10A NCAC 09 .2508 · Violation

Name of Operation: YMCA Weaverville Facility ID: 11000966 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 1/5/2026 Number Present: 51 Completed Date: 1/5/2026 Age: From 5 To 10 Total Minutes: 175 Time In: 01:05 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor the child care facility for compliance with all applicable child care requirements during the second temporary time period visit. Upon arrival, I met virtually with Delaney Burke, Administrator, to review staff and children files. Madaline Bridges, Program Coordinator, assisted me with the visit. This facility was issued a temporary license on 9/9/25 with restrictions of daytime care only, school age children only, ages 5-12 years, capacity of one hundred (100) children. The temporary license expires 3/9/26. The facility operates under the non-profit organization, The Young Men’s Christian Association of Western North Carolina, Inc. The non-profit organization was listed as active-current on the North Carolina Secretary of State website. Due to Session Law 2025-36, on-going fire and sanitation inspections are not required. The last fire drill was practiced on 12/18/25. The last shelter-in-place or lockdown drill was practiced on 11/13/25. The Emergency Preparedness and Response (EPR) plan for the licensed program was last updated in August 2025. The Emergency Medical Care (EMC) plan was current. The children were observed entering the program in the cafeteria and placing their personal belongings in laundry baskets. Once all children arrived, they went to the restroom to wash hands, then transitioned to either eat snack or another activity. Snack today was apples and Sunchips as listed on the menu. Three (3) children’s files were monitored. Two (2) staff files were monitored and limited monitoring of other staff files occurred. The following violation was observed today and must be corrected immediately. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill that was practiced on 12/18/25 was not recorded on the emergency drill log as required. .0604(t); .0302(d)(5) Technical Assistance for Violation Cited – Rule References are Located in the Cited Violations *The fire drill practiced on 12/18/25 was recorded on the emergency drill log during the visit. This was corrected during the visit. Reminder that the drills must be recorded on the emergency log directly after the drill. Rated License Assessment: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. We discussed that you made a change and have chosen the classroom and instructional quality pathway and referred to the SECTION .3200 - STANDARDS FOR TWO THROUGH FIVE STAR RATED LICENSES. The following would be completed for the classroom and instructional quality pathway based on star level met. During the third temporary time period all requirements would be verified. Document any updates of how meeting requirements. 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS *Reduced/enhanced staff/child ratios and/or enhanced space options. *Staff education evaluation of fifty percent (50%) of other educators. *Evidence of implementing family and community engagement foundational practices. *Evidence of implementing continuous quality improvement plans for the facility and individual staff. *Evidence of implementing a curriculum that has been approved by the Commission. The curriculum implemented is Funny Daffer. *Evidence of conducting on-going formative assessments that have been approved by the Commission and sharing results with parents at least twice annually – does not apply to school-age only programs. *Evidence of the administrator completing training related to the curriculum and that is used by the center with children. *Evidence of the administrator participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f,10). You stated you will be participating in a mentorship with Jon Williams, Director of School-age Programs for Southwestern Child Development Commission. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff must have education evaluated by WORKS on or before 1/20/26 or education may result in a one-star level. *D. Burke, Administrator, meets Level III Equivalency School Age Administrator. *M. Bridges, Program Coordinator (PC), has a 4 year degree/other in Outdoor Leadership, and meets requirements for the PC position through receipt of twelve (12) semester hours in early childhood education + Basic School Age Care (BSAC) training. *D. Bermudez, Group Leader (GL), meets the position requirements by having BSAC only. *T. McCollum, GL, meets the position requirements by having BSAC only. *E. Ritch, GL, will need to create a DCDEE WORKS account and submit any official transcripts and upload BSAC certificate once completed. Your temporary license expires 3/9/26. Prior to the expiration date of your license, at least one (1) additional unannounced monitoring visit will be completed. 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 compliance history score of the facility prior to today’s visit was ninety-five percent (95%). We discussed that you are working with the new curriculum, Funny Daffer, and have weekly plans in a notebook, along with the schedule and general activity plan. Four (4) activities are required since the program operates more than three (3) hours per day. Between the weekly plans and schedule/activity plan, four (4) activities must be identified. This was verified during the visit today. See below for rule reference. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (c) Facilities that operate a school-age component for three or fewer hours per day shall make three of the following activities available daily; those that operate a school-age component for more than three hours per day shall make four of the following activities available daily: (1) career development activities; (2) community awareness activities; (3) creative arts activities; (4) cultural activities; (5) games or manipulatives; (6) hands-on academic enrichment activities including language, math, science, social studies, or foreign language activities; (7) health education or wellness activities; (8) homework with assistance available as needed from center personnel; (9) reading activities; (10) sand or water play; (11) social skills, life skills or problem-solving activities; (12) structured or unstructured physical activities; or (13) technology skill-building activities. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .3205 · Violation

Name of Operation: YMCA Weaverville Facility ID: 11000966 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 1/5/2026 Number Present: 51 Completed Date: 1/5/2026 Age: From 5 To 10 Total Minutes: 175 Time In: 01:05 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor the child care facility for compliance with all applicable child care requirements during the second temporary time period visit. Upon arrival, I met virtually with Delaney Burke, Administrator, to review staff and children files. Madaline Bridges, Program Coordinator, assisted me with the visit. This facility was issued a temporary license on 9/9/25 with restrictions of daytime care only, school age children only, ages 5-12 years, capacity of one hundred (100) children. The temporary license expires 3/9/26. The facility operates under the non-profit organization, The Young Men’s Christian Association of Western North Carolina, Inc. The non-profit organization was listed as active-current on the North Carolina Secretary of State website. Due to Session Law 2025-36, on-going fire and sanitation inspections are not required. The last fire drill was practiced on 12/18/25. The last shelter-in-place or lockdown drill was practiced on 11/13/25. The Emergency Preparedness and Response (EPR) plan for the licensed program was last updated in August 2025. The Emergency Medical Care (EMC) plan was current. The children were observed entering the program in the cafeteria and placing their personal belongings in laundry baskets. Once all children arrived, they went to the restroom to wash hands, then transitioned to either eat snack or another activity. Snack today was apples and Sunchips as listed on the menu. Three (3) children’s files were monitored. Two (2) staff files were monitored and limited monitoring of other staff files occurred. The following violation was observed today and must be corrected immediately. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill that was practiced on 12/18/25 was not recorded on the emergency drill log as required. .0604(t); .0302(d)(5) Technical Assistance for Violation Cited – Rule References are Located in the Cited Violations *The fire drill practiced on 12/18/25 was recorded on the emergency drill log during the visit. This was corrected during the visit. Reminder that the drills must be recorded on the emergency log directly after the drill. Rated License Assessment: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. We discussed that you made a change and have chosen the classroom and instructional quality pathway and referred to the SECTION .3200 - STANDARDS FOR TWO THROUGH FIVE STAR RATED LICENSES. The following would be completed for the classroom and instructional quality pathway based on star level met. During the third temporary time period all requirements would be verified. Document any updates of how meeting requirements. 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS *Reduced/enhanced staff/child ratios and/or enhanced space options. *Staff education evaluation of fifty percent (50%) of other educators. *Evidence of implementing family and community engagement foundational practices. *Evidence of implementing continuous quality improvement plans for the facility and individual staff. *Evidence of implementing a curriculum that has been approved by the Commission. The curriculum implemented is Funny Daffer. *Evidence of conducting on-going formative assessments that have been approved by the Commission and sharing results with parents at least twice annually – does not apply to school-age only programs. *Evidence of the administrator completing training related to the curriculum and that is used by the center with children. *Evidence of the administrator participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f,10). You stated you will be participating in a mentorship with Jon Williams, Director of School-age Programs for Southwestern Child Development Commission. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff must have education evaluated by WORKS on or before 1/20/26 or education may result in a one-star level. *D. Burke, Administrator, meets Level III Equivalency School Age Administrator. *M. Bridges, Program Coordinator (PC), has a 4 year degree/other in Outdoor Leadership, and meets requirements for the PC position through receipt of twelve (12) semester hours in early childhood education + Basic School Age Care (BSAC) training. *D. Bermudez, Group Leader (GL), meets the position requirements by having BSAC only. *T. McCollum, GL, meets the position requirements by having BSAC only. *E. Ritch, GL, will need to create a DCDEE WORKS account and submit any official transcripts and upload BSAC certificate once completed. Your temporary license expires 3/9/26. Prior to the expiration date of your license, at least one (1) additional unannounced monitoring visit will be completed. 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 compliance history score of the facility prior to today’s visit was ninety-five percent (95%). We discussed that you are working with the new curriculum, Funny Daffer, and have weekly plans in a notebook, along with the schedule and general activity plan. Four (4) activities are required since the program operates more than three (3) hours per day. Between the weekly plans and schedule/activity plan, four (4) activities must be identified. This was verified during the visit today. See below for rule reference. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (c) Facilities that operate a school-age component for three or fewer hours per day shall make three of the following activities available daily; those that operate a school-age component for more than three hours per day shall make four of the following activities available daily: (1) career development activities; (2) community awareness activities; (3) creative arts activities; (4) cultural activities; (5) games or manipulatives; (6) hands-on academic enrichment activities including language, math, science, social studies, or foreign language activities; (7) health education or wellness activities; (8) homework with assistance available as needed from center personnel; (9) reading activities; (10) sand or water play; (11) social skills, life skills or problem-solving activities; (12) structured or unstructured physical activities; or (13) technology skill-building activities. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA Weaverville Facility ID: 11000966 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 1/5/2026 Number Present: 51 Completed Date: 1/5/2026 Age: From 5 To 10 Total Minutes: 175 Time In: 01:05 PM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor the child care facility for compliance with all applicable child care requirements during the second temporary time period visit. Upon arrival, I met virtually with Delaney Burke, Administrator, to review staff and children files. Madaline Bridges, Program Coordinator, assisted me with the visit. This facility was issued a temporary license on 9/9/25 with restrictions of daytime care only, school age children only, ages 5-12 years, capacity of one hundred (100) children. The temporary license expires 3/9/26. The facility operates under the non-profit organization, The Young Men’s Christian Association of Western North Carolina, Inc. The non-profit organization was listed as active-current on the North Carolina Secretary of State website. Due to Session Law 2025-36, on-going fire and sanitation inspections are not required. The last fire drill was practiced on 12/18/25. The last shelter-in-place or lockdown drill was practiced on 11/13/25. The Emergency Preparedness and Response (EPR) plan for the licensed program was last updated in August 2025. The Emergency Medical Care (EMC) plan was current. The children were observed entering the program in the cafeteria and placing their personal belongings in laundry baskets. Once all children arrived, they went to the restroom to wash hands, then transitioned to either eat snack or another activity. Snack today was apples and Sunchips as listed on the menu. Three (3) children’s files were monitored. Two (2) staff files were monitored and limited monitoring of other staff files occurred. The following violation was observed today and must be corrected immediately. Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill that was practiced on 12/18/25 was not recorded on the emergency drill log as required. .0604(t); .0302(d)(5) Technical Assistance for Violation Cited – Rule References are Located in the Cited Violations *The fire drill practiced on 12/18/25 was recorded on the emergency drill log during the visit. This was corrected during the visit. Reminder that the drills must be recorded on the emergency log directly after the drill. Rated License Assessment: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. We discussed that you made a change and have chosen the classroom and instructional quality pathway and referred to the SECTION .3200 - STANDARDS FOR TWO THROUGH FIVE STAR RATED LICENSES. The following would be completed for the classroom and instructional quality pathway based on star level met. During the third temporary time period all requirements would be verified. Document any updates of how meeting requirements. 10A NCAC 09 .3205 CLASSROOM AND INSTRUCTIONAL QUALITY PATHWAY FOR CHILD CARE CENTERS *Reduced/enhanced staff/child ratios and/or enhanced space options. *Staff education evaluation of fifty percent (50%) of other educators. *Evidence of implementing family and community engagement foundational practices. *Evidence of implementing continuous quality improvement plans for the facility and individual staff. *Evidence of implementing a curriculum that has been approved by the Commission. The curriculum implemented is Funny Daffer. *Evidence of conducting on-going formative assessments that have been approved by the Commission and sharing results with parents at least twice annually – does not apply to school-age only programs. *Evidence of the administrator completing training related to the curriculum and that is used by the center with children. *Evidence of the administrator participating in one activity regarding classroom and instructional quality practices as outlined in the child care rule .3205 (f,10). You stated you will be participating in a mentorship with Jon Williams, Director of School-age Programs for Southwestern Child Development Commission. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff must have education evaluated by WORKS on or before 1/20/26 or education may result in a one-star level. *D. Burke, Administrator, meets Level III Equivalency School Age Administrator. *M. Bridges, Program Coordinator (PC), has a 4 year degree/other in Outdoor Leadership, and meets requirements for the PC position through receipt of twelve (12) semester hours in early childhood education + Basic School Age Care (BSAC) training. *D. Bermudez, Group Leader (GL), meets the position requirements by having BSAC only. *T. McCollum, GL, meets the position requirements by having BSAC only. *E. Ritch, GL, will need to create a DCDEE WORKS account and submit any official transcripts and upload BSAC certificate once completed. Your temporary license expires 3/9/26. Prior to the expiration date of your license, at least one (1) additional unannounced monitoring visit will be completed. 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 compliance history score of the facility prior to today’s visit was ninety-five percent (95%). We discussed that you are working with the new curriculum, Funny Daffer, and have weekly plans in a notebook, along with the schedule and general activity plan. Four (4) activities are required since the program operates more than three (3) hours per day. Between the weekly plans and schedule/activity plan, four (4) activities must be identified. This was verified during the visit today. See below for rule reference. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (c) Facilities that operate a school-age component for three or fewer hours per day shall make three of the following activities available daily; those that operate a school-age component for more than three hours per day shall make four of the following activities available daily: (1) career development activities; (2) community awareness activities; (3) creative arts activities; (4) cultural activities; (5) games or manipulatives; (6) hands-on academic enrichment activities including language, math, science, social studies, or foreign language activities; (7) health education or wellness activities; (8) homework with assistance available as needed from center personnel; (9) reading activities; (10) sand or water play; (11) social skills, life skills or problem-solving activities; (12) structured or unstructured physical activities; or (13) technology skill-building activities. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0701 · Violation

Name of Operation: YMCA Weaverville Facility ID: 11000966 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 10/17/2025 Number Present: 41 Completed Date: 10/17/2025 Age: From 5 To 10 Total Minutes: 225 Time In: 02:15 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor the child care facility for compliance with all applicable child care requirements during the first temporary time period visit. Madeline Bridges, Program Coordinator, assisted me with the visit. Claribel Garcia, Director, arrived at approximately 3:30pm to assist with the visit. Nick Erwin, Senior Director, was contacted virtually to review children's files and staff files. This facility was issued a temporary license on 9/9/25 with restrictions of daytime care only, school age children only, ages 5-12 years, capacity of one hundred (100) children. The temporary license expires 3/9/26. The facility operates under the non-profit organization, The Young Men’s Christian Association of Western North Carolina, Inc. The non-profit organization was listed as active-current on the North Carolina Secretary of State website. Due to Session Law 2025-36, on-going fire and sanitation inspections are not required. The last fire drill was practiced on 9/25/25. A shelter-in-place or lockdown drill must be completed on or before 12/9/25. The Emergency Preparedness and Response (EPR) plan for the licensed program is due to be completed on or before 1/9/26. The Emergency Medical Care (EMC) plan was current. The indoor spaces, the outdoor learning environment, sampling of staff and child files, and other required program records were monitored. I observed children entering the program, transitioning to outdoors, eating afternoon snack, and participating in activities. Snack today was Chex Mix and Gogurts. Seven (7) children’s files were monitored. Two (2) staff files were monitored. The following violations were observed today and must be corrected immediately. Violation Number Comment Rule 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. One (1) staff began working at the licensed child care facility on 9/29/25 and a staff medical report could not be located. Refer to the staff and training worksheet. 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. One (1) staff began working at the licensed child care facility on 9/29/25 and a TB test or TB screening could not be located. Refer to the staff and training worksheet. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two (2) staff did not have documentation on file of completing at least six hours of new staff orientation within the first two weeks of employment. Refer to the staff and training worksheets. .1101(a)(b) 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 seven (7) staff, including the administrator, that are hired at the YMCA Weaverville. The temporary license was issued on 9/9/25. G.S. 110-90.2 & .2703(r) 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 on or before 10/31/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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 administrative action. Technical Assistance for Violations Cited – Rule References are Located in the Cited Violations *Criminal Background Check Requirements – Item #1805 All seven (7) staff associated with the child care facility must be assigned to the YMCA Weaverville in the ABCMS portal. **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. 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. *Staff Medical and TB Test/Screening - Items #1032 and #1033 To achieve compliance, the staff must have a staff medical report and a TB test/screening. We discussed that the medical report is required prior to employment and the TB test/screening is required on or before the first day of work. *New Staff Orientation - Item #1067 To achieve compliance, documentation must be on file to show the two (2) staff have completed at least six (6) hours of orientation. We discussed while orientation is in process, it is important to document as orientation is completed to verify the staff is on track with completing the specific topics of orientation. Rated License Assessment: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. We discussed you would be choosing the program assessment pathway and referred to the SECTION .3200 - STANDARDS FOR TWO THROUGH FIVE STAR RATED LICENSES. The following would be completed for the program assessment pathway based on star level met. *Enhanced staff/child ratios and/or enhanced space options. *Staff education evaluation of fifty percent (50%) of lead teachers and fifty percent (50%) of other educators. *Evidence of implementing family and community engagement foundational practices. *Evidence of implementing continuous quality improvement plans for the facility and individual staff. *A structured self-study completed by the administrator and lead teacher(s) over three (3) consecutive months using the appropriate program assessment tool and additional resources located at https://ncrlap.org/Resources/, a written reflection of the self-assessment, including identification of goals for continuous quality improvement, and documentation of the structured self-study. *Environment Rating Scale (ERS) assessment using School-Age Environment Rating Scale, Updated Edition (SACERS-U). Four (4) handout resources and the self-study verification form from ncrlap.org were provided to you today during the visit: *Understanding self-study; *Key steps, the self-study process for NC child care programs; *The self-study, guidance for administrators; and *Getting started with a self-study for teachers. The verification form will be reviewed and collected by the child care consultant. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff must have education evaluated by WORKS on or before 1/20/26 or education may result in a one-star level. *D. Burke, Administrator, has a valid education status letter and meets Level III Equivalency School Age Administrator. *M. Bridges, Program Coordinator, does not have education evaluated through WORKS. *E. Gates, Group Leader, has a WORKS account with registration in process. *T. McCollum, Group Leader, has a valid education status letter with BSAC only. *K. Jones, Group Leader does not have a DCDEE WORKS account. *D. Bermudez, Group Leader does not have a DCDEE WORKS account. The Initial Application for a Star Rated License and the Rated License Request for Review form were provided via email and can also be located on the Division’s website under provider forms and documents. Plan to review the forms and return on or before 10/31/25. Your temporary license expires 3/9/26. Prior to the expiration date of your license, additional unannounced monitoring visits will be completed. 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. We discussed that the incident log has to be the form provided by the Division. The last incident report dated 9/5/25 completed at the facility was while it was operating unlicensed. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0802 · Violation

Name of Operation: YMCA Weaverville Facility ID: 11000966 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 10/17/2025 Number Present: 41 Completed Date: 10/17/2025 Age: From 5 To 10 Total Minutes: 225 Time In: 02:15 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor the child care facility for compliance with all applicable child care requirements during the first temporary time period visit. Madeline Bridges, Program Coordinator, assisted me with the visit. Claribel Garcia, Director, arrived at approximately 3:30pm to assist with the visit. Nick Erwin, Senior Director, was contacted virtually to review children's files and staff files. This facility was issued a temporary license on 9/9/25 with restrictions of daytime care only, school age children only, ages 5-12 years, capacity of one hundred (100) children. The temporary license expires 3/9/26. The facility operates under the non-profit organization, The Young Men’s Christian Association of Western North Carolina, Inc. The non-profit organization was listed as active-current on the North Carolina Secretary of State website. Due to Session Law 2025-36, on-going fire and sanitation inspections are not required. The last fire drill was practiced on 9/25/25. A shelter-in-place or lockdown drill must be completed on or before 12/9/25. The Emergency Preparedness and Response (EPR) plan for the licensed program is due to be completed on or before 1/9/26. The Emergency Medical Care (EMC) plan was current. The indoor spaces, the outdoor learning environment, sampling of staff and child files, and other required program records were monitored. I observed children entering the program, transitioning to outdoors, eating afternoon snack, and participating in activities. Snack today was Chex Mix and Gogurts. Seven (7) children’s files were monitored. Two (2) staff files were monitored. The following violations were observed today and must be corrected immediately. Violation Number Comment Rule 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. One (1) staff began working at the licensed child care facility on 9/29/25 and a staff medical report could not be located. Refer to the staff and training worksheet. 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. One (1) staff began working at the licensed child care facility on 9/29/25 and a TB test or TB screening could not be located. Refer to the staff and training worksheet. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two (2) staff did not have documentation on file of completing at least six hours of new staff orientation within the first two weeks of employment. Refer to the staff and training worksheets. .1101(a)(b) 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 seven (7) staff, including the administrator, that are hired at the YMCA Weaverville. The temporary license was issued on 9/9/25. G.S. 110-90.2 & .2703(r) 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 on or before 10/31/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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 administrative action. Technical Assistance for Violations Cited – Rule References are Located in the Cited Violations *Criminal Background Check Requirements – Item #1805 All seven (7) staff associated with the child care facility must be assigned to the YMCA Weaverville in the ABCMS portal. **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. 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. *Staff Medical and TB Test/Screening - Items #1032 and #1033 To achieve compliance, the staff must have a staff medical report and a TB test/screening. We discussed that the medical report is required prior to employment and the TB test/screening is required on or before the first day of work. *New Staff Orientation - Item #1067 To achieve compliance, documentation must be on file to show the two (2) staff have completed at least six (6) hours of orientation. We discussed while orientation is in process, it is important to document as orientation is completed to verify the staff is on track with completing the specific topics of orientation. Rated License Assessment: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. We discussed you would be choosing the program assessment pathway and referred to the SECTION .3200 - STANDARDS FOR TWO THROUGH FIVE STAR RATED LICENSES. The following would be completed for the program assessment pathway based on star level met. *Enhanced staff/child ratios and/or enhanced space options. *Staff education evaluation of fifty percent (50%) of lead teachers and fifty percent (50%) of other educators. *Evidence of implementing family and community engagement foundational practices. *Evidence of implementing continuous quality improvement plans for the facility and individual staff. *A structured self-study completed by the administrator and lead teacher(s) over three (3) consecutive months using the appropriate program assessment tool and additional resources located at https://ncrlap.org/Resources/, a written reflection of the self-assessment, including identification of goals for continuous quality improvement, and documentation of the structured self-study. *Environment Rating Scale (ERS) assessment using School-Age Environment Rating Scale, Updated Edition (SACERS-U). Four (4) handout resources and the self-study verification form from ncrlap.org were provided to you today during the visit: *Understanding self-study; *Key steps, the self-study process for NC child care programs; *The self-study, guidance for administrators; and *Getting started with a self-study for teachers. The verification form will be reviewed and collected by the child care consultant. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff must have education evaluated by WORKS on or before 1/20/26 or education may result in a one-star level. *D. Burke, Administrator, has a valid education status letter and meets Level III Equivalency School Age Administrator. *M. Bridges, Program Coordinator, does not have education evaluated through WORKS. *E. Gates, Group Leader, has a WORKS account with registration in process. *T. McCollum, Group Leader, has a valid education status letter with BSAC only. *K. Jones, Group Leader does not have a DCDEE WORKS account. *D. Bermudez, Group Leader does not have a DCDEE WORKS account. The Initial Application for a Star Rated License and the Rated License Request for Review form were provided via email and can also be located on the Division’s website under provider forms and documents. Plan to review the forms and return on or before 10/31/25. Your temporary license expires 3/9/26. Prior to the expiration date of your license, additional unannounced monitoring visits will be completed. 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. We discussed that the incident log has to be the form provided by the Division. The last incident report dated 9/5/25 completed at the facility was while it was operating unlicensed. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: YMCA Weaverville Facility ID: 11000966 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 10/17/2025 Number Present: 41 Completed Date: 10/17/2025 Age: From 5 To 10 Total Minutes: 225 Time In: 02:15 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor the child care facility for compliance with all applicable child care requirements during the first temporary time period visit. Madeline Bridges, Program Coordinator, assisted me with the visit. Claribel Garcia, Director, arrived at approximately 3:30pm to assist with the visit. Nick Erwin, Senior Director, was contacted virtually to review children's files and staff files. This facility was issued a temporary license on 9/9/25 with restrictions of daytime care only, school age children only, ages 5-12 years, capacity of one hundred (100) children. The temporary license expires 3/9/26. The facility operates under the non-profit organization, The Young Men’s Christian Association of Western North Carolina, Inc. The non-profit organization was listed as active-current on the North Carolina Secretary of State website. Due to Session Law 2025-36, on-going fire and sanitation inspections are not required. The last fire drill was practiced on 9/25/25. A shelter-in-place or lockdown drill must be completed on or before 12/9/25. The Emergency Preparedness and Response (EPR) plan for the licensed program is due to be completed on or before 1/9/26. The Emergency Medical Care (EMC) plan was current. The indoor spaces, the outdoor learning environment, sampling of staff and child files, and other required program records were monitored. I observed children entering the program, transitioning to outdoors, eating afternoon snack, and participating in activities. Snack today was Chex Mix and Gogurts. Seven (7) children’s files were monitored. Two (2) staff files were monitored. The following violations were observed today and must be corrected immediately. Violation Number Comment Rule 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. One (1) staff began working at the licensed child care facility on 9/29/25 and a staff medical report could not be located. Refer to the staff and training worksheet. 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. One (1) staff began working at the licensed child care facility on 9/29/25 and a TB test or TB screening could not be located. Refer to the staff and training worksheet. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two (2) staff did not have documentation on file of completing at least six hours of new staff orientation within the first two weeks of employment. Refer to the staff and training worksheets. .1101(a)(b) 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 seven (7) staff, including the administrator, that are hired at the YMCA Weaverville. The temporary license was issued on 9/9/25. G.S. 110-90.2 & .2703(r) 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 on or before 10/31/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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 administrative action. Technical Assistance for Violations Cited – Rule References are Located in the Cited Violations *Criminal Background Check Requirements – Item #1805 All seven (7) staff associated with the child care facility must be assigned to the YMCA Weaverville in the ABCMS portal. **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. 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. *Staff Medical and TB Test/Screening - Items #1032 and #1033 To achieve compliance, the staff must have a staff medical report and a TB test/screening. We discussed that the medical report is required prior to employment and the TB test/screening is required on or before the first day of work. *New Staff Orientation - Item #1067 To achieve compliance, documentation must be on file to show the two (2) staff have completed at least six (6) hours of orientation. We discussed while orientation is in process, it is important to document as orientation is completed to verify the staff is on track with completing the specific topics of orientation. Rated License Assessment: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. We discussed you would be choosing the program assessment pathway and referred to the SECTION .3200 - STANDARDS FOR TWO THROUGH FIVE STAR RATED LICENSES. The following would be completed for the program assessment pathway based on star level met. *Enhanced staff/child ratios and/or enhanced space options. *Staff education evaluation of fifty percent (50%) of lead teachers and fifty percent (50%) of other educators. *Evidence of implementing family and community engagement foundational practices. *Evidence of implementing continuous quality improvement plans for the facility and individual staff. *A structured self-study completed by the administrator and lead teacher(s) over three (3) consecutive months using the appropriate program assessment tool and additional resources located at https://ncrlap.org/Resources/, a written reflection of the self-assessment, including identification of goals for continuous quality improvement, and documentation of the structured self-study. *Environment Rating Scale (ERS) assessment using School-Age Environment Rating Scale, Updated Edition (SACERS-U). Four (4) handout resources and the self-study verification form from ncrlap.org were provided to you today during the visit: *Understanding self-study; *Key steps, the self-study process for NC child care programs; *The self-study, guidance for administrators; and *Getting started with a self-study for teachers. The verification form will be reviewed and collected by the child care consultant. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff must have education evaluated by WORKS on or before 1/20/26 or education may result in a one-star level. *D. Burke, Administrator, has a valid education status letter and meets Level III Equivalency School Age Administrator. *M. Bridges, Program Coordinator, does not have education evaluated through WORKS. *E. Gates, Group Leader, has a WORKS account with registration in process. *T. McCollum, Group Leader, has a valid education status letter with BSAC only. *K. Jones, Group Leader does not have a DCDEE WORKS account. *D. Bermudez, Group Leader does not have a DCDEE WORKS account. The Initial Application for a Star Rated License and the Rated License Request for Review form were provided via email and can also be located on the Division’s website under provider forms and documents. Plan to review the forms and return on or before 10/31/25. Your temporary license expires 3/9/26. Prior to the expiration date of your license, additional unannounced monitoring visits will be completed. 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. We discussed that the incident log has to be the form provided by the Division. The last incident report dated 9/5/25 completed at the facility was while it was operating unlicensed. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: YMCA Weaverville Facility ID: 11000966 Consultant: MONICA HOUCK Operation Type: Center Case Number: Visit Date: 10/17/2025 Number Present: 41 Completed Date: 10/17/2025 Age: From 5 To 10 Total Minutes: 225 Time In: 02:15 PM Time Out: 06:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Temp Time Period Announced/Unannounced: Unannounced The purpose of today's visit was to monitor the child care facility for compliance with all applicable child care requirements during the first temporary time period visit. Madeline Bridges, Program Coordinator, assisted me with the visit. Claribel Garcia, Director, arrived at approximately 3:30pm to assist with the visit. Nick Erwin, Senior Director, was contacted virtually to review children's files and staff files. This facility was issued a temporary license on 9/9/25 with restrictions of daytime care only, school age children only, ages 5-12 years, capacity of one hundred (100) children. The temporary license expires 3/9/26. The facility operates under the non-profit organization, The Young Men’s Christian Association of Western North Carolina, Inc. The non-profit organization was listed as active-current on the North Carolina Secretary of State website. Due to Session Law 2025-36, on-going fire and sanitation inspections are not required. The last fire drill was practiced on 9/25/25. A shelter-in-place or lockdown drill must be completed on or before 12/9/25. The Emergency Preparedness and Response (EPR) plan for the licensed program is due to be completed on or before 1/9/26. The Emergency Medical Care (EMC) plan was current. The indoor spaces, the outdoor learning environment, sampling of staff and child files, and other required program records were monitored. I observed children entering the program, transitioning to outdoors, eating afternoon snack, and participating in activities. Snack today was Chex Mix and Gogurts. Seven (7) children’s files were monitored. Two (2) staff files were monitored. The following violations were observed today and must be corrected immediately. Violation Number Comment Rule 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. One (1) staff began working at the licensed child care facility on 9/29/25 and a staff medical report could not be located. Refer to the staff and training worksheet. 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. One (1) staff began working at the licensed child care facility on 9/29/25 and a TB test or TB screening could not be located. Refer to the staff and training worksheet. .0701(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Two (2) staff did not have documentation on file of completing at least six hours of new staff orientation within the first two weeks of employment. Refer to the staff and training worksheets. .1101(a)(b) 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 seven (7) staff, including the administrator, that are hired at the YMCA Weaverville. The temporary license was issued on 9/9/25. G.S. 110-90.2 & .2703(r) 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 on or before 10/31/25. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: monica.houck@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education (DCDEE) Attn: Monica Houck 151 Creekview Rd, Hendersonville, NC 28792 Please call me at 828-243-2154, or email monica.houck@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 administrative action. Technical Assistance for Violations Cited – Rule References are Located in the Cited Violations *Criminal Background Check Requirements – Item #1805 All seven (7) staff associated with the child care facility must be assigned to the YMCA Weaverville in the ABCMS portal. **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. 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. *Staff Medical and TB Test/Screening - Items #1032 and #1033 To achieve compliance, the staff must have a staff medical report and a TB test/screening. We discussed that the medical report is required prior to employment and the TB test/screening is required on or before the first day of work. *New Staff Orientation - Item #1067 To achieve compliance, documentation must be on file to show the two (2) staff have completed at least six (6) hours of orientation. We discussed while orientation is in process, it is important to document as orientation is completed to verify the staff is on track with completing the specific topics of orientation. Rated License Assessment: The program must maintain a 75% or higher compliance history score to be eligible for a 2-5 star rated license. We discussed you would be choosing the program assessment pathway and referred to the SECTION .3200 - STANDARDS FOR TWO THROUGH FIVE STAR RATED LICENSES. The following would be completed for the program assessment pathway based on star level met. *Enhanced staff/child ratios and/or enhanced space options. *Staff education evaluation of fifty percent (50%) of lead teachers and fifty percent (50%) of other educators. *Evidence of implementing family and community engagement foundational practices. *Evidence of implementing continuous quality improvement plans for the facility and individual staff. *A structured self-study completed by the administrator and lead teacher(s) over three (3) consecutive months using the appropriate program assessment tool and additional resources located at https://ncrlap.org/Resources/, a written reflection of the self-assessment, including identification of goals for continuous quality improvement, and documentation of the structured self-study. *Environment Rating Scale (ERS) assessment using School-Age Environment Rating Scale, Updated Edition (SACERS-U). Four (4) handout resources and the self-study verification form from ncrlap.org were provided to you today during the visit: *Understanding self-study; *Key steps, the self-study process for NC child care programs; *The self-study, guidance for administrators; and *Getting started with a self-study for teachers. The verification form will be reviewed and collected by the child care consultant. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submitted an official transcript (if applicable) and applied 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. All staff must have education evaluated by WORKS on or before 1/20/26 or education may result in a one-star level. *D. Burke, Administrator, has a valid education status letter and meets Level III Equivalency School Age Administrator. *M. Bridges, Program Coordinator, does not have education evaluated through WORKS. *E. Gates, Group Leader, has a WORKS account with registration in process. *T. McCollum, Group Leader, has a valid education status letter with BSAC only. *K. Jones, Group Leader does not have a DCDEE WORKS account. *D. Bermudez, Group Leader does not have a DCDEE WORKS account. The Initial Application for a Star Rated License and the Rated License Request for Review form were provided via email and can also be located on the Division’s website under provider forms and documents. Plan to review the forms and return on or before 10/31/25. Your temporary license expires 3/9/26. Prior to the expiration date of your license, additional unannounced monitoring visits will be completed. 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. We discussed that the incident log has to be the form provided by the Division. The last incident report dated 9/5/25 completed at the facility was while it was operating unlicensed. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with you. Contact me at monica.houck@dhhs.nc.gov or 828.243.2154, or my supervisor, Bonnie Mathis at bonnie.mathis@dhhs.nc.gov, if you have any questions. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times