GRAHAMS DAY CARE CENTER

15A NCAC 18A .2826 (b).Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. Observed dust build up on ceiling fans. Needs cleaning.

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 Benadryl stored in unlocked file cabinet in staff entrance room which is unlocked. Observed neosporin stored with sanitizer in toddler classroom unlocked. Needs to be stored locked. No points deducted

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed liquid white out in unlocked file cabinet, which was located in unlocked staff entrance area. Needs to be store locked.

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 sanitizer, disinfectant, soapy water, and hand sanitizer store on shelves less than 5ft up. Needs to be 5ft above the floor. REPEAT.

15A NCAC 18A .2822 (a) Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. Observed tears on red couches. Needs repair/replacement.

15A NCAC 18A .2806 (a) Once pre-packaged food has been opened, the food shall be stored in clean, resealable bags or containers made of plastic or glass that are tightly covered and manufactured for the purpose of food storage. Observed graham crackers in open packaging stored in non resealable cardboard box. Needs to be in resealable container made of plastic or glass.

15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair. Observed build up on shelves in refrigerator. Needs cleaning.

No points taken. All hazardous items must be stored in a locked storage room or cabinet. 15A NCAC 18A .2820 (b). Observed aerosol disinfectant stored 5ft up but not behind lock and key. CDI - Aerosol sprays were moved into a locked storage closet.

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 hand sanitizer and disinfectant wipes stored less than 5ft above the floor.

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 debris on diaper changing table under mat. Needs cleaning.

General Comment: The childcare center shall have a written procedure 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. 15A NCAC 18A .2827 (d). Observed facility does not have a written procedure. Requirement has recently been adopted in rule changes on July 1, 2023. EHS emailed PIC link to page with procedures and rule update information.

Observed diaper changing pad cracked. Needs to be replaced. **Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b).

Observed sanitizer above 200ppm during the inspection. Water was added to dilute the concentration. **Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d)

Observed sanitizer in the kitchen with a concentration below 50 ppm. Sanitizer was remade during the inspection. **Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d)

Observed disinfectant in the kitchen with a concentraion below 500 ppm. No change to test strip when tested. **Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

Observed baby gate needing to be secured in entry of toddler class. No children in class at time of inspection.

Label disinfectant bottle in restroom. All cleaning and disinfectant solutions shall be properly labeled (i.e. soapy water, disinfectant). 15A NCAC 18A .2819 (c ) and .2820 (c ).

Observed sticky residue on arms of small red couch and hole in star pillow. 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 flooring peeled leading in to older infants/toddler class. Repair. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed can of air freshener refill spray stored in cabinet above sink in class near infants/older infants class. Observed sanitizer wipes with extra caution warnings stored on shelf in room where children's cubbies are located. Keep all hazardous items locked away. **NOTE** violation general commented on previous inspection*** All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b).

Observed paper blocks discolored and slightly damaged around edges. Observed white catch pan damaged in kitchen playset. 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).

Reseal hand sink to wall in older infants class. Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Observed white bowl in kitchen set (older kids) class damaged. Observed red chair peeling in areas. Observed hard toys (trucks) with build up in crevices in unused class. 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 grass needing to be cut around basketball goal on playground. Keep the property free of high vegetation. 15A NCAC 18A .2831 (i).

Observed children not washing hands when entering facility. Each child must wash hands upon entrance. Wash hands when required. 15A NCAC 18A .2803 (a)

Observed thermometer not operating. Repeat. Facilities shall maintain an accurate and calibrated metal stem thermometer. 15A NCAC 18A .2807 (h) and .2809 (12).

Discontinue storing dishes in hand sink. Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Observed thermometer not operating. Facilities shall maintain an accurate and calibrated metal stem thermometer. 15A NCAC 18A .2807 (h) and .2809 (12).

Observed sanitizer 250ppm. Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d)

Observed diaper cream stored less than 5 ft. Stored on diaper changing table. 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 soapy water solution stored on table while teacher was sweeping floor in classroom. Observed disinfectant solution stored on side ledge of diaper changing table less than five feet vertical distance out of reach of children. Store soapy water solution and disinfectant solution five feet vertical distance out of reach of children. 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 children sleeping on mats not properly spaced. Space sleeping mats and cots at least eighteen inches apart when children are sleeping and cots and mats are being used. Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e). General Comment: Monitor and secure gutter on back side of daycare.

Observed specialty milk and juice labeled with child name and had 8/11/17 date and 8/18/17 date in refrigeration unit in kitchen. Specialty milk and juice provided by the parents need to be returned home at the end of the week! 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 thermometer and clean utensils not properly stored in kitchen area. Observed metal stem digital thermometer stored in cup near hand washing sink under paper towel dispenser. Observed clean utensil/equipment stored on drain board near wash vat of three compartment sink. Store metal stem thermometer on clean utensil shelving in cabinet area. Do not store or place clean utensil/equipment on dirty end of drain board of three compartment sink. Dirty end of drain board may be used for air drying if no utensil washing is taking place at three compartment sink and wash, rinse and sanitize vat and dirty end of drain board has been washed, rinsed and sanitized! Protect food service equipment from contamination. 15A NCAC 18A .2814 (a) and (b).

Disinfectant solution was too weak throughout in disinfectant bottles throughout daycare including diaper changing area. Provide properly mixed disinfectant so diaper changing table can be properly cleaned and disinfected. SHOWED DAYCARE OWNER AND TWO STAFF MEMBER ON HOW TO PROPERLY MIX DISINFECTANT. PROVIDE DISINFECTANT SOLUTION 500PPM-800PPM AT ALL TIMES! The diaper changing surface shall be properly disinfected between each child. 15A NCAC 18A .2819 (c ).

Observed disinfectant solution in spray bottle throughout daycare including diaper changing station less than 250ppm. Disinfectant shall be 500ppm-800ppm. Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

Observed incorrect diaper changing procedure. Follow diaper changing procedure posted on wall above diaper changing table. Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d).

Observed crib not labeled with child's name. Label cribs with child's name. Observed old tape adhesive on corner of sleeping cots. Thoroughly clean old tape adhesive from corners of sleeping cots and relabel cots with damaged name labels. Clean railing on cribs. Replace sleeping cot with damage plastic corner. All cribs, beds, cots and mats must be labeled with each individual child's name. Space sleeping cots and mats at least 18 inches apart when children are napping. Observed sleeping cots/mats too close when children were sleeping/napping. 15A NCAC 18A .2821 (c ). Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).

Clean upper section of wall in bathroom. Monitor and repair ceiling in bathroom and classroom area. Paint bare wood area around window above diaper changing table in infant room. Repair wall in back bathroom off of infant room. Repaint side door in science room. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Repair loose board on flower/garden bed to eliminate exposed nail. Replace splintering board on hand railing on back porch. Tightly secure craw space vent on side of daycare. Store items on the playground so they do not hold or collect water. Observed standing water in sand box. Keep sand box covered to prevent water from collecting or cover sand box with a tarp. Cut growth off of fence line. Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Keep the property free of standing water. 15A NCAC 18A .2831 (b). Keep the property free of high vegetation. 15A NCAC 18A .2831 (i). Sand boxes must be covered when not in use and kept clean. 15A NCAC 18A .2832 (c ) (2).

Provide properly mixed disinfectant at all times. Observed disinfectant solution in bottle in bathroom too weak(250ppm). Disinfectant solution in all classrooms and diaper changing table was made to the correct strength. Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

Clean toys and shelving in after school room and 3's/4's/5's room. Clean base of sensory table, cracks and crevices of blue corner kitchen fixture and base of toy bins in 3's/4's/5's room. Clean straps on high chairs and area under cushions(toys). Clean larger toy fixtures in infant/toddler room. Observed used egg crates stored on shelving in after school room. Do not reuse used egg crates! 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).

Wipe/clean walls and top of doors near latching mechanism. Touch-up paint wall and top of doors near latching mechanism. Touch-up paint corners of walls throughout where needed. Tightly secure loose corner of linoleum flooring in hallway area and beside hand washing sink in infant/toddler room. Clean and repaint side entrance/exit door to after school room. Repair linoleum floor in infant/toddler room where nail is coming through. Monitor water stain on ceiling in infant/toddler room. THANKS FOR REPAIRING FLOORS THROUGHOUT DAYCARE AND ROOF ON CENTER! Continue to make necessary repairs. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Replace soiled floor filter in hallway. Repair or replace light bulb in after school room and 3's/4's/5's room. Provide end cap on end of light bulb and light shield in 3's/4's/5's room missing end cap. Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a). Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).

Paint poles on playground fixtures where rust is present. Clean toys/fixture on playground. Clean grounds on playground between back deck and metal fencing. Repair door threshold on exterior of infant/toddler room door leading to the playground. Tightly secure loose gutters on exterior of infant/toddler room door leading out to playground area. Repair roof near infant/toddler room door leading out to the playground area. Store toys/fixtureson the playground so they do not hold or collect water. Replace damaged (blue)lid to cover sand box on playground area. Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Keep the property free of standing water. 15A NCAC 18A .2831 (b). At child care centers, the premises, including the outdoor learning environment, shall be kept clean. 15A NCAC 18A .2832 (a).

Observed teacher purse not properly stored in closet in storage room near office area. Store teacher purse five feet vertical distance out of reach of children or locked away. 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. 15A NCAC 18A .2820 (f).

Repaint wall in bathroom area, hallway, front classroom, and back classroom. Observed flaking and chipping paint throughout in daycare center, lead swab test performed and reading read negative. Repair flooring in bathroom and classroom area. Repair ceiling throughout and repaint. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed damaged and soiled window blinds in classroom area. Clean and replace damaged window blinds. Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).

Tighten loose railing on ramp. Secure playground fencing to eliminate gap between the two fence. General cleaning of toy fixture on playground area. Remove damaged black shelving from playground area. Secure fencing around can wash area. Secure gutters. Repair roofing and replace damaged shingles. Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). All play ground equipment must be kept clean and in good repair. 15A NCAC 18A .2832 (c ).

Observed diaper changing procedure done wrong in infant room. Observed staff put gloves on before wiping her hands and childs hand after disposing of soiled diaper and wipe. Observed staff wipe off excess disinfectant on diaper changing pad, gather diaper and wipe with same gloves on; then staff changed gloves and place child on table. PLEASE FOLLOW DIAPER CHANGING PROCEDURE POSTED ON WALL.! Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d).

Touch-up paint green toy shelving in infant/toddler. Paint exposed particle board on white cover/cabinet in infant/toddler room. Clean soft plush toys in infant room. If stains does not come off of toys/ soft floor pillow fixture; discard and replace. 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).

Repair flooring in infant and toddler room. Repair wall above door in infant room. Touch-up paint area around light fixture in back hallway area. Touch-up paint spot on wall in infant/toddler room bathroom. Wipe/clean wall behind hand washing sink off of front classroom. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed rusted vent cover in hallway and bathroom area. Repaint rusted vent cover in bathrooms. Replace light bulbs in lamp fixture with shatter proof light bulbs. Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).

Observed loose and damaged lattice around back deck in playground area. Secure and replace damaged lattice. Store items on the playground so they do not hold or collect water. Repaint merry go round and crawl through barrel. Discard and replace stained/weathered toys on the playground area. Repair gutter and fascia board on back side of daycare. Repair roof vent near pitch area of roof on back side of daycare. Provide for a cap on end of pole near gate of playground fencing. Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).

Observed hand sanitizer and hair styling products not properly stored in classroom(infant/toddler) and teacher resource room. Store hand sanitizer and hair products five feet vertical distance out of reach of children or locked away.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. 15A NCAC 18A .2820 (f).

Observed cracks and crevices on toys and base of toy bins soiled in after school room. Observed broken toy bin in after school room. Observed book shelving ledge soiled in 2's/3's/4's room. Observed sealant/varnish wearing and worn off of shelving/cabinet in infant/toddler room. Clean cracks and crevices on toys and base of toy bin. Replace broken toy bin. Clean book shelving ledges. Reseal/ revarnish shelving/cabinet which sealant/varnish is worn/wearing off.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 half door at kitchen. Touch-up paint throughout where needed; if needed. Repair floor in infant/toddler room. Repair ceiling around light fixture in back hallway and monitor and repair ceiling in bathroom off of infant/toddler room in back hallway area. Repair flooring in infant/toddler room.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed front of window air conditioner unit dusty/soiled. Clean front cover on window air conditioner units. Observed rusted floor vent cover in hallway. Repaint or repaint floor vent cover in hallway. Observed broken/damaged window blind in infant/toddler room. Replace broken window blinds.Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a).

Observed toys on playground area soiled. Clean toys on playground area. Observed merry go round and crawl through barrel with missing and flaking paint. Repaint merry go round and crawl through barrel. Lead swab test performed on merry go round and crawl through barrel and results read negative. Observed loose and damaged shingles on front roof of daycare. Secure and repair damaged shingles. Observed attic vent wood in bad repair at pitch area of roof on back side of daycare. Repair any damaged wood around attic vent and repaint. Tightly secure loose lattice around base of back deck.Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).All play ground equipment must be kept clean and in good repair. 15A NCAC 18A .2832 (c ).

Repeat Non- Compliance Item! Observed teacher purse/book bag hanging on hook on interior of closet door in teacher work room less than five feet vertical distance out of reach of children and closet door was unlocked. Store teacher purse containing non hazardous products five feet vertical distance out of reach of children. Teacher purse/book bag placed on top shelving in closet.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. 15A NCAC 18A .2820 (f).

Repeat Non Compliance Item! Observed toys, shelving and storage area soiled in after school room and pre school room. Observed linen on climbing toys in pre school room and infant/toddler room soiled. Clean linen on soft climbing toys often/regular and when visibly soiled. Clean handle and underside edge of table in infant room.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/ missing paint on bathroom door, gate to kitchen, lower section of wall in after school room, base of mantle in pre school room, behind cribs in infant/toddler room, merry go round and crawl through barrel on playground. LEAD SWAB TEST PERFORMED ON ALL THE ITEMS LISTED ABOVE AND LEAD SWAB TEST READ NEGATIVE! Repaint/ touch-up paint throughout day care where needed. Finish installing shoe moulding near teacher work room. Repair floor in infant/toddler room. Repaint ceiling where light fixture was repaired in back hallway. Wipe/clean wall around light switch in bathroom.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed floor register vent soiled in bathroom. Clean floor register vent in bathroom. Observed light fixture in infant/toddler room missing an end cap. Provide end cap on end of light bulb/light shield in infant room.Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).

Observed toys on playground area soiled. Clean toys on playground area. Observed loose craw space access door on side of daycare. Secure loose crawl space door. Observed loose fencing surround can wash. Tightly secure loose fencing around can wash. Observed merry go round and crawl through barrel with missing and flaking paint. Repaint merry go round and crawl through barrel. Lead swab test performed on merry go round and crawl through barrel and results were negative for lead. Observed some loose shingles on front and back roof of daycare. Secure and repair any damaged shingles. Observed attic vent wood in bad repair at pitch of roof on back side of daycare. Repair any damaged wood around attic vent and repaint. All play ground equipment must be kept clean and in good repair. 15A NCAC 18A .2832 (c ). Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).

Observed water dispenser in hallway soiled. Thoroughly clean water dispenser handle and back area on dispenser.Keep water fountains clean at all times. 15A NCAC 18A .2815 (f).

Observed disinfectant strength in bottles throughout day care too weak. Gave director/owner handout in regard to making sanitizer and disinfectant solution according to percentage of sodium of hypochlorite. Showed director/owner and staff how improperly make disinfectant solution. Disinfectant solution corrected at time of inspection! Daycare was using old sanitizer/disninfectant solution chart using 1 table spoon of bleach to 1 gallon of water. Old handout discard at time of inspection and new disinfectant/sanitizer solution chart posted in kitchen and throughout different rooms! Disinfectant shall be 500ppm-800ppm.Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

Observed teacher purse stored on lower shelving in closet in teacher work room and door to room and closet was not locked. Store teacher purse five feet vertical distance out of reach of children. Observed fading marking on sanitizer and disinfectant bottles. Relabel disinfectant and sanitizer bottles!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. 15A NCAC 18A .2820 (f).All sanitizing solutions shall be labeled with the word "sanitizer" and disinfectant solution shall be labeled with the word "disinfectant" 15A NCAC 18A .2820 (c ).

Observed base of mirror loose, stained pillow in cozy corner in 3's/4's room. Tighten loose base on mirror and clean cover on pillow in cozy corner. Observed high chair in storage area/not being used soiled. Thoroughly clean high chair before placing in storage----->could be item #10. Thoroughly clean bouncy seat(seat, base and cracks and crevices). Tighten loose screws in furniture in infant room. Clean plastic chairs in rooms.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 floor damaged in infant room. Repair floor in infant room. Provide a transitional floor moulding in after school room at entrance to storage closet. Paint bare wood door trim in infant room.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed broken and dusty window blind in after school room; clean and replace broken blinds. Observed cover on window ac unit dusty. Clean front cover on ac unit. Observed light not operating in back bathroom between office and infant room. Replace blown light bulb or repair light fixture in bathroom.Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a).

Thoroughly clean toys on the playground area. Repair wooden border around playground equipment. Secure loose railing on front porch. Remove damaged plastic off of tricycles or replace tricyclesAll play ground equipment must be kept clean and in good repair. 15A NCAC 18A .2832 (c ).General Comment: #32. Observed cribs labeled with #'s, name and number system provided and child's name above crib. Label each crib with the child's. Child's name placed on cribs at time of inspection!**All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ). #27. Observed sealant starting to wear off of diaper changing table exposing bare wood. Apply sealant/varnish to bare wood on diaper changing table.**Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b). Mrs. Graham present at time of inspection! CCA wood sealed 7/11/2014.

Today observed food products(brown sugar and chips) not properly stored. Store opened packages of food products in sealable container; labeled and kept. Also observed child bottle in refrigeration unit and container of rice cereal not properly labeled. Label child bottle with name and date bottle was brought into center. Label rice cereal product with child name.**Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a), 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)

Today sanitizer solution in kitchen area too strong. Sanitizer(chlorine) shall be 50-200ppm.**Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d)

Today hot water at hand sinks maxed out 118F to 119F. Hot water shall be 80F-110F. Adjust water temperature on water heater.**Hot water shall be maintained between 80°F and 110°F at hand washing sinks accessible to children. 15A NCAC 18A .2815 (e).

Today no paper towels at hands ink in back bathroom and could not get soap out of soap dispenser. Also could not get soap out of soap dispenser in kitchen area. Keep soap dispenser filled so you do not have to remove lid to pour out soap.**Liquid soap shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d).,Disposable towels shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d).

Today employee purse stored on lower shelving in closet area. Store employee purse five feet vertical distance out of reach of children.**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).

Today observed four infants in infant room but infant room had only 2 cribs. Provide additional sleeping cribs and label individual sleeping cribs with child name!**All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ).

Today observed stained/soiled toys. Thoroughly clean toys throughout daycare and storage areas. Clean linens to cover soft climbing toys. Tighten loose screws/bolts on furniture fixture. Clean underside edge of tables and chairs.** 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 daycare where paint is flaking. Perform lead swab test and results were negative. Tightly secure loose corner of floor transitional moulding . Replace missing base shoe moulding. Repair floor in infant room. Repair gap on base of back door. Repair door to office area from playground area. Repair ceiling in office area. Repair/replace roof of daycare!**Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Repair light fixture in back toddler room and replace missing light shield over light fixture in hallway area. Tightly secure light fixture to ceiling in toddler room.**Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a).,Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).

Observed a few cups in a cabinet stacked together while still wet. (repeat non-compliance)**Completely air-dry all equipment and utensils before stacking or storing the items. See rule .2812 (h)

Observed front restroom handsink fixtures corroded. Back classroom restroom handsink in need of caulking around sink.**Keep handwashing sinks clean and in good repair. See rule .2818 (a).

Observed a bottle of hand sanitizer stored within 5' of the floor in front and back classrooms. Observed a purse stored just below 5' in back classroom.**Approved non-hazardous products must be stored 5 ft above the floor or behind lock and key. See rule .2820 (b), (c ) and (d).

Observed exterior non-painted wood not stained or sealed. (repeat non-compliance)**All exterior non-painted wood installed before 1/1/05 must be sealed or stained at least every 2 years. Seal wood with either an oil-based, semi-transparent sealant, oil-based clear stain, or water-based clear stain. Records must be maintained available for review. See rule .2831 (e), (f), and (g).