UNIVERSITY CHILD DEV. CENTER AT NORTHCROSS

REPEAT 15A NCAC 18A .2806 (d) Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in the 2800 rules when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs.- Observed specialty milk in kitchen refrigerator some has no name or date. Some has name and no date. Ensure to receive the unopened container of specialty milks at the beginning of the week, put name and date that was received on that specific day of that week, send home or discard at the end of the end either opened or unopened containers. 15A NCAC 18A .2804 (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center.- Observed baby bottles in infant room one without a date and the other one date 5/20. Ensure to label correctly with name and current date of the day that item was sent to the center. 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 and snacks sent from home without name and date. Ensure to label name and date that items were sent from home. 15A NCAC 18A .2806 (b) Food that is stored in child care center classrooms or other rooms intended for child care use, shall be limited to foods that are individually packaged unless the classroom is equipped with a food preparation area.- Observed in room 12, opened big package of graham crackers in the cabinet. This classroom is not equipped with food preparation area, as a result ONLY individual packages of snacks are allowed, not bulk packages.

15A NCAC 18A .2807 (h) Metal stem-type, thin probe, numerically scaled indicating product thermometers, accurate to ± 3 degrees Fahrenheit shall be used to ensure the maintenance of the internal cooking temperatures of all potentially hazardous foods required under this Rule.- Observed the center without thin probe food thermometer. Obtain one and have it available.

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

REPEAT 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed hand sink with gaps between the wall and sink need new caulking in room 5, 3. Observed un-match paint on wall near soap dispenser and holes from broken paper towel dispenser in men restroom need repair. Keep all hand sinks in clean and good repair. 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed disrepair toilet cover with plastic bag in restroom 7 need repair.

General Comment: 15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies.- Observed toys stored in restroom 5. No storage in the restroom unless toilet related items.

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

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 solution spray bottle in room 5 store in a cabinet less than 5ft. Ensure to keep all sanitizer, disinfectant, and soapy water at 5ft or higher at anytime.

General Comment: 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 3 without name or number assigned to students. Ensure to label and assign each student a cot with name or number. If number use, please provide cot list what number belong to whom. And have the cot list available.

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 water damage or dropping on ceiling tiles in room 3, 7, 9, 10. Repair or replace needed. Observed misplaced paper towel dispenser in men restroom need repair.

15A NCAC 18A .2803 (a) and (c), .2836 (15).Child care center employees and children shall wash their hands when required.- Observed a teacher entered a room and stayed/engaged with children without hand washing in infant. Ensure to wash hands upon entering a room.

15A NCAC 18A .2806 (d) Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in the 2800 rules when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs.- Observed specialty milk in kitchen refrigerator dated 8/14/25. When asked about procedures of specialty milk, staff said this milk came in on Monday which was 8/11/25. Ensure to receive the unopened container of specialty milks at the beginning of the week, put name and date that was received on that specific day of that week, send home or discard at the end of the end either opened or unopened containers. 15A NCAC 18A .2804 (e) Frozen human milk may be stored frozen for three months. Any frozen human milk stored beyond seven days shall be stored in the freezer compartment of a full-size refrigerator that has a separate door to the freezer, in a chest freezer, or in an upright deep freezer.- Observed frozen human milk in freezer compartment in infant dorm size refrigerator. Item dated 6/24 and 7/7. Ensure to stay in compliance with this notated rule.

REPEAT 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed hand sink with gaps between the wall and sink (room 10, 9, 3). New calking needed. Observed un-match paint on wall near soap dispenser and holes from broken paper towel dispenser. Repair needed. Keep all hand sinks in good repair. Observed couple soiled hand sinks in room 9 and 3. Cleaning needed and keep clean.

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key.- Observed baby oil bottles in unlocked cabinet in room 3, ice pack in outside bag in room 2 and 11. Serveral pack of Alka Seltzer in ziplock for science project in unlocked cabinet in room 10. Ensure to keep all hazardous items that has labeling “Keep out of reach of children “ and extra “Warning” or/and “Caution” in lock cabinet /storage at all times. NOTE: **Lock storage rooms and cabinets shall include those which are unlocked with a combination lock, electric or magnetic device, key pad, key, or equivalent locking device, keep/store keys at least 5ft or higher at all time**

15A NCAC 18A .2804 (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center.- Observed baby bottles in infant 2 dated 3/10. EHS, teacher and director assistant discussed proper procedures how labeling works for food sent from home. Ensure to have both name and date on items sent from home, date that was received at a center.

REPEAT 15A NCAC 18A .2807 (h) Metal stem-type, thin probe, numerically scaled indicating product thermometers, accurate to ± 3 degrees Fahrenheit shall be used to ensure the maintenance of the internal cooking temperatures of all potentially hazardous foods required under this Rule.- Observed kitchen without working thin probe thermometer for food. The two thermometers that were available were meat metal dial thermometer. When calibrated, it was 30F degree difference. Obtain a thin probe thermometer for food.

REPEAT 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed disrepair/loose toilet seat in women restroom hallway. Repair needed. Keep all fixtures in good repair. 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed several hand sink with gaps between the wall and sink (room 3). Observed slow draining at hand sink in restroom 6. Repair needed and all hand sinks in good repair. Observed soiled hand sinks in room 9 and 10. Cleaning needed and keep clean.

REPEAT 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 throughout the center, disrepair paint wall behind soap dispensers, open holes on wall from screws, water stain on ceiling tiles in restroom 6 and 10, and class 7. All wall and ceiling shall be clean and in good repair. NOTE: Some wall behind soap dispensers has been sealed, repainting needed.

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 a student washed her hands before playing at water table, washing hands less than 20 seconds and turning off the faucets knob with bare. EHS educated teachers and director proper hand washing procedures at the time of inspection. The center has hand washing procedures posted at the sink.

15A NCAC 18A .2806 (j) (1) Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers.- Observed no indicating thermometer inside infant refrigerator. Obtain one and put it in the warmest part of refrigerator. (CDI). 15A NCAC 18A .2807 (h) Metal stem-type, thin probe, numerically scaled indicating product thermometers, accurate to ± 3 degrees Fahrenheit shall be used to ensure the maintenance of the internal cooking temperatures of all potentially hazardous foods required under this Rule.- Observed kitchen without working thin probe thermometer for food. Obtain a thin probe thermometer for food.

General Comment: 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed several loose toilet seats in restrooms. Repair needed. Keep all fixtures in good repair. 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed several hand sinks with gaps between the wall and sink. Repair needed and all hand sinks in good repair.

REPEAT 15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies.- Observed baby stroller, classroom blue chairs, baby gate stored in restroom 5. Only toileting related items are allowed to store in the restroom.

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 over the counter medication “TUMS” in teacher pouch inside unlocked double doors metal cabinet in room 7. EHS, teacher, director discuss in detail proper way to store medication and store the keys that unlock the cabinet at 5ft or higher at all times.

REPEAT: 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 oil paint pens on basket inside unlock metal double doors cabinet in room 7. Items has warning labeled and stated to keep pout of reach of children. All hazardous items must be locked at all time, key store at 5ft or higher. 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. Key must be stored at 5ft or higher 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 several classroom stored sleeping mats with sheets on in their individual space, however the sheets are falling over to touch each other. Ensure to store each individual items separately and clearly not touching to avoid contamination.

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 throughout the center, disrepair paint wall behind soap dispensers, open holes on wall from screws, dust cover AC ceiling vent in class 9, water stain on ceiling tiles in restroom 6, and class 7. All wall and ceiling shall be clean and in good repair.

General Comment: 15A NCAC 18A .2815 (e) Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children.- Observed kitchen door left unlock during business hours. Ensure to keep kitchen lock at all time and place the key at 5ft or higher at all time.

General Comment REPEAT: 15A NCAC 18A .2816 (b) (1) Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. Samples shall also be collected and tested within 30 calendar days of completion of any renovations or repairs that may impact the facility's drinking water infrastructure, such as repair or replacement of all or part of drinking water service lines or faucets, at impacted outlets. The operator shall provide documentation of testing results for review by the Department during each unannounced routine sanitation inspection.- Observed the facility last water testing for lead was 10/08/2020. The facility had already started the process with RTI: director pre-enrolled on 1/11/2024 and received the PIN on 1/12/2024. Director stated there is still asbestos training needed to be completed before the kits send out for water collection. The facility will follow and complete the process as required and will give update test results to EHS or email for system update. If the process is not completed as required, the provisional status will be given next visit.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies.- Observed leaning board stored in restroom 5. Remove item and only store toileting related items.

General Comment REPEAT: 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 the chemical storage room inside the kitchen left open/ unlock. Observed aerosol can of disinfectant spray in unlock cabinet in room 9, 70% of alcohol wipes in unlock cabinet in room 8. All hazardous items must be locked at all time, key store at 5ft or higher. 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. Key must be stored at 5ft or higher at all time.**

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 on a shelf room 11 less than 5ft. 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 containers of soap stored on the floor in unlock closet at the front desk and in cabinet less than 5ft in room 9. NOTE: Ensure to store all non-hazardous items at 5ft or higher at all time.

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 soiled surfaces at the back of diaper changing pad in room 3. Clean the surfaces front and back throughly and keep clean.

15A NCAC 18A .2826 (a). Light fixtures in all areas shall be kept clean and in good repair.- Observed missing light shield cover in restroom 11, 8, 3. Observed debris inside the light shield cover in hallway restroom. Keep items clean and good repair.

General Comment: 15A NCAC 18A .2806 (b) Food that is stored in child care center classrooms or other rooms intended for child care use, shall be limited to foods that are individually packaged unless the classroom is equipped with a food preparation area.- Observed room 7 with bulk pack of graham crackers stored in the cabinet as snack for children. Proper way to prep and provide individual packages and can be stored in the classroom discussed with teacher and director at the time of inspection.

15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children.- Observed mojority throughout the facility water temperature range from 111F - 117F. Ensure to provide tempered 80F -110F.

General Comment: 15A NCAC 18A .2816 (b) (1) Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. Samples shall also be collected and tested within 30 calendar days of completion of any renovations or repairs that may impact the facility's drinking water infrastructure, such as repair or replacement of all or part of drinking water service lines or faucets, at impacted outlets. The operator shall provide documentation of testing results for review by the Department during each unannounced routine sanitation inspection.- Observed the facility last water testing for lead was 10/08/2020. The facility had already started the process with RTI: director pre-enrolled on 1/11/2024 and received the PIN on 1/12/2024. Director stated there is still lead paint and asbestos training needed to be completed before the kits send out for water collection. The facility will follow and complete the process as required and will give update test results to EHS or email for system update.

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 the chemical storage room inside the lock kitchen left unlock. Currently, director is searching for the key/ordering for lock to be installed and will keep the storage lock. **Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device.**

15A NCAC 18A .2820 (c). Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use by storing the items 5 ft above the floor or behind lock and key.- Observed following items stored less than 5ft: hand sanitizer bottle and lotion in unlock drawer and table in staff lounge. Sanitizer bottles in unlock cabinet in room 9, disinfectant wipes in room 8 and 10. Ensure to stored all non-hazardous items at 5ft or higher.

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 personal bags/purses stored on table/floor less than 5ft. Ensure to put items as required at all time.

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 some classroom missing name labels on the sleeping mats. Ensure to put a name of a child that was assigned to. 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 the facility stored sleeping mats where the front touches the back side and each other mats. Ensure to store them properly and avoid contamination.

Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a). Observed snacks opened in pantry sealed with tape. EHS advises center to reseal snacks according to notated rules 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 several specialty milks brought from children’s home labeled with name and no date in refrigerator in kitchen.

Provide an accurate thermometer in all refrigerators. 15A NCAC 18A .2806 (h). Observed thermometer in dorm refrigeration unit in infant classroom stuck to large clump of ice in back of unit. EHS advise center to defrost unit and ensure thermometer is properly functioning and place thermometer at warmest part of unit.

Bottle warming equipment shall be cleaned and sanitized at least daily and when visibly soiled. 15A NCAC 18A .2810 (f) (1) and .2804 (d). Observed bottle warmers in infant classroom with staining. Teacher in infant classroom properly cleaned bottle warmers during time of inspection.

All cleaning and disinfectant solutions shall be properly labeled (i.e. soapy water, disinfectant). 15A NCAC 18A .2819 (c ) and .2820 (c ). Observed several spray bottles within center labeled with just letters such as “S”. EHS advises center to label spray bottles according to notated rule. Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d). Observed teacher not wash child’s hands after completing diaper change in infant classroom. Child was able to hold neck steady, EHS educated teacher on notated rule.

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 2’s classroom. Corrected during inspection, sanitizer moved to shelving above 5 feet.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed stained ceiling tile in classroom 9. EHS advises center to ensure no active leak is occurring and to have stained ceiling tile replaced. Observed several broken floor tiles sporadically throughout center. EHS advises center to have damaged floor tiles replaced. Observed staining on large floor rug in therapy room.

Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Observed ceiling vent not operating in two restrooms that have absorbent ceiling tiles within center (classroom 12).

Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d). Observed trash and debris surrounding dumpster area. EHS advises center to clean debris/litter. *NOTE: Director, Etta Harrison was present during time of inspection. Report emailed to: ettaharrison@universitycdc.com

REPEAT Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed toilet seat in need of repair inside (2's) and last NC Pre-k near back entrance into outside enclosure.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed wall damage inside pantry of kitchen in need of repair / touch-up painting or installation of wall covering to prevent more damage from occurring. Observed water damaged ceiling tiles inside bathroom of (2's) class.

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

Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b). Observed changing mat inside (2's) classroom damaged in need of replacing.

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

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed water damaged ceiling tiles inside lavatories of both (4's) classrooms in need of replacing.

Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Observed intake vents throughout in need of general cleaning.

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 baby bottles not labeled in (infant) classroom. CDI bottles labeled.

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

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 sanitizer stored below 5ft inside (school age) classroom.

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed several ceiling tiles water damaged throughout; Observed corners of door frames and walls in need of touch-up painting throughout. (NOTE) director stated that work order is in for all painting and repair needs for floors, walls and ceilings.

Metal stem probe thermometer could not be found. Provide metal stem thin probe thermometer 0F-220F. Facilities shall maintain an accurate and calibrated metal stem thermometer. 15A NCAC 18A .2807 (h) and .2809 (12).

Replace pitted faucet fixtures on hand washing sinks throughout centers in classrooms and bathroom area. Repair slow draining hand washing sink in room 10. Properly repair leak around base of toilet in room 12. Caulking around the base of the toilet did not repair the leak. I recommend that someone check the wax ring on toilet plumbing fixture and replace if needed. Keep hand washing sinks clean and in good repair. 15A NCAC 18A .2818 (a). Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).

Continue to replace torn/damaged sleeping mats and cots.. Thoroughly clean old labeling from corner of sleeping cots. Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).

Observed wall damaged throughout classrooms in child care center. Repair corners of walls throughout center. Repaint throughout in rooms (doors and door ledges, etc.) REPAIR ANY AND ALL ROOF LEAKS; IMMEDIATELY! A visit was made to center on 12/30/2019 to address roof leaks and leaks still have not been addressed. Repair all roof leaks and replace water stained ceiling tiles throughout in classroom rooms and bathroom. Observed new leaks from previous visit. Observed ceiling tiles with microbial growth in Meck pre K 4 room. Replace ceiling tile with microbial growth. Replace missing floor tile around base of employee toilet. Replace missing floor tile where carpet has been removed and area floor rug is being used to cover area where the floor tiles are missing. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Replace missing light bulb under hood system in the kitchen and provide light shield over light fixture or provide a shatter proof light bulb in light fixture under kitchen hood system. Observed 20-21FCU of light at oven/stove. Shall have 50FCU of light at food prep and diaper changing areas. Lighting shall be capable of illumination to at least 50 foot-candles at work surfaces describe in 15A NCAC 18A .2826 (a).

Observed children specialty milk from last week still at childcare center. Observed children specialty milk brought in today labeled with the child's name but no date. Specialty milk provided by the parent needs to be labeled with child's name and date milk was brought into the center and returned home on Friday. 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)

Provide a metal stem thermometer 0F-220F for the kitchen to check food temperatures. Metal stem thermometer could not be found. Facilities shall maintain an accurate and calibrated metal stem thermometer. 15A NCAC 18A .2807 (h) and .2809 (12).

Thoroughly clean pre wash sink to dishmachine. Thoroughly clean prep sink and keep clean even though sink is not being used. Thoroughly clean old labels from exterior of sippy cups. Discard and replace burnt/damaged oven mittens. Repair chemcial/sanitizer dispenser on three compartment sink. Could not get dispenser to dispense any sanitizer solution. Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f) Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3).

Observed cases of gloves and paper towels stored under diaper changing hand washing sink in infant room.. Observed cases of paper towels stored on the floor in the laundry room. Do not store single service articles(paper towels, gloves, etc.) under hand washing sinks. Do not store food service equipment under exposed sewer lines. 15A NCAC 18A .2814 (b).

Kitchen door can not be locked and hot water at three compartment sink in kitchen is 120F and above. REPAIR LOCK ON KITCHEN DOOR IMMEDIATELY! Observed teachers lounge door unlocked and a Keurig coffee machine with water basin/bin present. Keep teachers lounge door locked or remove Keurig coffee machine. Hot water at areas accessible to children shall not exceed 120°F. 15A NCAC 18A .2815 (e).

Observed area around faucet fixtures on hand washing sinks soiled throughout rooms in child care center. Thoroughly clean and disinfect hand washing sinks at least daily and I recommend throughout the day to help control the spread of illness. Observed pitted faucet fixtures on hand washing sinks in several classrooms and bathrooms. Replace pitted faucet fixtures on hand washing sinks. Provide toilet paper holders in bathroom and remove toilet paper from bar of toilet paper holder where the roller suppose to be placed. Provide toilet paper holder/roller immediately. Observed to be fecal matter on the wall in bathroom around toilet paper stored on bar of holder missing the roller!

Observed laundry room door unlocked and not capable of being locked and laundry room contained many hazardous products. Within the unlocked laundry room was a janitor closet that was also unable to be locked with many cleaning products and paint present. REPAIR LOCK ON LAUNDRY ROOM DOOR IMMEDIATELY! Observed key to unlock closet door at front office that contain chemicals stored less than five feet vertical distance out of reach of children. Store keys to unlocked chemical and med closet at least five feet vertical distance out of reach of children. Observed glass and chrome cleaner, shout and aerosol containers of disinfectant spray stored in unlocked cabinet within classrooms. Store all hazardous products locked away! All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Keys used to access hazardous item storage must be out of reach of children (5 ft above the floor) and stored separately from lock. 15A NCAC 18A .2820 (b).

Observed torn/damaged sleeping mats and damaged sleeping cots throughout in several classrooms. Replace torn/damaged sleeping mats and cots. Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).

Observed wall damaged throughout classrooms in child care center. Repair corners of walls throughout center. Repaint throughout in rooms. REPAIR ANY AND ALL ROOF LEAKS; IMMEDIATELY! A visit was made to center on 12/30/2019 to address roof leaks and leaks still have not been addressed. Repair all roof leaks and replace water stained ceiling tiles throughout in classroom rooms and bathroom. Observed new leaks from previous visit. Observed ceiling tiles with microbial growth in Meck pre K 4 room. Clean walls throughout in bathrooms around toilet paper holder with missing toilet paper roller holders. Repair locks/latching mechanism on storage room door located on the playground so you can properly secure your child care center.

Observed 20 FCU(foot candle units of light) under hood system in kitchen area. Replace missing light bulb under hood system and replace missing light shield. Observed shatter proof coating/shield coming off of light bulb in bathroom. Observed another light bulb in bathroom light fixture that is not shatterproof. Replace missing light shield over light fixtures in storage rooms. Provide light shield for light fixture in the playground area near storage closet Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a). Lighting shall be capable of illumination to at least 50 foot-candles at work surfaces describe in 15A NCAC 18A .2826 (a).

Observed unacceptable trash and debris within the dumpster corral around the dumpster. Thoroughly clean grounds around the dumpster area. Solid wastes shall be disposed of in a manner that prevents insect breeding and public nuisances. 15A NCAC 18A .2830 (d).

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

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed water damaged tiles throughout center within classrooms in need of repair.

REPEAT 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 numerous baby bottles missing dates or having incorrect dates on bottles in infant classroom.

REPEAT Multi-service utensils must be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e) Observed dish machine not properly sanitizing during rinse cycle. (facility will go to single service utensils/items until repair is made) Ensure kitchen staff are checking sanitizer strength DAILY.

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed walls inside most classrooms having areas that are in need of touch-up painting; Observed water damaged ceiling tiles in restrooms inside 2's, 3's, NC Pre-k, Toddler classrooms in need of replacing (repair leak to ensure no further damage).

Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Observed disinfectant prepared at 250ppm. CDI: Disinfectant properly prepared during inspection.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed some water stained ceiling tiles. Continue to replace as needed. Improvement from previous inspection. Observed minor touch up paint needed throughout facility. Observed cracked floor tiles in room6. Observed wall damage behind cabinets in room 6. REPEAT VIOLATION

Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Observed playground equipment in toddler area where stairs are severely damaged and rusted. Keep the property free of standing water. 15A NCAC 18A .2831 (b). Observed areas where water is not draining including under swings, between the playgrounds, and at bottom of slides. REPEAT VIOLATION

Label all food brought from home with the child’s name and the date that the food was brought into the facility. 15A NCAC 18A .2804 (f) Observed no date on two cartons of milk brought to facility from home for children.

Multi-service utensils must be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e) Observed dish machine not pulling sanitizer. Facility will use single service items to serve food until repaired.

Hot water at areas accessible to children shall not exceed 120°F. 15A NCAC 18A .2815 (e). Observed door opened to break room and Keurig machine on counter, ready for use. Operator reminded that this is a hot water hazard and the door to the break room should be made inaccessible.

Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). Observed cracked container in room 11 holding manipulatives. CDI: container discarded. Observed blocks in room 12 where coating is peeling and foam is exposed. Observed damaged blocks in room 10. Observed tape residue on furniture in several rooms. Observed detail cleaining needed on toys throughout facility. Many items that are clean in place have build up in cracks and crevices. Observed a rusted pan in dramatic play of room 6. CDI: Pan discarded. Observed books in need of repair in room 9. Observed real nails being used in room 12. Recommendation to discontinue use due to safety and possibility of nails contaminating hands.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed water stained ceiling tiles in rooms 12, 10, and 6. Observed cracked floor tiles in room 6. Observed build up around bookshelves and stationary furniture. Observed wall damage behind cabinets in room 6. Observed minor touch up paint needed throughout facility. REPEAT VIOLATION

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed walls in need of paint throughout facility. First coat of paint has been put on. Observed some baseboards with a gap between the wall and floor in various classrooms. Observed some minor wall damage near sink area in toddler room. Facility has patched the wall, but it is not complete yet. REPEAT VIOLATION SIGNIFICANT IMPROVEMENT from last inspection.

All food service equipment shall be easily cleanable. 15A NCAC 18A .2809 (1) Observed bowls in kitchen with some severe cracking. CDI: Items voluntarily discarded.

All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed laundry room door unlocked from kitchen access. Stock bleach solutions stored in the room. Door is currently unable to be locked. 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 damaged blocks in preschool room as well as a damaged book. Observed loose contact paper and tape residue on some furniture items. CDI: Items removed from classroom. REPEAT VIOLATION Hard plastic toys may be washed, rinsed, and sanitized in a dishwasher, food preparation handwashing sink, or in the kitchen sink. 15A NCAC 18A .2822 (a) and .2810 (f). Through discussion, employees gave inconsistent answers about how to clean toys. Ensure that procedure is consistent among classrooms and accurate.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed walls in need of paint throughout facility. Observed some baseboards with a gap between the wall and floor in various classrooms. Observed some minor wall damage near sink area in toddler room. Observed some ceiling tiles missing in rooms. Rooms are currently closed. Operator stated that there was a roof leak recently and it is in the process of being fixed. Observed roofers on site during inspection. Observed damaged ceiling tile in school age room. REPEAT VIOLATION

Lighting shall be capable of illumination to at least 10 foot-candles of light, 30 inches above the floor in areas describe in 15A NCAC 18A .2826 (a). Observed lighting in children bathrooms to be low to the point where it was difficult to see fixtures in the bathroom. Replace bulbs and light fixtures as needed to ensure visibility. REPEAT VIOLATION

Wash hands when required. 15A NCAC 18A .2803 (a) Observed children arriving to their room did not wash their hands, room 4. Giving hand sink usage chart. Room 4 had combined food prep and diaper change hand sink. The diaper changing hand sink next to the diaper changing table is for diaper changing only.

Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). Observed tape residue, loose contact paper on furniture, damaged books and frayed vinyl furniture throughout center.

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 mouthed toys are not being picked up after use to be washed, room 4.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed chipped paint, water stained ceiling tiles throughout facility. Door needs rehanging in room 11, dragging on floor and damaging tiles. Stained rugs.

Lighting shall be capable of illumination to at least 10 foot-candles of light, 30 inches above the floor in areas describe in 15A NCAC 18A .2826 (a). Observed no lighting in one classroom bathroom and hallway to kitchen.

Keep the property free of standing water. 15A NCAC 18A .2831 (b). Observed mulch overridden with yellowish mushrooms. I recommend getting a professional to figure out how to get rid of mushrooms or determine whether they are poisonous or not. With the sheer quantity of mushrooms i would not let the children play on those playgrounds.

Observed stacked sippy cups with tape for child's name still present during stacked. Multi-service utensils must be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e)

Observed water fountain collecting residue in hallway. Keep water fountains clean at all times. 15A NCAC 18A .2815 (f).

Observed disinfectant below 500 ppm in room 12. Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

Observed hand sanitizer in room 11 below 5 feet. Observed purse below 5 feet in room 10. 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). 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 storage in restroom in room 5 and blanket stored in restroom in room 11.Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a).

Repeat non-compliance: Observed hall baseboards collecting residue and walls damaged on corners. Observed floor around baseboards collecting buildup in several classrooms. Observed classroom restrooms with damaged floor tiles and residue collecting around baseboards, and excess caulk around toilets collecting residue.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Repeat non-compliance: Observed light not shatterproof in hall closet and in room 9 restroom.Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).

Observed residue collecting on mouth guard on water fountain in hallway.Keep water fountains clean at all times. 15A NCAC 18A .2815 (f).

Observed children sleeping on the floor in the infant room, not on cots or mats.Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e).All sleeping mats, used during nap time, shall be waterproof, washable, and at least 2 inches thick. 15A NCAC 18A .2821 (b).

Observed baseboard damaged and dirty throughout facility.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed lights not shielded or shatterproof in storage room far end of the facility.Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).

Observed food delivered in kitchen on top of oven, not under temperature control. Food is to be served at 30 minutes and 60 minutes after delivery.All food shall be stored and handled in a manner that protects it from contamination. 15A NCAC 18A .2806 (d),(f), .2807 (b), and .2808 (e).

Observed shelves in kitchen pantry with aluminium foil, damaged. Observed freezer collecting residue in staff lounge. Observed purple liquid on bottom of refrigerator in kitchen pantry.Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3).

Observed lights in room 9 restrooms not shielded or shatterproof. Observed vents throughout facility collecting dust.Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).

Observed trash collecting around dumpster. Observed dumpster with hole in side.Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d).Keep dumpster and garbage containers free of holes and in good repair to prevent insect and vermin nuisances. 15A NCAC 18A .2830 (d).

Observed bulk storage of food in classrooms without food perpetration areas. Observed food stored in classrooms not properly sealed. Observed food not readily identifiable not labeled.Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a). Food storage in classrooms shall be limited to foods that are individually packaged unless the room is equipped with a food preparation area. 15A NCAC 18A .2806 (b)

Observed pitchers with residue form stickers in kitchen stored as clean.Multi-service utensils must be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e)

Observed single service cups with mouth contact areas exposed stored with other food items.Single-service articles must be kept clean and protected from contamination. 15A NCAC 18A .2809 (8), .2814 (a) and (b).

Observed disinfectant throughout facility below 500 ppm.Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

Observed soapy water an sanitizer below 5 feet in classrooms throughout facility.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 walls damaged in room 5. Observed paint flaking in water heater room. Observed no current carpet cleaning records.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Carpet shall be extraction cleaned at least once each 6 months. 15A NCAC 18A .2824 (c ).

Observed can opener blade collecting residue in kitchen, stored as clean.Multi-service utensils must be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e)

Observed hand sanitizer on child's bag in room 12, hand sanitizer below 5 feet.Approved non-hazardous products must be stored 5 ft above the floor or behind lock and key. 15A NCAC 18A .2820 (b), (c ) and (d).

Observed. damaged walls throughout facility. Observed baseboards throughout facility rolled under wall. Observed one stained and wet ceiling tile in room 4 restroom. Observe several area rugs damaged and fraying.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed trash collecting around dumpster inside dumpster blind.Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d).

Observed sink in room 7 (NC pre-K) pulling away from wall and in need of caulking. (Repeat non-compliance)**Keep hand washing sinks clean and in good repair. See rule .2818 (a)

Observed a few vents accumulating dust throughout facility.**Keep all ventilation related equipment clean and in good repair. See rule .2826 (b).