DIXON ACADEMY OF CHARLOTTE, INC

Observed cereal not properly sealed early head start (EHS3) room. Placed in ziploc bag during the inspection. GENERAL COMMENT. **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 quant sanitizer below 200ppm. Corrected during the inspection. **15A NCAC 18A .2812 (j) Provide a sanitizing solution shall be provided for cleaning purposes.

Observed soap dispenser not properly operating in EHS 1 and EHS 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 water stained ceiling tiles in restroom between 2 year old and EHS 2, Meck 1 and Meck 2 . **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 vent cover hanging in the restroom between 2 year old and EHS 2. GENERAL COMMENT **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 no paper towels at the handwashing sinks in EHS 1. Observed soap dispenser not properly operating in EHS 2 and EHS 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 water stained ceiling tiles in Infants, restroom between 2 year old and EHS 2, Meck 1, Meck 2 and Meck 3. **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 vent cover hanging in the restroom between 2 year old and EHS 2. GENERAL COMMENT **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.

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 one bottle in refrigerator labeled 6/20 in 105. Needs correct date received. 15A NCAC 18A .2806 (f) Food and containers of food shall not be stored under exposed sewer lines. Food shall not be stored in toilet or laundry rooms, except that child care centers licensed for fewer than 13 children and located in a residence may store food in laundry rooms if the food is stored and protected as required in rule 2806 (g). Observed formula and baby food jars stored under sink in 105. Food shall not be stored under exposed sewer lines. 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 child moved out of feeding session and to other area and staff had unfinished bottle on the counter which was to be given back to the child. Bottles cannot be given back to the child after the feeding session is complete.

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 113F in Preschool classroom. Needs to be 80-110F. REPEAT

General Comment: 15A NCAC 18A .2820 (b).Keys used to access hazardous item storage must be out of reach of children (5 ft above the floor) and stored separately from lock. Observed key stored in lock to first aid box in EHS4 with hazardous chemical cold packs inside. Key shall not be stored in lock.

General Comment: 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 broken bike on back playground. CDI - Bike was removed.

General Comment: 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 one child’s bottles dated 12/11. Staff stated dates were written by parents this morning incorrectly and adjusted date. Ensure date received is on bottles and correct.

General Comment: 15A NCAC 18A .2812 (e) Multi-service articles, including highchair feeding trays, shall be washed, rinsed and sanitized in the child care center kitchen after each use. EHS discussed how high chair trays are cleaned in 104 classroom. Staff stated they are cleaned with soapy water and sanitizer in classroom. Needs to be sent to kitchen for cleaning after each use.

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 hot water in building 2 bathrooms at 78/79. Needs to be between 80-110F. Water is being adjusted.

15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed storage of toys and papers under sink in room 108. Needs to be stored in water proof containers or not under exposed sewer lines.

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed chemical ice packs labeled with warnings and “Keep out of reach of children” in EHS 5. Needs to be locked.

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 water in water in water play table in 110. Staff stated they emptied table yesterday and did not add any water today. Ensure water is completely drained. REPEAT.

15A NCAC 18A .2825 (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas, shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint. Observed stained ceiling tile in class 105 and EHS 4. Check for leaks and replace tiles. Repair. REPEAT.

15A NCAC 18A .2815 (f).. The water pressure of a drinking fountain shall be regulated so that an individual's mouth does not come in contact with the nozzle and so that water does not splash on the floor. Observed water fountain in building 2 pressure set too strong so water splashes on floor. Needs to be adjusted. REPEAT.

15A NCAC 18A .2819 (d) Use approved diapering methods as follows: 1) gather supplies, 2) wear disposable gloves (if needed), 3) use a disposable moist towelette to clean child, wiping front to back, 4) dispose of gloves if used and soiled towelettes, 5) wiping the employee's hands and the child's hands with a separate disposable towelette, 6) slide clean diaper under child and apply diapering products if needed using approved methods, 7) fasten diaper and place clothing on child, 8) wash child's hands, 9) and 10) clean and disinfect diapering surface using approved methods, 11) employee washes their hands. Observed parent performing diaper change in Infant 104 miss several steps in the procedure. If parents change diapers have them follow procedures.

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 small medicine packs in first aid kit in room 203. Medicines were removed from first aid kit.

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 water in water play table in room 202. Teacher stated she forgot to empty table last night. Water play table was emptied. REPEAT.

15A NCAC 18A .2825 (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas, shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint. Observed stained ceiling tile in class 108 bathroom and wraparound over cabinets. Check for leaks and replace tiles. Repair. REPEAT.

15A NCAC 18A .2806 (d) Bulk food stored in a refrigerator shall be stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator. Observed bulk milk stored in small refrigerator in area between toddler and infant rooms. Needs to be stored in a full size refrigerator.

15A NCAC 18A .2815 (f).. The water pressure of a drinking fountain shall be regulated so that an individual's mouth does not come in contact with the nozzle and so that water does not splash on the floor. Observed water fountain in building 2 pressure set too strong so water splashes on floor. Needs to be adjusted.

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed teacher in 202 stored liquid white out in unlocked desk. Observed aerosol bug spray stored in outside bag in 110. Needs to be stored behind lock and key. REPEAT.

15A NCAC 18A .2820 (c). Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use by storing the items 5 ft above the floor or behind lock and key. Observed disinfectant wipes stored in cabinet less than 5ft up and not locked in room 104 (cabinet had plastic child saftey lock - locks must be lock and key). REPEAT.

15A NCAC 18A .2822 (a) Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. Observed broken cabinet hinge in wraparound class. Observed build up in cabinet above the mats in wraparound. Needs repair/cleaning. REPEAT. 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 water in water play table in room 203. Staff stated it was filled this morning but not used yet. Water play centers shall be filled immediately before beginning a water play session.

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 in class 108 bathroom, and in rooms 204, 202, 205. Observed floor to cabinet/wall edging loose in Wraparound classroom. Check for leaks and replace tiles. Repair. REPEAT.

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 in back Meck-PreK building reaching only 77F. Needs to be 80-110F.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed toilet in boys bathroom in back building is not operating. Assistant Director stated work orders are in for repair.

No points deducted. 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed rubber cement in workroom and cleaner in classroom 203 unlocked cabinet in back building. Classrooms are closed for the day. Items need to be stored locked.

15A NCAC 18A .2820 (c). Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use by storing the items 5 ft above the floor or behind lock and key. Observed sanitizer, lotions, disinfectant, and hand sanitizer stored less than 5 ft up or behind plastic safety locks in numerous classrooms. Needs to be stored 5ft above the floor or behind lock and key. REPEAT.

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 two torn mattresses in infant room. Needs replacement/repair.

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 torn green chairs in 205 and 111. Observed broken cabinet hinge in wraparound class. Observed build up in cabinet under the sink in wraparound and in 108. Needs repair/cleaning. REPEAT.

15A NCAC 18A .2825 (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas, shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint. Observed stained ceiling tile above mat storage in Wraparound class, in class 108 bathroom, and in room 205. Check for leaks and replace tiles. REPEAT.

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 facility did not have vomit and diarrhea cleaning procedure. EHS emailed Assistant director updated rule information and vomit and diarrhea cleaning procedure.

Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d). Observed sanitizer in spray bottles in throughout at 500ppm chlorine. Sanitizer concentration was corrected by staff and brought down throughout.

Bottle warming equipment shall be cleaned and sanitized at least daily and when visibly soiled. 15A NCAC 18A .2810 (f) (1) and .2804 (d). Observed bottle warmer in infant food prep area with residue build up. Needs to be cleaned. REPEAT.

Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d). Observed employee fail to change gloves and wipe hands after removing soiled diaper. Observed employee fail to wipe or wash infant hands upon completion of diaper changing. Needs follow diaper changing procedures by removing soiled gloves after removing soiled diaper and wiping hands with disposable towelette, then putting on a clean set of gloves. Needs to wipe infants hands with disposable towelette before returning to supervised area.

All medications must be stored behind lock and key. 15A NCAC 18A .2820 (d). Observed prescription diaper cream in cabinet secured with child safety lock but not behind lock and key. Needs to be behind lock and key.

Approved non-hazardous products must be stored 5 ft above the floor or behind lock and key. 15A NCAC 18A .2820 (b), (c ) and (d). Observed disinfectant wipes and chemicals stored in cabinets behind child safety lock but not behind lock and key or 5ft above the floor.

Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). Clean green floor rug in infant room. Observed chairs with damaged upholstery in EHS 3. Facility director stated an order had been placed to replace the chairs.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed hole from door handle in wall of toddler room. Observed stained ceiling tile in storage room. Needs repair.

Bottle warming equipment shall be cleaned and sanitized at least daily and when visibly soiled. 15A NCAC 18A .2810 (f) (1) and .2804 (d). Observed bottle warmers soiled. Clean and sanitize bottle warmers used between infant room and toddler room.

Maintain backflow prevention on all hose bibs and threaded faucets. 15A NCAC 18A .2815 (c). Place a hose bib back flow preventer device on hose bib at can wash area and area where air handlers are located.

Approved non-hazardous products must be stored 5 ft above the floor or behind lock and key. 15A NCAC 18A .2820 (b), (c ) and (d). Observed sanitizer, soapy water solution and disinfectant products stored in classrooms areas less than five feet vertical distances out of reach of children. Store items on top of tall storage closet or install shelving at least five feet vertical distance on the wall, so items may be stored.

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 laminate missing on edge of cabinet doors/shelving.. Replace missing laminate on cabinet/shelving or paint area where laminate is missing. Clean floor rug in (1) room. Re varnish or refurbish diaper changing table which varnish and sealant is coming off (2 year old)

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Wipe/clean walls throughout where needed and touch-up paint throughout in front building. Repair any roof or HVAC leaks in the back building and replace water stained ceiling tiles. Repair lower section of wall in classroom in back building and repaint. Patch hole in wall behind door in sump pump closet and repaint.

Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d). Clean grounds behind dumpster corral (Old furniture).

Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Repair/replace broken sliding board. Nail in protruding nail on fence around air handler. Replace damaged doors on brown storage building. Keep the property free of high vegetation. 15A NCAC 18A .2831 (i). Remove cut tree debris from behind back building.

Observed toilet seats loose in room 108 and 111. Needs to be tightened. Observed toilets backing up with water on the floor in the PreK building. Unable to flush toilets at this moment. **Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).

Observed water stained ceiling tiles in room 111, restroom in room 108 and Meck room 1. Observed paint peeling in rooms 108 and 107. **Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed toilets backing up in PreK building. Unable to flush toilets at the moment. Drain in girls’ restroom backed up. **Keep the septic system in good repair and functioning properly. 15A NCAC 18A .2829.

Observed sanitzer above 200ppm throughout the center. Water was added to solution and recipe provided. **Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d)

Observed loose toilet seat in the restroom next to the preschool room. **Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).

Observed water stained ceiling tile in EHS5. Needs to be repaired and ensure leak is not ongoing. **Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed sanitizer 250-500ppm in various classrooms. Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d)

Observed cabinet damage in infants on and above diaper hand sink, in 2s, and girls restroom in Meck pre K building. 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 stained ceiling tiles in 2s restroom, Meck Pre k 3 and schoolage classes. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed baby bottle warmers between infant/toddler room and early head start soiled. Thoroughly clean and sanitize interior and insert to bottle warmer. Observed gasket on two door up-right freezer unit broken. Replace broken/damaged gasket on freezer unit. Bottle warming equipment shall be cleaned and sanitized at least daily and when visibly soiled. 15A NCAC 18A .2810 (f) (1) and .2804 (d). Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3).

Observed water temeprature at hand washing sinks in back building bathrooms 73F. Water temeprature shall be 80F-110F. Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e).

Observed water fountain nozzle and mouth guard soiled on water fountain in front and back building. Thoroughly clean and sanitize water fountains daily. Repair leaking water fountain in front building. Keep water fountains clean at all times. 15A NCAC 18A .2815 (f).

Repair leaking toilet in women bathroom. When toilet is flushed in women bathroom water from the plumbing is leaking onto the floor in the boys bathroom. Replace pitted faucet fixture on hand washing sink in 2's room bathroom. Thoroughly clean and disinfect faucet fixture on hand washing sink in 2's classroom area. Repair side splash on counter top in boys bathroom in back building. Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a). Sinks shall be cleaned and disinfected at least daily, when visibly soiled, and when the designated use of the handwashing sink has been changed. 15A NCAC 18A .2818 (c).

Thoroughly clean plush soft toys and underside of tables in infant/toddler room. Clean base corners of toy shelving in early head start. Clean pillow covering, step stools, underside of tables and toy shelving in 2's room. Tighten loose leg on sensory table in 2's room. Thoroughly clean cracks and crevices of toys in 2's room. Provide dirty toy bin in 2's room. Replace missing laminate on furniutre/fixture or paint bare wood surfaces in pre-k 4 room. Clean spots on area rugs in classrooms. Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

Repair wall in hallway near girls bathroom. Secure loose rubber cove base molding in girls bathroom. REPAIR ROOF LEAK AND REPLACE WATER DAMAGED CEILING TILE IN TEACHERS LOUNGE, PRE-K 1 ROOM AND PRE K 3 ROOM! Repair exit door leading to playground in Pre-K 3 room. Base of door is rusted out and holes present. Secure loose rubber cove base molding in pre k 2 room near back door. Patch hole in wall in sump pump room. Secure loose rubber cove base molding in kitchen area. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. ** The three rooms on the right hand side upon entering child care is not being used, doors are locked and childcare is in the process of resubmitting plans to the county and health department.**

Replace blown light bulbunder hood system in kitchen. Repair light fixture or replace light bulbs in boys bathroom in back building. Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a).

Nail in protruding nails on fencing surrounding HVAC system and on outside storage shed. Tightly secure base of playground fencing facing West BLVD.---choking hazard. Store items on the playground so they do not hold or collect water. Repair broken steps on playground fixture. Repair/replace damaged slide. Observed old water damaged chalk boards leaning against building within the playground area. Remove water damaged items from the playground area. Recommend properly placing water diverters on the base of gutters on back building so water does not pool and collect at base of building. Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). All play ground equipment must be kept clean and in good repair. 15A NCAC 18A .2832 (c ). Keep the property free of standing water. 15A NCAC 18A .2831 (b).

Observed debris under diaper pads in toddlers and infants classes. Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b).

Observed boppy torn in infants. Observed dust/debris on hard toys, such as cars, buses in after school/ lay over room in main building. 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 stained ceiling tiles in toddlers, infants, and bathroom in 3s classrooms. Observed damaged blinds in toddlers and 2s classes. Observed lifting floor tiles in infants (near playground door) and in bathroom of 2s. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

REPEAT Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed top of toilet (lid) broken in half held together with tape in need of replacing.

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 peeling laminate off of cabinet doors and shelving. Observed tape residue on wooden cubbies in need of removal throughout.

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed baseboards in Toddler room and 3's room in need of repair. Observed water damaged ceiling tiles in lavatory inside 4's room. Observed window sills in toddler room in need of touch-up painting.

Keep the property free of standing water. 15A NCAC 18A .2831 (b). Observed air conditioner unit condensate leaking into play enclosure (drain pipe for condensate broken), Repair piping to divert away from play area.

Replace pitted faucet fixture on hand washing sink in 2's bathroom. Replace stained, etched toilet seat in after school girls bathroom. Clean stall fixture in after school girls bathroom. Repaint side of hand washing sink counter in 2's bathroom where laminate is coming off. Tightly secure loose laminate on hand washing sink counter top in 2's classroom. Caulk/seal hand washing counter top to side cabinet in 2's room and toddler room. Caulk/seal hand washing sink to wall in after school boys bathroom. Keep hand washing sinks clean and in good repair. 15A NCAC 18A .2818 (a). Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).

Observed disinfectant solution too weak (between 100 ppm and 250ppm) at arrival of inspection in toddler and infant room. All disinfectant bottles throughout facility pulled from classrooms and properly mixed disinfectant provided! Provide properly mixed disinfectant at all times so diaper changing tables can be properly cleaned and disinfected! USE DISINFECTANT TEST STRIPS! FACILITY HAS DISINFECTANT TEST STRIPS!Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

Observed bottle of hand sanitizer stored on toy shelving and counter top in after school room. Store hand sanitizer five feet out of reach of children or locked away! Approved non-hazardous products must be stored 5 ft above the floor or behind lock and key. 15A NCAC 18A .2820 (b), (c ) and (d).

Wipe/clean interior of cabinet door in room between infant and toddler room. Repair loose leg on sensory table and clean underside edge of table in toddler room. Replace damaged cover on boppie and discard damaged plush toy in infant room. Wipe/clean base of toy bin in infant room. Secure loose laminate on cabinet doors. Replace missing laminate on cabinet doors and edge of cubbies or paint area where laminate is missing. Replace damaged shelving under hand washing sink counter in teacher lounge. Observed water in sensory table in 4's room and children were at reading center before going outside. Place water in sensory table shorty before being used and empty after being used! Replace damaged red bin in 4's room. Clean base of toy bin in 3's room. Clean base of bye-bye buggy. Clean tape adhesive from cubby area. Clean area around clothe washer lid. 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).

Secure loose rubber cove base molding and touch-up paint door framing in room between toddler and infant room. Touch-up paint window sill in toddler room. Secure loose floor tile near exit door in infant room. Patch hole in wall behind door and replace missing ceiling tiles in chemical closet/sump pump closet. Repair wall in hallway where bye-bye buggy is stored. Secure loose rubber cove base molding in after school girls bathroom. Replace out of place ceiling tiles in 2's bathroom and repair bowing ceiling in 2's classroom. Secure loose floor tile in kitchen pantry. Observed water stained ceiling tile in teacher lounge, 4's, 3's, after school room and first room on left in back building. REPAIR ANY AND ALL ROOF LEAKS, THEN REPLACE WATER STAINED CEILING TILE! Replace missing guard on push door handle at front door and door near leading out to playground near kitchen. Repair latching mechanism on back door near kitchen. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Replace blown light bulb in light fixture or repair light fixture in bathroom between 4's and 3's room. Replace missing light shield over light fixture in 2's bathroom and chemical/sump pump closet or replace light bulb with shatter proof light bulb. Replace cracked damaged light shield over light fixture in kitchen. Clean window blinds in 2's room. Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a). Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).

Observed teacher not wash hands after cleaning and disinfecting diaper changing table. Spoke to teacher about hand washing. Wash hands when required. 15A NCAC 18A .2803 (a)

Observed 2 packs of turkey thawing in standing water in kitchen. Thaw in refrigerator or under cold runinng water. All potentially hazardous food shall be properly thawed. 15A NCAC 18A .2807 (i).

Provide a small diameter probe thermometer for checking internal temperatures in foods. Facilities shall maintain an accurate and calibrated metal stem thermometer. 15A NCAC 18A .2807 (h) and .2809 (12).

Observed no sanitizer present in afterschool or 3s classrooms during inspection. Sanitizer placed in classrooms. Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d)

Observed tape residue in children's cubbies in afterschool and pre-k classes. Observed damaged cabinet under hand sink in 3s 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 water damaged ceiling tiles in 2s and 3s(restroom and above shelving) classes. Observed chipped wall paint near blue couch in toddler 1 class and near kitchen set at window in afterschool class. Observed baseboard separating from wall in kitchen area in infants class and behind toilet in afterschool girls restroom. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed utensil shelving(storage area) soiled in kitchen area. Observed hand lotion and stapler stored in bin with single service articles in kitchen area. Store stapler and hand lotion away from single service articles, clean utensil and food products. Single-service articles must be kept clean and protected from contamination. 15A NCAC 18A .2809 (8), .2814 (a) and (b).

Observed base of toilets soiled in jack and jill bathroom between 4's and 3's room and after school boys bathroom. Observed pitted faucet fixture on hand wash sink in 2's bathroom. Observed loose faucet fixture on hand washing sink in boys after school bathroom. Observed underside of toilet seat in girls after school bathroom stained and damaged. Thoroughly clean the base of toilets. Replace pitted faucet fixture and tighten loose faucet fixtures on hand washing sink. Replace stained/damaged toilet seat. Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Keep hand washing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Observed hand lotion and disinfectant solution not properly stored in teacher lounge bathroom. Store disinfectant solution and hand lotion five feet vertical distance out of reach of children. Approved non-hazardous products must be stored 5 ft above the floor or behind lock and key. 15A NCAC 18A .2820 (b), (c ) and (d).

Tightly secure loose molding on cubbies, cabinet doors and edge of cabinets throughout in rooms or paint area where missing laminate/trim is missing. Observed toys in soiled linen bin in toddler room. Do not store or place soiled toys in soiled laundry bin. Observed soiled linen and soiled toy bin not labeled in infant room. Label soiled linen and soiled toy bin. Tighten loose toy fixtures throughout in rooms(kitchen play tables, chairs, etc.) Observed some moisture in covered water play table in a classroom. Allow water play table to properly air-dry! Repair damaged shelving under cabinet area in teacher lounge/work room. Tighten loose handles on cabinet doors. Clean base of bye-bye buggy. Clean area around clothes washer machine lid 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).

Clean wall near hand washing sink in toddler room. Repair corner of wall in toddler room. Tightly secure loose cove base molding in kitchen area between toddler and infant room. Repair any roof leaks, then replace water stained and damaged ceiling tiles throughout in rooms. Tightly secure molding around door in jack and jill bathroom between rooms. Patch hole in closet where sump pump is located. Repaint wall in after school room where wall repairs have taken place. Monitor and repair wall in kitchen area near stove. Clean spots on throw rugs throughout in rooms. Clean wall in jack and jill bathroom. Replace missing cover and end plates on door handles leading to exterior of building from within classrooms. Wipe/clean doors to classrooms.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Repair light fixtures or replace blown light bulbs in light fixtures throughout in classrooms, bathrooms and kitchen area. Observed low lighting over diaper changing and food prep areas. Provide light shield over light fixture in 3's room. Clean window blinds throughout in classrooms. Clean return air ventilation in hallway area and kitchen area. Repair light fixture or replace blown light bulb in light fixture under hood system in kitchen area. Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a). Lighting shall be capable of illumination to at least 50 foot-candles at work surfaces describe in 15A NCAC 18A .2826 (a). Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).

Observed drain in can wash clogged and covered in debris, dirt, etc. Unclog and use can wash located outside of back door! Maintain a fully operating can wash or mop sink at all times. 15A NCAC 18A .2830 (b).

Repair exterior of building located outside of after school exit door within classroom. Monitor and repair exterior of building within the playground area. Repair damaged fencing surrounding air handler. Replace missing and damaged lattice surrounding base of storage building. Repair slide and steps to playground fixture located in far back corner of playground. Clean playground fixture and toys. Replace missing screw on climbing fixture and screw in any protruding screw/bolts on fixtures. Paint playground fixture where paint is chipping and rust is present. Clean grounds within fenced in area of air handler. Repair base of gate leading to back playground (protruding and loose wiring) Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). All play ground equipment must be kept clean and in good repair. 15A NCAC 18A .2832 (c ).

Observed varnish/sealant worn from interior end guards on diaper changing table exposing bare wood throughout in several rooms. Apply wood sealant/varnish on end guards of diaper changing table where varnish/sealant is worn off. Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b).

Secure loose laminate on cabinet doors and edge of cabinets throughout . Clean railing on booster seat in infant room. Replace damaged shelving under hand wash sink in teacher lounge. Observed varnsih/sealant worn from cabinets, fixtures and toy shelving. Apply wood sealant/varnish to old furniture/fixture which sealant is wearing and worn off. Replace missing brace on base of information board in 4's room. WIpe/clean interior of cabinet doors in 4's room. Remove protruding screw from toy fixture in 2's room. Replace missing bolt on screw on sensory table in 2's room. Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

Repaint throughout in rooms where needed. Repair any roof leaks, then replace water stained ceiling tiles. Patch hole in wall behind door where sump pump is located. Clean bathroom door leading in from 3's classroom and touch-up paint. Repaint wall under window in after school window. Tightly secure loose rubber cove base moulding behind oven in kitchen. Thoroughly clean kitchen door. Repair latching mechanism on back door leading out to the playground area. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Provide light shield over light fixture in 3's room. Repair light fixture in after school room. Replace blown light bulb under hood system in kitchen and repair light fixture in pantry area within the kitchen. Clean ceiling ventilation and return air ventilation in 2's room and bathroom. Replace cracked/damaged glass in break room window. Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a).Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).

Observed outside can wash drain covered/clogged. Observed no hot water/ water temperature less than 80F at mop sink in closet area. Repair hot water to mop sink and unclog drain at outside can wash. Observed old table stored beside dumpster. Discard of old table in dumpster. Observed trash/debris behind back of building and board present near front entrance of building that is not being used. Clean ground around building and properly dispose of trash, debris, etc. Maintain a fully operating can wash or mop sink at all times. 15A NCAC 18A .2830 (b).

Repair exterior siding of building around back exterior door to after school room and on side of building within playground area. Replace damaged boards on fencing surrounding air handler. Replace missing screw/bolt in playground fixture. Replace rotten/damaged boards on storage shed. Tightly secure loose and missing lattice on storage building. Replace missing down spouts on gutters on back building. Cover exposed concrete along base side of back building. Cut grass outside of after school exit door. 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).

Observed raw egg products stored above other food products in two door up-right refrigeration unit in kitchen. Store raw meat and raw egg products below and away from other food products.**Raw meats, poultry, fish, shellfish, and eggs shall be stored on shelving beneath and separate from other foods. 15A NCAC 18A .2806 (f)

Observed loose, missing and damaged laminate on edge of cubbies, shelving and doors throughout in all classrooms. Tightly secure loose laminate on cubbies, shelving and doors. Where laminate is missing just paint bare wood/press wood surface. Observed build-up of food debris present on handle area on chair and railing on floor booster seat in infant room. Reattach door on base of diaper changing table in infant room. Clean covering on floor pillow and railing on feeding chair in toddler room. Observed pillow covering stained and food debris on underside of railing on feeding chair. Observed cracks and crevices on toys in 2's room soiled. Thoroughly clean toy fixtures in 2's room. Observed base corner of chalk board in after school room bent/damaged. Repair base corner of chalk board in room. Observed varnish/sealant wearing and worn off of old furniture/fixture. Highly recommend resealing furniture/fixtures with a wood sealant/varnish or replacing worn furniture/fixture. Thoroughly clean dolls in 2's room. Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

Tightly secure loose rubber cove base moulding in kitchenette between infant and toddler room. Repair bathroom door framing or replace missing door in 4's class. Patch hole in wall in chemical closet behind door. Replace damaged ceiling tiles in 3's room. Clean throw rugs throughout in rooms. Touch-up paint/repaint throughout in all classrooms. Replace water stained ceiling tiles throughout in rooms.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Repair light fixture in toddler room near diaper changing and hand washing sinks. Provide light shield over light fixture in 3's room. Replace cracked light shield over light fixture in 2's room. Repair light fixture in after school/ school age room. Replace blown light bulb in light fixture under hood system in kitchen and in light fixtures throughout kitchen. Wipe/clean window blinds throughout in classrooms. 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). Lighting shall be capable of illumination to at least 50 foot-candles at work surfaces describe in 15A NCAC 18A .2826 (a).

Unclog drain in outside can wash. Observed doors and lids on dumpster opened. Keep dumpster doors and lids closed at all times! Observed large sized rug rolled up and stored on the ground/playground area outside of 4's classroom. Remove and properly discard of rug. Keep dumpster lids and doors closed to prevent insect and vermin nuisances. 15A NCAC 18A .2830 (d).Maintain a fully operating can wash or mop sink at all times. 15A NCAC 18A .2830 (b).

Observed old desk with damaged top and sensory table with loose leg outside of infant,toddler and 2's classroom Remove desk with damaged top and repair leg on sensory table. Observed exterior of building outside of school age exit door damaged(rotten/damaged boards). Repair exterior of daycare building. Observed rotten/damaged boards on storage shed within the playground area. Replace rotten/damaged boards on storage shed. Observed holes/washed out grounds on side of back building where gutters is missing. Fill in holes on side of back building and repair gutters. Observed exposed concrete with sharp and jagged edges base side of back building due to missing gutter and wash out from rain. Cover exposed concrete along base side of back building. Repair sliding board on playground area. Observed gap between sliding board and top deck of equipment. Replace missing pedals on tricycles. 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).

Observed ziploc bag of cereal stored on diaper changing hand wash sink counter in infant room. DO NOT STORE OR PLACE ANY FOOD PRODUCT ON DIAPER CHANGING HAND WASH SINK COUNTER. Store food in kitchenette between infant and toddler room.All food shall be stored and handled in a manner that protects it from contamination. 15A NCAC 18A .2806 (d),(f), .2807 (b), and .2808 (e).

Observed missing thermometer in refrigeration unit in kitchenette area between infant and toddler room. Replace missing thermometer in infant/toddler refrigeration unit.Provide an accurate thermometer in all refrigerators. 15A NCAC 18A .2806 (h)

Observed ziploc bag containing bowls/cup stored on diaper changing hand wash sink counter in infant room. DO NOT STORE OR PLACE ANY SINGLE SERVICE ARTICLES ON DIAPER CHANGING HAND WASH SINK COUNTER. Store single service articles in kitchenette between infant room nd toddler room.Single-service articles must be kept clean and protected from contamination. 15A NCAC 18A .2809 (8), .2814 (a) and (b).

Observed broken fence surrounding can wash area and children have access to can wash. Observed hot water at can wash 123F.Hot water at areas accessible to children shall not exceed 120°F. 15A NCAC 18A .2815 (e).

Disinfectant was registering too weak in all spray bottles throughout daycare(infant and toddler room) so diaper changing surfaces/tables was not properly being cleaned and disinfected between uses!To clean and disinfect diapering surface: 1) Spray soapy water onto surface 2) Wipe off soapy water 3) Spray disinfectant onto surface until surface is glistening wet 4) Let disinfectant sit for at least 2 minutes or until air dry. 15A NCAC 18A .2819 (d). The diaper changing surface shall be properly disinfected between each child. 15A NCAC 18A .2819 (c ).

Observed disinfectant too weak throughout in all rooms. Daycare was using splash less bleach. Splash less bleach and scented bleach is not to be used as a sanitizer or disinfectant. Disinfectant shall be 500PPM-800PPM. Provide disinfectant test strips or high chlorine reading test strips at all times. Disinfectant strips could not be found.Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).Provide test strips for the chlorine disinfectant. 15A NCAC 18A .2819 (c )

Observed container of hand sanitizer stored on table at front entrance less than five feet vertical distance out of reach of children. Observed teacher purse stored in unlocked cabinet less that five feet vertical distance out of reach of children. Store hand sanitizer and teacher purse five feet vertical distance out of reach of children or locked away.Purses, that do not contain hazardous items, must be stored 5 ft above the floor, behind lock and key, or behind a child safety lock. 15A NCAC 18A .2820 (f).Approved non-hazardous products must be stored 5 ft above the floor or behind lock and key. 15A NCAC 18A .2820 (b), (c ) and (d).

Observed cubby area labeled with child's name and number but the wrong number mat was stored in cubby area IN 2's and 3's classroom. Observed mats with two different numbers. Mark out wrong or old number on sleeping mats. THERE IS NO NEED TO LABEL OR NUMBER LINEN TO COVER MATS!All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ).

Observed loose, missing and damaged laminate on edge of cubbies, shelving and doors throughout in all classrooms. Tightly secure loose laminate on cubbies, shelving and doors. Where laminate is missing recommend just paint press/particle wood. Tighten loose screws and bolts and replace missing screws and bolts on sensory table in toddler room. Observed build up of food debris present on handle area on chair and booster seat in infant room. Observed soft plush floor toy soiled in infant room. Observed soft climbing toy damaged in infant room Observed cover in walker and cushion on teacher chair soiled ion infant room. Clean handle area on chair, booster seat, soft plush floor toy, cover in/on walker and cushion on teacher chair. Observed floor throw pillow covering soiled in 3's and 2's year old classroom. Thoroughly clean covering on pillow. Repair hinge on cabinet door in 2's classroom. Thoroughly clean cracks and crevices on toys and toy fixture in 2's room and school age/after school room. Properly repair stand-up mirror in school age/after school room or discard mirror. Observed sealant wearing off of shelving and toys cabinets throughout in all rooms. Recommend resealing/ revarnishing shelving and toys cabinets throughout in all rooms which varnish and sealant is wearing off. Clean area around top of washer machine.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).

Tightly secure loose rubber cove base moulding in kitchenette between infant and toddler room. Cut frayed carpet near exit door in toddler room. Repair bathroom door framing or replace missing door in 4's class. Patch hole in wall in chemical closet behind door. Replace damaged ceiling tiles in 3's room. Clean throw rugs throughout in rooms. Touch-up paint/repaint throughout in all classrooms. Replace water stained ceiling tiles throughout in rooms

Repair light fixture in toddler room near diaper changing and hand washing sinks. Provide light shield over light fixture in 3's room. Replace cracked light shield over light fixture in 2's room. Repair light fixture in after school/ school age room. Replace blown light bulb in light fixture under hood system in kitchen and in light fixtures throughout kitchen.

Unclog drain and remove grass growing from drain in outside can wash. Clean grounds around dumpster and behind dumpster storage area. Observed old board debris, carpet and trash behind dumpster area.Solid wastes shall be disposed of in a manner that prevents insect breeding and public nuisances. 15A NCAC 18A .2830 (d).Maintain a fully operating can wash or mop sink at all times. 15A NCAC 18A .2830 (b).

Observed old table, chairs, boards and debris behind storage shed within the playground area, behind main daycare building and back daycare building. REMOVE ITEMS FROM PREMISES! Observed exterior of building outside of school age exit door damaged(rotten/damaged boards). Repair exterior of daycare building. Observed rotten/damaged boards on storage shed within the playground area. Replace rotten/damaged boards on storage shed. Observed holes on side of back building where gutters is missing. Fill in holes on side of back building and repair gutters. Observed exposed concrete with sharp and jagged edges base side of back building due to missing gutter and wash out from rain. Cover exposed concrete along base side of back building. Cut grass behind building and remove grass/ growth within boarders surrounding playground equipment. Monitor and repair sliding board on playground area. Observed gap between sliding board and top deck of sliding board. Observed tires on the playground area holding and collecting water. Remove tires from premises or drill holes in sides of tires so water can drain.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).

Observed broken ice machine in kitchen area. Either repair or replace ice machine. Observed rusted shelving and shelving which laminate is coming off in two door up-right refrigeration unit in kitchen area. Replace rusted shelving and shelving which laminate is coming off. Observed handle on two door up-right refrigeration unit soiled. Thoroughly clean handle on refrigeration unit. Observed ice starting to build up in top section of refrigeration/freezer unit in infant room. Defrost and clean freezer section of refrigeration unit.Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3).

Observed cases of Styrofoam cups stored on the floor in back storage room area of kitchen. No storage on the floor. Store single service articles and clean utensil/equipment in or on clean area and in a manner to prevent contamination.Single-service articles must be kept clean and protected from contamination. 15A NCAC 18A .2809 (8), .2814 (a) and (b).

Observed cracks and crevices of toys soiled throughout in toddlers and 4's room. Observed soiled/stained pillow covering in 2's room. Observed loose screw on easel in 3's room. Observed missing caulking along base of side splash/ back splash and counter tops in different classroom. Caulk/seal counter top to side and back splash in rooms.Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

Observed water stained ceiling tiles throughout in all classrooms. Repair any roof leaks and replace water stained ceiling tiles. General wiping/cleaning of walls throughout in classrooms area. Repair and repaint walls throughout where needed. Repair splintering wooden door framing at entrance to bathroom between 4's and 3's room. Tightly secure loose base board moulding in classrooms and bathrooms. Repair wall around window in 3's room. Clean and shampoo carpet and throw rugs throughout where needed. Observed stains on rug in toddler room. Touch-up paint/repaint throughout where needed.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed light fixture missing light shield over fixture in 3's room. Observed several light fixture not properly working in school age room. Either replace blown light bulbs or repair light fixture in school age room.Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a).Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).

Replace trash dumpster!. Dumpster is damaged on front and back at the base. Clean grounds around dumpster area!Keep dumpster and garbage containers free of holes and in good repair to prevent insect and vermin nuisances. 15A NCAC 18A .2830 (d).

Observed old tables, boards and debris behind storage shed between the two building. Remove old tables, board and debris from premises. Observed exterior of building outside of school age room exit door damaged(rotten/damaged boards). Repair exterior of daycare building. Observed protruding nails on fencing surround enclosed area on playground area. Nail down protruding nail on fencing within playground area. Observed tires on the playground area holding water. Either remove tires from premises or drill holes in tires so they do not collect water!Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).At child care centers, the premises, including the outdoor learning environment, shall be kept clean. 15A NCAC 18A .2832 (a).Keep the property free of standing water. 15A NCAC 18A .2831 (b).

Observed gasket damaged on two door up-right refrigeration unit in kitchen area. Replace damaged gasket on refrigeration unit door. Observed block of ice starting to form on back and side wall of up-right freezer unit. Repair two door up-right freezer unit to address the ice forming on walls of unit. Observed broken ice machine in kitchen area. Either repair or remove broken ice machine from premises. Observed bottle warmers stored in classroom not being used; soiled. Thoroughly clean bottle warmers. Observed laminate on shelving in up-right refrigeration unit coming off and rust present on shelving. Replace rusted shelving in refrigeration unit and do not attempt to paint shelving!Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f)Bottle warming equipment shall be cleaned and sanitized at least daily and when visibly soiled. 15A NCAC 18A .2810 (f) (1) and .2804 (d).

Observed utensil shelving in kitchen area soiled. Thoroughly clean utensil shelving. Observed single service articles(plastic fork, plastic spoon and Styrofoam plates) not properly stored in kitchen area. Store Styrofoam plates once removed from box or sleeving inverted down. Cover large bin of plastic forks and spoons once taken from plastic bag or box.Single-service articles must be kept clean and protected from contamination. 15A NCAC 18A .2809 (8), .2814 (a) and (b).Protect food service equipment from contamination. 15A NCAC 18A .2814 (a) and (b).

Observed leaking plumbing fixture on handsink in girls bathroom located in hallway area. Observed damaged stall fixture in boys bathroom in back building. Repair leak on hand sink plumbing fixture. Sand rust off of stall fixture in boys bathroom and repaint.Keep hand washing sinks clean and in good repair. 15A NCAC 18A .2818 (a).Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).

Observed children sleeping on wrong labeled mats in toddler room. Make sure children are sleeping on their correct mat. Observed children sleeping on mats not properly spaced. Mats shall be 18 inches apart when children are napping.All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ).Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e).

Observed tables and chairs soiled throughout in different rooms. Observed wooden furniture/fixture throughout in different rooms with the sealant worn or wearing off, making for furniture/fixture hard to clean. Highly recommend resealing wooden furniture/fixtures throughout entire daycare. Observed loose handles on cabinet door. Tighten loose handles on cabinet doors. Observed soiled soft floor pillow in rooms. Clean linen on pillow at least once a week or when visibly soiled. Observed loose and missing laminate on cubbies. Tightly secure loose laminate and recommend painting bare wood where laminate is missing.Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

Observed damaged and soiled walls throughout daycare. Thoroughly clean walls and repair walls throughout daycare building. Observed water stained ceiling tiles throughout different rooms in daycare. Repair any and all roof leaks, then replace water stained ceiling tiles. Observed bare wood window seal/ledge under metal window. Would recommend painting or applying wood sealant to bare wood surfaces. Repair wall under window in 4's room. Address water coming into building in after school room near floor area. Repaint walls throughout daycare where needed. Tightly secure loose rubber base board moulding throughout daycare.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed light bulbs blown in light fixtures throughout in different classrooms and kitchen area. Observed damaged light shield over light fixture in 4's room. Replace blown light bulbs in light fixtures and replace damaged light shields. Clean/dust ventilation and return air ventilation.Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a).Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).

Observed dumpster with hole in base. Replace trash dumpster. Observed old rotten desk and broken basketball goal stored beside shed on playground area. Remove rotten table and broken equipment from premises!Keep dumpster and garbage containers free of holes and in good repair to prevent insect and vermin nuisances. 15A NCAC 18A .2830 (d).Solid wastes shall be disposed of in a manner that prevents insect breeding and public nuisances. 15A NCAC 18A .2830 (d).

Observed damaged fencing leading to older kid section of playground area. Repair fence!. Observed poison ivy on play ground area. Spray playground area to eliminate poison ivy. Address standing water in low area of playground. Remove rotten/damaged wood on storage shed and replace.Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).Keep the property free of high vegetation. 15A NCAC 18A .2831 (i).Keep the property free of standing water. 15A NCAC 18A .2831 (b).

Repeat: Observed: The washer and dryer in the Kitchen. A water pitcher stored at the sink edge in 3's.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).Food shall not be stored in toilet or laundry rooms. 15A NCAC 18A .2806 (e).

Observed: The Kitchen fridge wire shelving peeling and rusting. The interior of the ice machine collecting residue and calcium buildup (repeat). Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f)

Observed: No backflow prevention device (anti-siphon device/vacuum breaker) on the 3 comp sink spray arm in the Kitchen. Two backflow prevention devices (one plastic and one metal) on the can wash cold water line. Maintain backflow prevention on all hose bibs and threaded faucets. 15A NCAC 18A .2815 (c).~place plastic one hot water line~

Observed: Water damage/wood damaged below the sink in the Staff break room. A damaged toilet seat and the side of the vanity damaged in 2's. The "P" trap leaking at the Kitchen hand washing sink. The vanity damaged in the rear building classroom. A damages sink basin and toilet damaged/not working in the rear building boy's restroom. Keep hand washing sinks clean and in good repair. 15A NCAC 18A .2818 (a).Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).

Repeat: Observed: Laminate damage to cubbies and cabinets in all classrooms. The storage shed inaccessible for entry or for routine cleaning. The shed floor dirty. 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).

Observed: A water damaged diaper changing table (base area near floor) in 2's. The clothes washing machine lid area rusting/flaking paint. Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

Repeat: Observed: Water damaged and broken ceiling tiles throughout both buildings. Wall repairs in need of paint in the 3's/4's restroom. Walls damaged near the baseboards in the Hall Boy's restroom. Sagging ceiling tiles in the rear building. The dividing wall damaged/not properly in place in the rear building. The rear building girl's restroom stall walls rusting and walls in need of touching up. Window in need of being replaced due to break in. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.carpets last extraction cleaned 8/10/13

Repeat: Per form, CCA treated lumber was last sealed 3/6/11.All exterior non-painted wood installed before 1/1/05 must be sealed or stained at least every 2 years. Seal wood with either an oil-based, semi-transparent sealant, oil-based clear stain, or water-based clear stain. 15A NCAC 18A .2831 (e), (f), and (g).

Observed: Trash/debris/old playground equipment stored around buildings, behind shed, and within gated areas. Can wash pit in need of being cleaned out (leaves/gravel). Standing water in the parking lot due to damaged blacktop. Standing water in old outdoor toys. Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).At child care centers, the premises, including the outdoor learning environment, shall be kept clean. 15A NCAC 18A .2832 (a). Keep the property free of standing water. 15A NCAC 18A .2831 (b).