YMCA Avery’s Creek Afterschool

Parent’s medication authorization did not include required information.

“The authorization form for Albuterol for a child was signed by the parent but not dated.”

Rule Parent's medication authorization did not include required information..

All vehicles used to transport children were not free of hazards.

“A rear bumper on the right side of the vehicle (B-4) is partially separated from the body of the vehicle.”

Rule All vehicles used to transport children were not free of hazards.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 15, 2026. Correction verified: by a letter from the provider.

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.

“TB screening for a staff member who was employed on 5/14/25 was incomplete. The TB screening completed on 5/13/25 did not have skin test results, though the staff member answered yes to one (1) of the questions.”

Rule 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.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 4, 2026. Correction verified: at a follow-up visit by DCDEE.

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

“An Epi-pen for a child in group #2 was not in its original pharmacy labeled box.”

Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 4, 2026. Correction verified: at a follow-up visit by DCDEE.

School-aged children were not adequately supervised.

“One (1) child, who was six (6) years of age, left cafeteria and traveled to the 2nd grade hallway unattended. The staff member who was responsible for this child in group #2 was unaware of the child left the group until the child was brought back to cafeteria by an elementary school personnel. The child was unattended for one (1) to two (2) minutes by estimate.”

Rule School-aged children were not adequately supervised.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 4, 2026. Correction verified: at a follow-up visit by DCDEE.

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. No staff member was listed on the roster for this program on the ABCMS site as of today.”

Rule A child care operator did not notify the Division of any new child care providers, as defined in G.S.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 20, 2025. Correction verified: by a letter from the provider.

Fire drills were not practiced monthly and/or the drill record was incomplete.

“The last fire drill was practiced on 10/28/25. The drill prior to 10/28/25 was conducted on 8/29/25.”

Rule Fire drills were not practiced monthly and/or the drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 20, 2025. Correction verified: by a letter from the provider.

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

“An epi-pen for a child was not in its original box with a pharmacy label.”

Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 20, 2025. Correction verified: by a letter from the provider.

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

“The last lockdown drill was practiced on 10/29/25. The drill prior to 10/29/25 was conducted on 6/6/25.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 20, 2025. Correction verified: by a letter from the provider.

The EMC plan did not name the person responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes.

“Neither staff members listed for accompanying the ill/injured person were not on-site during today’s visit. No staff members were listed for person/alternate person to administer first aid and CPR.”

Rule The EMC plan did not name the person responsible for taking the authorization for treatment, accompanying the ill or injured person, notifying contact persons and/or obtaining substitutes.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Nov 20, 2025. Correction verified: by a letter from the provider.

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.

“A container of Vomit Control was located on the table in the cafeteria.”

Rule All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.. Corrected during the inspection.

Written procedures were not established for pick-up and delivery of children.

“The program’s safe arrival/departure policy was posted in the cafeteria. Per policy, the parents are expected to enter the facility and sign out of the children. However, the current procedure for this program is to sign in/out of the children using Daxko apps.”

Rule Written procedures were not established for pick-up and delivery of children.. Corrected during the inspection.

All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.

“A bottle of Vomit Control was maintained on the corner table in cafeteria at approximately 26 ½ inch high. Vomit Control has several warnings, including keeping out of reach of children, causing serious eye irritation, and allergic skin reaction.”

Rule All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 4, 2025. Correction verified: by a letter from the provider.

Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.

“The emergency information form for a staff member hired on 11/22/24 was created and signed on 12/4/24.”

Rule Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 4, 2025. Correction verified: by a letter from the provider.

Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.

“All three (3) staff members handed bags of snacks to the children. The staff members did not wash their hands prior to handling the food.”

Rule Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 4, 2025. Correction verified: by a letter from the provider.

Staff/child ratios applicable to a classroom, were not posted in each classroom.

“The Staff/Child ratio information sheet was not posted in the gym.”

Rule Staff/child ratios applicable to a classroom, were not posted in each classroom.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 4, 2025. Correction verified: by a letter from the provider.