FIRST BAPTIST CHILD DEVELOPMENT CENTER

General Comment: 15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children.- Observed hot water temperature in room 103 measured at 119F. Room 109 and 111 measured at 115F. Provide tempered water temperature between 80-110F at anytime.

REPEAT 15A NCAC 18A .2812 (i) An approved disinfectant shall be provided for cleaning purposes. When a chlorine solution is prepared by a child care center employee for use as an approved disinfectant, then the solution shall be prepared for use within 24 hours, and a testing method shall be used to ensure compliance with the prescribed chlorine concentration (500 -800 ppm).- Observed disinfectant solution measured at 250ppm. Ensure to provide correct concentration of chlorine disinfectant solution between 500- 800 ppm at anytime.

15A NCAC 18A .2821 (e). When in use, cribs, cots, mats and play pens shall be placed at least 18 inches apart or separated by partitions that prevent physical contact between children.- Observed in room 103, children are napping and cots are placed too close to each other. Keep cots apart at least 18” while napping.

15A NCAC 18A .2806 (d) Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in the 2800 rules when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs.- Observed specialty milk in kitchen refrigerator without date. Ensure to receive the unopened container of specialty milks at the beginning of the week, put name and date that was received, send home or discard at the end of the end either opened or unopened containers.

REPEAT 15A NCAC 18A .2812 (i) An approved disinfectant shall be provided for cleaning purposes. When a chlorine solution is prepared by a child care center employee for use as an approved disinfectant, then the solution shall be prepared for use within 24 hours, and a testing method shall be used to ensure compliance with the prescribed chlorine concentration (500 -800 ppm).- Observed disinfectant solution measure less than 500 ppm. CDI- The center corrected at the time of inspection. Ensure to provide correct concentration between 500- 800 ppm for disinfectant solution.

15A NCAC 18A .2821 (c). Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens.- Observed cots labeled same number on three different cots in room 104. Ensure to label clearly either name or number. If number use, please provide cot chart and have available.

15A NCAC 18A .2810 (f). Water from a handwash lavatory shall not be used for bottle warming or to prepare formula, mix dry cereals, or other foods.- According to teacher in infant 2. Water in bottle warmer comes from hand washing. CDI- Director gave two water bottle to the classroom for warmer use. Water for bottler warmer needs to come from the kitchen or bottle water, not from the hand sink.

General Comment: 15A NCAC 18A .2812 (i) An approved disinfectant shall be provided for cleaning purposes. When a chlorine solution is prepared by a child care center employee for use as an approved disinfectant, then the solution shall be prepared for use within 24 hours, and a testing method shall be used to ensure compliance with the prescribed chlorine concentration (500 -800 ppm).- Observed disinfectant solution measure between 250 and less than 500 ppm. CDI- The center corrected at the time of inspection. Ensure to provide correct concentration between 500- 800 ppm for disinfectant solution spray.

General Comment: 15A NCAC 18A .2820 (b).Keys used to access hazardous item storage must be out of reach of children (5 ft above the floor) and stored separately from lock.- Observed key stays in a lock in room 104. The key lock was long and not completely closed the cabinet tight, which allow a big open gap that EHS can look inside and reach into a bug spray bottle and take it out through the big open gap at the time of inspection. The cabinet shall be locked properly and not allow any gap for anyone to reach inside and remove any hazardous items out. Keys shall alway be stored separate from a lock and place it up at 5ft or higher at all times.

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 bottles inside unlocked drawer, less that 5ft of a church desk where children walking through to playground. Ensure to store all non hazardous items at 5ft or higher at all time.

General Comment: 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 stored on the bottom shelf in the cabinet less that 5ft in room 111. Ensure to store all personal belongings/purses that do not contain any hazardous items at 5ft or higher at any time.

15A NCAC 18A .2806 (d) Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in the 2800 rules when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs.- Observed speciality milks in the kitchen refrigerator dated 11/5 and 11/? EHS, director and director assistant discussed proper way to handle specialty milks at the time of inspection. Ensure to receive the unopened container of specialty milks at the beginning of the week, put name and date that was received, send home or discard at the end of the end either opened or unopened containers. 15A NCAC 18A .2810 (f) Water from hand wash lavatory shall not be used for bottle warming or to prepare formula, mix dry cereals, or other foods. According to teacher in infant room, teacher used water from food prep handwashing sink to warm the bottles in the warmer. Water needs to come from the kitchen or bottle water, not from the hand sink.

15A NCAC 18A .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions.- Observed soiled bottles warmer in infant room. Detail cleaning needed and keep clean.

General Comment: 15A NCAC 18A .2816 (b) (1) Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. Samples shall also be collected and tested within 30 calendar days of completion of any renovations or repairs that may impact the facility's drinking water infrastructure, such as repair or replacement of all or part of drinking water service lines or faucets, at impacted outlets. The operator shall provide documentation of testing results for review by the Department during each unannounced routine sanitation inspection.- Observed last water testing was 6/18/2021. The center had started the process (lead in water- In progress, enrollment completed 10/4/2024. Lead based and Asbestos- Enrollment started). The center will ensure to complete the required process and update the department the results. NOTE: The center had mailed in the sample to RTI in October

General Comment: 15A NCAC 18A .2820 (b) (e). All hazardous items must be stored behind lock and key. A locked kitchen is not considered to be a locked storage room or cabinet for the purpose of this rule - Observed container of Clorox, disinfectant Lysol spray can in the church cabinet without locking. The locking device is too long and when lock still leave room to put hands through the open cabinet and take items out. This seems to be same with teacher locking cabinet as well. Ensure to push the lock all the way to the shortest link so it leaves no room to access the opening. Hazardous items and how to store them discussed with director at the time of inspection. NOTE: **Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keep/store keys at 5ft or higher at all time.

General Comment: 15A NCAC 18A .2820 (f). Coat hooks not in individual cubbies or lockers must be 12 horizontal inches apart.- Observed children coats are hanging on the hooks in classroom touching each other. Ensure to not allow individual items while storing touching each other.

REPEAT 15A NCAC 18A .2821 (c). Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens.- Observed 111 without cot list of name that goes along with number assigned to children. Provide the list/chart with number and name assigned and have available.

General Comment: 15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children.- Observed no hot water in both sinks (classroom and restroom) 105, temperature measured at 62F. Individual water heater for those sinks need to be looked at, and ensure to provide tempered water where is accessible to children.

General Comment: 15A NCAC 18A .2820 (d) Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use 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 diaper creams in basket stored underneath the diaper table unlock, less than 5ft, in infant room. Ensure items stored at 5ft or higher, or keep lock.

General Comment: 15A NCAC 18A .2820 (b) (e). All hazardous items must be stored behind lock and key. A locked kitchen is not considered to be a locked storage room or cabinet for the purpose of this rule - Observed container of Clorox, detergent in the kitchen under the 3 compartment sink, not being lock away in the storage room. Hazardous items and how to store them discussed with director at the time of inspection. **Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device.**

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 lotion in the basket stored underneath diaper table less than 5ft in infant room. Observed disinfectant solution spray bottle on the counter at hand sink less than 5ft, in Men restroom hallway. Observed hand sanitizer bottle in church cabinet with lock on, and didn’t close the cabinet tightly, which allows room to reach items out off cabinet easily in class 104. Ensure to store all non hazardous items at 5ft or higher at all time.

REPEAT 15A NCAC 18A .2821 (c). Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens. - Observed cots in couple classrooms without name/ number chart on the cot/available. Provide name or number chart which cot belong to whom.

15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. - Observed water temperature measured at 68F -70F in 3’s classroom.

15A NCAC 18A .2821 (c). Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens. - Observed cots in TK classroom without name or number of children that belong to. Teacher made a chart and put name/number of cots 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 countertop partition broken in half creating sharp edges in need of removal / repair #113. Observed edges of tables (2 inches) in need of general cleaning in classroom #113.

Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e). Observed 114F hot water at hand washing sink inside (4's) #123; Observed 112-113F at hand washing sink inside (infant) room in need of adjusting.

NO POINTS DEDUCTED Approved non-hazardous products must be stored 5ft above the floor or behind lock and key. 15A NCAC 18A .2820 (b), (c ) and (d). Observed sanitizer and disinfectant stored below 5ft inside (toddler) classroom. CDI products placed at 5ft or above.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed large stains on carpet in classrooms #105, #107 in need of cleaning.

Keep the facility free of rodents, insects and vermin. 15A NCAC 18A .2831 (b). Observed fruit flies in kitchen area in need treatment.

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, toys, linen stored underneath drain lines of hand sinks in classrooms.

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 wooden cubbies with missing/damaged paint in need of touch-up painting in classrooms.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed touch-up paint needed on cubbies in multiple rooms.

Keep the facility free of rodents, insects and vermin. 15A NCAC 18A .2831 (b). Observed ants in Toddler room near sink area.

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 specialty milk with child's name, but no date in kitchen reach in. REPEAT VIOLATION Meals, non-frozen breast milk, formula, and other bottled beverages brought from home shall be returned to the child's home or discarded at the end of each day. 15A NCAC 18A .2804 (d) and (f). Observed bottle dated 5/8 in baby room. Caregiver stated that it was brought today, but the parent put the wrong date on the bottle. Observed specialty milk dated 4/27 in kitchen reach in. CDI: Milk was discarded.

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 books damaged in toddler 1 and 3's room. Observed worn vinyl play ring in Toddler 1. Observed torn chair in Afterschool. Observed damaged puzzle in 2's room. Observed detail cleaning needed on larger toys in 1/2 day 2's/3's, on smaller toys in 2's, and in play sink of room 104. Observed tape residue on book cases in toddler 2, afterschool room, and room 104. Observed laminate on book case peeling in Toddler 2. Through discussion, play clothes in 3's room are washed 2x per month. Wash items weekly. Observed debris collecting under diaper changing mats in Toddler 1 and Toddler 2. 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, 2's caregiver stated that toys are cleaned in soapy water, and then disinfected, and then rinsed.

All play ground equipment must be kept clean and in good repair. 15A NCAC 18A .2832 (c ). Observed chain on swing in younger kids play ground in need of replacing. Observed build up on playground toys. Ensure items are cleaned routinely to avoid build up of dirt.

Label all food brought from home with the child’s name and the date that the food was brought into the facility. 15A NCAC 18A .2804 (f) Observed sippy cups and water bottles in TK room with child's name but no date. REPEAT VIOLATION

All potentially hazardous food products shall be maintained at 45°F, or below, or 140°F or above. 15A NCAC 18A .2806 (f) Observed milk on bottom shelf of cooler to be at 46F. Refrigerator is holding at 40F. Rearrange refrigerator to allow for maximum air flow.

Label all food brought from home with the child’s name and the date that the food was brought into the facility. 15A NCAC 18A .2804 (f) Observed sippy cups and water bottles in TK room with child's name but no date. REPEAT VIOLATION

All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed shaving cream in 1/2 day 2's room unlocked. Observed bottle of bleach stored under dish machine. Observed first aid kit in kitchen with instant ice packs, aspirin, and alcohol swabs in it.

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 cracked plastic drawer in 4's room. Observed tape residue on drawers in 4's room. Observed some damaged books throughout facility. Observed diaper changing mats with debris between mat and table in rooms with diaper tables.

Observed chipping paint on cubbies in 1 year old room. Observed large interactive toys with dust and debris build-up in cracks and crevices in several classrooms. Observed fan with dust build-up in the 1 year old room. Observed paint easels with a few paint chips in the tray in the 3 year olds room and in the 1/2 day4 year olds room. Observed fraying paper blocks in several classrooms in need of replacement. Observed diaper changing mat with debris build-up on the bottom side. Observed stool in 3 year old room in need of cleaning. **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 chipping paint on HVAC vents in carerooms throughout. Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).

Observed sanitizer over 500 ppm in room 101. Switched with disinfectant. Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d)

Observed disinfectant at 200 ppm in 101. Switched with sanitizer. Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

Repeat non-compliance: Observed whiteout unlocked in room 104. All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b).

Repeat non-compliance: Observed vent with finish damaged in infant classroom. Observed dust collecting on vents 123. Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).

Repeat non-compliance: Observed residue collecting on playground equipment. Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).

Observed dishwasher thermometer reaching 144 to 154 degrees F. High chair cleaned in place, removable tray sent to kitchen after each use. Multi-service utensils must be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e) High chair tray must be washed in kitchen at the end of each day, removable tray must be sent to kitchen after each use.

Observed bottle of cleaner and floor washing machine in boys hall restroom. All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b).

Observed HVAC vents chipping in classrooms throughout. Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).

Observed outdoor play equipment collecting residue. At child care centers, the premises, including the outdoor learning environment, shall be kept clean. 15A NCAC 18A .2832 (a).

Observed baby bottle on counter staff stated that bottles are saved for one hour after service. All food shall be stored and handled in a manner that protects it from contamination. 15A NCAC 18A .2806 (d),(f), .2807 (b), and .2808 (e).

Observed hand sanitizer below 5 feet in 125. 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 outside bag stored in 102/103 restroom. Observed unopened toy doll in room 109 bathroom.Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a).

Repeat non-compliance: Observed torn cot sheet in one classroom.Linens shall be stored with each child's cot or mat or placed in the child's designated area. 15A NCAC 18A .2821 (f).

Repeat non compliance: Observed bathroom faucets with finish damage.Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Observed soapy water and sanitizer below 5 feet in 109.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 damaged sheets in cots in classroom.Individual linen must be kept clean and in good repair. 15A NCAC 18A .2821 (f).

Repeat non-compliance: Observed breast milk over ready to eat food in the kitchen, not dated with the date brought into the facility. Observed one bag of crackers not properly sealed in kitchen pantry.Frozen breast milk can be stored frozen at the facility for up to seven days and shall be labeled with the child's name, date received and date thawed for use. 15A NCAC 18A .2804 (d).All food shall be stored and handled in a manner that protects it from contamination. 15A NCAC 18A .2806 (d),(f), .2807 (b), and .2808 (e).Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a)

Repeat non-compliance: Observed pitted faucets in several bathrooms. Observed caulk damaged on backsplashes in classroom hand wash areas and in gym restrooms at backsplash and around sink basins.Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Observed caregiver not wipe hand prior to placing a clean diaper on the child.Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d).

Observed hazardous items unlocked including disinfecting wipes, cleaners, and aerosol bug spray in 103, 111, 108.All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b).

Observed mats stacked so the sleep side is touching the floor side of another child's mat in 103.Sleeping mats, cribs, and cots shall be stored to prevent contamination. 15A NCAC 18A .2821 (a).

Observed metal stem thermometer in kitchen off by 10 degrees.Provide a numerically scaled metal stem-type thermometer accurate to 2°F. 15A NCAC 18A .2807 (h)

Observed sinks throughout facility with damaged to finish. Observed caulk damaged around diaper changing sink in infant room.Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Observed water on floor in pantry area around drain from HVAC, residue collecting on floor. Observed damaged ceiling tile in kitchen.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).

Observed vents rusting and paint damaged in classrooms throughout.Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).

Observed hot water below 120 degrees F.Hot water supplied to clothes washing machines shall be 120°F or above. 15A NCAC 18A .2815 (e).

Observed damaged hand sink faucets in restrooms throughout facility.Keep hand washing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Observed damaged vent in several classrooms.Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).

Observed cups wet stacked going out to classroom.Completely air-dry all equipment and utensils before stacking or storing the items. 15A NCAC 18A .2812 (h)

Repeat non-compliance; Observed hot water at washer below 120 degrees F.Hot water supplied to clothes washing machines shall be 120°F or above. 15A NCAC 18A .2815 (e).

Observed hand sink faucets with damaged finish throughout facility.Keep hand washing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Observed aerosol shaving cream in classroom 11 and 115 unlocked. Observed whiteout and snow in a can unlocked in room 107.All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b).

Observed dusty vent room 114 and hallway infront of 115. Observed lights not shielded or shatterproof in laundry room.Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a). Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).