CHESTERBROOK ACADEMY

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

15A NCAC 18A .2812 (g) A testing method or equipment shall be used in accordance with the product manufacturer's instructions to test the strengths of sanitizing solutions to ensure the prescribed concentrations are met.- Observed sanitizer solution in spray bottles throughout the facility measured more than 250 ppm. - The center correct the solution at the time of inspection. Ensure to provide correct chlorine concentrations between 50-200 ppm at all time. NOTE: - Observer the center is using QAC sanitizer for cleaning dishes in 3 compartment sinks in the kitchen. Obtain QAC sanitizer test strips.

REPEAT 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed loose toilet seats in PreK restroom need repair. Keep all toilet facilities in good repair. 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed missed place soap dispenser in the restroom next to preK need repair.

General Comment: 15A NCAC 18A .2820 (c) Bulk soaps shall be kept inaccessible to children by storing the product at least 5ft above the floor.- Observed bulk soap container on top of cabinet in restroom at the front less than 5ft. Ensure to keep bulk soap at 5ft or higher at anytime.

General Comment: 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 disrepair playground floor in the climbing equipment area need repair or replace.

General Comment: 15A NCAC 18A .2803 (a) and (c), .2836 (15).Child care center employees and children shall wash their hands when required. Observed child enter toddler classroom and be placed in play area before having hands washed. Needs to wash hands upon arrival.

15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. Observed Beginner B classroom handsink at 113F. Needs to be 80-110F.

General Comment: 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed chipping on two toilet seats in Beginner A classroom. Needs repair/replacement.

General Comment: 15A NCAC 18A .2819 (b). Diapering surfaces shall be made of smooth, intact, nonabsorbent material and shall be kept clean and in good repair. Observed cracking/damaged diaper pads in Infant room and Beginner A bathroom. Staff has stated new diaper pads have arrived/been ordered.

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 cleaning needed under multiple handsinks in cabinets. Observed broken seats on red tricycles on playground. Needs cleaning/repair/removal

REPEAT 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 children snack sent from home without date. Ensure to label both name and date on all items send from home.

General Comment: 15A NCAC 18A .2810 (f) If food is prepared in a child care center classroom, then the classroom shall be equipped with a food preparation area. This food preparation area shall contain a countertop that is kept clean and in good repair, a handwash lavatory, and refrigeration when items are stored that require refrigeration- Observed infant B with only one hand washing sink and a dorm refrigerator on the counter. The only sink is used for food prep and diaper purposes simultaneously when needed. At the meantime EHS suggests for Infant A and B to share the food prep area since the Infant A has bigger food prep area. And the only sink in Infant B can be use for diaper sink only. NOTE: A Plan review is needed to ensure the functionality of the infant B classroom.

REPEAT 15A NCAC 18A .2814 (b) Cleaned and sanitized utensils and equipment shall be stored above the floor in a clean, dry location and shall be kept clean while stored. The food-contact surfaces of fixed equipment shall be kept clean while stored or otherwise not in use. Equipment and utensils shall not be stored under exposed sewer lines.-Observed art supplies, classrooms materials stored in cabinet under hand sink in infant room and intermediate B. Nothing should be stored under hand-sink and sewer lines at anytime.

PROVISIONAL ITEM: 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 hot water throughout the center measured at 140F- 147F. Provide tempered water where is accessible to children between 80F- 110F at all time. NOTE: At 3 compartment sink in the kitchen hot water shall be at least 120F at anytime.

REPEAT 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 available at hand sink in restroom beginner B, Toddler A/B. Observed no paper towel available in the basket/ or missing paper towel dispenser at hand sink in Intermittent A/B, Toddler A/B, PreK 1. Ensure to provide all hand washing supplies at all hand sinks (Food Prep Hand Washing Sink or Diaper Hand Washing Sink) at anytime.

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 several hand sinks in classrooms or restrooms without hand washing sign. Ensure to post the hand washing sign at all hand sinks.

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key.- Observed aerosol can of shaving cream stored in unlock cabinet in infant A, Green cleaning solution spray stored in unlock drawer in restroom next to front desk. Keep all hazardous items in lock cabinet or storage at all time.

15A NCAC 18A .2820 (d) Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. A product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor.- Observed diaper creams at the front desk stored less than 5ft. Keep items at least 5ft or higher at all 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 items stored less than 5ft, soapy water and disinfectant solution bottle on the counter between two classroom of infant. Ensure to keep all non hazardous items at 5ft or higher all the time.

General comment: 15A NCAC 18A .2820 (f). Coat hooks not in individual cubbies or lockers must be 12 horizontal inches apart.- Observed some classroom hooks are less than 12 inches apart. 15A NCAC 18A .2820 (f) A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children.- Observed PreK 1, children jackets are hanging on the hooks touching each other while storing. Keep all individual items separate and not allow contact at anytime while storing.

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 milks in kitchen refrigerator some without date or name or both. Name and date that was received shall to be on the items. Ensure to receive the unopened container of specialty milks at the beginning of the week, put both name and date that was received, send home or discard at the end of the end of the week either opened or unopened containers. 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/snack in the cabinet in infant without date that was received at the center. Ensure to put name and date received on items sent from home. 15A NCAC 18A .2804 (h) After the completion of each feeding, any leftover formula, human milk, or other bottled beverages used during the feeding shall be discarded or sent home with the child whose name is on the label for the formula, human milk, or bottled beverage at the end of each day. Feeding is complete when the child care center employee has stopped feeding the child and the child has been removed from the feeding area in the child care center and returned to other activities. Bottles previously used for feeding shall not be returned to communal mechanical refrigeration.- Observed empty food container and bottle that was offered and finished this morning, put back to store while waiting to go home. EHS, teacher and director discussed process and proper procedures at the time of inspection. Bottles/items previously used for feeding shall not be returned to communal mechanical refrigeration.

General Comment: 15A NCAC 18A .2814 (b) Cleaned and sanitized utensils and equipment shall be stored above the floor in a clean, dry location and shall be kept clean while stored. The food-contact surfaces of fixed equipment shall be kept clean while stored or otherwise not in use. Equipment and utensils shall not be stored under exposed sewer lines.-Observed art supplies, classrooms materials stored in cabinet under hand sink. Items shall not be stored under sewer lines.

General Comment: 15A NCAC 18A .2818 (c) Lavatories shall be cleaned and disinfected with each change of use, when visibly soiled, and at least daily. Change of use occurs when a handwash lavatory is used outside of its original intent.- Observed in the inner infant room and toddler room has only one hand washing sink for dual purpose (diaper and food prep). Detail discussion with director and teacher at the time of inspection. The classroom shall follow the correct procedures (change of use) when using sink for different purposes.

REPEAT 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 available at hand sink in restroom intermediate B. Observed no paper towel available at both hand sink in restrooms PreK 1. Ensure to provide all hand washing supplies at all hand sinks at all time.

15A NCAC 18A .2812 (i) An approved disinfectant shall be provided for cleaning purposes. When a chlorine solution is prepared by a child care center employee for use as an approved disinfectant, then the solution shall be prepared for use within 24 hours, and a testing method shall be used to ensure compliance with the prescribed chlorine concentration (500 -800 ppm).- Observed disinfectant solution measured at or more than 1000 ppm. Ensure to provide correct concentration of chlorine disinfectant solution between 500-800 ppm at all time.

15A NCAC 18A .2819 (d) Use approved diapering methods as follows: 1) gather supplies, 2) wear disposable gloves (if needed), 3) use a disposable moist towelette to clean child, wiping front to back, 4) dispose of gloves if used and soiled towelettes, 5) wiping the employee's hands and the child's hands with a separate disposable towelette, 6) slide clean diaper under child and apply diapering products if needed using approved methods, 7) fasten diaper and place clothing on child, 8) wash child's hands, 9) and 10) clean and disinfect diapering surface using approved methods, 11) employee washes their hands.- Observed half way, teacher is a child, and missing step 8. Proper diaper changing discussed with teacher and director at the time of inspection. Center has diaper procedures posted at the station.

General Comment: 15A NCAC 18A .2820 (d) Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. A product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor.- Observed diaper cream at front desk stored on counter less than 5ft. Observed diaper creams inside unlocked cabinet less than 5ft in ToddlerA/B. Ensure to keep the cabinet lock at all time. Or put items at 5ft or higher at all time. 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 eye wash solution bottle and antiseptic wipes inside the first aid kit in infant room. The items shall be in lock cabinet/storage at all time when see such a labeling: “Keep out of reach of children “ Warning” “Caution “. 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**

REPEAT 15A NCAC 18A .2821 (c). Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens.- Observed in several classrooms, need to update their cot chart/number/name on the cots. Observed same numbers in several cots in one classroom. Sticker of name is peeling off the cot. Please redo the cot name or number with name chart, make it visible/legible. Have the cot list available. 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 damaged sheet on a cot, soiled sheets in several classrooms. Ensure to provide clean and good repair sheets to students.

General Comment: 15A NCAC 18A .2822 (a) Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair.- Observed in several classrooms, soiled at the back of diaper pad on diaper changing table. Ensure to clean all surfaces front/back and all around. Keep clean. Observed damaged cabinet door in intermediate B. Repair/replace needed.

General Comment: 15A NCAC 18A .2824 (d) Floors in areas accessible to children, shall be kept free of peeling, flaking, chalking, or otherwise deteriorating paint.- Observed damage flooring at corner of restroom door in PreK1. Repair needed. 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 on wall/disrepair paint from the misplaced soap dispenser in restroom beginner B. Repair needed, keep wall/ceiling in good repair.

15A NCAC 18A .2803 (a) and (c), .2836 (15).Child care center employees and children shall wash their hands when required.- Observed staff and children entering classrooms during the inspection without hand washing before engaging in class activity. Ensure to follow procedures for hand hygiene upon entering the classrooms.

General Comment: 15A NCAC 18A .2806 (h) The temperature of potentially hazardous food provided by the child care center for consumption by children shall be 45 degrees Fahrenheit or below, or at 135 degrees Fahrenheit or above at all times, including field trips, catering events, and outdoor service, except during periods of preparation and service immediately prior to consumption.- Observed lunchable (ham and cheese) in lunch box on the kitchen counter, without refrigeration. Potentially hazardous food items (cold/hot food) discussed in detail, ways to store them, with director assistance and chief during the inspection.

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 without date or name or both. Name and date that was received shall to be on the items. EHS, kitchen staff, and director assistant discussed proper way to handle specialty milks at the time of inspection. Ensure to receive the unopened container of specialty milks at the beginning of the week, put name and date that was received, send home or discard at the end of the end of the week either opened or unopened containers. 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 children lunch boxes on the kitchen counter without name or date that was received at the center. EHS, teacher and director assistant discussed proper way to handle the situation.

15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area.- Observed several hand washing sinks throughout the center without soap or paper towels for proper hand washing. Ensure to provide all hand washing supplies at all hand sinks at all time.

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. - Observed Clorox containers stored on the shelf in the kitchen. Proper way to stored all hazardous items/chemicals discussed with kitchen staff and director assistant during the inspection. CDI- Item removed out from the kitchen and stored in a lock storage laundry room at the time of inspection.

15A NCAC 18A .2820 (g).Purses, that do not contain hazardous items, must be stored 5 ft above the floor, behind lock and key, or behind a child safety lock.- Observed teacher purse stored on the floor in infant room, under sink cabinet unlock less than 5ft in toddler room. Put all purses/ personal belongings without hazardous items at 5ft or higher at all time, or keep lock. 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 all keys at 5ft or higher 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 throughout the center without updated cot chart. Number and name don’t match, name is peeling off the cot. Redo the cot name or number with name chart, make it visible and legible and available. 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 several classroom, the sheets on the cot are too big and it is hanging down/ touching other cots and sheets. Ensure to keep individual item separate and not touching each other while storing.

15A NCAC 18A .2822 (d).Water play centers shall be filled with potable water immediately before children begin a water play session. Water shall be emptied after each play session and at a minimum each morning and afternoon, or more often if no longer clean.- Observed soiled water standing in water table in preK from last week according to teacher. Teacher was out sick last week. Proper water play station and procedures discussed in detail with teacher and director assistant at the time of inspection.

General Comment REPEAT: 15A NCAC 18A .2822 (a). In rooms designated for children who are not toilet trained, toys and other mouth-contact surfaces that are used by children shall be cleaned and then sanitized after each use and when visibly dirty. Toys and other mouth-contact surfaces shall be cleaned and sanitized as follows: (1) the items shall be scrubbed in warm, soapy water, using a brush to reach into any crevices; (2) the items shall be rinsed in clean water; (3) the items shall be submerged in a sanitizing solution for at least two minutes or in accordance with the instructions on the label of the sanitizing solution; and (4) the items shall be air dried. -According to teacher in classrooms where mouthing/dirty toys present. The dirty toys were collected and put in dirty bin and get clean at the end of the day. Teacher spray sanitizer solution on toys and let them air dry. Proper toys cleaning discussed with teacher and director at the time of inspection. All dirty toys shall be washed/rinsed/sanitized properly in the kitchen at the three compartment sinks. Or 3 step bins suggested, label (wash/rinse/sanitize). Some toys that cannot not be submerged in water after washed and rinsed, the sanitizer spray can be used. All toys that can be in the water shall be submerged in sanitizer solution for at least 2 minutes and let air dry after. Ensure to use/provide the correct strength of sanitizer solution in the bin for cleaning toys each day and store the sanitizer bin at 5 ft or higher.

General Comment: 15A NCAC 18A .2831 (b). Sand toys, water tables, and other unfiltered items that can collect standing water in the outdoor learning environment shall be emptied and stored to prevent the collection of standing water.- Observed a white bucket full with old water and sponge on top of the storage box on playground. Check all buckets/containers after rains and empty any standing water inside out.

15A NCAC 18A .2806 (a) Once pre-packaged food has been opened, the food shall be stored in clean, resealable bags or containers made of plastic or glass that are tightly covered and manufactured for the purpose of food storage.- Observed a bag of chip leftover and bag opened storing in the basket in the cabinet in infant room. Ensure to proper store leftover of snack in resealable bag or container to protect from any possible contamination. REPEAT 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 two bottles in infant refrigerator without the date labeling. Ensure all bottles have both name and date on them. 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 without date. Name and date that was received need to be on item. Discussed proper labeling and how to handle specialty milks with director at the time of inspection. 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 foods in cabinet infant room without date that was received at the center. EHS, teacher and director discussed proper way to handle the situation. 15A NCAC 18A .2810 (f) Water from hand wash lavatory shall not be used for bottle warming or to prepare formula, mix dry cereals, or other foods. According to teacher in infant room, teacher used water from food prep handwashing sink to warm the bottles in the warmer. Water needs to come from the kitchen or bottle water, not from the hand sink.

15A NCAC 18A .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 refrigerators in infant rooms without indicating thermometers. Obtain the indicator thermometer in both refrigerators. Observed thin probe thermometer in the kitchen measured 20F degree less than EHS thermometer during the time of calibration. Obtain a new thin probe food thermometer for the kitchen.

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 measured >1000 ppm. The center corrected the issue and made fresh solution with correct concentration at the time of inspection.

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.- Last water testing for lead was 9/26/2020. The facility had already started the process with RTI, Pre-enrollment certification was on 1/23/2024. The facility will follow all requirements and provide the update test result to EHS at the next inspection. The expectation and process discussed with director at the time of inspection.

REPEAT 15A NCAC 18A .2812 (i) An approved disinfectant shall be provided for cleaning purposes. When a chlorine solution is prepared by a child care center employee for use as an approved disinfectant, then the solution shall be prepared for use within 24 hours, and a testing method shall be used to ensure compliance with the prescribed chlorine concentration (500 -800 ppm). Observed disinfectant solution measured >1000 ppm. The center corrected the issue and made fresh solution with correct concentration at the time of inspection.

General Comment: 15A NCAC 18A .2820 (f). Coat hooks not in individual cubbies or lockers must be 12 horizontal inches apart.-Observed hooks is measured less than 12 inches apart in preK1. 15A NCAC 18A .2820 (f) A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children.- Observed children coats were hanging on the hooks to punching each other. Ensure to provide enough space to store individual items and not allow them to touch each other.

General Comment: 15A NCAC 18A .2822 (a). In rooms designated for children who are not toilet trained, toys and other mouth-contact surfaces that are used by children shall be cleaned and then sanitized after each use and when visibly dirty. Toys and other mouth-contact surfaces shall be cleaned and sanitized as follows: (1) the items shall be scrubbed in warm, soapy water, using a brush to reach into any crevices; (2) the items shall be rinsed in clean water; (3) the items shall be submerged in a sanitizing solution for at least two minutes or in accordance with the instructions on the label of the sanitizing solution; and (4) the items shall be air dried. -According to teacher in classrooms where mouthing/dirty toys present. The dirty toys were collected and put in dirty bin and get clean at the end of the day. Teacher spray sanitizer solution on toys and let them air dry. Proper toys cleaning discussed with teacher and director at the time of inspection. All dirty toys shall be washed/rinsed/sanitized properly in the kitchen at the three compartment sinks. Or 3 step bins suggested, label (wash/rinse/sanitize). Some toys that cannot not be submerged in water after washed and rinsed, the sanitizer spray can be used. All toys that can be in the water shall be submerged in sanitizer solution for at least 2 minutes and let air dry after. Ensure to use/provide the correct strength of sanitizer solution in the bin for cleaning toys each day and store the sanitizer bin at 5 ft or higher.

15A NCAC 18A .2806 (a) Once pre-packaged food has been opened, the food shall be stored in clean, resealable bags or containers made of plastic or glass that are tightly covered and manufactured for the purpose of food storage. - Observed a bag of pasta and bread on the kitchen shelving not being put in the resealable bag or container. After opening the food items, ensure to keep them properly protected on shelves. 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 several kind of specialty milks in the kitchen refrigerator with name of children, but no date that was received at the center. Ensure to put name of a child that specialty milk belong, and the date that was received at the center. 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 bottle of milk with a name of a child, but no date that was received at the center. Ensure to have both name and date that was received at the center. 15A NCAC 18A .2806 (g) Food shall be stored above the floor and in a manner to protect it from dust, pests, drip, splash, and other contamination. - Observed can goods and bottle of waters stored on the floor. Keep all food items off the floor at least 6 inches or above. CDI- Director corrected during the inspection.

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 strength measured at 250ppm or above in some classroom. Director stated that the solution in each classroom prepared separately each morning. EHS and director discussed way to prepare the solution and ensure the correct concentration at the time of inspection.

15A NCAC 18A .2812 (i) An approved disinfectant shall be provided for cleaning purposes. When a chlorine solution is prepared by a child care center employee for use as an approved disinfectant, then the solution shall be prepared for use within 24 hours, and a testing method shall be used to ensure compliance with the prescribed chlorine concentration (500 -800 ppm). - Observed the disinfectant solution in infant room measured at 250 ppm. CDI- Director and EHS discussed about the proper concentration of the disinfectant and director corrected the strength of solution at the time of inspection.

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. - Observed Clorox containers stored on the floor/ant 3 comp sink inside the lock kitchen. Proper way to stored all hazardous items/chemicals discussed with director during the inspection. CDI- Director removed all hazardous items out from the kitchen and stored in lock storage laundry room at the time of inspection.

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 visibly soiled sheet on the top cot in beginner A classroom. Change the sheet when visibly soiled, keep sheet clean.

15A NCAC 18A .2827 (d). The child care center shall have written procedures that employees shall follow when responding to vomiting or diarrheal events that involve the discharge of vomitus or fecal matter onto surfaces in the center. The procedures shall address the specific actions employees must take to minimize the spread of contamination and the exposure of employees, children, food, and surfaces to vomitus or fecal matter.- Observed the facility without the written plan. Poster and written plan emailed to director at the time of inspection.

Lunches and other meals brought from home shall be dated and identified for the appropriate child at the child’s home and shall be returned to child’s home or discarded at the end of each day. Meals containing potentially hazardous foods shall be refrigerated at 45F or below. 15A NCAC 18A .2804 (f). Observed lunches brought from children’s home stored on hooks in PreK classroom. EHS educated center on notated rule. (During time of inspection children were about to eat lunch within 20 minutes thus, lunches were not relocated to domestic refrigeration unit in kitchen, if violation is observed during next inspection, demerits will be taken for critical violation).

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 baby bottles stored in dorm refrigeration unit in infant classroom with name’s and no date. Observed several container of specialty milk’s brought from children’s home stored in domestic refrigeration unit in kitchen with names and no date. EHS advises school to follow notated rule. REPEAT VIOLATION.

Highchair feeding trays, shall be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e). Observed minor food debris under high chair feeding trays in cabinet located in infant classroom. EHS advises center to follow notated rule.

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed detailed cleaning needed to corners of toilets located in beginners classroom.

Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a). Observed several crib mats tearing at creases in infant classroom.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed minor touch up paint needed throughout center. Observed laminate flooring bubbling behind toilet in PreK restroom 1. Observed repair needed to laminate flooring in PreK restroom 1.

Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Observed minor cleaning needed to wall vents throughout center.

Keep the facility free of rodents, insects and vermin. 15A NCAC 18A .2831 (b). Observed ant hill forming on sidewalk leading to rear playground. EHS advises center to contact pest control to have ant hill removed immediately.

Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Observed dilapidated furniture behind dumpster area. EHS advises center to have structures removed.

Wash hands when required. 15A NCAC 18A .2803 (a). Observed child get dropped off into toddler classroom by parent and child proceeded to begin playing. Childs hands were not washed. EHS educated center on notated rule.

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 speciality milk brought from children’s home with name and no date in 3’s classroom.

Provide an accurate thermometer in all refrigerators. 15A NCAC 18A .2806 (h). Observed no thermometer in dorm refrigeration unit stored in toddler classroom.

Hand washing signs shall be posted at all hand washing areas. 15A NCAC 18A .2818 (e). Observed 2 handsinks with no handwashing signs posted in 4’s classroom. EHS provided center with handwashing signs.

Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d). Observed teacher miss the step of wiping hands with a moist towelette before placing clean diaper onto child, during diaper change in toddler classroom.

Linens for children less than 12 months old shall be changed and laundered when soiled and at least daily. 15A NCAC 18A .2821 (f). Observed staining on 1 crib sheet in infant classroom.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed minor touch up paint needed throughout center. Improvement has been made from previous inspection report.

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 bottles brought from children's home without the date the bottle was brought into the center. Meals, non-frozen breast milk, formula, and other bottled beverages brought from home shall be returned to the child's home or discarded at the end of each day. 15A NCAC 18A .2804 (d) and (f). Observed specialty milk's brought from children's home being stored in dorm refrigeration units within toddler classroom. Milk that is not provided by the center should be stored in domestic refrigeration unit located within kitchen.

Provide a numerically scaled metal stem-type thermometer accurate to 2°F. 15A NCAC 18A .2807 (h). Observed no metal stem type thermometer within center. Director order food thermometer online during time of inspection.

Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e).Observed hot water at hand sinks in infant classroom at 115F. Observed hot water in 3's and 4's classrooms reach 62F. EHS advises center to have hot water adjusted to required range.

All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed burn gel and cold pack compresses stored in first aid kits on high shelving in infant classroom and 4's classroom. The packing on both hazardous items states "keep out of reach of children" with additional warnings. EHS educated Director and hazardous items were properly locked. If violation is observed during next inspection demerits will be taken.

All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ). Observed some cots not labeled with child's name in toddler classroom. Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).Observed crib mats in infant room tearing at seams. EHS advises center to repair crib mats or have them replaced.

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 diaper changing table with clear plastic attachment developing rust. Director pointed out concern to EHS and is working to have plastic attachment removed to allot proper cleaning of diaper changing station.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed floor rug in 2's classroom located on left side of hallway with staining. Observed first classroom on left side of center with wall paper peeling. EHS advises center to repair peeling wall and touch up paint where needed throughout center. *NOTE: Director Mrs. Candi was present during time of inspection, report emailed to center at: CANDI.STAINES@CHESTERBROOKACADEMY.COM

Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e). Observed hot water reach 73F in 3's classroom. Observed hot water reach 115F at infant classroom handsinks. Follow noted rule.

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed loose toilet seat in 2's classroom. Observed handle to toilet broken in 3's classroom restroom. Repair.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed touch up paint needed to walls in 2's classroom. Observed minor touch up paint needed throughout center. Observed large floor rugs throughout center in need of detailed cleaning.

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed loose toilet seats inside restroom of (Toddler) classroom in need of repair.

REPEAT 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 water damaged cabinet doors in need of replacing / repair inside (#6) classroom. Work order placed prior to inspection date.

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

REPEAT: Observed bottles without name and date- Infant room. 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 the sanitizer at 500ppm chlorine. Remade. Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d)

Observed the water at 114F- 116F at all handsinks. Follow the rule below. Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e).

Observed the disinfectant above 1000ppm chlorine. Remade. Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

-Observed rips in some of the crib mattresses. Replace. Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a). -Observed sleeping cots not labeled- Intermediate B. All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ).

REPEAT: Observed dolls and large toys soiled in several classes. Clean. Observed sticky residue on toy shelves in several classes. Observed rips in the red couch- Intermediate B class. Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

-Observed broken floor tiles and chipping paint in several areas. Repair. -Observed a stained ceiling tile in Intermediate B. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. -Observed the vent fans in the restrooms not working and absorbent tiles are present. Repair vent or provide non-absorbent tiles. Floors and floor coverings of all food preparation, food storage, utensil-washing areas, toilet rooms, and laundry areas shall be constructed of non-absorbent, easily cleanable material. 15A NCAC 18A .2824 (a).

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 baby bottles labeled with incorrect dates inside (infant) classroom.

Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e). Observed childrens cots spaces within 18inches inside (toddlers, 2's) 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). Observed edges of tables in classrooms collecting debris in need of general cleaning (3's). Observed rusty (L) brackets on all changing tables in need of replacing.

Observed bottle in the refrigerator in missing date and one dated for 12/26. Parent left old sticker on the bottle. Observed carton of milk with no dates on kitchen cart and one dated for 12/26. Ensure all bottles are being labeled and bulk milk from home is dated for the date it arrives and sent home at the end of the week. **Label all baby bottles, sippy-cups, and bottled beverages sent from home with the child's name and date it was brought into the facility. 15A NCAC 18A .2804 (d)

Observed hot water reach 113F in some rooms during the inspection. Temperature needs to be reduced to fall within compliance. REPEAT. **Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e).

Observed disinfectant range from 200-300ppm during the inspection. Bottles were replaced. **Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

Observed dead insects in the light shields in Intermediate A, PreK B and PreK A. Needs to be removed and cleaned. REPEAT. **Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a).

REPEAT Observed build-up in the utensil drawer in the kitchen. **Protect food service equipment from contamination. 15A NCAC 18A .2814 (a) and (b).

Observed storage closets in need of organization and observed items that need to be removed from flooring. Observed tape residue and cleaning needed in classrooms drawers and cabinets. **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).

REPEAT Observed diaper changing tables, diaper changing mat seams, and underside of mats collecting debris. Observed cleaning needed in the tracks of sliding doors of diaper changing tables. Observed vinyl mat in toddler classroom and vinyl wedges in 3's classroom #2 with build-up. Observed tables and chairs in need of cleaning in toddler classroom. Observed build-up and debris in toy storage containers throughout. Observed tape residue and cleaning needed on shelving throughout. Observed cleaning needed in the cracks and crevices of larger interactive toys i.e. kitchen sets. Observed stained area rug in 3's classroom #1. **Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

Observed FRP board in need of cleaning in the toddler reading corner. Observed baseboard peeling away form wall in 2's classroom. Observed sweeping and mopping needed in classrooms. Observed staples collecting on the floor under bulletin board in toddler classroom. Observed debris collecting where floors meet walls throughout. Observed wall damage by the reading corner in 4's classroom. **Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

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 xylophone with chipping paint in two classrooms. Observed split pillow in room 6. REPEAT VIOLATION Clean and sanitize water play centers and associated toys daily (if used) and when visibly soiled. 15A NCAC 18A .2822 (c ). Observed water play center outside with water in it still. Ensure they are cleaned and sanitized after each session.

Observed debris collecting in the bottom of freezer, in microwave, and on the refrigerator fan cover, and room fan cover in the kitchen. Observed build-up on can opener blade. **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 debris collecting underneath diaper changing pads on diaper changing table in the young infant and room 2. Observed build-up on the sleep corner mat in room 2. Observed debris collecting in cracks and crevices of interactive play toys in room 4 and several other rooms. Clean out the cracks and crevices with a scrub brush. **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 milk going to care rooms not on ice. Observed cut carrots from can cooked and cooled in refrigerator, carrots cooled in plastic container, 4 inches deep, covered. 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). Cool food in shallow pans uncovered, preferably metal. Transport bulk containers of milk to classroom on ice, or in pitchers excess in pitchers, leftover must be discarded after service.

Repeat non-compliance: Observed knife in kitchen collecting residue on side stored as clean. Multi-service utensils must be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e)

Repeat non-compliance: Observed hand sink faucets pitted throughout facility. Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Repeat non-compliance: Observed several damaged cabinet doors on built-in cabinets around hand sinks and in rolling teachers cabinets in care rooms. Observed tape residue on toys shelves in care rooms. Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

Observed handle of knives in kitchen collecting residue. Observed brush in kitchen collecting food residue. Observed multi use cup for child to get water stored on bottle of water. Caregiver stated that cup is washed in the hand sink with soapy water and the end of the day cup is being washed rinsed and sanitized. Multi-service utensils must be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e), Cups cannot be washed in a hand sink. Cup must be washed after each use.

Observed wall damage in room 6 bathroom around soap dispenser. Observed damaged floor tile in room 3. Observed caulk on bathroom floors damaged in bathrooms throughout. Observed damaged culet cover in room 5. Observed residue on floor in room 5 next to hand sink. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed pitted faucets in room 6 bathroom. Observed excess caulk in room 6 around toilet and hand sink restroom and on classroom hand sink.Keep handwashing 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).

Observed cabinets damaged in room 4, room 3, and in room 6. Observed toy blocks in room 5 damaged. Observed damaged couch in room 2.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 pizza cutter, apple slicer and one ladle with residue collecting.Food contact surfaces and utensils shall be cleaned and sanitized after preparing raw foods, prior to preparing ready to eat foods, and after any interruption of operations in which contamination may have occurred. 15A NCAC 18A .2807 (c ) and .2812 (b).

Repeat non-compliance: Observed debris under chair cushion in infant room.Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

Observed cutting boards damaged in kitchen. Observed knives in kitchen collecting residue. Observed sippy cups damaged in classroom 1. Observed old sippy cups stored in clean cabinet in classroom 1.Multi-service utensils must be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e)

Observed chair in room 1 collecting residue under cushion. Observed residue collecting on drawers and inside of cabinets in room 1. Observed damaged rolling cabinets in classrooms throughout facility.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 walls damaged throughout facility. Observed ceilings collecting dust around vents in classrooms. Observed floor damaged and collecting water in room 2 in storage closet.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed vents in classrooms on walls damaged.Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).

Observed rice and goldfish crackers not sealed in kitchen.Observed container of dry yogurt snacks not sealed in infant room.**Store all foods in approved re-sealable bags or containers once opened. See rule .2806 (a)

Observed caregiver not wipe hands prior to placing clean diaper on child.**Follow the correct diaper changing procedure as described in rule .2819 (d).

Observed sandbox uncovered.**Sandbox must be covered when not in use and kept clean. See rule .2832 (c ) (2).