing staff file was monitored today for 10% of staff files. A superior sanitation inspection was conducted on 12/20/24 with 4 demerits. The last fire inspection was conducted on 10/17/24. I monitored the fire drill, and shelter in place/lockdown drill log during today's visit. The last fire drill was conducted on 1/29/25. The last lockdown drill was conducted on 1/16/25. All drills have been conducted as required. Playground inspections have been conducted as required. The following items were posted for easy reference: license, NC Summary of Child Care Law, emergency medical care plan, emergency telephone numbers, daily schedule, first aid poster, menu, applicable staff/child ratio chart, tobacco free signage, and evacuation routes. The following violations of child care requirements was observed today. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan that was posted was dated for January 2025. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. During the visit an aerosol can of cleaner was observed sitting on a cabinet in the caregiving space. .2820(b) 1821 The EPR Plan did not include the date of the last revision of the plan. The EPR plan on site for review was dated 2023. .0607(d)(8) The violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 3/7/25. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all childcare facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was 83% prior to this visit. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Technical Assistance: *All current program paperwork must be on site for review. *Rated License: Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers are not required to go any further with a rated license assessment unless they want to. Providers are strongly encouraged to do the following: • Have all staff update their WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R related training/workshops • Reach out to your local Community College to discuss educational opportunities. • Review NCRLAP website ERS resources (www.NCRLAP.org). • Consider requesting an ERS practice assessment (free of charge). You may contact me if you have questions or need assistance. I can be reached at 910-610-7525 or email michell.kocan@dhhs.nc.gov. Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education PO Box 2694 Rockingham, NC 28380 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: ratio. Open / not marked corrected.

NC GS 110-90 · Violation

Name of Operation: WESCARE AFTERSCHOOL PROGRAM Facility ID: 62000077 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 2/21/2025 Number Present: 24 Completed Date: 2/21/2025 Age: From 5 To 12 Total Minutes: 130 Time In: 02:30 PM Time Out: 04:40 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of this unannounced annual compliance visit was to monitor compliance with child care requirements. The facility has a 4-star license. The facility’s compliance history prior to today's visit was 83%. The last annual compliance was conducted on 2/23/24. The facility currently serves school age children only. Upon arrival there was no one present. I contacted Lisha Lilly, Director, and she arrived shortly after the call ended. There are currently thirty-nine (39) children enrolled; twenty-four (24) children were present today. The children were observed eating snacks, participating in indoor free play, and handwashing/bathroom routines. All applicable requirements were monitored today. Four (4) children’s files were monitored today for 10% of children's files. I monitored the children’s indoor and outdoor areas. One (1) existing staff file was monitored today for 10% of staff files. A superior sanitation inspection was conducted on 12/20/24 with 4 demerits. The last fire inspection was conducted on 10/17/24. I monitored the fire drill, and shelter in place/lockdown drill log during today's visit. The last fire drill was conducted on 1/29/25. The last lockdown drill was conducted on 1/16/25. All drills have been conducted as required. Playground inspections have been conducted as required. The following items were posted for easy reference: license, NC Summary of Child Care Law, emergency medical care plan, emergency telephone numbers, daily schedule, first aid poster, menu, applicable staff/child ratio chart, tobacco free signage, and evacuation routes. The following violations of child care requirements was observed today. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. The activity plan that was posted was dated for January 2025. GS 110-91(12); .0508(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. During the visit an aerosol can of cleaner was observed sitting on a cabinet in the caregiving space. .2820(b) 1821 The EPR Plan did not include the date of the last revision of the plan. The EPR plan on site for review was dated 2023. .0607(d)(8) The violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 3/7/25. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all childcare facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was 83% prior to this visit. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Technical Assistance: *All current program paperwork must be on site for review. *Rated License: Hold harmless has been extended until the new QRIS is implemented (SB 425). Providers are not required to go any further with a rated license assessment unless they want to. Providers are strongly encouraged to do the following: • Have all staff update their WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R related training/workshops • Reach out to your local Community College to discuss educational opportunities. • Review NCRLAP website ERS resources (www.NCRLAP.org). • Consider requesting an ERS practice assessment (free of charge). You may contact me if you have questions or need assistance. I can be reached at 910-610-7525 or email michell.kocan@dhhs.nc.gov. Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education PO Box 2694 Rockingham, NC 28380 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: WESCARE AFTERSCHOOL PROGRAM Facility ID: 62000077 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 6/10/2024 Number Present: 21 Completed Date: 6/10/2024 Age: From 5 To 12 Total Minutes: 95 Time In: 11:45 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's unannounced visit is to monitor applicable child care requirements. This center operates with a four star license earning four (4) points in program standards, five (5) points in education and one (1) quality point. The facility has a current compliance history of 93%. The last annual compliance visit was conducted on 2/23/24. I monitored the indoor areas used by children. There are 55 school age children enrolled and 21 children were present today. The facility is licensed to serve children ages 5-12 years of age. The children were observed engaged in large group activities, eating lunch, and bathroom and handwashing routines. The following items were monitored: supervision, staff child ratios, CPR/FA certification, storage of hazardous substances and medication, adequate approved space and program records. Staff and training worksheets completed for the last annual compliance visit and staff files were used to monitor for required staff information/certifications. A fire drill was conducted on 5/24/24. A lockdow drill was last conducted on 5/24/24. The last fire inspection was completed on 6/28/23. A superior sanitation inspection was completed on 1/28/24 with 0 demerits. The monthly outdoor playground inspections have not been completed as required. The following activities are available: blocks, dramatic play, art, manipulatives, board games, indoor gross motor equipment, puzzles, writing workbooks. The facility plans for the groups to participate in off premise activities during the summer months. A list of the activities including dates and times will be posted prior to any off premise activities occurring. The following items were posted for easy reference: license, NC Summary of Child Care Law, safe arrival and departure procedures, daily schedule, emergency medical care plan, emergency telephone numbers, tobacco free signage, CPR and First Aid poster, applicable staff/child ratio charts, evacuation route, activity plans, and menu. Following the initial walk-through of the facility I conducted an extended observation. The children are school age children and the facility services school age children only. The groups are separated by age with the younger school age children in one group and the older children in a separate group. The facility consists of two licensed spaces, space 1a and 1b. Space 1a contains all of the materials and activity centers while space 1b is the gymnasium area. Both spaces are open and are only separated by a curtain when needed. Medication requirements were not being met during today's visit. Transportation requirements were met during today's visit. The following violations of child care requirements were observed today. Violation Number Comment Rule 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. An Epi Pen with a medication permission form that expired on 3/18/24 was observed during today's visit. .0803(12) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last documented playground inspection was completed on 2/29/24. .0605(q) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. Verification that K.Lisenby completed First Aid training was not in the staff file for review. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. Verification that K.Lisenby completed CPR training was not in the staff file for review. .1102(d) he violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 6/24/24. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all childcare facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was 93% prior to this visit. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. Resources: *The North Carolina Child Care Health and Safety Resource Center is a great resource for information and free childcare publications/posters. The website is healthychildcare.unc.edu. Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education PO Box 2694 Rockingham, NC 28380 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: WESCARE AFTERSCHOOL PROGRAM Facility ID: 62000077 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 2/23/2024 Number Present: 20 Completed Date: 2/23/2024 Age: From 5 To 11 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 this unannounced annual compliance visit today was to monitor for compliance with child care requirements. The facility has a 4-star license. The facility has a 95% compliance history prior to today's visit. The last annual compliance was conducted on 2/28/23. The facility currently serves school age children only. There are currently thirty-five (35) children enrolled, twenty (20) children were present today. The children were observed having snack, indoor free play and handwashing/bathroom routines. All applicable requirements were monitored today. Three (3) children’s files were monitored today for 10% of children's files. I monitored the children’s indoor and outdoor areas. One (1) new staff has been hired since the last annual compliance visit was conducted. The file for the new staff was monitored. One (1) existing staff file was monitored today for 10% of staff files. A superior sanitation inspection was conducted on 1/8/24 with 0 demerits. The last fire inspection was conducted on 6/28/23. I monitored the fire drill, and shelter in place/lockdown drill log during today's visit. The last fire drill was conducted on 2/6/24. The last shelter-in-place drill was conducted on 1/9/24. All drills have not been conducted as required. The following items were posted for easy reference: license, NC Summary of Child Care Law, emergency medical care plan, emergency telephone numbers, daily schedule, activity plan First Aid poster, menu, applicable staff/child ratio chart, tobacco free signage and evacuation routes. The following violation of child care requirements was observed today. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facility passed a sanitation inspection in 2022 and did not have another inspections completed until 1/18/2024. 10A NCAC 09 .0304(b) 428 A current activity plan was not posted for each group of children for reference. The posted lesson plan was dated for the week ending 2/2/24. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for November 2024. .0604(t); .0302(d)(5) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Two (2) incident reports did not contain a parent signature. .0802 (e) 853 Incident logs were not completed and maintained as required. Four (4) incident reports monitored during today's visit were not documented on the incident log. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted for September 2024 or November 2024. .0605(q) 1329 Application for enrollment did not include all required information. One (1) of three (3) children's files monitored did not contain information pertaining to children's fears, behaviors, and any allergies or symptoms. .0801(a)(1-7) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. C. Alexander hired 3/6/23 completed this training on 1/8/24. .1102(g) The violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 3/8/24. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all childcare facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was 95% prior to this visit. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. *Rated License: Today we discussed that you are in Cohort #1. The prep year for your facility is July 1, 2023-June 30, 2024. The reassessment year for your facility is July 1, 2024-June 30, 2025. I recommend that you consider completing the following tasks and activities that will help prepare you for your reassessment year. If possible, we will align the reassessment with your annual compliance visit timeframe. • Have all staff update their WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments for [ITERS-R, ECERS-R, SACERS-U, conducted. • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R related training/workshops • Reach out to your local Community College to discuss educational opportunities. • Review NCRLAP website ERS resources (www.NCRLAP.org). • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways. o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality. o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment. o Assessment scores can be saved to use during the reassessment year. o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Resources: *The North Carolina Child Care Health and Safety Resource Center is a great resource for information and free childcare publications/posters. The website is healthychildcare.unc.edu. You may contact me if you have questions or need assistance. I can be reached at 910-610-7525 or email michell.kocan@dhhs.nc.gov. Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education PO Box 2694 Rockingham, NC 28380 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: ratio. Open / not marked corrected.

GS 110-91 · Violation

Name of Operation: WESCARE AFTERSCHOOL PROGRAM Facility ID: 62000077 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 2/23/2024 Number Present: 20 Completed Date: 2/23/2024 Age: From 5 To 11 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 this unannounced annual compliance visit today was to monitor for compliance with child care requirements. The facility has a 4-star license. The facility has a 95% compliance history prior to today's visit. The last annual compliance was conducted on 2/28/23. The facility currently serves school age children only. There are currently thirty-five (35) children enrolled, twenty (20) children were present today. The children were observed having snack, indoor free play and handwashing/bathroom routines. All applicable requirements were monitored today. Three (3) children’s files were monitored today for 10% of children's files. I monitored the children’s indoor and outdoor areas. One (1) new staff has been hired since the last annual compliance visit was conducted. The file for the new staff was monitored. One (1) existing staff file was monitored today for 10% of staff files. A superior sanitation inspection was conducted on 1/8/24 with 0 demerits. The last fire inspection was conducted on 6/28/23. I monitored the fire drill, and shelter in place/lockdown drill log during today's visit. The last fire drill was conducted on 2/6/24. The last shelter-in-place drill was conducted on 1/9/24. All drills have not been conducted as required. The following items were posted for easy reference: license, NC Summary of Child Care Law, emergency medical care plan, emergency telephone numbers, daily schedule, activity plan First Aid poster, menu, applicable staff/child ratio chart, tobacco free signage and evacuation routes. The following violation of child care requirements was observed today. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facility passed a sanitation inspection in 2022 and did not have another inspections completed until 1/18/2024. 10A NCAC 09 .0304(b) 428 A current activity plan was not posted for each group of children for reference. The posted lesson plan was dated for the week ending 2/2/24. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for November 2024. .0604(t); .0302(d)(5) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Two (2) incident reports did not contain a parent signature. .0802 (e) 853 Incident logs were not completed and maintained as required. Four (4) incident reports monitored during today's visit were not documented on the incident log. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted for September 2024 or November 2024. .0605(q) 1329 Application for enrollment did not include all required information. One (1) of three (3) children's files monitored did not contain information pertaining to children's fears, behaviors, and any allergies or symptoms. .0801(a)(1-7) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. C. Alexander hired 3/6/23 completed this training on 1/8/24. .1102(g) The violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 3/8/24. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all childcare facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was 95% prior to this visit. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. *Rated License: Today we discussed that you are in Cohort #1. The prep year for your facility is July 1, 2023-June 30, 2024. The reassessment year for your facility is July 1, 2024-June 30, 2025. I recommend that you consider completing the following tasks and activities that will help prepare you for your reassessment year. If possible, we will align the reassessment with your annual compliance visit timeframe. • Have all staff update their WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments for [ITERS-R, ECERS-R, SACERS-U, conducted. • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R related training/workshops • Reach out to your local Community College to discuss educational opportunities. • Review NCRLAP website ERS resources (www.NCRLAP.org). • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways. o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality. o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment. o Assessment scores can be saved to use during the reassessment year. o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Resources: *The North Carolina Child Care Health and Safety Resource Center is a great resource for information and free childcare publications/posters. The website is healthychildcare.unc.edu. You may contact me if you have questions or need assistance. I can be reached at 910-610-7525 or email michell.kocan@dhhs.nc.gov. Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education PO Box 2694 Rockingham, NC 28380 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: WESCARE AFTERSCHOOL PROGRAM Facility ID: 62000077 Consultant: MICHELL KOCAN Operation Type: Center Case Number: Visit Date: 2/23/2024 Number Present: 20 Completed Date: 2/23/2024 Age: From 5 To 11 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 this unannounced annual compliance visit today was to monitor for compliance with child care requirements. The facility has a 4-star license. The facility has a 95% compliance history prior to today's visit. The last annual compliance was conducted on 2/28/23. The facility currently serves school age children only. There are currently thirty-five (35) children enrolled, twenty (20) children were present today. The children were observed having snack, indoor free play and handwashing/bathroom routines. All applicable requirements were monitored today. Three (3) children’s files were monitored today for 10% of children's files. I monitored the children’s indoor and outdoor areas. One (1) new staff has been hired since the last annual compliance visit was conducted. The file for the new staff was monitored. One (1) existing staff file was monitored today for 10% of staff files. A superior sanitation inspection was conducted on 1/8/24 with 0 demerits. The last fire inspection was conducted on 6/28/23. I monitored the fire drill, and shelter in place/lockdown drill log during today's visit. The last fire drill was conducted on 2/6/24. The last shelter-in-place drill was conducted on 1/9/24. All drills have not been conducted as required. The following items were posted for easy reference: license, NC Summary of Child Care Law, emergency medical care plan, emergency telephone numbers, daily schedule, activity plan First Aid poster, menu, applicable staff/child ratio chart, tobacco free signage and evacuation routes. The following violation of child care requirements was observed today. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. The facility passed a sanitation inspection in 2022 and did not have another inspections completed until 1/18/2024. 10A NCAC 09 .0304(b) 428 A current activity plan was not posted for each group of children for reference. The posted lesson plan was dated for the week ending 2/2/24. GS 110-91(12); .0508(a) 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was not conducted for November 2024. .0604(t); .0302(d)(5) 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. Two (2) incident reports did not contain a parent signature. .0802 (e) 853 Incident logs were not completed and maintained as required. Four (4) incident reports monitored during today's visit were not documented on the incident log. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. A playground inspection was not conducted for September 2024 or November 2024. .0605(q) 1329 Application for enrollment did not include all required information. One (1) of three (3) children's files monitored did not contain information pertaining to children's fears, behaviors, and any allergies or symptoms. .0801(a)(1-7) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. C. Alexander hired 3/6/23 completed this training on 1/8/24. .1102(g) The violations documented during the visit must be corrected immediately. To verify correction of the violations you shall submit a signed letter to me explaining in detail how you have corrected the violations described above. The letter should include the facility name and facility ID number. List each item using the item number located to the left of the violation description. When submitting an email for corrections, that email must be sent from the email address of the person designated to submit corrections (example: director) and must include this person’s name and title at the end of the email. I must receive the letter by email or at the address below on or before 3/8/24. You are required to maintain compliance with all applicable childcare rules and regulations at all times. NC GS 110-90(4)(d) requires all childcare facilities to maintain a compliance history score of at least 75% for the past 18 months or during the length of time the facility has operated, whichever is less. Failure to do so may result in the issuance of a provisional license or other administrative action. Your compliance history was 95% prior to this visit. Violations cited during the visit may negatively affect this score. Failure to maintain compliance with our requirements may result in administrative action against your license, which could include civil penalties. Repeated violations may significantly affect your compliance history. *Rated License: Today we discussed that you are in Cohort #1. The prep year for your facility is July 1, 2023-June 30, 2024. The reassessment year for your facility is July 1, 2024-June 30, 2025. I recommend that you consider completing the following tasks and activities that will help prepare you for your reassessment year. If possible, we will align the reassessment with your annual compliance visit timeframe. • Have all staff update their WORKS accounts to reflect all currently completed coursework (DCDEE-WORKS) • Determine whether you wish to have Environment Rating Scale (ERS) Assessments for [ITERS-R, ECERS-R, SACERS-U, conducted. • Request technical assistance with your child care consultant and local partners • Participate in local CCR&R related training/workshops • Reach out to your local Community College to discuss educational opportunities. • Review NCRLAP website ERS resources (www.NCRLAP.org). • Consider requesting an ERS assessment (free of charge) during the preparation year. Remember the scores can be used in a variety of ways. o ERS assessments can be requested during the preparation year and scores can be used as guidance to enhance program quality. o If desired, assessment scores can be used during the preparation year if the operator wants to move forward with a rated license reassessment. o Assessment scores can be saved to use during the reassessment year. o Facilities can request another ERS assessment (free of charge) in your reassessment year for any ERS assessment scoring less than a 5.0 Resources: *The North Carolina Child Care Health and Safety Resource Center is a great resource for information and free childcare publications/posters. The website is healthychildcare.unc.edu. You may contact me if you have questions or need assistance. I can be reached at 910-610-7525 or email michell.kocan@dhhs.nc.gov. Thank you for your assistance during the visit. Michell Kocan Child Care Consultant Regulatory Services Section/DHHS Division of Child Development and Early Education PO Box 2694 Rockingham, NC 28380 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