DAVIDSON-CORNELIUS CHILD DEVELOPMENT CENTER

REPEAT 15A NCAC 18A .2804 (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center.- Observed 2 bottles with name and without date in refrigerator infant 2. Ensure to put both name and current date on all bottles sent from home for the day.

General Comment: 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed loose toilet seat in restroom at the end of hallway. Need repair. 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed hand sink need caulking in toddler 2 and PK1. Keep all hand sinks in good repair.

General Comment: 15A NCAC 18A .2820 (d).Medications, including prescription and non-prescription items, shall be stored in a locked cabinet or other locked container and shall not be stored above food.- Observed Zetec, allergy medication store side by side with emergency medication in PK2. Prescription or non-prescription medication that is not emergency medication shall be stored in a locked cabinet at all times.

REPEAT 15A NCAC 18A .2820 (c) Bulk soaps shall be kept inaccessible to children by storing the product at least 5ft above the floor.- Observed bulk soap stored on the counter less than 5ft in infant 1. Keep/store bulk soap at 5ft or higher at all time.

15A NCAC 18A .2820 (g).Purses, that do not contain hazardous items, must be stored 5 ft above the floor, behind lock and key, or behind a child safety lock.- Observed teacher purse and bag stored on the counter less than 5ft in infant 1. Put them up 5ft or higher at anytime.

15A NCAC 18A .2804 (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center.- Observed baby bottles in infant 2 refrigerator dated 3/18, 3.26. Ensure to put correct labeling on bottles with name and current date received at the center for that day.

15A NCAC 18A .2812 (g) A testing method or equipment shall be used in accordance with the product manufacturer's instructions to test the strengths of sanitizing solutions to ensure the prescribed concentrations are met.- Observed chlorine sanitizer solution measured more than 250 ppm and less than 500 ppm. Ensure to provide correct concentration between 50-200 ppm at all time.

15A NCAC 18A .2819 (d) Use approved diapering methods as follows: 1) gather supplies, 2) wear disposable gloves (if needed), 3) use a disposable moist towelette to clean child, wiping front to back, 4) dispose of gloves if used and soiled towelettes, 5) wiping the employee's hands and the child's hands with a separate disposable towelette, 6) slide clean diaper under child and apply diapering products if needed using approved methods, 7) fasten diaper and place clothing on child, 8) wash child's hands, 9) and 10) clean and disinfect diapering surface using approved methods, 11) employee washes their hands.- Observed teacher changing diaper for student in infant 1. Missing steps #3, 4, 5, 8, 11. Correct diaper changing procedures discussed in detail with teacher at the time of inspection. The center has diaper procedures poster posted at the station. Ensure to also wash hand correctly at the end of procedure.

General Comment: 15A NCAC 18A .2820 (c) Bulk soaps shall be kept inaccessible to children by storing the product at least 5ft above the floor.- Observed bulk soap underneath diaper table in infant 2 stored less than 5ft. Ensure to keep items at 5ft or higher at all time.

General Comment: 15A NCAC 18A .2825 (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas, shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint.- Observed peeling paint on ceiling in PreK1. The center has scheduled to be repaired the spring of their spring in April. Ensure to keep all wall, ceiling in good repair.

General Comment: 15A NCAC 18A .2810 (f) If food is prepared in a child care center classroom, then the classroom shall be equipped with a food preparation area. This food preparation area shall contain a countertop that is kept clean and in good repair, a handwash lavatory, and refrigeration when items are stored that require refrigeration- Observed Infant 1 is placing their refrigerator in the diaper changing area. The refrigerator is next to the diaper hand sink and right across the changing table far away from food prep hand washing sink across other side of the room. Remove the refrigerator from diaper changing area and put it in the food prep area across the room.

REPEAT: 15A NCAC 18A .2812 (e) Multi-service articles, including highchair feeding trays, shall be washed, rinsed and sanitized in the child care center kitchen after each use. - Observed the back of high chair tray need better cleaning. According to teacher highchair trays get wash/ rinse/sanitize with spray bottle in classroom's after each use and sent to kitchen to be completely clean at the end of the day. All multi-service articles (high chair trays, spoons, plates/bowls, rubber bibs) shall be wash, rinse and sanitize properly in the kitchen after each use.

REPEAT 15A NCAC 18A .2820 (c). Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use by storing the items 5 ft above the floor or behind lock and key.- Observed hand sanitizer/lotion bottle on the desk/microwave in the unlock office downstairs. Ensure to keep the office door lock at all time or store all items properly according to the rule.

General Comment REPEAT: 15A NCAC 18A .2822 (a). In rooms designated for children who are not toilet trained, toys and other mouth-contact surfaces that are used by children shall be cleaned and then sanitized after each use and when visibly dirty. Toys and other mouth-contact surfaces shall be cleaned and sanitized as follows: (1) the items shall be scrubbed in warm, soapy water, using a brush to reach into any crevices; (2) the items shall be rinsed in clean water; (3) the items shall be submerged in a sanitizing solution for at least two minutes or in accordance with the instructions on the label of the sanitizing solution; and (4) the items shall be air dried. -According to teacher in classroom where mouthing/dirty toys present. The dirty toys were collected and put in dirty bin and get clean at the end of the day. Teacher spray sanitizer solution on toys and let them air dry. Proper toys cleaning discussed with teachers and director at the time of inspection. All dirty toys shall be washed/rinsed/sanitized properly in the kitchen at the three compartment sinks. Or 3 step bins suggested, label (wash/rinse/sanitize). Some toys that cannot not be submerged in water after washed and rinsed, the sanitizer spray can be used. All toys that can be in the water shall be submerged in sanitizer solution for at least 2 minutes and let air dry after. Ensure to use/provide the correct strength of sanitizer solution in the bin for cleaning toys each day. And ensure to store sanitizer bin at 5ft or higher at all time if use.

General Comment: 15A NCAC 18A .2812 (e) Multi-service articles, including highchair feeding trays, shall be washed, rinsed and sanitized in the child care center kitchen after each use. - According to teacher highchair trays and rubber bibs in classrooms get clean at the sink in the classroom. All multi-service articles (high chair trays, spoons, plates/bowls, rubber bibs) shall be wash, rinse and sanitize properly in the kitchen after each use.

General Comment: 15A NCAC 18A .2820 (d).Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. A product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor.- Observed teacher epi-pen stored in little drawer on the desk less than 5ft. Director and teacher found a new spot to store at least 5ft at the time of inspection.

15A NCAC 18A .2820 (c). Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use by storing the items 5 ft above the floor or behind lock and key.- Observed hand sanitizer bottle in the cabinet with child proof lock in toddler 1 less than 5ft. Squeeze bottle of small sanitizer in the drawer on a desk less than 5ft in PreK1. Sanitizer water in cleaning toys bin on the counter less than 5ft in toddler 2. Ensure all non hazardous items stored at 5ft or higher at all time.

General Comment: 15A NCAC 18A .2822 (a). In rooms designated for children who are not toilet trained, toys and other mouth-contact surfaces that are used by children shall be cleaned and then sanitized after each use and when visibly dirty. Toys and other mouth-contact surfaces shall be cleaned and sanitized as follows: (1) the items shall be scrubbed in warm, soapy water, using a brush to reach into any crevices; (2) the items shall be rinsed in clean water; (3) the items shall be submerged in a sanitizing solution for at least two minutes or in accordance with the instructions on the label of the sanitizing solution; and (4) the items shall be air dried. -According to teacher in classroom where mouthing/dirty toys present. The dirty toys were collected and put in dirty bin and get clean at the end of the day. Teacher spray sanitizer solution on toys and let them air dry. Proper toys cleaning discussed with teachers and director at the time of inspection. All dirty toys shall be washed/rinsed/sanitized properly in the kitchen at the three compartment sinks. Or 3 step bins suggested, label (wash/rinse/sanitize). Some toys that cannot not be submerged in water after washed and rinsed, the sanitizer spray can be used. All toys that can be in the water shall be submerged in sanitizer solution for at least 2 minutes and let air dry after. Ensure to use/provide the correct strength of sanitizer solution in the bin for cleaning toys each day.

15A NCAC 18A .2827 (d). The child care center shall have written procedures that employees shall follow when responding to vomiting or diarrheal events that involve the discharge of vomitus or fecal matter onto surfaces in the center. The procedures shall address the specific actions employees must take to minimize the spread of contamination and the exposure of employees, children, food, and surfaces to vomitus or fecal matter.- Observed the facility without the vomiting and diarrhea written procedures in place. EHS emailed the director the written plan and poster at the time of inspection.

Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). Observed sticker residue left on wooden cubbies in several classrooms in need of removal.

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed window sills inside (Infant 2 rooms, Pre-K) worn / chipped in need of re-surfacing.

Label all baby bottles, sippy-cups, and bottled beverages sent from home with the child's name and date it was brought into the facility. 15A NCAC 18A .2804 (d). Observed 1 bottle not labeled with child’s name in infant dorm refrigeration unit.

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed minor cleaning needed to outside corners of toilets in 3’s-4’s restroom.

Hand washing signs shall be posted at all hand washing areas. 15A NCAC 18A .2818 (e). Observed handwashing sign missing at sink in 3’s classroom and at sink in adult restroom.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed paint chipping on blue walling in toddler classroom. EHS advises center to have chipping paint repainted where needed as soon as possible. Carpet shall be extraction cleaned at least once each 6 months. 15A NCAC 18A .2824 (c ). Observed no records on file detailing when carpet was last cleaned. EHS advised Director to start keeping a record of when carpet is cleaned. *NOTE: Director, Erica Gallman was present during time of inspection. Report emailed to: Operations@dc-childcare.org

REPEAT Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). ; Observed side panel of hand washing area damaged in need of repair in (3's) classroom.

REPEAT Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). Observed cabinet door damaged in need of repair in (3's) classroom; Observed side panel damaged in need of repair in (3's) classroom.

Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e). Observed cots stored within 18 inches inside Toddler classroom. Corrected during inspection.

Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). Observed tape residue stuck to wooden cubbies inside classrooms in need of removal.

Carpet shall be extraction cleaned at least once each 6 months. 15A NCAC 18A .2824 (c ). Observed carpets (wall to wall) not extraction cleaned within 6 months (last recorded date 4/2019). Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed ceiling inside (toddler) classroom having large amounts of tape and tape residue stuck to surface in need of cleaning.

REPEAT All play ground equipment must be kept clean and in good repair. 15A NCAC 18A .2832 (c ). Observed all play equipment in front play enclosure covered in dirt/mud debris in need of general cleaning.

REPEAT Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed toilet very loose inside 2's classroom in need of repair.

REPEAT All play ground equipment must be kept clean and in good repair. 15A NCAC 18A .2832 (c ). Observed all play equipment in front play enclosure covered in dirt/mud debris in need of general cleaning.

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed staff bathroom having very loose toilet seat in need of repair.

Adequate space shall be provided for the storage of equipment, furniture, toys, clothes, linens, backpacks, book bags, diaper bags, beds, cots, mats, and supplies and shall be kept clean. 15A NCAC 18A .2820 (a). Observed equipment, linen and misc items stored under drain lines of hand washing sinks in most classrooms.

REPEAT All play ground equipment must be kept clean and in good repair. 15A NCAC 18A .2832 (c ). Observed all play equipment in front play enclosure covered in dirt/mud debris in need of general cleaning.

Approved non-hazardous products must be stored 5 ft above the floor or behind lock and key. 15A NCAC 18A .2820 (b), (c ) and (d). Observed lotions not in use stored in baskets and containers not stored "out of reach".

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed window sills in many rooms having raw wood exposed in need of painting; Observed walls in classrooms in need of touch-up painting.

All play ground equipment must be kept clean and in good repair. 15A NCAC 18A .2832 (c ). Observed play ground nearest parking lot having toys covered in mud and debris.

Sinks shall be cleaned and disinfected at least daily, when visibly soiled, and when the designated use of the handwashing sink has been changed. 15A NCAC 18A .2818 (c Observed rusting handsinks in 3's and 4's bathroom.

Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e). Observed children in toddlers room napping less than 18 inches apart.

Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b Observed detail cleaning needed on toys in 2's, 4's, and 3's rooms on larger play equipment. Observed stained pillows in toddler room. Through discussion, 3's and 4's teachers both stated play clothes are washed 2x per month. Hard plastic toys may be washed, rinsed, and sanitized in a dishwasher, food preparation handwashing sink, or in the kitchen sink. 15A NCAC 18A .2822 (a) and .2810 (f). Through discussion, 4's room teacher stated sh re washes, rinses, sanitizes, then disinfects toys. Ensure disinfectant is not used on toys.

Carpet shall be extraction cleaned at least once each 6 months. 15A NCAC 18A .2824 (c ). Observed 4's room has wall to wall carpet and no extraction records are on file. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed tile cracked and damaged in 3's and 4's bathroom near handsink. Observed peeling/chipping paint on window sill in 3's room. See General comments. REPEAT VIOLATION

Observed cleaning needed in cabinets under kitchen sink. Observed bottle warmers with build-up in need of scrubbing. **Bottle warming equipment shall be cleaned and sanitized at least daily and when visibly soiled. 15A NCAC 18A .2810 (f) (1) and .2804 (d). **Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3).

Observed loose toilet seat in 3's-pre-k bathroom. Observed cleaning needed in pre-k hand sink and on the under side of the faucet in the 2's hand sink. **Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). **Keep hand washing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

REPEAT Observed sand box without covering on playground. Observed broken bench parts on the playground. Director stated bench parts are to be removed soon. **Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). **Sand boxes must be covered when not in use and kept clean. 15A NCAC 18A .2832 (c ) (2).

Observed a caregiver turn off the faucet knob with her bare hand. Handwashing procedure shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for 10 seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 15A NCAC 18A .2803 (c).

Observed non-food contact surfaces in the kitchen in need of cleaning and with some damaged surfaces. Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3).

Observed the infant room food preparation hand washing sink with food debris. Sinks shall be cleaned and disinfected at least daily, when visibly soiled, and when the designated use of the handwashing sink has been changed. 15A NCAC 18A .2818 (c).

Observed storage on the floor in closets, gloves stored touching a sewage line in the toddlers room, chemicals stored above care items in a closet. Adequate space shall be provided for the storage of equipment, furniture, toys, clothes, linens, backpacks, book bags, diaper bags, beds, cots, mats, and supplies and shall be kept clean. 15A NCAC 18A .2820 (a).

Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e). Observed sleeping cots spaced less than 18 inches apart in some rooms.

Linens for children less than 12 months old shall be changed and laundered when soiled and at least daily. 15A NCAC 18A .2821 (f). Observed three cribs with soiled linen.

Observed damaged books and high chairs collecting debris and residue. Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

Observed two sandboxes not covered on the play ground. Observed some play ground toys damaged and collecting residue. Sandboxes must be covered when not in use and kept clean. 15A NCAC 18A .2832 (c ) (2). All play ground equipment must be kept clean and in good repair. 15A NCAC 18A .2832 (c ).

Observed clean end of drain board under ware wash air drying rack soiled. Thoroughly clean area under air drying rack on drain board. Observed damaged wooden cutting board where clean utensils are stored beside prep sink. Replace damaged wooden cutting board and clean counter top under cutting board. Protect food service equipment from contamination. 15A NCAC 18A .2814 (a) and (b).

Observed handle area on hand washing sink soiled in infant 2 room and pre k room. Thoroughly clean faucet/ handle area on hand washing sinks and basin. Tighten loose handle on hand washing sink in toddler room bathroom. Keep hand washing sinks clean and in good repair. 15A NCAC 18A .2818 (a). Sinks shall be cleaned and disinfected at least daily, when visibly soiled, and when the designated use of the hand washing sink has been changed. 15A NCAC 18A .2818 (c).

Thoroughly clean handle are on chairs and underside edge of table children eat at in toddler, pre k and 3's room. Clean toy shelving in 2's room. Clean/dust fixtures throughout pre k class( computer monitors, key boards, easel, shelving). Clean lower toy shelving in 3's room. Clean shelving in cabinet area under hand washing sinks. Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

Touch-up paint throughout facility in hallway, bathroom and classrooms where needed. Clean area along base board in 2's room and repair flooring in 2's room. Touch-up paint door framing to storage rooms. Recommend staining wood at gate area in toddler room near end of diaper changing table. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed caregiver turn off water with bare hands and wash hands for less than 20 seconds in infant II classroom. Hand washing procedure shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for 10 seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without decontaminating hands. 15A NCC 18A .2803 (c).

Observed caregiver gather wipes from communal wipe container after starting diaper change. Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d).

Repeat non-compliance: Observed damaged baseboard in 2's classroom. Observed damaged floor in middle of 2's classroom. Observed crack in floor in 3/4's restroom. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed single service cups in kitchen and in frogs classroom uncoveredSingle-service articles must be kept clean and protected from contamination. 15A NCAC 18A .2809 (8), .2814 (a) and (b).

Observed hand sinks in classroom throughout facility with damaged caulk around handsink and cabinet.Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Observed baseboard chipping in tadpoles and polywogs classrooms.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed on bag of crackers not sealed in kitchen pantry.Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a)

Observed wall and floor damaged around door in prek.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.Carpet not cleaned since install in March 2014.Carpet shall be extraction cleaned at least once each 6 months. 15A NCAC 18A .2824 (c ).

Observed: The kitchen dial stem thermometer with a haze and not easy to read. No thermometer in the Toddler room fridge. Facilities shall maintain an accurate and calibrated metal stem thermometer. 15A NCAC 18A .2807 (h) and .2809 (12).Provide an accurate thermometer in all refrigerators. 15A NCAC 18A .2806 (h)

Observed: Several lids of sippy cups damaged. Interior kitchen cabinets flaking paint.All food service equipment shall be easily cleanable. 15A NCAC 18A .2809 (1)

Observed: Excessive storage on the hall closet floor.Adequate space shall be provided for the storage of equipment, furniture, toys, clothes, linens, backpacks, book bags, diaper bags, beds, cots, mats, and supplies and shall be kept clean. 15A NCAC 18A .2820 (a).

Observed: Floor damage in the 2's room near the toilet. Baseboard tile damage in the large restroom. Floor damage near the exit door in 4's. The exterior of the exit door damaged in 4's. A rug on the laundry room floor.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.Floors and floor coverings of all food preparation, food storage, utensil-washing areas, toilet rooms, and laundry areas shall be constructed of non-absorbent, easily cleanable material. 15A NCAC 18A .2824 (a).Extraction clean carpets before the end of the year.

Observed: The small sandbox not covered. Standing water collecting around the Infant/Toddler ramp due to a downspout and HVAC drip line.Sand boxes must be covered when not in use and kept clean. 15A NCAC 18A .2832 (c ) (2).Keep the property free of standing water. 15A NCAC 18A .2831 (b).

Observed eggs stored over ready to eat foods in refrigerator. Raw meats, poultry, fish, shellfish, and eggs shall be stored on shelving beneath and separate from other foods. 15A NCAC 18A .2806 (f).Observed crackers not sealed in kitchen. Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a)

Observed carpet damaged in 3's and 4's room. Observed baseboards damaged in 3's and 4's rooms. Observed residue collecting on baseboards in 4's room in front of hubbies. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed sanitizer and disinfectant in toddler room labeled as both sanitizer and disinfectant.All cleaning and disinfectant solutions shall be properly labeled (i.e. soapy water, disinfectant). 15A NCAC 18A .2819 (c ) and .2820 (c ).

Observed aerosol air freshener and aerosol hair product unlocked in toddler room.All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b).

Observed baseboard chipping in several area in 4's room. Observed window sill with chipping paint in 3's room. Observed wall repairs not complete in 3's room around door. Observed area rug fraying and carpet loose in 3's room. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed several baby bottles with no date, one with no name or date.**Baby bottles brought into the facility must be labeled and dated by the children's parents.

Observed single service cups uncoved not stored inverted.**Single-service articles must be kept clean and protected from contamination. See Rules .2809 (8), .2814 (a) and (b).

Observed disinfectant at 250 ppm in infant and 2's classrooms.**Prepare disinfectant between 500-800 ppm chlorine daily. See rule .2819 (c ) and .2801 (7).

Repeat non-compliance: Observed white out unlocked in 2's classroom.Observed closet unlocked in 2's classroom with aerosol disinfectants present inside.**All hazardous items must be stored behind lock and key. See rule .2820 (b).

Observed caregiver in toddler room use paper towel to turn off water and wipe hands with same paper towel.**Hand washing procedure shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernailsand between fingers; (4) rinsing well for 10 seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. See rule .2803 (c).

Observed boxes of flour, crackers, and other food products unsealed in kitchen.**Store all foods in approved re-sealable bags or containers once opened. See rule .2806 (a)Observed formula stored under hand sink in infant room.**Store and handle all food so that it will not become contaminated. See rules .2806 (d),(f), .2807 (b), and .2808 (e).Observed milk in infant room in reusable container.**In child care centers, milk and milk products for drinking purposes shall be stored in the original commerciallyfilled container. Serving containers may be used for food service provided the unused milk is discarded. See rule .2808 (a)

Observed multi service utensils and cups stacked wet in kitchen.**Completely air-dry all equipment and utensils before stacking or storing the items. See rule .2812 (h)

Observed refrigerator shelves with chipping finish and rusting in kitchen.**Keep all non-food contact surfaces and equipment clean and in good repair. See rule .2812 (f) and .2809 (1) and (3).

Observed sinks in 3's and pre K with damaged to caulk.Observed hand sinks in hall restroom pitting.**Keep hand washing sinks clean and in good repair. See rule .2818 (a).Caregiver stated that mouth contact toys would be cleaned and sanitized in diaper changing hand sink in infant room.**Sinks shall be cleaned and disinfected at least daily, when visibly soiled, and before changing the use of the hand washing sink. See rule .2818 (c ).

Observed aerosol sunscreen and bug spray unlocked in 2's room.Observed magic erasers unlocked in 2's and 3's room.**All hazardous items must be stored behind lock and key. See rule .2820 (b).

Observed hand sanitizer and hand lotion unlocked in classrooms throughout facility.**Approved non-hazardous products must be stored 5 ft above the floor or behind lock and key. See rule .2820 (b), (c ) and (d).