17demerits

EARLY LEARNING CENTER

Name: Early Learning Center
Address: 4304 S Tryon St, Charlotte, NC, 28217, US

4304 S TRYON ST, Charlotte, NC 28217

Child Care · NC permit/State ID 2060420676

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Latest result17 demerits

Last inspectedOct 22, 2026

Inspections on record24

On record sinceAug 14, 2013

This facility type is scored in demerits: lower is better (0 = no violations found).

Score history

Aug 14, 2013Lower is betterOct 22, 2026

Inspections & violations

Oct 22, 2026 17 demerits · 13 violations

Inspector comments: NOTE: - PIC: Artasia Porter presents during inspection

#5 · Food properly stored, thawed, prepared, cooked, cooled, handled, served, transported, packaged and identified; only supervised children in kitchen; water from a handwash lavatory not consumed or used for bottle warming:. 2804, .2806, .2808, .2836 −5

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 a baby bottle sitting outside the refrigerator waiting to be fed in infant room, the bottle has no date and name. Ensure to label with name and date on items sent from home. 15A NCAC 18A .2804 (g) After opening, jars of baby food shall be covered, labeled with the date on which they were opened, refrigerated and used within two days of opening, provided that the baby food is not served directly from the jar. *** Observed opened baby food jar in infant refrigerator without date that was opened. Ensure to put the open date on items if not using it all at once.

#9 · Meets specifications for other equipment and utensils, approved material and construction: .2809, .2810, .2812, .2814

General Comment: 15A NCAC 18A .2810 (f). Water from a handwash lavatory shall not be used for bottle warming or to prepare formula, mix dry cereals, or other foods. *** Observed water in the bottle warmer, teacher stated that water came from a food prep hand washing sink in the classroom. Water shall be provided from the kitchen or bottle water, not from the hand sink.

#11 · Approved sanitizer provided;test kit available: .2809, .2810, .2812, .2814 −2

REPEAT 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 spray bottles in most classrooms are measured more than 500 ppm. Ensure to provide correct chlorine sanitizer concentration between 50- 200 ppm at anytime. - Observed the center without testing strips for the solution. Obtain testing strips.

#16 · Hot water supplied and maintained as required in all other areas: .2815, .2836

General Comment: 15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. *** Observed in yellow room hot water measured between 76F -78F. Blue classroom at 73F. Restroom in hallway at 79F. Diaper sink in infant at 72F. Ensure to provide tempered water between 80- 110F at anytime.

#20 · No identified lead poisoning hazards in accordance with NCGS 130A-131.7(7): .2816

REMINDER: 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. *** Last water testing was 11/21/2023.

#21 · Properly sized, located, accessible, and in good repair; sinks, toilets and potty chairs cleaned and disinfected; proper change of use procedure: .2817, .2818, .2836

General Comment: 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair *** Observed in yellow room one of hand sink faucet is broken and leaking water down to the floor. Need repair.

#22 · Soap, approved hand drying devices, toilet tissue paper available: .2817, .2818, .2836

General Comment: 15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every hand wash lavatory area. *** Observed no soap coming from a dispenser in the kitchen. Soap provided at the time of inspection. Ensure to provide all hand washing supplies at hand sinks at anytime.

#23 · Approved storage in toilet rooms, lavatories free of storage; hand wash signs posted: .2817, .2818, .2836

General Comment: 15A NCAC 18A .2818 (e) Handwash signs shall be posted at every handwash lavatory area. The signs shall instruct children and child care center employees to wash their hands in accordance with Rule .2803 *** Observed some hand sinks without hand washing signs. The signs provided to the center, please post the sign up for guidance.

#26 · Approved cleaning solution and approved disinfectant provided; test kit available when required: .2817, .2818, .2819, .2820, .2836 −2

REPEAT 15A NCAC 18A .2812 (i) An approved disinfectant shall be provided for cleaning purposes. When a chlorine solution is prepared by a child care center employee for use as an approved disinfectant, then the solution shall be prepared for use within 24 hours, and a testing method shall be used to ensure compliance with the prescribed chlorine concentration (500 -800 ppm). *** Observed disinfectant solution at 1000ppm or more in most classrooms. Ensure disinfectant at correct concentration between 500-800ppm anytime. - Observed the center without testing strips for the solution. Obtain testing strips.

#28 · Medications properly stored: .2820

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 the emergency medications in clear bag in blue room handing down the hook less than 5ft. EHS discussed with teacher and found a shelf to put the bag up at least 5ft in the classroom.

#30 · Non-hazardous products properly stored: .2820 −3

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 less than 5ft, body mist spray in drawer in blue classroom, toothpaste and anti septic wipes in drawer in hallway. Ensure to keep all non hazardous items at 5ft or higher at anytime.

#33 · Linen, bedding, wash cloths, bibs, burping cloths laundered, and in good repair: .2821, .2836 −3

15A NCAC 18A .2821 (f). Linens used in rooms where the children in care are less than 12 months old shall be changed and laundered when soiled and otherwise at least daily. *** Observed soiled/stained sheets on mattresses in infant room. Change and clean when visibly soiled.

#49 · Premises clean and free of standing water; utility equipment inaccessible; equipment and toys clean and in good repair; sandboxes properly constructed, clean and covered; adherence to air quality forecast quality forecast outdoor activity restrictions when applicable: .2831, .2832 −2

15A NCAC 18A .2832 (a). Child care center premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazards, and maintained in a manner which does not create conditions that attract or harbor pests. 15A NCAC 18A .2832 (a).In the child care center premises and outdoor learning environment. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. Wells, grease traps, cisterns, and utility equipment shall be made inaccessible to children. *** Observed several ants piles around playground area and in toy box. Along the fence and flower boxes, grasses need to be cut and trimmed. Old tree branches and fencing need to be removed. Keep area safe and free of obstruction.

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Jan 21, 2026 6 demerits · 5 violations

#11 · Approved sanitizer provided;test kit available: .2809, .2810, .2812, .2814

General Comment: 15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes. Observed sanitizer solution above 200ppm. Ensure sanitizer is between 50-200ppm.

#26 · Approved cleaning solution and approved disinfectant provided; test kit available when required: .2817, .2818, .2819, .2820, .2836 −2

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 at 1000ppm. Ensure disinfectant is between 500-800ppm.

#29 · Hazardous products properly stored and locked: .2820

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed liquid Wite-Out stored in unlocked cabinet in Yellow room. Ensure hazardous items are stored behind lock and key.

#32 · Adequate linen provided and properly stored; adequate beds, cots, mats provided, in good repair, properly stored, labeled, spaced during use: .2821, .2836

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 torn mats in Yellow room. Repair/replace.

#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 −4

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 tile above front desk area. Keep clean/in good repair.

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Jul 15, 2025 4 demerits · 3 violations

#21 · Properly sized, located, accessible, and in good repair; sinks, toilets and potty chairs cleaned and disinfected; proper change of use procedure: .2817, .2818, .2836 −4

15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair. Observed hand sink in green room out of order. Center is waiting on plumber to repair.

#26 · Approved cleaning solution and approved disinfectant provided; test kit available when required: .2817, .2818, .2819, .2820, .2836

General Comment: 15A NCAC 18A .2812 (i) An approved disinfectant shall be provided for cleaning purposes. When a chlorine solution is prepared by a child care center employee for use as an approved disinfectant, then the solution shall be prepared for use within 24 hours, and a testing method shall be used to ensure compliance with the prescribed chlorine concentration (500 -800 ppm). Observed disinfectant slightly below 500ppm. PIC remade disinfectant solution and it tested at the proper concentration.

#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836

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Jan 23, 2025 4 demerits · 1 violation

#16 · Hot water supplied and maintained as required in all other areas: .2815, .2836 −4

15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. Observed hot water at hand sinks in Red Room reach 70F. Hot water needs to be 80F-110F in areas accessible to children.

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Jan 16, 2025 9 demerits · 5 violations

Inspector comments: Re-Inspection will occur in 7 days due to provisional status. Regional Nykesse Roberts present for inspection.

#15 · Hot water supplied and maintained in the kitchen: .2815, .2836 −6

15A NCAC 18A .2815 (e) (e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Observed hot water at 3 compartment sink in kitchen at 79F. Director has contacted electrician.

#29 · Hazardous products properly stored and locked: .2820

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed cold packs with warnings and “keep out of reach of children” on label stored in unlocked drawer in lobby area. Store all hazardous items behind lock and key. No points deducted. 15A NCAC 18A .2820 (e). A locked kitchen is not considered to be a locked storage room or cabinet. Observed hazardous chemicals stored in unlocked cabinet in locked kitchen. Store all hazardous items behind lock and key. No points deducted.

#30 · Non-hazardous products properly stored: .2820 −3

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 soapy water stored below 5ft in Young Toddler room. Ensure detergent solutions are stored at least 5ft above the floor. REPEAT

#35 · Mouth-contact surfaces cleaned and sanitized in rooms designated for children who are not toilet trained: .2822, .2836

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. Mouth contact toys in Blue room are being washed, sanitized, then rinsed, through discussion with teacher. Ensure mouth contact toys are washed, rinsed, then submerged in sanitizer for at least 2 minutes, then air dried. No points deducted.

#44 · Solid waste properly handled; containers and cleaning equipment kept clean; can cleaning facilities adequate: .2830, .2836

General Comment: 15A NCAC 18A .2830 (b) Facilities shall be provided at the child care center for the washing and storage of solid waste containers and mops. The facilities shall include a faucet with a threaded nozzle that delivers water of at least 80 degrees Fahrenheit. The faucet shall be located in either a designated utility sink or above a curbed impervious pad that is sloped to drain to the approved sewage system. Observed mop sink hot water at 50F. Ensure hot water at mop sink is at least 80F. No points deducted.

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Jun 24, 2024 11 demerits · 8 violations

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 sent from home in kitchen fridge dated 6/19. Needs to be sent home at the end of the week and sent in unopened at the beginning of each week.

#21 · Properly sized, located, accessible, and in good repair; sinks, toilets and potty chairs cleaned and disinfected; proper change of use procedure: .2817, .2818, .2836

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed small chip on toilet seat in yellow room. Needs repair/replacement.

#22 · Soap, approved hand drying devices, toilet tissue paper available: .2817, .2818, .2836 −3

15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area. Observed no soap at food prep sink in young toddler classroom. Needs soap. REPEAT.

#27 · Free of storage and in good repair; cleaning and disinfecting solutions labeled; approved diapering methods used; diaper changing and handwashing signs posted: .2817, .2818, .2819, .2820, .2836

15A NCAC 18A .2819 (b) Nothing shall be placed on the diapering surface except for those items required for diapering and the child whose diaper will be changed. Observed child artwork on diaper pad in Blue room. Nothing shall be placed on diapering surface except items required for diapering.

#30 · Non-hazardous products properly stored: .2820 −3

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 chlorox wipes less than 5ft up in hall cabinet. Needs to be 5ft up. REPEAT.

#32 · Adequate linen provided and properly stored; adequate beds, cots, mats provided, in good repair, properly stored, labeled, spaced during use: .2821, .2836 −3

15A NCAC 18A .2821 (f).Linens shall be kept clean, in good repair, and stored with the mat or cot that the linens are assigned to or stored apart from the mattress or cot in a manner that keeps the linens used for each child separate from the linens belonging to other children. Observed holes in a couple of blankets in yellow room. Needs repair/replacement. 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 mats in use less than 18 inches apart and not separated by partitions. Needs to be 18 inches apart or separated by partitions.

#39 · Equipment clean and in good repair; maintained as required: .2826 −2

15A NCAC 18A .2826 (b).Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. Observed broken and cracked window in outside shed with jagged glass. Repair window. REPEAT.

15A NCAC 18A .2832 (a).In the child care center premises and outdoor learning environment. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. Wells, grease traps, cisterns, and utility equipment shall be made inaccessible to children. Observed rusty tricycles piled next to building accessible to children. Needs to be removed from areas accessible to children. 5A NCAC 18A .2831 (c). For outdoor toys and play equipment, including all structures accessible to children, the following shall apply: (1) Equipment and toys shall be kept clean, in good repair, and free of peeling, flaking, or chalking paint, rust, and corrosion; and (2) A sandbox used in outdoor play shall be constructed to allow for drainage of water and shall be covered when not in use and kept clean. Observed sandboxes uncovered and all children at nap time. Needs to be covered when not in use.

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Nov 21, 2023 12 demerits · 10 violations

#11 · Approved sanitizer provided;test kit available: .2809, .2810, .2812, .2814 −2

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 >500ppm chlorine in 2 & 3’s class. Sanitizer shall test 50-200 ppm chlorine.

#20 · No identified lead poisoning hazards in accordance with NCGS 130A-131.7(7): .2816

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. Staff stated samples have been sent to RTI and are awaiting results. Send me a copy of results when they come in Nicole.bruce@mecknc.gov

#21 · Properly sized, located, accessible, and in good repair; sinks, toilets and potty chairs cleaned and disinfected; proper change of use procedure: .2817, .2818, .2836

15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair. Observed leak at hand sink in 2 & 3’s class.

#22 · Soap, approved hand drying devices, toilet tissue paper available: .2817, .2818, .2836

15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area. Observed soap dispenser not working in young toddlers room.

#26 · Approved cleaning solution and approved disinfectant provided; test kit available when required: .2817, .2818, .2819, .2820, .2836 −2

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 test strips only measure to 500 ppm. Whole range of 500-800ppm chlorine must be included in the testing kit range. Observed disinfect ~100ppm in 2 & 3’s class and > 1000 ppm in young toddlers room.

#29 · Hazardous products properly stored and locked: .2820

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed laundry room not locked. Laundry room must be locked. Critical Violation

#30 · Non-hazardous products properly stored: .2820 −3

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 spray bottles stored less than 5 ft., young toddler’s room. Hand sanitizer stored < 5ft above floor, cabinet at entrance.

#32 · Adequate linen provided and properly stored; adequate beds, cots, mats provided, in good repair, properly stored, labeled, spaced during use: .2821, .2836 −3

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 mats not labeled in 4’s room. 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 trifold mats stored without barrier or ways to protest mats from contamination, 4’s class

#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836

15A NCAC 18A .2824 (a). Floors and floor coverings in food preparation, food storage, utensil washing, toilet rooms, and laundry areas shall be constructed of nonabsorbent material and shall be kept clean and in good repair. Observed a lot of missing floor tiles in kitchen. 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 holes in walls in bathrooms where dispensers have been changed out.

#39 · Equipment clean and in good repair; maintained as required: .2826 −2

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Jan 17, 2023 6 demerits · 2 violations

Inspector comments: No demerits were issued for the following: 21. Observed hand washing sink leaking in the men’s restroom. Needs to be repaired. **Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a). 37. Observed wall damage near the toilet in the classroom on the left in the mobile unit. **Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

#16 · Hot water supplied and maintained as required in all other areas: .2815, .2836 −4

Observed hot water turned off in Blue room. Water unable to reach 80F. **Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e).

#23 · Approved storage in toilet rooms, lavatories free of storage; hand wash signs posted: .2817, .2818, .2836 −2

Observed cots stored in the restroom in the Blue room. Cots were removed during the inspection. **Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a).

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May 20, 2022 4 demerits · 1 violation

Inspector comments: No demerits were issued for the following: 11. Observed sanitizer around 10ppm in the red room. Spoke with staff about increasing chlorine concentration. **Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d)

#16 · Hot water supplied and maintained as required in all other areas: .2815, .2836 −4

Observed hot water reach 71F in the yellow room and hallway restroom. **Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e).

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Nov 17, 2021 6 demerits · 2 violations

#26 · Approved cleaning solution and approved disinfectant provided; test kit available when required: .2817, .2818, .2819, .2820, .2836 −2

Observed disinfectant around 100ppm in the Green and Blue room. Spoke with staff about percentage of sodium hypochlorite in various types of bleach. **Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 −4

Observed baseboards in the restroom in PreK1 in need of repair. **Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

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Jun 7, 2021 4 demerits · 1 violation

Inspector comments: Covid 19 restrictions, no signature required.

#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 −4

Observed wall peeling in pre k building classrooms.

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Aug 6, 2020 6 demerits · 2 violations

Inspector comments: No points deducted: #12---Observed nozzles on hand sink in kitchen. Owner repairing during inspection.

#11 · Approved sanitizer provided;test kit available: .2809, .2810, .2812, .2814 −2

Observed sanitizer 500ppm. Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d)

#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 −4

Observed wall pelled/damaged beside block center in red class and damaged ceiling above cambros in kitchen. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

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Nov 20, 2019 8 demerits · 2 violations

Inspector comments: No points deducted: #34--Observed green buggy with debris build up in crevices in red class.

#21 · Properly sized, located, accessible, and in good repair; sinks, toilets and potty chairs cleaned and disinfected; proper change of use procedure: .2817, .2818, .2836 −4

Reseal diapering hand sink to wall in yellow room. Repeat. Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 −4

Observed damaged floor tiles in restroom in Pre K 1 class. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

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Jun 14, 2019 8 demerits · 2 violations

Inspector comments: No points deducted: #1---Observed teacher not wash child's hands after cleaning nose. Wash hands when required. 15A NCAC 18A .2803 (a) NOTE--- Afterschool building closed at time of inspection.

#21 · Properly sized, located, accessible, and in good repair; sinks, toilets and potty chairs cleaned and disinfected; proper change of use procedure: .2817, .2818, .2836 −4

Observed hand sink (diaper) needing to be resealed to wall in yellow class. Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 −4

Observed wall damage near paper towels in Pre-school. Observed cove base needing to be resealed to wall near cot storage on blue room. Observed hole in ceiling in kitchen near/above freezer and missing floor tiles under 3 comp sink.

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Nov 8, 2018 7 demerits · 3 violations

Inspector comments: No points deducted:#21---Observed hand sink needing to be resealed to wall in Yellow room. #37---Observed sand on floor under mat with sleeping child in Red room. Observed water stained ceiling tiles in main walkways in main building. #34--Observed sand in kitchen set in Red room.

#11 · Approved sanitizer provided;test kit available: .2809, .2810, .2812, .2814 −2

Observed sanitizer around 500ppm in classrooms (main building). Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d)

#22 · Soap, approved hand drying devices, toilet tissue paper available: .2817, .2818, .2836 −3

Observed paper towel dispensers empty in Pre K 2. Paper towels stored outside of bathroom. Disposable towels shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d).

#26 · Approved cleaning solution and approved disinfectant provided; test kit available when required: .2817, .2818, .2819, .2820, .2836 −2

Observed disinfectant 1000ppm in classrooms (main building). Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

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Nov 3, 2017 13 demerits · 4 violations

Inspector comments: General Comment: #12. Thoroughly clean labels from exterior of baby bottle/sippy cups. Labels removed and rewashed at time of inspection.**Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3). #28. Observed box of tooth paste stored on top of black cabinet in 2's/3's room. Toothpaste locked away at time of inspection. KEEP ALL MEDICATION LOCKED AWAY!**All medications must be stored behind lock and key. 15A NCAC 18A .2820 (d). #29. Observed white board expo cleaner stored in top drawer of filing cabinet in Pre k 2 room. Label on container stated non toxic but had additional warnings. Keep hazardous products locked away. White board cleaner locked away at time of inspection.**All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). #34. Wipe/clean tape adhesive from shelving and cubby area.**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 teacher using diaper changing table as a desk in toddler room. Observed scissors stored on diaper changing table in toddler room. NO STORAGE ON THE DIAPER CHANGING TABLE AND DO NOT USE DIAPER CHANGING TABLE AS A DESK. Keep the diaper changing table free of non-diaper changing related storage. 15A NCAC 18A .2819 (b).

#30 · Non-hazardous products properly stored: .2820 −3

Observed teacher purse/bag stored on table top in infant room. Observed teacher purse stored in unlocked black cabinet in 2's/3's room less than five feet vertical distance out of reach of children. Store teachers purse five feet vertical distance out of reach of children or locked away! Purses, that do not contain hazardous items, must be stored 5 ft above the floor, behind lock and key, or behind a child safety lock. 15A NCAC 18A .2820 (f).

#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 −4

Touch-up paint throughout in rooms. Patch small holed in wall in toddler room and repaint. Secure loose rubber cove base molding beside toilet in Pre K 1 bathroom. Floor in kitchen is in the process of being replaced. Ceiling in kitchen is in the process of being repaired and repainted. Finish flooring and repairing and repainting ceiling in kitchen area. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Secure loose lattice on base of storage building. Secure loose siding on side of playhouse on playground area. Secure loose railing on steps/at exit door near employee bathroom. Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).

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Jun 30, 2017 10 demerits · 3 violations

Inspector comments: Escorted by Mr. Porter. No points deducted: Observed hazardous chemicals stored in kitchen. Keep all hazardous chemicals stored in a separate lock box or room, per State.

#21 · Properly sized, located, accessible, and in good repair; sinks, toilets and potty chairs cleaned and disinfected; proper change of use procedure: .2817, .2818, .2836 −4

Observed spaces between hand sinks and walls in classrooms. Seal or caulk sinks to wall. Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 −4

Observed baseboard tile pulling away from wall in blue room and unused room in PreK building. Observed minor wall damage at baseboard in PreK class near water fountain and in restroom near toilet. Observed stained ceiling in kitchen. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

#39 · Equipment clean and in good repair; maintained as required: .2826 −2

Observed burned out lights in adult restroom, blue room restroom, and unused class in PreK room. Observed dusty vents in unused PreK class. Lighting shall be capable of illumination to at least 50 foot-candles at work surfaces describe in 15A NCAC 18A .2826 (a). Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).

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Oct 19, 2016 15 demerits · 5 violations

Inspector comments: General Comment: #9. Observed can opener blade starting to show rust. Replace blade on can opener mounted to prep table.**All food service equipment shall be easily cleanable. 15A NCAC 18A .2809 (1) #34. Clean area around lid on clothes washer machine. Stained linen pulled from pillow in toddler room. Continue to clean edge of chairs in 3's/4'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). #21. Tighten loose toilet seat in 2's/3' bathroom. ***Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Mrs. and Mr. Porter present at time of inspection.

#12 · Equipment, non-food contact surfaces clean; in good repair: .2809, .2810, .2812, .2814 −4

Observed leaking plumbing fixture under three compartment sink in kitchen area. Repair leaking plumbing fixture under three compartment sink. Wipe/clean exterior of cabinet doors near handle area. General wiping of shelving and exterior of cambro units(hot holding boxes). Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3).

#13 · Proper storage and handling of clean equipment, utensils and single-service articles: .2809, .2810, .2812, .2814 −3

Observed clean utensil/equipment drying on a cloth mat. Do not air-dry/place clean utensils on cloth mat. Observed utensil storage area/ sheet pan storage area soiled in kitchen(shelving area and base drawer under oven). Protect food service equipment from contamination. 15A NCAC 18A .2814 (a) and (b).

#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 −4

Touch-up paint door framing leading into infant room. Repair floor and ceiling in kitchen area. Repair/ repaint door framing in 2's/3'sf bathroom. Tightly secure ceiling molding in pre k 1 bathroom. Patch holes in wall in pre k 2 bathroom and secure loose wall molding. Repair wall in can wash area in pre k building. Monitor water heater in can wash area and make sure water heater is not leaking. Repair bathroom door in lobby area or replace bathroom door. Paint or seal top of bathroom door that was cut in half in 2's/3's room. Repair door to laundry room or replace door. Clean floor in laundry room. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

#39 · Equipment clean and in good repair; maintained as required: .2826 −2

Repair light fixtures throughout in rooms, bathrooms and can wash area(both buildings). Observed light fixture throughout not properly working or working at all. Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a).

Repair loose railing and boards on ramp on pre k building. Paint storage building with chipping and flaking paint. Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).

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Apr 7, 2016 13 demerits · 4 violations

Inspector comments: General Comment: #34. Clean area around door on washer machine and keep clean at all times.***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). Mr. Porter present at time of inspection.

#10 · Food contact surfaces properly washed, rinsed, sanitized and air dried; single-service articles not re-used: .2809, .2810, .2812, .2814 −5

Observed bowls in the kitchen area stored wet stacked. Thoroughly air-dry utensil/equipment before stacking or storing! Completely air-dry all equipment and utensils before stacking or storing the items. 15A NCAC 18A .2812 (h)

#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 −4

Repair and repaint base of door framing entering into the infant room. Replace missing floor tile, repair base of wall and repair ceiling in toddler room. Repair wall behind hand washing sink in bathroom located in toddler room. Repair ceiling in kitchen area. Repair laundry room door. Restain employee bathroom door. Repair base of employee bathroom door. Repaint half doors and doors to room. Tightly secure loose wall moulding in pre k 2 room. Tightly secure loose ceiling moulding in pre k 1 room bathroom. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

#39 · Equipment clean and in good repair; maintained as required: .2826 −2

Tightly secure ventilation cover to ceiling near front entrance door. Repaint rusted/rusting ceiling vent covers in toddler room. Replace light bulb in lamp fixture in pre school room with a shatter proof light bulb. Repair light fixture in pre k 2 room or replace blown light bulbs. Repair light fixture in laundry room area. Repair light fixture over two compartment sink in kitchen in pre k building. Make sure 50FCU of lights are over diaper changing tables. Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a).

Repair damaged boards and railing on ramp behind pre k building. Store items on the playground so they do not hold or collect water. Discard damaged yard items/decoration on the playground area. Continue to monitor for any loose boards on playground fencing and repair or replace if needed. Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Keep the property free of standing water. 15A NCAC 18A .2831 (b).

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Oct 29, 2015 17 demerits · 6 violations

Inspector comments: General Comment: #5. Observed opened box of Lucky Charms cereal in modular unit kitchenette. Store opened packages of dry food products in sealable container labeled and kept clean(teacher and daycare foods).**Store all foods . in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a) #10.Observed some build-up around blade area on table top can opener. Thoroughly clean can opener! Can opener cleaned at time of inspection.**Multi-service utensils must be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e). #21. Observed gap between diaper changing counter top and hand washing sink in toddler room. Seal gap between diaper changing counter top and hand washing sink. Observed some etching and pitting on faucet fixture throughout in some classroom bathrooms. Monitor etching and pitting faucet fixture on hand washing sinks and replace if needed. **Keep hand washing sinks clean and in good repair. 15A NCAC 18A .2818 (a). #33.Observed torn linen on sleeping cot in toddler room.Torn linen on cot discarded and replaced at time of inspection. Have staff to monitor and replace any stained or damaged linen.**Individual linen must be kept clean and in good repair. 15A NCAC 18A .2821 (f). #18. Replace missing back flow prevention device on hose bib located in can wash located at back of main building.**Maintain backflow prevention on all hose bibs and threaded faucets. 15A NCAC 18A .2815 (c). Mrs. & Mr. Porter present at time of inspection.

#22 · Soap, approved hand drying devices, toilet tissue paper available: .2817, .2818, .2836 −3

Observed no soap at hand washing sink in kitchen area in main daycare building. Provide soap and paper towels at all hand washing sinks at all times! Soap provided at hand washing sink at time of inspection.Liquid soap shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d).

#31 · Facilities provided for proper storage, used and kept clean: .2820 −2

Observed items to be used in in pre k classroom stored in rubber maid containers on back exit ramp to modular unit and top of containers were wet from being rained on. Do not store items(toys, books, etc) on back ramp. Store items in storage building! Adequate space shall be provided for the storage of equipment, furniture, toys, clothes, linens, backpacks, book bags, diaper bags, beds, cots, mats, and supplies and shall be kept clean. 15A NCAC 18A .2820 (a).

#34 · Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 −4

Clean handles on chairs in toddler room. Clean step stools located in front of hand washing sinks in rooms/bathrooms. Recommend replacing worn furniture or refurbishing worn furniture in classrooms(pre school). Clean chairs in after school room. Clean covering on mat in reading center in toddler room. Repair mirror, recorder and replace damaged head phones in pre k 2 room. Clean covering on chair in pre k 1 room. Thoroughly clean area around washer machine and dryer door. Observed area around door soiled. 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).

#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 −4

Repair damaged floor tiles throughout in classroom and modular unit. Repair corner of wall, wall and ceiling in infant, toddler, pre school, pre k 1 and pre k 2 class. Touch-up paint/repaint throughout where needed. Address any roof leaks in toddler room, then repair ceiling. Tightly secure loose wall and ceiling moulding in modular units. Clean walls around light switch in bathrooms. Repair wall behind can wash in modular unit and repaint wall. Repair ceiling in kitchen area. Replace damaged floor tiles in kitchen.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

#39 · Equipment clean and in good repair; maintained as required: .2826 −2

Repair light fixture in pre school room, after school room and pre k class rooms. Replace cracked light shield over light fixture after school room. Replace light bulbs in lamps in after school room with shatter proof light bulbs or remove lamps from room. Replace cracked light shield in after school room. Replace flood light on back deck with a shatter proof light bulb.Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a).Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).

Repair railing, ramp and hand rail on fixture on back exterior of modular units. Store items on the playground so they do not hold or collecty water. Replace missing and damaged boards on the playground fence and tightly secure loose section of fencing. Cut back thorny vegetation growing through and over playground fencing. Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).Keep the property free of standing water. 15A NCAC 18A .2831 (b). Keep the property free of high vegetation. 15A NCAC 18A .2831 (i).

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Mar 16, 2015 15 demerits · 5 violations

Inspector comments: General Comment: #12 General wiping of shelving and base of refrigeration/freezer unit.**Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3). #19. Observed out of order sign on water fountain in lobby area. Repair water fountain.** #21. Observed area between toilet seat and hinge area of toilet soiled in pre k 1 classroom. Thoroughly clean toilet at hinge area of toilet seat.**Toilets shall be cleaned and disinfected at least daily and when visibly soiled. 15A NCAC 18A .2817 (b). Mr. & Mrs. Porter present at time of inspection.

#13 · Proper storage and handling of clean equipment, utensils and single-service articles: .2809, .2810, .2812, .2814 −3

Observed some bowls/containers stored in kitchen wet stacked. Thoroughly air-dry utensil/equipment before stacking or storing. Pyramid stack or cross stack containers/bowls to allow proper air drying.Protect food service equipment from contamination. 15A NCAC 18A .2814 (a) and (b).

#34 · Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 −4

Observed varnish worn off of furniture/fixtures throughout in all classrooms. Revarnish furniture/fixtures throughout in classrooms or replace furniture/fixtures(base of diaper changing tables, cabinet doors, toys and book shelving, etc.). Clean doll house and discard and replace damaged book in pre school room. Tighten loose stand on mirror, clean computer monitor, printer and key board in pre k 2 classroom.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).

#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 −4

Clean walls and area near door framing in classroom and bathrooms. Repaint area around/near door framing. Touch-up paint walls throughout where needed. Repair area of wall behind back door in infant room. Repair ceiling in toddler room. Repair and repaint wall behind hand washing sink in toddler room bathroom. Repair ceiling and floor in kitchen. Clean wall around light switch in bathroom in lobby area. Tightly secure FRP(paneling) in boys bathroom located in lobby area. Repair door framing to bathroom in pre school room. Replace damaged blank plate cover in after school room. Tightly secure loose wall moulding and rubber cove base moulding in pre k 1 bathroom. Replace damaged floor tile in pre k1 classroom. Tightly secure and seal hand washing sinks to wall in pre k classrooms and bathrooms. Cut frayed string on rug in after school room.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

#39 · Equipment clean and in good repair; maintained as required: .2826 −2

Clean/dust ceiling ventilation cover and return air covers in classrooms and bathrooms throughout daycare.Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).

Observed loose railing and boards on ramp leading to the playground area from the pre k building. Tightly secure loose boards and railing on ramp leading from pre k building. General cleaning of toys on the play ground area. Store toys/fixtures on the playground so they do not collect or hold water. Provide a screen to place over top of hole on rain barrel. Repair area around office window on side of daycare.Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).

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Nov 12, 2014 14 demerits · 4 violations

Inspector comments: General Comment: #7. Thermometer in pre k building kitchen refrigeration unit missing at time of inspection. Thermometer replaced at time of inspection.**Provide an accurate thermometer in all refrigerators. 15A NCAC 18A .2806 (h). #29. Observed aerosol can of clear stain stored in cabinet area in after school room. Store toxic substance/aerosol can locked away! Aerosol can of clear stain locked away at time of inspection!**All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). #34. Observed damaged teacher cube in infant room. Discard damaged teacher cube. Observed loose screws on base of mirror in toddler room. Tighten loose screws on mirror base. Observed loose fixture on kitchenette in 3's room. Repair loose fixture on kitchenette.**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). #38. Observed vent cover in bathroom in pre k building starting to accumulate dust. Clean vent covers in bathroom.**Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Mrs. & Mr. Porter present at time of inspection.

#21 · Properly sized, located, accessible, and in good repair; sinks, toilets and potty chairs cleaned and disinfected; proper change of use procedure: .2817, .2818, .2836 −4

Observed old urine between toilet seat and base of toilet tank in boys bathroom located in lobby area. Observed some build-up also on toilet in pre-k 1classroom. Thoroughly clean and disinfect toilets. Observed sides of paper towel dispenser soiled in several classroom. Thoroughly clean paper towel dispensers. Observed faucet fixture in boys bathroom in lobby area and faucet fixture on hand washing sink in 3's room starting to pit. Monitor and replace pitted faucet fixture. Tightly secure hand washing sink to wall in pre K 1 classroom.Toilets shall be cleaned and disinfected at least daily and when visibly soiled. 15A NCAC 18A .2817 (b).Keep hand washing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Observed damaged diaper changing surface/table area in toddler room. Repair diaper changing surface/table area and siding on table in toddler room. Caulk/seal side to diaper changing table in infant room using a microbial resistant silicon. Observed gap between diaper changing surface and siding and debris collecting in small gap.Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b).

#37 · Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 −4

Repair lower section of wall behind door and patch hole in wall behind crib in infant room. Wipe/clean lower section of wall and window sills/aprons in infant room. Touch-up paint door framing in infant room. Repair ceiling in toddler room and kitchen. Monitor water stained ceiling tiles in infant room and repair any roof leaks if needed. Repair corner of wall in lobby area. Repaint wall behind cot storage area in 3's room.

Observed protruding nail on handrail leading out back of pre k building. Nail down protruding nails on handrails/ramp. Observed loose and damaged boards on playground fencing. Secure and replace damaged boards on playground fencing.Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).

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May 23, 2014 14 demerits · details not yet loaded

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Aug 14, 2013 13 demerits · details not yet loaded

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Source: Mecklenburg County Public Health – Environmental Health public inspection portal (search for “EARLY LEARNING CENTER” or State ID 2060420676). Inspection type (routine vs. follow-up) is not published in the county's data.