OAK Forest After School Program

10A NCAC 09 .0601 · Violation

Name of Operation: OAK FOREST AFTER SCHOOL PROGRAM Facility ID: 29000642 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 3/25/2026 Number Present: 39 Completed Date: 3/25/2026 Age: From 6 To 11 Total Minutes: 117 Time In: 03:00 PM Time Out: 04:57 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's Routine Unannounced visit was to monitor compliance with Applicable Child Care requirements. This facility currently operates under a Notice of Compliance that was issued on January 2, 2003. The last Sanitation Inspection was conducted on November 5, 2025, and received a “Superior” classification and four (4) demerits. The last Fire Inspection was conducted on November 3, 2025, and the facility was approved for daytime care only. The last Fire Drill was conducted on March 25, 2026. The last Lock Down/ Shelter-in-Place was on December 30, 2025. Upon arrival I was greeted by the program director, Mandy Quesinberry, who assisted me during today’s visit. I stated the purpose of my visit and was assisted on a walkthrough of the facility, where attendance was documented, and observations made. The children were observed coming in from the bus, having snack and playing outside on the playground. Today, a partial assessment of applicable child care requirements was conducted, which included license posted, permit restrictions, supervision, staff/child ratio, qualified criminal background checks, staff training and general safety. The following violations were cited, and technical assistance was provided to maintain compliance. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Purses must be locked up and out of children's reach. 10A NCAC 09 .0601(a) 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. Ms. B. Billups did not receive this training by 3/1/26.T. Towe did not receive this training by 2/7/26. .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. Ms. B. Billups and T. Towe did not receive this training before 90 days were up. .1102(d) 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. All staff must be in the new ABCMS system and current. This is a violation of a requirement in G.S. 110-90.2 & .2703(r). G.S. 110-90.2 & .2703(r) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before 5:00 pm April 8, 2026. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov . If a letter of compliance is not received at my office by 5:00 pm April 8, 2026, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Technical Assistance: Today we discussed the process of notifying the Division of new employees that have changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. All new employees have 90 days to get certified in First Aid and CPR Training and to complete Recognizing and Responding to Suspicions of Maltreatment located on the Divisions website at https://ncchildcare.ncdhhs.gov in “Moodle”. Purses can contain many different types of items that could potentially harm a young child therefore they need to be locked up and out of reach. All vehicles that transport children must follow state laws. A Thomas Built Bus license plate number JKL4651 expired as of 4/30/26. This vehicle will need to be brought into compliance as soon as possible. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. REMINDERS: The following staff will need to renew their Fist Aid and CPR training before 5/30/26. Josh Tyler Kendall One new hire, A. Towe will need to complete FA/CPR training with in 90 days of hire date and so will B. Billups. Ms. Billups and T. Towe will need to complete these trainings with in the next 10 days to correct the violations. A lock down /shelter in place will need to be conducted before March 31, 2026. UP-DATES: Checkout our “What’s New” at DCDEE website https://ncchildcare.ncdhhs.gov . RESOURCES: -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do to serve the children and families of North Carolina. 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: OAK FOREST AFTER SCHOOL PROGRAM Facility ID: 29000642 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 3/25/2026 Number Present: 39 Completed Date: 3/25/2026 Age: From 6 To 11 Total Minutes: 117 Time In: 03:00 PM Time Out: 04:57 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's Routine Unannounced visit was to monitor compliance with Applicable Child Care requirements. This facility currently operates under a Notice of Compliance that was issued on January 2, 2003. The last Sanitation Inspection was conducted on November 5, 2025, and received a “Superior” classification and four (4) demerits. The last Fire Inspection was conducted on November 3, 2025, and the facility was approved for daytime care only. The last Fire Drill was conducted on March 25, 2026. The last Lock Down/ Shelter-in-Place was on December 30, 2025. Upon arrival I was greeted by the program director, Mandy Quesinberry, who assisted me during today’s visit. I stated the purpose of my visit and was assisted on a walkthrough of the facility, where attendance was documented, and observations made. The children were observed coming in from the bus, having snack and playing outside on the playground. Today, a partial assessment of applicable child care requirements was conducted, which included license posted, permit restrictions, supervision, staff/child ratio, qualified criminal background checks, staff training and general safety. The following violations were cited, and technical assistance was provided to maintain compliance. Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Purses must be locked up and out of children's reach. 10A NCAC 09 .0601(a) 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. Ms. B. Billups did not receive this training by 3/1/26.T. Towe did not receive this training by 2/7/26. .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. Ms. B. Billups and T. Towe did not receive this training before 90 days were up. .1102(d) 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. All staff must be in the new ABCMS system and current. This is a violation of a requirement in G.S. 110-90.2 & .2703(r). G.S. 110-90.2 & .2703(r) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before 5:00 pm April 8, 2026. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov . If a letter of compliance is not received at my office by 5:00 pm April 8, 2026, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Technical Assistance: Today we discussed the process of notifying the Division of new employees that have changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS on an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new childcare providers working who were hired or moved into the childcare facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. All new employees have 90 days to get certified in First Aid and CPR Training and to complete Recognizing and Responding to Suspicions of Maltreatment located on the Divisions website at https://ncchildcare.ncdhhs.gov in “Moodle”. Purses can contain many different types of items that could potentially harm a young child therefore they need to be locked up and out of reach. All vehicles that transport children must follow state laws. A Thomas Built Bus license plate number JKL4651 expired as of 4/30/26. This vehicle will need to be brought into compliance as soon as possible. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. REMINDERS: The following staff will need to renew their Fist Aid and CPR training before 5/30/26. Josh Tyler Kendall One new hire, A. Towe will need to complete FA/CPR training with in 90 days of hire date and so will B. Billups. Ms. Billups and T. Towe will need to complete these trainings with in the next 10 days to correct the violations. A lock down /shelter in place will need to be conducted before March 31, 2026. UP-DATES: Checkout our “What’s New” at DCDEE website https://ncchildcare.ncdhhs.gov . RESOURCES: -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do to serve the children and families of North Carolina. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: OAK FOREST AFTER SCHOOL PROGRAM Facility ID: 29000642 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 10/1/2025 Number Present: 35 Completed Date: 10/1/2025 Age: From 6 To 11 Total Minutes: 95 Time In: 02:40 PM Time Out: 04:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care requirements. The last Annual Compliance visit was conducted on October 23, 2024. The facility currently operates with a Notice of Compliance issued on January 2, 2003. The last Sanitation Inspection was completed on March 1, 2025, with a "Superior" classification and (4) demerits. The last Fire Inspection was conducted on February 6, 2025, and the facility was approved for daytime care only. The last Fire Drill was conducted on September 23, 2025. The last Lock Down/ Shelter-in-Place was on August 27, 2025. Upon arrival, I was greeted by the new director, Mandy Quesinberry. I stated the purpose of my visit and was assisted on a walkthrough of the facility where attendance was documented, and observations made. The children were observed during snack time and participating in outdoor activities. A checklist was used to note the requirements I monitored today. The North Carolina Department of the Secretary’s website was used to check the status of “Oak Forest United Methodist Church” corporation on September 26, 2025. This facility’s status is current/active and a Non-Profit organization. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program Records and Criminal Background Checks were also monitored. Staff and Children’s files were monitored as well as Emergency Drills, Medication, Playground Inspections and Transportation. The following vehicles were monitored today: 1.Chevrolet 2006 -Tag number CB1997 expires 2/29/26. 2 Chevrolet 2012- Tag number JKX-4651 expires 4/29/26. All vehicles are insured through Brotherhood Mutual insurance which expires 6/16/2026. The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 866 A caregiver administered medication to a child without parental permission or authorization from a bona fide medical care provider during the event of an emergency medical condition when the child's parent was not available. One child with an epi pen did not have a current permission form signed and dated. 10A NCAC 09 .0803(10) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One child with an epi pen did not have an action plan posted. .0801(b) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before 5:00 pm October 14, 2025. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov. If a letter of compliance is not received to my office by 5:00 pm October 14, 2025, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. Technical Assistance: Today we discussed how any child that is on a rescue inhaler or epi pen is required to have an action plan posted. Due to HIPPA laws there must be a cover over it labeled with what type of plan it’s called. This way the child’s medical information is protected. All permission to administer medication of these expires after one year. The staff must record any medication administered if given on a medication record form. When sending any corrections regarding a child’s medical information please do not email me anything. You can state when the violation was corrected and how it was corrected. Today we discussed how to write a correction letter. Today I went through a review of questions regarding criminal background checks, health questionnaires and medical information with Ms. Mandy. Resources: Support for NCID is provided by NC Information Technology Services or by telephone at 919.754.6000. Division of Child Development and Early Education, Criminal Background Check Unit (919-814-6401). Criminal background checks must be renewed every five years. A qualification letter must be printed out and placed in the staff members file. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you meet all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. We discussed each of the violations cited today at the closing of the visit with Ms. Mandy. UPDATES: Please check out our “What’s New” on the division’s website at: https://ncchildcare.ncdhhs.gov/ Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do to serve the children and families of North Carolina. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: OAK FOREST AFTER SCHOOL PROGRAM Facility ID: 29000642 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 10/23/2024 Number Present: 40 Completed Date: 10/23/2024 Age: From 5 To 10 Total Minutes: 65 Time In: 02:30 PM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care requirements. The last Annual Compliance visit was conducted on November 3, 2023. The facility currently operates with a Notice of Compliance issued on January 2, 2003. The last Sanitation Inspection was completed on March 21, 2024, with a "Superior" classification and (0) demerits. The last Fire Inspection was conducted on April 4, 2024, and the facility was approved for daytime care only. The last Fire Drill was conducted on October 1, 2024. The last Lock Down/ Shelter-in-Place was on September 14, 2024. Upon arrival, I was greeted by the teacher, Kimberly Hamilton. The director, Benjamin Roop, was not present due to car trouble. I stated the purpose of my visit and was assisted on a walkthrough of the facility where attendance was documented, and observations made. The children were observed unloading from the bus and participating in outdoor activities. A checklist was used to note the requirements I monitored today. The North Carolina Department of the Secretary’s website was used to check the status of the corporation on October 22, 2024. This facility’s status is current and active. During today's visit, I completed a partial assessment of applicable Child Care Requirements: license posted, restrictions maintained, staff/child ratio and adequate approved space. Program Records were not available to monitor because the children’s and staff files were locked up. However, Emergency Drills, Medication, Playground Inspections and Transportation were monitored. This facility does transport children. The following vehicles were monitored today: 1.Chevrolet- Tag number JKX-4651 expires 4/29/25. This vehicle was the only one present today. All vehicles are insured through Brotherhood Mutual insurance. The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Four children's medication permission forms did not have a start and end date on them. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. Staff files were in a locked cabinet and no staff had a key to open it. G.S. 110-91( 9) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. There were no emergency information contact forms attached to the children's photos. 10A NCAC 09 .1003(d) 1328 Children's records were not made available for review. The children's files were in a locked filing cabinet and no staff had a key to open it. G.S. 110-91(9) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before 5:00 pm November 5, 2024. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received to my office by 5:00 pm November 5, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. Technical Assistance: Today I discussed with Ms. Kimberly that all medication forms must have a start and ending date for permission. Four children’s medical permission forms did not contain this information. When children are being transported all children must have a photo attached to their emergency forms and be present on board. Today I did see photos of the children, but no emergency forms attached to them. After monitoring the playground area there are four swings with not enough mulch per our requirements to meet two times the pivot point if a child should fall. There is a very tall playground climber with a slide that has three inches of mulch under it. If a child was to fall off the slide there is a large gap between the ground and the slide. Today I suggested the large rubber mats could be used under the swings and at the base of the slide to keep children safe. Mulch could be used and built up around these areas but over time they erode or get kicked out from these crucial falling points that could cause serious injury to a child. Today there was no one with a key to the children’s or staff files. Files must always be available to a consultant. Tomorrow I will return to complete your centers annual compliance visit with the director. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. UPDATES: Please check out our “What’s New” on our DCDEE website at: https://ncchildcare.ncdhhs.gov . COVID-19 INFORMATION: Please check our website for the latest Covid-19 information. DCDEE website at: https://ncchildcare.ncdhhs.gov . RESOURCES: -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ We discussed each of the violations cited today at the closing of the visit with Ms. Kimberly. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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 .1003 · Violation

Name of Operation: OAK FOREST AFTER SCHOOL PROGRAM Facility ID: 29000642 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 10/23/2024 Number Present: 40 Completed Date: 10/23/2024 Age: From 5 To 10 Total Minutes: 65 Time In: 02:30 PM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care requirements. The last Annual Compliance visit was conducted on November 3, 2023. The facility currently operates with a Notice of Compliance issued on January 2, 2003. The last Sanitation Inspection was completed on March 21, 2024, with a "Superior" classification and (0) demerits. The last Fire Inspection was conducted on April 4, 2024, and the facility was approved for daytime care only. The last Fire Drill was conducted on October 1, 2024. The last Lock Down/ Shelter-in-Place was on September 14, 2024. Upon arrival, I was greeted by the teacher, Kimberly Hamilton. The director, Benjamin Roop, was not present due to car trouble. I stated the purpose of my visit and was assisted on a walkthrough of the facility where attendance was documented, and observations made. The children were observed unloading from the bus and participating in outdoor activities. A checklist was used to note the requirements I monitored today. The North Carolina Department of the Secretary’s website was used to check the status of the corporation on October 22, 2024. This facility’s status is current and active. During today's visit, I completed a partial assessment of applicable Child Care Requirements: license posted, restrictions maintained, staff/child ratio and adequate approved space. Program Records were not available to monitor because the children’s and staff files were locked up. However, Emergency Drills, Medication, Playground Inspections and Transportation were monitored. This facility does transport children. The following vehicles were monitored today: 1.Chevrolet- Tag number JKX-4651 expires 4/29/25. This vehicle was the only one present today. All vehicles are insured through Brotherhood Mutual insurance. The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Four children's medication permission forms did not have a start and end date on them. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. Staff files were in a locked cabinet and no staff had a key to open it. G.S. 110-91( 9) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. There were no emergency information contact forms attached to the children's photos. 10A NCAC 09 .1003(d) 1328 Children's records were not made available for review. The children's files were in a locked filing cabinet and no staff had a key to open it. G.S. 110-91(9) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before 5:00 pm November 5, 2024. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received to my office by 5:00 pm November 5, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. Technical Assistance: Today I discussed with Ms. Kimberly that all medication forms must have a start and ending date for permission. Four children’s medical permission forms did not contain this information. When children are being transported all children must have a photo attached to their emergency forms and be present on board. Today I did see photos of the children, but no emergency forms attached to them. After monitoring the playground area there are four swings with not enough mulch per our requirements to meet two times the pivot point if a child should fall. There is a very tall playground climber with a slide that has three inches of mulch under it. If a child was to fall off the slide there is a large gap between the ground and the slide. Today I suggested the large rubber mats could be used under the swings and at the base of the slide to keep children safe. Mulch could be used and built up around these areas but over time they erode or get kicked out from these crucial falling points that could cause serious injury to a child. Today there was no one with a key to the children’s or staff files. Files must always be available to a consultant. Tomorrow I will return to complete your centers annual compliance visit with the director. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. UPDATES: Please check out our “What’s New” on our DCDEE website at: https://ncchildcare.ncdhhs.gov . COVID-19 INFORMATION: Please check our website for the latest Covid-19 information. DCDEE website at: https://ncchildcare.ncdhhs.gov . RESOURCES: -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ We discussed each of the violations cited today at the closing of the visit with Ms. Kimberly. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: OAK FOREST AFTER SCHOOL PROGRAM Facility ID: 29000642 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 10/23/2024 Number Present: 40 Completed Date: 10/23/2024 Age: From 5 To 10 Total Minutes: 65 Time In: 02:30 PM Time Out: 03:35 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care requirements. The last Annual Compliance visit was conducted on November 3, 2023. The facility currently operates with a Notice of Compliance issued on January 2, 2003. The last Sanitation Inspection was completed on March 21, 2024, with a "Superior" classification and (0) demerits. The last Fire Inspection was conducted on April 4, 2024, and the facility was approved for daytime care only. The last Fire Drill was conducted on October 1, 2024. The last Lock Down/ Shelter-in-Place was on September 14, 2024. Upon arrival, I was greeted by the teacher, Kimberly Hamilton. The director, Benjamin Roop, was not present due to car trouble. I stated the purpose of my visit and was assisted on a walkthrough of the facility where attendance was documented, and observations made. The children were observed unloading from the bus and participating in outdoor activities. A checklist was used to note the requirements I monitored today. The North Carolina Department of the Secretary’s website was used to check the status of the corporation on October 22, 2024. This facility’s status is current and active. During today's visit, I completed a partial assessment of applicable Child Care Requirements: license posted, restrictions maintained, staff/child ratio and adequate approved space. Program Records were not available to monitor because the children’s and staff files were locked up. However, Emergency Drills, Medication, Playground Inspections and Transportation were monitored. This facility does transport children. The following vehicles were monitored today: 1.Chevrolet- Tag number JKX-4651 expires 4/29/25. This vehicle was the only one present today. All vehicles are insured through Brotherhood Mutual insurance. The following violations were observed during today’s visit and technical assistance was offered. Violation Number Comment Rule 847 Parent's medication authorization did not include required information. Four children's medication permission forms did not have a start and end date on them. 10A NCAC 09 .0803(4)(6-9) 1043 All staff records, except financial records, were not made available for review. Staff files were in a locked cabinet and no staff had a key to open it. G.S. 110-91( 9) 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. There were no emergency information contact forms attached to the children's photos. 10A NCAC 09 .1003(d) 1328 Children's records were not made available for review. The children's files were in a locked filing cabinet and no staff had a key to open it. G.S. 110-91(9) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before 5:00 pm November 5, 2024. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received to my office by 5:00 pm November 5, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. Technical Assistance: Today I discussed with Ms. Kimberly that all medication forms must have a start and ending date for permission. Four children’s medical permission forms did not contain this information. When children are being transported all children must have a photo attached to their emergency forms and be present on board. Today I did see photos of the children, but no emergency forms attached to them. After monitoring the playground area there are four swings with not enough mulch per our requirements to meet two times the pivot point if a child should fall. There is a very tall playground climber with a slide that has three inches of mulch under it. If a child was to fall off the slide there is a large gap between the ground and the slide. Today I suggested the large rubber mats could be used under the swings and at the base of the slide to keep children safe. Mulch could be used and built up around these areas but over time they erode or get kicked out from these crucial falling points that could cause serious injury to a child. Today there was no one with a key to the children’s or staff files. Files must always be available to a consultant. Tomorrow I will return to complete your centers annual compliance visit with the director. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. UPDATES: Please check out our “What’s New” on our DCDEE website at: https://ncchildcare.ncdhhs.gov . COVID-19 INFORMATION: Please check our website for the latest Covid-19 information. DCDEE website at: https://ncchildcare.ncdhhs.gov . RESOURCES: -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ We discussed each of the violations cited today at the closing of the visit with Ms. Kimberly. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: OAK FOREST AFTER SCHOOL PROGRAM Facility ID: 29000642 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 4/2/2024 Number Present: 20 Completed Date: 4/2/2024 Age: From 6 To 11 Total Minutes: 31 Time In: 10:59 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's Routine Unannounced visit was to monitor compliance for Applicable Child Care requirements. This facility currently operates under a Notice of Compliance that was issued on January 2, 2003. The last Sanitation Inspection was conducted on March 21, 2024, and received a “Superior” classification and zero (0) demerits. The last Fire Inspection was conducted on November 10, 2022, and the facility was approved for daytime care only. The last Fire Drill was conducted on March 11, 2024. The last Lock Down/ Shelter-in-Place was on March 15, 2024. Upon arrival I was greeted by a school age teacher, Kimberly Hamilton who assisted me during today’s visit. The administrator, Ben Roop was not onsite at the time of my visit. I stated the purpose of my visit and was assisted on a walk-through of the facility, where attendance was documented, and observations made. The children were observed playing games and doing arts and crafts with the teacher. Today, a partial assessment of applicable child care requirements was conducted, which included license posted, permit restrictions, supervision, staff/child ratio, qualified criminal background checks, staff training and general safety. During today’s visit the following violations were cited and technical assistance was offered. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on November 10, 2022. A current fire inspection was not available for review. 10A NCAC 09 .0304(a) 1043 All staff records, except financial records, were not made available for review. Today files and information required to complete my visit were not available for review. The cabinet was locked and I could not review staff files. G.S. 110-91( 9) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Large structures had less than two (2) inches of mulch around them. .0605(k)(1-4) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before 5:00 PM April 15, 2024. The letter should include each item’s number of noncompliance cited, describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received in my office by 5:00 PM April 15, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Technical Assistance: One person must always be on site with a key so that files may be available for review by the state consultant. All equipment over 18 inches must have at least a minimum of six inches of mulch around the equipment especially around fall zones like slides or poles. A current fire inspection was not available for review. The one posted on the wall was for November of 2022. COVID-19 INFORMATION: UPDATES: Center for Disease Control and Prevention new guidelines as of March 1, 2024. If you, your staff, or the children you care for should test positive for COVID-19, the CDC has given out new guidelines to follow. If you have a fever the CDC recommends self-isolation for 24 hours or longer, until you are fever free without any fever reducers. Please check our website for the latest Covid-19 information. DCDEE website https://ncchildcare.ncdhhs.gov Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: OAK FOREST AFTER SCHOOL PROGRAM Facility ID: 29000642 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 4/2/2024 Number Present: 20 Completed Date: 4/2/2024 Age: From 6 To 11 Total Minutes: 31 Time In: 10:59 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today's Routine Unannounced visit was to monitor compliance for Applicable Child Care requirements. This facility currently operates under a Notice of Compliance that was issued on January 2, 2003. The last Sanitation Inspection was conducted on March 21, 2024, and received a “Superior” classification and zero (0) demerits. The last Fire Inspection was conducted on November 10, 2022, and the facility was approved for daytime care only. The last Fire Drill was conducted on March 11, 2024. The last Lock Down/ Shelter-in-Place was on March 15, 2024. Upon arrival I was greeted by a school age teacher, Kimberly Hamilton who assisted me during today’s visit. The administrator, Ben Roop was not onsite at the time of my visit. I stated the purpose of my visit and was assisted on a walk-through of the facility, where attendance was documented, and observations made. The children were observed playing games and doing arts and crafts with the teacher. Today, a partial assessment of applicable child care requirements was conducted, which included license posted, permit restrictions, supervision, staff/child ratio, qualified criminal background checks, staff training and general safety. During today’s visit the following violations were cited and technical assistance was offered. Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on November 10, 2022. A current fire inspection was not available for review. 10A NCAC 09 .0304(a) 1043 All staff records, except financial records, were not made available for review. Today files and information required to complete my visit were not available for review. The cabinet was locked and I could not review staff files. G.S. 110-91( 9) 1867 The depth of the loose surfacing was not based on critical height of the equipment. Large structures had less than two (2) inches of mulch around them. .0605(k)(1-4) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before 5:00 PM April 15, 2024. The letter should include each item’s number of noncompliance cited, describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov. If a compliance letter is not received in my office by 5:00 PM April 15, 2024, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Technical Assistance: One person must always be on site with a key so that files may be available for review by the state consultant. All equipment over 18 inches must have at least a minimum of six inches of mulch around the equipment especially around fall zones like slides or poles. A current fire inspection was not available for review. The one posted on the wall was for November of 2022. COVID-19 INFORMATION: UPDATES: Center for Disease Control and Prevention new guidelines as of March 1, 2024. If you, your staff, or the children you care for should test positive for COVID-19, the CDC has given out new guidelines to follow. If you have a fever the CDC recommends self-isolation for 24 hours or longer, until you are fever free without any fever reducers. Please check our website for the latest Covid-19 information. DCDEE website https://ncchildcare.ncdhhs.gov Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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 .1003 · Violation

Name of Operation: OAK FOREST AFTER SCHOOL PROGRAM Facility ID: 29000642 Consultant: RENA MCCAFFREY Operation Type: Center Case Number: Visit Date: 11/3/2023 Number Present: 33 Completed Date: 11/3/2023 Age: From 5 To 11 Total Minutes: 95 Time In: 02:45 PM Time Out: 04:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to complete an annual monitoring of Applicable Child Care requirements. The last Annual Compliance visit was conducted on November 07, 2022. The facility currently operates with a Notice of Compliance issued on January 2, 2003. The last Sanitation Inspection was completed on March 8, 2022, with a "Superior" classification and (4) demerits. The last Fire Inspection was conducted on November 10, 2022, and the facility was approved for daytime care only. The last Fire Drill was conducted on October 6, 2023. The last Lock Down/ Shelter-in-Place was on September 1, 2023. The last Playground Inspection was conducted on October 24, 2023. Upon arrival, I was greeted by administrator, Benjamin Roop. I stated the purpose of my visit and was assisted on a walkthrough of the facility where attendance was documented, and observations made. The children were observed participating in outdoor activities. A checklist was used to note the requirements I monitored today. The North Carolina Department of the Secretary’s website was used to check the status of the corporation on October 26, 2023. The facility’s status is current and active. During today's visit, I completed a full assessment of applicable Child Care Requirements; license posted, restrictions maintained, staff/child ratio and adequate approved space. Program Records, Criminal Background Checks were also monitored. Staff and Children’s files were monitored as well as Emergency Drills, Medication, Playground Inspections and Transportation. This facility does do transportation. The following vehicles were monitored today: 1.Chevrolet -Tag number CB1997 expires 2/29/24. 2 Chevrolet- Tag number JKX-4651 expires 4/29/24. All vehicles are insured through Brotherhood Mutual insurance which expires 6/16/2024. The following violations were observed during today’s visit. Violation Number Comment Rule 1124 Emergency and identifying information, including the child's name, photograph, emergency contact information and/or a copy of the emergency medical care information form was not in the vehicle for each child being transported. Children being transported did not have photographs with the emergency forms. 10A NCAC 09 .1003(d) The above violations must be corrected immediately. A Corrective Action Letter must be drafted with the name of your facility, the facility identification number, and your signature. The letter must be received by my office on, or before November 15, 2023. The letter should include: Each item number of noncompliance cited. Describe how and when the violations were corrected. Please include accompanying documentation of compliance. The letter can be emailed to rena.mccaffrey@dhhs.nc.gov . If a compliance letter is not received to my office by 5:00 PM November 15, 2023, a return visit may be conducted to ensure the violations cited have been corrected or addressed. Additional violation may be documented if each violation has not been properly corrected or otherwise addressed. Please be aware that any information received during this monitoring visit and any violations cited may be included in any future administrative actions. Violations of child care requirements, particularly repeated violations, could result in a civil penalty and/or administrative action that could jeopardize the status of the license for the child care facility. You and your staff were provided with an opportunity to ask questions regarding interpretation and implementation of all child care requirements. Child care licensing rules and regulations are established to ensure a safe and healthy environment for children in care. Therefore, it is important for you to be knowledgeable of all the licensing requirements that apply to your program. It is your responsibility to always maintain compliance with all the applicable laws and rules. The best way for you to make sure that you are meeting all requirements is to periodically review the child care law and rules. Both are available on the DCDEE website https://ncchildcare.ncdhhs.gov/ on the home page under the ‘Services’ tab. UPDATES: -CBC qualifying letters are now valid for five (5) years regardless of the date of issue. New letters will not be sent out. COVID-19 INFORMATION: Please check our website for the latest Covid-19 information. DCDEE website https://ncchildcare.ncdhhs.gov MOODLE: Any teachers, current or new hires can test out of NCECC by accessing the link below and placing in their username and password. You must receive a score of 80% or higher and can only be taken twice. If you fail twice you must enroll in an EDU 119 course at a local community college. https://www.dcdee.moodle.nc.gov/ RESOURCES: -Child care programs can order free posters from the NC Child Care Health and Safety Resource Center at https://healthychildcare.unc.edu/ We discussed each of the violations cited today at the closing of the visit. Thank you for your assistance during today’s visit. If you have further questions or concerns, I can be reached at rena.mccaffrey@dhhs.nc.gov or by calling; 336-580-5670. You may also contact my supervisor, Kaye Adkins at kaye.adkins@dhhs.nc.gov. Thank you for all that you do, to serve the children and families of North Carolina. 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