YMCA Johnston Afterschool

All staff records, except financial records, were not made available for review.

“Four (4) staff members who routinely counts in staff/child ratios as bus drivers were not identified prior to visit in the Staff and Training Worksheet or during the file review.”

Rule All staff records, except financial records, were not made available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 14, 2026. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“Authorization form for an epi-pen was not on file for a child in group #2.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 13, 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.

“The skin test was not administered for a staff member, MF’s initial TB screening, though the staff answered yes to one of the questionnaires. The staff member’s date of employment is unknown, but the staff member was present during the visit.”

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: Oct 29, 2025. Correction verified: by a letter from the provider.

Parent’s medication authorization did not include required information.

“The names of the authorized prescription medication and the criteria for the administration of the medication were not filled out on the authorization for an epi-pen.”

Rule Parent's medication authorization did not include required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Oct 29, 2025. Correction verified: by a letter from the provider.

The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care.

“A former group leader, who was no longer employed, was listed as an alternate on the EMC plan.”

Rule The EMC plan did not name the person responsible, and at least one alternate, for choosing and carrying out the plan of action to obtain appropriate medical care.. Corrected during the inspection.

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.

“The most recent Health Questionnaire form created for a staff member hired on 1/2/24 was dated 1/4/24.”

Rule All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 6, 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 most recent emergency information form created for a staff member hired on 1/2/24 was dated 1/4/24.”

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: May 6, 2025. Correction verified: by a letter from the provider.

The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities.

“Per Emergency Medical Care Plan, N.E.(program director) and P. G(program coordinator) were identified as the person/alternate responsible for carrying out the medical care. When I arrived, P.G. was not on site due to driving a bus to pick up students from Emma Elementary School. N.E was not present on-site during the visit.”

Rule The person identified as the person or alternate person responsible for carrying out the emergency medical care plan was not on the premises at all times and/or did not accompany children for off premise activities.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 6, 2025. Correction verified: by a letter from the provider.

A violation was found for which there is no item number.

“One (1) door to the serving area was unlocked and two (2) doors to the kitchen areas were open during the visit. As a result, a hot water heater in the kitchen area was accessible to the children.”

Rule A violation was found for which there is no item number.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 23, 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.

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: Jan 23, 2025. Correction verified: by a letter from the provider.

All staff records, except financial records, were not made available for review.

“Due to sufficient internet connection, two (2) new staff member’s files could not be reviewed during the visit.”

Rule All staff records, except financial records, were not made available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 21, 2025. Correction verified: by a letter from the provider.

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.

“An inhaler for a child in group #2 was not maintained in its original pharmacy labeled container.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jan 23, 2025. Correction verified: by a letter from the provider.

All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.

“Health Questionnaire for the staff member hired on 3/13/23 expired on 3/7/24.”

Rule All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 16, 2024. 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.

“Emergency information form for the staff member hired on 3/13/23 expired on 3/7/24.”

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: May 16, 2024. Correction verified: by a letter from the provider.

Staff did not complete the health and safety training within one year of employment.

“Staff member hired on 3/13/23 and the staff member hired on 6/7/22 did not complete Health and Safety training within one (1) years of employment.”

Rule Staff did not complete the health and safety training within one year of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: May 16, 2024. Correction verified: by a letter from the provider.