UNIVERSITY CHILD DEVELOPMENT CENTER

General Comment: 15A NCAC 18A.2803 (e). Handwashing procedures 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 the hands under tempered water 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.- Observed children are washing their hands before breakfast and turning off the faucet knob with bare hands. Ensure to educate children to wash their properly and correctly at anytimes.

15A NCAC 18A .2804 (k) Lunches, snacks, and other meals that a child brings from home to the child care center shall be labeled with the date on which the food is brought to the child care center and the name of the child to whom the food belongs at the child's home and shall be returned to the child's home or discarded at the end of each day.- Observed baby food with date in infant room, a child lunch box without name and date in room 5. Ensure to label both name and date on items received at the center. 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 the kitchen without date received. 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 week either opened or unopened containers.

REPEAT 15A NCAC 18A .2812(c) When utensils and equipment are washed mechanically using a dishwasher, food-contact surfaces of equipment and utensils shall be sanitized according to the dishwasher manufacturer's instructions. When commercial dishwashing equipment is used, the dishwasher shall be equipped with a temperature indicating device that is accurate to two degrees Fahrenheit.- Observed chemical dishwasher is not working properly, no sanitizer available according to the test strips reading. The center shall sanitizer their dishes and equipment at the two compartment sinks with correct sanitizer solution. Dishwasher machines shall be repaired and keep in good repair according to the manufacturer.

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 sanitizer solution measure at 500 ppm. Ensure to provide correct concentration of sanitizer between 50-200 ppm at anytime.

General Comment: 15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair.- Observed broken refrigerator in the kitchen needs repair.

REPEAT 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed damaged/stained toilet seat in room 2. Repair/replacement needed.

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 stored on top of soap dispenser in room 1 less than 5ft. Ensure to store/keep bulk soap at 5ft or higher at anytime.

15A NCAC 18A .2822 (d).Water play centers shall be filled with potable water immediately before children begin a water play session. Water shall be emptied after each play session and at a minimum each morning and afternoon, or more often if no longer clean.- Observed old standing water play table in room 7 need cleaning. Proper water play station discussed in detail with teacher and director assistant at the time of inspection.

General Comment: 15A NCAC 18A .2831 (a). Turtles, iguanas, frogs, salamanders, and other reptiles or amphibians shall not be kept as pets on the child care center premises.- Observed in room 4, bearded dragon in a cage as class animal. Please remember no reptiles or amphibians shall not be kept as pets on the child care center premises at anytimes.

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’s bottles in infant refrigerator, some have no name and date. Some have dated 8/7, 8/8, 7/22. Ensure to have name and correct date on all bottles from home for the day. Send all bottles/cups home for proper cleaning, change to new and correct label when return back at the center. NOTE: 15A NCAC 18A .2804 (h) After the completion of each feeding, any leftover formula, human milk, or other bottled beverages used during the feeding shall be discarded or sent home with the child whose name is on the label for the formula, human milk, or bottled beverage at the end of each day. Feeding is complete when the child care center employee has stopped feeding the child and the child has been removed from the feeding area in the child care center and returned to other activities. Bottles previously used for feeding shall not be returned to communal mechanical refrigeration.- Observed two left over bottles on the counter, when asked teacher stated that children has an hour (hour rule) to complete the bottle before discard. EHS educated teacher and director assistant at the time of inspection about correct procedures when feeding is complete.

15A NCAC 18A .2812(c) When utensils and equipment are washed mechanically using a dishwasher, food-contact surfaces of equipment and utensils shall be sanitized according to the dishwasher manufacturer's instructions. When commercial dishwashing equipment is used, the dishwasher shall be equipped with a temperature indicating device that is accurate to two degrees Fahrenheit.- Observed chemical dishwasher is not working properly, no sanitizer available according to the test strips reading. The center stated that from previous visit, the machine will be fixed, however it has not been fixed yet since last inspection/visit. At the meantime, the center shall sanitizer their dishes and equipment at the two compartment sinks with correct sanitizer solution. Dishwasher machines shall be repaired and keep in good repair according to the manufacturer.

REPEAT 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed damaged/stained toilet seat in room 2. Repair/replacement needed.

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 is changing student diaper in infant, missing/incorrect procedures #5, 8, 9, 10. EHS educated teacher the correct procedures at the time of inspection. The poster posted by the changing table.

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 emergency medications in the outside bag stored on the counter in summer camp class less than 5ft. Ensure to always put the outside bag that contain emergency medication at 5ft or higher at all times.

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 bottle on the front desk counter and a desk in unlock staff lounge less than 5ft. Ensure to keep all non hazardous items at 5ft, vertical distance of five feet above the finished floor 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 staff bag stored on the cubby less than 5ft. Ensure to put staff belongings and bags that contain no hazardous items at 5ft or higher at anytime.

General Comment: 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 couple classrooms while napping ensure that mats are placed apart from each other at least 18”. 15A NCAC 18A .2821 (f) Linens shall be large enough to cover the bed, cot, or mat's sleeping surface.- Observed no sheet on a mat where a student sleeping in summer camp class. Ensure to provide sheet on a mat while napping.

General Comment: 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 damaged/cut on diaper blue pad on diaper table in infant room. Repair or replacement needed. Keep in good repair.

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 milk in the kitchen refrigerator without date received. 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 .2812(c) When utensils and equipment are washed mechanically using a dishwasher, food-contact surfaces of equipment and utensils shall be sanitized according to the dishwasher manufacturer's instructions. When commercial dishwashing equipment is used, the dishwasher shall be equipped with a temperature indicating device that is accurate to two degrees Fahrenheit.- Observed chemical dish washer in the kitchen is not sanitation when tested with chlorine strips. The washer need to be repair and keep it properly work. At the mean time, all dishes shall be sanitizing the 2 compartment sinks. VERIFICATION NEEDED (6/27/25). 15A NCAC 18A .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions.- Observed soiled bottle warmer in infant room. Detail cleaning needed and keep clean.

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 sanitizer solution in spray bottles measured at least 250 ppm and less than 500 ppm. Ensure to provide correct concentration between 50- 200 ppm at all time.

General Comment: 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed soiled toilet in room 3, damaged/stained toilet seat in room 2. Repair/replacement needed.

General Comment: 15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies.- Observed bins of toys store on a shelf in restroom 10. Only toileting items can be stored in the restrooms.

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 the disinfectant solution measured more than 1000 ppm. Ensure to provide correct concentration for chlorine disinfectant solution at all time between 500- 800 ppm.

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 disinfectant solution spray bottle hanging on the hook less than 5ft in infant room. Observed hand sanitizer bottle in outside bag in infant hanging down on the hook from the floor to the bottom of the bag less than 5ft. Observed hand sanitizer bottle on the front desk and a desk in unlock staff lounge. Observed sanitizer and disinfectant solution in a bucket on a shelf above hand sinks less than 5ft in 1. Ensure to keep all non hazardous items at 5ft, vertical distance of five feet above the finished floor at all time.

General Comment: 15A NCAC 18A .2821 (a). In child care centers, beds, cribs, cots, mats, and play pens shall be kept clean and in good repair, stored to prevent contamination, and cleaned and sanitized between users.- Observed children cot stored front touching the front, mat folded clean side touching the dirty side in room 9, 2. Ensure to store items separate and not allow contact for any possible contamination. Observed damaged cots in room 2. Repair or replacement needed. Keep cots in good repair. 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 room 2 without labeling. Ensure to label/assign individual cot with name or number. If use number, please provide a list which number assigned to whom.

General Comment: 15A NCAC 18A .2821 (f). Linens shall be laundered between users, when soiled, and otherwise once per week in rooms with children 1 year old or greater.- Observed soiled sheets on cots in room 9. Ensure to change the sheets when visibly soiled and clean at least once a week.

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 stained ceiling tiles in restroom 1, 3, missing circle cap on ceiling- leaving a hole in room 3, dust covered AC vents in room 8, 6, 1. Detail cleaning needed and keep clean.

15A NCAC 18A.2803 (e). Handwashing procedures 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 the hands under tempered water 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.- Observed staff and children washing their hands when required, however missing and recontaminating their hands again by turning off faucets knobs with bare hands. The center has hand washing procedures poster posted. Ensure to follow correct hand washing at all time.

General Comment: 15A NCAC 18A .2804 (a) In child care centers, food shall be kept free from spoilage, filth, or other contamination and shall be safe for human consumption.- Observed a package of ham opened and dated 10/29. EHS education the chef and director assistant during the inspection. Cooked and ready to eat food can be kept up to 7 days according to food code for food safety. Day 1 is when food cooked/prepared/opened. Day 7 shall be the last day to discard the food.

REPEAT 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 is changing a child diaper and missing step 3-11. Ensure to wash a child hands after diaper change and teacher wash hands properly according to the procedures. Detail discussed with teacher at the time of inspection.

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 disinfectant solution spray bottle hanging on the hook less than 5ft in infant room. Observed hand sanitizer bottle in outside bag in infant hanging down on the hook from the floor to the bottom of the bag less than 5ft. Observed hand sanitizer bottle on the front desk. Ensure to keep vertical distance of five feet above the finished floor to the bottom of the bag, so that item store right at 5ft as required at all time.

15A NCAC 18A .2821 (d). Mats be stored so that the side of the mats that makes contact with the floor does not touch the side of a mat that any child sleeps on. The sleeping surface of one child's mat shall not come in contact with the sleeping surface of another child's mat during storage.- Observed children mats with sheets on in 3’s classroom stored right on top of each other where the dirty side is touching the clean side. Ensure to follow proper method to keep dirty side with dirty side and protect the clean side.

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 cut/tear on the diaper pad in infant room. Observed debris and dust at the back of diaper pad in infant room. Observed soiled diaper pad at the front in Twadler, detail cleaning needed front/back and all around. Keep clean. Observed damage red coach 2’ and after school. Repair/replace needed. General Comment NOTE: 15A NCAC 18A .2822 (d).Water play centers shall be filled with potable water immediately before children begin a water play session. Water shall be emptied after each play session and at a minimum each morning and afternoon, or more often if no longer clean.- Observed all Meck preK has water play station. Ensure to follow proper method and procedures in regarding to this rule.

General comment: 15A NCAC 18A .2806 (h) The temperature of potentially hazardous food provided by the child care center for consumption by children shall be 45 degrees Fahrenheit or below, or at 135 degrees Fahrenheit or above at all times, including field trips, catering events, and outdoor service, except during periods of preparation and service immediately prior to consumption.- Observed a child lunch container in cubby in Meck2. Ham and cut up chicken strips temperature measured at 68F -72F. Observed chicken nuggets in black hot box container in the kitchen measured 129F. Nuggets was out of oven about 1-2 hours, lunch is serving in 10 minutes at the time of inspection. Hazardous food items discussed with director assistant and kitchen staff at the time of inspection. Keep Temperature of cold food at 45F or below, hot food at 135F or above while holding at all time. Possible way to handle the situation discussed in detailed at the time of inspection.

15A NCAC 18A .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions.- Onserved soiled bottle warmer, need details cleaning and keep clean.

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 in spray bottles throughout the center measured at 10 ppm. Ensure to provide correct concentration at 50-200 ppm for chlorine sanitizer solution.

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 the disinfectant solution measured at between 250ppm and less than 500 ppm throughout the center. Ensure to provide the correct concentration for chlorine disinfectant solution at all time. Obtain the test strip for disinfectant solution.

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 is changing a child diaper and missing step 3,5,6,10. Step 10- teacher needs to use disinfectant solution to disinfectant the diapering surfaces at all time. Proper diaper changing and different between sanitizer and disinfectant solution discussed at the time of inspection.

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 teacher (Aspirin: Headache powder) package stored in the little drawer on top the cubby in Meck2. Teacher put item away and lock it up. Proper storage for medication discussed with teacher at the time of inspection.

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key.- Observed wood glue on top of cubby in Meck 2, air freshener aerosol can spray in metal cabinet in Meck3, ice pack in outside bag in PreK1, feminine aerosol can products and mouthwash in container in infant restroom, cooking oil spray in aerosol can in staff break room, disinfectant wipes in spare room, wipeout in drawer on top of cubby in Twaddler. All item/product that has label “Keep out of reach of children “ and extra “Warning or Caution” labels must be kept in lock cabinet/storage at all time. 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 all key at 5ft or higher**

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 disinfectant solution spray bottle hanging on the hook less than 5ft in infant room. Observed hand sanitizer bottle in outside bag in infant and PreK1 hanging down on the hook from the floor to the bottom of the bag less than 5ft. Ensure to keep vertical distance of five feet above the finished floor to the bottom of the bag, so that item store right at 5ft as required.

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 bookbag and personal purse stored on the floor/desk in Meck4. 15A NCAC 18A .2820 (a). 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.-Observed dust/debris on/in all books shelves, toy cubbies need details cleaning and keep clean. Observed cut on the back of diaper changing pad in infant room. Need repair or replace.

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 missing name on the cot chart in Twadller. Ensure to label all name/numbers and update all cot as it changes.

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, The milks have name and without date. that was received at the center. EHS, kitchen staff, director 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 week 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 .2804 (k) Lunches, snacks, and other meals that a child brings from home to the child care center shall be labeled with the date on which the food is brought to the child care center and the name of the child to whom the food belongs to.-Observed baby foods and snack in the infant with name and not the date that was received. Ensure to put name and date that was received at the center.

Provide15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes.- Observed the low temperature using chemical for sanitizing dish washer machine in the kitchen. The machine is not dispensing the chemical to sanitize the dishes at the time of inspection. EHS advises the director to have the machine service and ensure it works properly to proper sanitize the dishes. At the meantime, staff will sanitize dishes at the two compartment sinks with the correct concentration of chlorine until the machine fix and work properly.

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 the disinfectant solution measured at 250ppm throughout the facility. Ensure to provide the correct concentration for disinfectant solution.

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 (2) EpiPen medication inside the outside bag hanging down less than 5ft in Space 10. EHS explained to director to be mindful of the height where the bag is hanging down. The bag put up 5ft above at the time of inspection.

General Comment: 15A NCAC 18A .2820 (b) (c). 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, and other cleaning solution in the kitchen not being lock away in the storage room. Hazardous items and how to store them discussed with kitchen staff and director 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 sanitizer bottle in the outside bag hanging down in Space #5 and #10 less than 5ft. Observed sanitizing spray, soapy water, and disinfectant spray bottles on the shelf less than 5ft in Space #1, items moved up above 5ft on the shelf in restroom at the time of inspection.

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 teacher and director assistant 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.

General Comment: 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.

Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Observed disinfectant measuring at 200ppm chlorine throughout center. The strips center is using to measure the strength of disinfectant are expired. EHS advises center to obtain un-expired strips and to follow the direction that says, “allow strips to remain wet for 1 minute, then compare to color block on bottle”.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed touch up paint needed to baseboards and door frames throughout center. Per centers Co-Director, a work order has been submitted to have touch up paint repaired. *NOTE: Critical violation #29, has been corrected and was not observed during time of inspection. Report emailed to director at: anntinsley@univchilddev.com

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). Per state guidance specialty milk brought from child’s home shall be kept in refrigeration unit located in kitchen.

Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f). Observed detailed cleaning needed to shelving in dorm refrigeration unit located in infant classroom.

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed loose toilet seat in “space 5” restroom.

Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Observed disinfectant at 200ppm chlorine throughout center. Disinfectant was remade to required strength during time of inspection in all diaper changing classrooms. EHS emailed center a bleach dilutions chart.

All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed aerosol disinfectant spray stored on high shelving in the restroom of “space 10”. Observed aerosol Hawaiian Aloha Febreze stored on cabinet in “space 7”. Violation was notated on inspection completed on 9/20/22. EHS will complete a re-inspection within 7 calendar days to ensure violation has been corrected.

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 sanitizers stored below 5 feet on countertop in main lobby area.

Water play centers shall be filled just prior to each water play session. Water shall be emptied after each session or more often if visibly soiled. The water play centers including toys, shall be cleaned and sanitized at least daily or more often if visibly soiled. 15A NCAC 18A .2822 (c). Observed water play table filled in “space 7”, while children were being dismissed for the day. Per conversation with teacher, water play is filled in the morning and used one time. EHS educated teacher on notated rule.

In areas where children are not toilet trained, small mouth contact toys shall be washed, rinsed, sanitized (submerged for 2 minutes), and allowed to air dry, after use and more frequently when visibly dirty. 15A NCAC 18A .2822 (a). Observed teacher in infant classroom rinse child’s pacifier off in handwashing sink and give pacifier to child. EHS educated teacher on notated rule.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed minor touch up paint needed sporadically throughout center to walling.

Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d). Observed shared dumpster lids opened and sliding doors opened during time of inspection.

Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a). Observed a bin of toys stored in the bathroom between infant and toddler room. Limit storage in bathroom to toileting and diapering items only!

Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a). Thoroughly clean tape from sleeping cots. Do not continue to add layers of tape over tape. Space children at least 18" apart when children are napping . Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e).

Individual linen must be kept clean and in good repair. 15A NCAC 18A .2821 (f). Observed soiled linen on sleeping cot. Pull any soiled linen from mat/cot before storing.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Wipe/clean door framing in bathrooms leading into the classroom area. Tightly secure loose wall covering in bathroom in classroom near kitchen. Replace missing floor tile around base of toilet in bathroom within classroom. Repair closet door and loose handle/pull on closet door. Touch-up paint throughout where needed. Secure loose ceiling tile. Clean floor in afterschool classroom.

Solid wastes shall be disposed of in a manner that prevents insect breeding and public nuisances. 15A NCAC 18A .2830 (d). Clean grounds around dumpster within the dumpster corral.

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 all bottles and 1 container of speciality milk with children name but no date the bottles or speciality milk was brought into center. Observed 2 containers of opened baby food in dorm refrigeration unit to be saved for later per teacher in infant classroom. Center can keep opened baby food jar if children are not eating directing from jar as outlined in below rule. Baby food served out of the jar, directly to one child, shall be discarded after each feeding. 15A NCAC 18A .2804 (d). Opened baby food jars, intended to be finished on another day, must be labeled with the date opened, and discarded after 2 days. 15A NCAC 18A .2804 (d).

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed 1 loose toilet seat in Meck PreK 1 classroom.

Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a). Observed bids stored in handsink located in restroom in infant classroom.

All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed chemical disinfectant cleaner and Febreze air freshener stored on high shelving in NCPreK1 classroom. Observed aerosol Lysol disinfectant spray stored in unlocked closet in MeckPrek1 classroom. Observed Ecolab Peroxide Multi-Surface Cleaner and Disinfectant being used as disinfectant throughout center. Per guidance from the DHHS this product is a chemical cleaner and must be stored behind lock and key.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed touch up paint needed sporadically throughout building.

Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d). Observed sanitizer at 1000ppm chlorine located in infant classroom. EHS educated center on rule 15A NCAC 18A .2812 (d), sanitizer was remade during inspection.

Disposable towels shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d). Observed no disposable towels at hand sink located in restroom in NC PreK 4 classroom. Mr. Means supplied paper towels to hand sink during time of inspection.

Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a). Observed unapproved storage such as spray bottles, baskets, etc. stored in several restrooms, Meck PreK 2 and NC PreK 2.

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 stored below 5 feet in infant classroom.

Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a). Observed crib mats fraying in infant classroom. EHS advises center to replace mats that are no longer in good repair. All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ). Observed sleeping mats in NC Pre K 3 without names. Per conversation with teacher sometimes student take naps and sometimes they do not however she switches the linen daily. EHS advises center to label sleeping mats with individual children names.

Individual linen must be kept clean and in good repair. 15A NCAC 18A .2821 (f). Observed minor staining on linen in 3's classroom. EHS advises center to increase cleaning frequency of linen.

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 child sized furniture throughout center with markings. EHS advises center to increase cleaning frequency of toys throughout center.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed baseboard paint chipping in 3's classroom. Observed large floor rugs in 3's classroom with staining. EHS advises center to touch up paint where needed throughout center and to clean floor rugs that are stained throughout center.

Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d). Observed debris surrounding shared dumpster area. *NOTE: Assistant Director Mr. Means was present during time of inspection, report emailed to him at:

REPEAT Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed toilet seats loose and / or broken inside (4's, 3's) classrooms in need of repair.

Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a). Observed cots stored inside bathroom between (infant / 2's) classrooms; these cots were not used for changing children and will need to be stored with the other sleeping cots.

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed walls behind trash cans in many rooms scuffed from lid hitting repeatedly.

REPEAT Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed toilet seats loose inside older age classrooms in need of tightening.

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed walls throughout center in need of touch-up painting / repair (behind trash cans, near around changing tables).

REPEAT Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed several toilet seats loose in need of tightening.

All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed laundry room and maintenance closet both left unlocked with numerous chemicals and hazardous products left accessible (both rooms locked during inspection). Observed aerosol disinfectant stored in restroom between infant and toddler rooms (aerosol properly stored). Observed classroom left unlocked contain numerous gallons of paint accessible. (room locked during inspection). PROVISIONAL STATUS ISSUED FOR #29 (HAZARDOUS ITEMS PROPERLY STORED BEHIND LOCK AND KEY) PROVISION GUIDELINES EMAILED TO CENTER RE-INSPECTION WILL BE CONDUCTED WITHIN 10 CALENDAR DAYS

REPEAT Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a). Observed crib mats damaged with absorbent materials exposed in need of replacing.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed walls throughout center in need of touch-up painting / repair (behind trash cans, near around changing tables).

Individual linen must be kept clean and in good repair. 15A NCAC 18A .2821 (f); Observed linen on cots having stains on surfaces in need of washing in (Toddler #2) classroom.

REPEAT Keep all floors, walls, and ceilings, clean and in good repair, 15A NCAC 18A .2824 and .2825; Observed scuffed walls in need of touch-up painting inside (Afterschool) classroom.

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 3 baby bottles inside infant room refrigerator without date labeled, and 1 baby bottle with incorrect date of the 19th.

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 diaper creams stored not behind lock and key and not 5ft and above inside 2's classroom.

Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e). Observed children spaced within 18inches in Toddler 2 classroom and in NC Pre-k classroom. All sleeping mats, used during nap time, shall be waterproof, washable, and at least 2 inches thick. 15A NCAC 18A .2821 (b). Observed sleeping mats in NC-pre K room less than 2inches.

Keep all floors, walls, and ceilings, clean and in good repair; 15A NCAC 18A .2824 and 2825. Observed water damaged ceiling tiles in classrooms in need of replacing / repair; Observed wall damaged inside kitchen in need of repair.

Wash hands when required. 15A NCAC 18A .2803 (a) Observed child get dropped off by guardian, and child went straight to playing with toys and other students with no handwash. CDI: Caregiver was directed to ensure child's hands were washed. Child washed hands.

Multi-service utensils must be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e) Observed dish washer only reaching 156F maximum on plate thermometer. Dish washer is not sanitizing dishes. Operator directed to get dish washer serviced so that it is properly sanitizing. CDI: Facility is temporarily washing all dishes in the dish machine and sanitizing with bleach solution in 2 compartment sink.

Provide sanitizer test kit. 15A NCAC 18A .2812 (g) Observed no sanitizer test strips present in facility. REPEAT VIOLATION

Toilets shall be cleaned and disinfected at least daily and when visibly soiled. 15A NCAC 18A .2817 (b). Observed urine on 3's toilet seat. Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed toilet leaking in NC PreK room. Observed loose toilet seat in 3's room.

Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Observed disinfectant below 500ppm throughout facility. CDI: Disinfectant remade to proper concentration. Provide test strips for the chlorine disinfectant. 15A NCAC 18A .2819 (c ) Observed no disinfectant test strips present in facility. REPEAT VIOLATION

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 throughout center including but not limited to on play stove tops, legos and other interlocking building materials, and larger plastic toys. Observed sticker residue on shelving and some wooden toys throughout center Observed rocking chair in infant room soiled. Observed damaged kitchen area "sink" toys throughout facility. Observed stained/soiled cozy area pillows and cozy area mat covers throughout facility. Observed torn vinyl on couch cushion in 2's room. REPEAT VIOLATION

In areas where children are not toilet trained, small mouth contact toys shall be washed, rinsed, sanitized (submerged for 2 minutes), and allowed to air dry, after use and more frequently when visibly dirty. 15A NCAC 18A .2822 (a). Through discussion with caregiver, mouthed toys are being cleaned and then disinfected. CDI: Caregiver educated on proper cleaning method. Other caregivers are just spraying toys with sanitizer, not washing, rinsing, and sanitizing toys.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed door to bathroom in 3's room loose from hinges. Observed touch up paint needed in classrooms throughout facility. Observed wall and baseboard damage in NC PreK bathroom next to kitchen. REPEAT VIOLATION

Once served, portions of leftover food shall not be served again unless the package is intact and the food is not potentially hazardous. 15A NCAC 18A .2808 (d) Observed half empty bottle of milk on counter. Employee began to feed it to the child. Employee stated that the baby did not finish his bottle, and he fell asleep for approximately 10 minutes, and that they can hold the bottles out for 1 hour in case the baby is still hungry. A feeding is considered finished when the baby changes task or the caregiver changes task, that the feeding is over and the bottle may not be reserved. Handout provided today.

Provide sanitizer test kit. 15A NCAC 18A .2812 (g) Observed sanitizer test kit to have expired in January of 2017. Test kit was reading approximately 200-300 ppm higher than the real concentration.

Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Observed disinfectant at approximately 100ppm in all classrooms. CDI: Disinfectant was remixed and then the bottles were refilled during during inspection.

Linens shall be large enough to cover the entire sleeping surface of mats, cots, and crib mattresses. 15A NCAC 18A .2821 (f). Observed no linens on mats for "camper" group.

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 vinyl furniture and vinyl blocks in several rooms in disrepair. Repair or replace items when torn. Observed cardboard blocks damaged and torn throughout facility. Observed tape residue on shelving in two's room. REPEAT VIOLATION

Observed some infant bottles with 1/19 date and one bottle without a label. **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) **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 some shelving with dust, debris, and sticky black tape residue; the side of the diaper changing table with food residue (at trash can) in the 2's 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 the baseboards/bottom wall needed cleaning in the restrooms. **Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed the care giver in the infant room combine the lather and the rince steps when washing hands. **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).

(CRITICAL) REPEAT - Observed stainless steal cleaner was stored unlocked on a kitchen shelf, two aerolsol containers of Lysol were stored in a closet with only safety latches. **All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed an unlabled spray bottle in the toddler room. **Hazardous products shall be stored in its original container or in another labeled container. 15A NCAC 18A .2820 (b).

(REPEAT) Observed a disinfectant spray bottle below 5ft in NC Prek. 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 one crib sheet in the infant room was soiled and one sheet on a cot was soiled in the toddler. **Linens for children less than 12 months old shall be changed and laundered when soiled and at least daily. 15A NCAC 18A .2821 (f). **Linens for children older than 12 months shall be changed and laundered when soiled and at least weekly. 15A NCAC 18A .2821 (f).

Observed a metal cupcake pan with rust in NC Pre-k, some board books were worn/torn, and the underside of the diaper changing pad with accumulated debris. **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 the kitchen staff was not wearing hair restraint while preparing food. **Caregivers shall wear hair restraints when preparing food in the kitchen. 15A NCAC 18A .2808 (c ).

Observed a section baseboard was missing in NC Prek, and the tiled portion of the wall with dried urine in the school age restroom. **Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed chipping paint in the shed on the playground (REPEAT). **Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).

Observed the some multi-service bowls were wet stacked onthe kitchen drying rack. **Completely air-dry all equipment and utensils before stacking or storing the items. 15A NCAC 18A .2812 (h)

Observed the internal temperature of the refrigerator was 46F in the infant room. **Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f)

Observed dried urine on a toilet in NC PreK2, Observed accumulated dust on some hand washing sinks, and the hand washing sink was clogged in NC PreK2. **Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (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). **Keep hand washing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

(CRITICAL) Observed the custodian closet on the hallway was not completely closed. The closet contained Raid, window cleaner and other chemicals. Observed an unlocked closet with fabuloso and Lysol wipes in the NC Prek, and an unlabeled spray bottle of fabuloso on a shelf in the infant room. **All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). **Hazardous products shall be stored in its original container or in another labeled container. 15A NCAC 18A .2820 (b). NOTE: Observed bleach and Fabuloso were stored on a shelf in the kitchen. **Ensure that all chemicals stored in the kitchen are stored in a locked cabinet or closet.

Observed hand sanitizer was stored on reception area counter top below 5ft. **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 purses were stored in an unlocked closet below 5ft of the floor in the infant room. **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 walls in several room with peeling paint, and the half door in the infant room with peeling paint. Observed a damaged shelf in the school age restroom. Observed the tiled wall with dried urine in the school-age restroom. **Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. NOTE: chipping paint on the shed on playground tested positive for lead on chemical spot test. Return visit will be made for lead investigation.

Observed pretzels and fish crackers not properly sealed in kitchen. Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a)

Observed broken cabinet door handle in TK. Observed door with hole in side in bathroom in TK. Observed residue on toy shelved in NC PreK 1 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 tiles displaced under hand sink and behind toilet in TK. Observed bathroom walls in several classroom restrooms dirty. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Repeat non-compliance: Observed trash collecting around dumpster. Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d).

Observed hand sink caulk damaged in Prek 1 classroom. Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Observed diaper changing table wall damaged in todd 2 classroom. Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b).

Observed aerosol lysol unlocked in toddler 1 classroom, classroom not in use. Observed lysol and odorban unlocked over 5 feet. All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b).

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

Observed one damaged sink basin in todd 1 classroom. Observed one damaged sofa cousin in NC PreK 1. 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).

Repeat non-compliance: Observed flooring damaged around windows throughout. Observed wall damaged in NC PreK 1 classroom around baseboard. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed gallons of milk going to classrooms not on ice. 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). Milk must go to classrooms on ice or pitchers may be used if milk is discarded after each service.

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

Observed windex unlocked in infant classroom. Observed closet unlocked with hazardous items in infant and toddler 1 classrooms. Observed chemical closet unlocked with chemicals inside. All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b).

Repeat non-compliance: Observed damaged sofa cushions in several classrooms. Keep all furniture accessible to children in good repair.

Observed floors damaged around doors in classrooms throughout. Observed damaged wall in infant classroom. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed disinfectant below 500 parts per million in Toddlers 1 and other class rooms throughout facility. **Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

Observed hand soap dispenser with soapy water present, but with out label. **All cleaning and disinfectant solutions shall be properly labeled (i.e. soapy water, disinfectant). 15A NCAC 18A .2819 (c ) and .2820 (c ).

Repeat Non Compliance: Observed red sofa cushions ripped and or torn in NC PRE K 3, TK. Yellow pillow with stains, carpet floor rug frayed in school age class room. Contact paper peeling off shelving in 2's, with tops of shelving damaged in NC PRE K 1.

Observed loose toilet seats in toddler 2, NC Pre K 3, 1. Tighten seats.Observed caulk lining separating in need of reapplication in preschool room, and both sinks in AS4.Observed leak at sink in Pre K 1; underside needs re-caulking from water damage. Observed spool for toilet paper missing in 2's room.**Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).

Repeat Non Compliance: Observed children's chairs and couch cushions worn throughout, stuffed animal ripped in toddler 1Observed mirror cracked in several places in 2's room.Observed shelving throughout with sticky tape residue/dust debris present on surfaces, cabinets and in cubbies**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 stained ceiling tiles in infant, toddle 1, storage closet, pre-k 1, TK 1, 2's.Observed ceiling liner segment undone in toddler 2 by door. Reattach.Observed wall damage, ding, dents, flakes from previous tape placed.Observed ceiling tiles absorbent in room AS4**Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.**Ceilings in rooms in which food is stored, handled or prepared, utensil-washing rooms, and toilet rooms shall be non-absorbent. 15A NCAC 18A .2825 (b).

Observed heavy build up on blinds throughout facility in need of cleaning. **Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).

Observed several insects present under sink in Pre K 1 from where wall separating from sink creating harborage place. **Keep the facility free of rodents, insects and vermin. 15A NCAC 18A .2831 (b).

Observed the teacher in the Toddler I class not wash her hands after a diaper change.Wash hands when required. 15A NCAC 18A .2803 (a)

-Observed an incorrect diaper change in the Toddler I class.Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d).-Observed a rip in the diaper changing pad in the Toddler 1 room.Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b). -Observed soapy water bottle unlabeled in the AS2 room. All cleaning and disinfectant solutions shall be properly labeled (i.e. soapy water, disinfectant). 15A NCAC 18A .2819 (c ) and .2820 (c ).

Observed alot of black mold collecting in the front loading washer gasket.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 discoloration behind the walls in the AS4 and 2 year. -Observed wall paint peeling in the 2 year old room.-Observed the wall by the water heater in disrepair.-Observed the storage floor in the AS2 collecting debris.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.