BEGINNING YEARS DAYCARE IV,INC.

Observed disinfectant stored below 5ft in the infant room. Placed on shelf. GENERAL COMMENT **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 bags touching in the infant room. Removed. GENERAL COMMENT. **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 torn mat in infant room. **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 mat/cots not properly labeled in the 3 and 4 year old room. **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 wallpaper peeling in the closet in the toddler room. Observed wall in need of repair in the restroom in the 3 year old room. **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 Gerber food brought from home not labeled in the infant room. Label was added during the inspection. GENERAL COMMENT **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 loose toilet seats in rooms C, D and E. Needs to be tightened. **15A NCAC 18A .2817 (a.) All toilet fixtures shall be kept clean and in good repair.

Observed no handwash sign in the restroom in room E. **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 mat labeled “Twos” in room C. Needs to have the child’s name. All other mats were labeled. GENERAL COMMENT **15A NCAC 18A .2821 (c). Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens.

Observed bottle warmer in need of cleaning. Cleaned during the inspection. GENERAL COMMENT **15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair.

Observed loose toilet seats in 2 and 4 year old room. Needs to be tightened. **15A NCAC 18A .2817 (a). All toilet fixtures shall be kept clean and in good repair.

Observed sanitizer and disinfectant stored below 5 feet in the infant room. Placed on shelving during the inspection. GENERAL COMMENT **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 insect crawling on the wall in the kitchen. **15A NCAC 18A .2831 (b). Pests shall be excluded from the child care center. Traps set for pests shall only be placed in areas that are inaccessible to children.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed loose toilet seat in 2s bathroom. Needs tightening. REPEAT.

General Comment: 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 oils and lotions stored in drawers less than 5ft up in infant room. Needs to be 5ft up or locked.

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 tears on mats in 3s room. Needs repair/replacement. REPEAT. 15A NCAC 18A .2821 (d). Mats be stored so that the side of the mats that makes contact with the floor does not touch the side of a mat that any child sleeps on. The sleeping surface of one child's mat shall not come in contact with the sleeping surface of another child's mat during storage. Observed floor side of mat touching sleeping side of another in multiple classroom. Floor and sleeping surface as well as sleeping surfaces of different children’s mats shall not come into contact during storage. EHS recommends storing with barrier between mats.

General Comment: 15A NCAC 18A .2825 (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas, shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint. Observed peeling wall paper bottom wall edging loose in 3s bathroom. Needs repair.

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 between 112F and 114F in several classrooms. CDI - Hot water was adjusted during inspection.

15A NCAC 18A .2815 (f).Drinking fountains, if provided, shall be separate from handwash lavatories and kept clean. Observed minor build up on spout of drinking fountain next to office. Needs cleaning.

15A NCAC 18A .2816 (b) (1) Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. Samples shall also be collected and tested within 30 calendar days of completion of any renovations or repairs that may impact the facility's drinking water infrastructure, such as repair or replacement of all or part of drinking water service lines or faucets, at impacted outlets. The operator shall provide documentation of testing results for review by the Department during each unannounced routine sanitation inspection. Observed facility has not had drinking water tested for lead since 9/22/2020. Drinking water for lead testing is due. Facility shall have water testing for lead completed as soon as possible. Director can go to Clean water for Carolina Kids to register and request lead testing. Points not taken per supervisor instruction. REPEAT. No points taken because facility has registered and sent in test. Results have not arrived.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed loose toilet seat in 2s bathroom and 4s Boys bathroom. Needs tightening. 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 tears on some unused cots in Toddlers classroom. Needs repair.

15A NCAC 18A .2816 (b) (1) Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. Samples shall also be collected and tested within 30 calendar days of completion of any renovations or repairs that may impact the facility's drinking water infrastructure, such as repair or replacement of all or part of drinking water service lines or faucets, at impacted outlets. The operator shall provide documentation of testing results for review by the Department during each unannounced routine sanitation inspection. Observed facility has not had drinking water tested for lead since 9/22/2020. Drinking water for lead testing is due. Facility shall have water testing for lead completed as soon as possible. Director can go to Clean water for Carolina Kids to register and request lead testing. Points not taken per supervisor instruction.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed loose toilet seats in Twos, Threes, and Fours bathrooms. Needs tightening. REPEAT.

15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed personal bag and dirty toy bin stored on diapering sink in Infant room. Lavatories shall not be used for storage. REPEAT.

No points deducted. 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed correction fluid still in packaging stored in unlocked drawer in Twos room. CDI - Fluid was discarded by teacher.

15A NCAC 18A .2821 (d). Mats be stored so that the side of the mats that makes contact with the floor does not touch the side of a mat that any child sleeps on. The sleeping surface of one child's mat shall not come in contact with the sleeping surface of another child's mat during storage. Observed mats in Twos and Threes classroom with sleeping side and floor side in contact. Needs to be stored where sleeping surface is not touching floor surface of another mat. 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 labels missing on cots in Threes classroom. Needs labeling.

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 drawer tracks broken on drawer in infant and in Toddler room. Needs repair.

15A NCAC 18A .2825 (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas, shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint. Observed water damaged ceiling in afterschool bathroom 1. Needs repair/repainting.

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 banana cookies stored in cabinet in infant room in opened box and packaging. Needs to be in sealed packaging.

15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair. Observed debris build up on underside of high chair tray. Director cleaned tray.

REPEAT Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed toilet seat very loose in 2-year old classroom.

Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a). Observed bottles stored in sinks in infant room. Items shall not be stored in handsinks.

Specialty bulk milk that is sent from home has written approval by the parent or guardian and is sent to the child care center at the beginning of each week unopened, labeled with the date received by the childcare center, and labeled with the name to the child to whom it belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom it belongs. 15A NCAC 18A .2806(d). Observed bulk almond milk in refrigerator in infant room labeled 6/29. Needs to be sent home at the end of the week. Water from handwashing lavatory shall not be used for bottle warming or to prepare formula 15A NCAC 18A .2810(f). Observed teacher in infant room uses water from food preparation area handsink in bottle warmer. Needs to use water not from a handsink. 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 at the end of each day. 15A NCAC 18A .2804(h). Observed bottles half full in infant room on food preparation area counter. Teacher stated they were on a two hour rule and would be given back to children who were currently playing on the floor. Bottles cannot be reserved.

Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d). Observed chlorine sanitizer in infant room, 3-year old room, and 4-5 year old room at 500 ppm chlorine. Needs to be diluted.

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 had handsink in infant room at 113F. Temperature was correct in all other classrooms.

REPEAT Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed toilet seat very loose in 2-year old classroom, 3-year old classroom, and the bathroom inside (4’s) classroom.

All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed aerosol carpet cleaner stored on shelf in 3 year old classroom. CDI spray properly stored behind lock and key. REPEAT. Hazardous products shall be stored in its original container or in another labeled container. 15A NCAC 18A .2820 (b). Observed spray bottle of red liquid in 3-year old locked storage closet with no label. Teacher stated it is a carpet cleaner. Needs to be labeled.

General Comment: The childcare center shall have a written procedure 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. 15A NCAC 18A .2827 (d). Observed facility does not have a written procedure. Requirement has recently been adopted in rule changes on July 1, 2023. EHS emailed PIC link to page with procedures and rule update information.

REPEAT Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed toilet seat very loose inside boys bathroom inside (4’s) classroom. Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a). Observed plumbing underneath hand washing sink inside (3’s) classrooms leaking in need of repair.

NO POINTS DEDUCTED All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed bug spray stored inside (outside bag) in (4’s) class; CDI spray properly stored behind lock and key.

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825; Observed shelving mounted on walls in each classroom used for storing approved non-hazardous chemicals (sanitizer / disinfectant) rusty in need of replacing or re-surfacing.

Observed no thermometer in the Infant room refrigerator. Provide. Provide an accurate thermometer in all refrigerators. 15A NCAC 18A .2806 (h)

No Points Deducted: Observed the hot water in the kitchen get to 102F, then 99F, then to 97F as it continued to run. Provided maintenance to adjust during the inspection. Temp now above 120F. The kitchen dishwashing sink shall be supplied with hot water at 120°F or above. 15A NCAC 18A .2815 (e).

-Repeat: Observed loose toilet seats in the 3/4 year old class and in the 3 year old class. Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). -Observed some of the push faucet with run times shorter than 15 seconds. Regulate to provide a minimum of 15 seconds run time to facilitate proper handwashing. Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Observed car seats and plush toy stored in the restroom in the infant room. Follow the rule below. Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a).

No points Deducted: Observed clean sheets stored on the diaper changing station- Infant's room. Informed the employee to move them. Keep the diaper changing table free of non-diaper changing related storage. 15A NCAC 18A .2819 (b).

-Observed sleeping mats stored with the floor and sleep side touching- no barrier in between.- 3's class. Sleeping mats, cribs, and cots shall be stored to prevent contamination. 15A NCAC 18A .2821 (a). -Observed sleeping cots and mats not labeled in the 2's and Toddler's classes. All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ). -Observed rips/holes in the crib mattresses- Infant's, in the cots in the 2's and Toddler's. -Observed sticky residue on the cots- 2's. Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).

Repeat: Observed ceiling stains in the Infant room. Observed the restroom ceilings peeling in the 3/4 year old rooms. Observed the wall peeling in the closet in the Toddler's class. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

No Points Deducted: Observed dust collecting on and around the ceiling vents in the 3/4 year old class and the After school room. Clean. Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).

Observed no sand box cover. Provide. Sandboxes must be covered when not in use and kept clean. 15A NCAC 18A .2832 (c ) (2).

REPEAT Ensure toilet seats are clean and in good repair .2817, .2828, .2836; Observed toilet seats loose in need of repair / tightening inside (2's, 3's) classrooms.

All approved non-hazardous products (disinfectant, sanitizer, EPA approved disinfectant wipes) shall be stored when not in use at 5ft or above or stored behind lock and key . 2820; Observed disinfectant wipes stored below 5ft throughout classrooms, CDI all wipes properly stored at 5ft or above during inspection.

REPEAT Floors, walls and ceilings shall be clean and in good repair; .2824, .2825, .2832, .2836; Observed tape residue collected on large portions of walls and ceiling inside (3's) classroom in need of removal.

REPEAT Equipment shall maintain clean and in good repair; .2822, .2836; Observed metal wire shelves used to hold disinfectant and sanitizer spray very rusted in need of replacing throughout all classrooms.

REPEAT Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed loose toilet seat inside restroom of (3's) classroom in need of repair.

Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). Observed tape residue on wooden cubbies and misc surfaces throughout room of (3's) classroom.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed wall damage inside (school age) classroom in need of repair; Observed large amounts of tape residue stuck to walls and ceiling within (3's) classroom.

REPEAT 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 washing sinks measuring too hot (114F-112F) when tested inside (4's, 5's) classrooms.

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed toilet seats loose in need of repair in (2's, 3's) classrooms.

Purses, that do not contain hazardous items, must be stored 5 ft above the floor, behind lock and key, or behind a child safety lock. 15A NCAC 18A .2820 (f). Observed purse stored inside drawer not at 5ft or behind lock and key or child safety lock in (4's) classroom.

REPEAT Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Observed vents inside bathroom and classroom (infant) in need of cleaning; cleaned on site.

Observed hot water 113-114F in 4s/5s restrooms. Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e).

Observed teacher rinse sippy cup in diaper sink(toddlers). Must then clean and disinfect due to change in use. 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).

Observed container of dirty toys stored in hand sink in infants class. Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a).

Observed ceiling peeling in 2s, 3s, 4/5s restrooms and near window at entrance of 3s class. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed dust build up on vents in infants class and in restroom (4/5s). Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).

Observed a child's hands were not washed after changing his diaper. Care givers shall wash their hands before leaving areas designated for mildly ill children. 15A NCAC 18A .2836 (15).

(REPEAT) Observed the hot water in the school age restroom was 115F and 116.8F in the 3/4's restroom. Hot water shall be maintained between 80°F and 110°F at hand washing sinks accessible to children. 15A NCAC 18A .2815 (e).

Observed a container of Vaseline stored with diapers below 5ft of the floor in the toddler room. 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 a mattress with torn vinyl and exposed cushioning, some mats were worn/damaged, and some mats were not labeled with children's names. All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ). Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).

Observed sticker residue on most furniture, the area rug with curling edge in the 2's room, large pillow covers were soiled, and the laminate cabinets were damaged in the toddler 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 chipping paint on some of the walls in the infant room, ceiling damaged in the toddler closet and 2s closet. Observed storage shed with supplies/equipment with damaged ceiling (hole/microbial growth) Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

(REPEAT) Observed light sheild was missing on light fixture in the storage closet in the school age room (next to laundry). Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).

Observed several active ant piles on the playground and other locations on the premises. Keep the facility free of rodents, insects and vermin. 15A NCAC 18A .2831 (b).

Observed the large play structure needed pressure washing, and the gutters along the roof needed cleaning. At child care centers, the premises, including the outdoor learning environment, shall be kept clean. 15A NCAC 18A .2832 (a).

Observed plated food stored on transfer cart stored atop of one another. Do not sit or store plates of food atop of one another without covering. Cover plates of food before storing one plate of food a top of another plate of food. 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 standing water in base of refrigeration unit. Properly repair refrigeration unit or replace refrigeration unit. Discard utensils with burnt/damaged handle. Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3). Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f)

Observed hot water temperature at hand washing sink in 4's boys and girls bathroom and after school room fluctuate between 118F-119F. Observed hot water temperature at laundry machine 119F. Place mixing valve on underside of hand washing sink in boys and girls bathroom in 4's and after school room. Hot water shall be maintained between 80°F and 110°F at hand washing sinks accessible to children. 15A NCAC 18A .2815 (e).

Replace damaged crib mattress in infant room. Discard and replace damaged sleeping mats in toddler room. Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).

Replace missing laminate on counter and cabinet door in infant and toddler room. Clean tape adhesive from cubby and toy shelving in 2's and 3's room. Clean white cover over plumbing fixtures under hand washing sinks. 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 ceiling in toddler and 2's storage room. Repaint ceiling in 4's bathrooms. Thoroughly clean wall in 2's and 3's bathroom. Clean wall around light switch in after school room. Thoroughly clean tape adhesive from walls or repaint walls throughout where needed. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Repair and use can wash on front corner of building. Water will not turn on at can wash. Maintain a fully operating can wash or mop sink at all times. 15A NCAC 18A .2830 (b).

Replace damaged crawl space door and damaged siding on modular unit located outside of 3's back exit door near air handler. Reattach down spout on gutter on corner of daycare within playground area. Clean out gutters. Clean grounds/pick up trash along property line in and under bushes. Clean fixtures on playground area. 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).

Observed teacher arrive in classroom and did not wash her hands for requiered time. Observed another teacher come into classroom (beginning a shift) and did not even wash her hands. Wash hands upon beginning work and entering into classroom and wash hand for the require time.Handwashing procedure shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for 10 seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 15A NCAC 18A .2803 (c). Wash hands when required. 15A NCAC 18A .2803 (a)

Observed baby bottles and sippy cups labeled with child's name in kitchen refrigeration unit but no date and wrong date. Label baby bottles and sippy cups with child's name and date baby bottle/sippy cups were brought into center. 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)

Defrost and clean freezer section of refrigeration unit in infant room. Repair up-right refrigeration unit in kitchen area. Observed water dripping down back of unit, collecting in base of unit and dripping/running onto the floor. Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3).

Observed hot water temperature at hand washing sink in after school bathroom 115F. Observed water temperature at clothes washer machine 108. Water accessible to children shall be 80F-110F. Water supplied to clothes washer machine shall be 120F. Hot water shall be maintained between 80°F and 110°F at hand washing sinks accessible to children. 15A NCAC 18A .2815 (e). Hot water supplied to clothes washing machines shall be 120°F or above. 15A NCAC 18A .2815 (e).

Observed short run time at hand washing sink in 2's bathroom. Spring loaded faucet fixtures shall operate for at least fifteen seconds. Repair hand washing sink in 4's boys bathroom with little to no water pressure. Tightly secure faucet fixtures to hand washing sink in 4's bathroom(boys and girls). Clean and disinfect area around faucet fixture on hand washing sink in 4's and after school bathrooms and any other hand washing sink where needed. Properly repair flush handle on toilet in 4's room. Handle should push down. Handle is installed where you have to push it up and handle is getting caught on toilet tank lid. Paint rusted paper towel holder in 4's room or replace.Toilets shall be cleaned and disinfected at least daily and when visibly soiled. 15A NCAC 18A .2817 (b). 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 storage on diaper changing table in infant and 1's room. NO STORAGE ON DIAPER CHANGING TABLE! Keep the diaper changing table free of non-diaper changing related storage. 15A NCAC 18A .2819 (b).

Replace damaged sleeping mats throughout in 1's,2's and 3's room. Continue to clean old tape adhesive from corner of sleeping cots throughout. Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).

Tighten loose handles on cabinet doors and drawers in infant and 1's room. Replace missing laminate on edge of cabinet and cabinet door or paint area where laminate is missing. Clean old tape adhesive from cabinet doors in rooms. Label dirty toy bins and store dirty toy bins out of reach of children. Clean handles and sides of chairs in 1's room. Clean underside of table in 1's room. Clean pivot area on high chair legs in infant oom. Repair or replace damage vinyl chairs in 4's room. Remove any damaged wooden block and blocks with loose screws in 4's room. Repair door on kitchenette set in after school room. Clean old tape adhesive from cubby area. Discard and replace splintering wooden blocks in 4's room. Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

REPAIR FLOOR AND SUB FLOORING AT MAIN ENTRANCE AND IN 3'S ROOM BATHROOM! Monitor water spot on ceiling behind light fixture in infant room and address any roof leaks. Clean walls throughout in rooms and repaint. Thoroughly clean walls in bathrooms and area around light switches. Repaint ceiling in 1's storage room, 4's bathroom and after school bathroom and address issue causing paint to chip and flake from ceiling. Replace damaged door to 4's bathroom and secure loose door panel on 4's girls bathroom. Clean walls around and near hand washing sinks in bathrooms. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Repair light fixture in 4's girls bathroom. Observe light fixture just hanging by the electrical wiring. Provide light shield over light fixture in laundry room and storage room beside laundry room or replace light bulbs in light fixture with shatter proof light bulbs. Replace broken window blinds throughout in rooms. 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).

Keep dumpster door closed at all times! Observed raccoons in dumpster! Clean grounds around dumpster area and keep clean! Repair can wash and use can wash. Solid wastes shall be disposed of in a manner that prevents insect breeding and public nuisances. 15A NCAC 18A .2830 (d). 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).

Replace missing crawl space vent covers around daycare to prevent vermins(raccoons/opposum)from getting under daycare. Clean out gutters and replace missing down spouts on gutters. Keep the facility free of rodents, insects and vermin. 15A NCAC 18A .2831 (b).

Wipe/clean gasket on dorm refrigeration unit in infant room. Defrost and clean ice from freezer section of refrigeration unit in infant room and toddler room. Thoroughly clean base and cracks and crevices near legs on high chairs. Thoroughly clean and sanitize bottle warmer in infant room. Repair drawer in kitchen. Tighten loose handle on cabinet and drawer doors in kitchen.

Observed hot water temperature at clothes washer machine 106. Water temperature at clothes washer machines shall be 120F and above. Hot water supplied to clothes washing machines shall be 120°F or above. 15A NCAC 18A .2815 (e).

Thoroughly clean and disinfect toilets in after school bathroom. Tightly secure faucet fixture to hand washing sink in 4's bathroom. Address low water pressure on hand washing sink in 4's bathroom. Toilets shall be cleaned and disinfected at least daily and when visibly soiled. 15A NCAC 18A .2817 (b). Keep hand washing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Observed bouncy seat stored on top of "clean linen and mattress" in crib. Do not store or place items on top of clean linen and mattress in cribs. Replace damaged sleeping mats in toddler room. Observed sleeping mats not labeled with child's name and no number name system in place. Label mats and cots with child's name or use the name and number system. Discard and replace damaged mats in 4's room.

Provide dirty toy bin in infant room. Store dirty toy bin in toddler room not accessible to children. Clean lower toy shelving in 3's room. Repair or replace damaged blue vinyl chair in 4's room. Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

Patch hole in toddler room wall where closet door is damaging wall. Replace missing wall molding on walls in toddler room and remove protruding nails from wall. Repair flooring in 3's bathroom and 4's bathroom. Repair/repaint ceiling in toddler room storage room, 2's storage room and 4's bathrooms. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

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

Seal CCA wood on ramps and playground fencing. 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 interior of bottle warmer and exterior of refrigeration unit soiled in infant room. Observed damaged counter top under refrigeration unit in infant. Observed damaged oven door in kitchen. Clean interior of bottle warmer and exterior of refrigeration unit. Repair counter top under refrigeration unit and damaged oven door. Monitor and repair kitchen counter in kitchen area. Bottle warming equipment shall be cleaned and sanitized at least daily and when visibly soiled. 15A NCAC 18A .2810 (f) (1) and .2804 (d). Outdoor tables used for food service shall be cleaned or covered prior to use. 15A NCAC 18A .2832 (e).

Observed hot water temperature at clothes washer machine 111F. Hot water supplied to washer machine shall be 120F and above. Was informed by Mrs. Brenda that washer machine was broken. Either provide hot water to washer machine, remove broken washer machine or replace machine.

Observed damaged diaper changing table and stained pad on changing table in toddler room. Replace damaged diaper changing table and stained pad in toddler room. Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b).

Observed torn/damaged sleeping mats and cots in rooms. Discard and replace damaged cots and mats. Observed child in infant room sleeping on a mat that was not labeled. Label sleeping cots and mats with child's name or use the name and number system. Continue to clean old tape adhesive from corner of sleeping cots. Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).

Repair ceiling in bathroom located in the hallway. Remove flaking/chipping paint from ceiling in storage closet and bathrooms and repaint. What is causing paint to chip/flake from ceiling? Patch holes in wall and repaint(behind storage room closet door in toddler room, area under window in 4's room). Touch-up paint/repaint throughout in classrooms along lower section of wall. Replace missing and damaged wall molding. Remove tape used to hold wall molding in place. Clean and repaint interior of classroom door leading to exterior of building. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Clean grounds around dumpster area and keep dumpster door closed. Clean grounds along edge of property near dumpster storage area. Repair can wash and provide an operating can wash at all times. Clean drain in base of can wash. Solid wastes shall be disposed of in a manner that prevents insect breeding and public nuisances. 15A NCAC 18A .2830 (d). Keep dumpster lids and doors closed to prevent insect and vermin nuisances. 15A NCAC 18A .2830 (d).

Seal CCA wood. 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).

Repair counter top under refrigeration unit in infant room. Thoroughly clean edge of refrigeration unit door in infant room and toddler room. Monitor counter top in kitchen near stove and replace if needed. Observed major wear on counter top beside stove. Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3).

Observed hot water temperature at washer machine in after school room 113F. Hot water supplied to washer machine shall be 120F. Hot water supplied to clothes washing machines shall be 120°F or above. 15A NCAC 18A .2815 (e).

Continue to discard andrepalce torn/dmaged sleeping mats. Observed torn/damaged sleeping mats in fours room. Observed linen placed on labeled floor siide of sleeping mat. Place linen on clean side of sleeping mat not floor side of mat. #33. Observed (1)torn/damaged linen on sleeping mat in 2's room. Discard and replace linen with hole present. Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).

Replace rusted wire shelving where soapy water solution, sanitizer solution and disinfectant solution is stored within classrooms. WIpe/clean base of drawers in infant room. Wipe/clean underside edge of tables in 2's room. Clean stains on pillow covering in 4's room. Clean step stools to hand washinjg sinks. 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).

Removing loose hanging popcorn ceiling in storage room in toddler room. Repair ceiling in employee bathroom. Repair flooring in 3's bathroom. Repair or replace damaged bathroom door in 4's room. Monitor bathroom door in after school room repair or replace if needed. Monitor water stained ceiling in after school room and repair/repaint if needed. Clean spots on rug in after school room. Replace damaged light switch cover in4's bathroom.Wipe/clean area around/near door framing in 3's/4' and afterschool room. Clean wall behind hand washing sinks in bathrooms. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Provide light shield over light fixture in after school room or provide light shield with end caps over light fixture missing shield. Provide shield over light fixture in laundry room. Clean/dust ventilation in bathroom. Clean and replace broken window blinds in 3's room Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a). Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).

Seal CCA wood. 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).

Address ant and ant mounds on the playground area. Keep the facility free of rodents, insects and vermin. 15A NCAC 18A .2831 (b).

Store items/fixtures on the playground so they do not hold or collect water. Remove broken/damaged clear bubble on large plaground fixture. Clean toys on playground area. Keep the property free of standing water. 15A NCAC 18A .2831 (b). All play ground equipment must be kept clean and in good repair. 15A NCAC 18A .2832 (c ).

Observed the care giver in the 2's room wiped a child's nose and did not wash her hands. The care giver was directed to wash her hands. **Wash hands when required. 15A NCAC 18A .2803 (a)

REPEAT - Observed the interior bottom surface of the refrigerator was rusty and no longer cleanable. **Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f)

Observed the hot water was 113F at the school age restroom hand washing sinks. **Hot water shall be maintained between 80°F and 110°F at hand washing sinks accessible to children. 15A NCAC 18A .2815 (e).

REPEAT - Observed several mats (3's and 4's) were worn/torn/damaged. **Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).

REPEAT - Observed the wire racks were rusty throughout the facility, the mini blinds were dusty throughout the facility, and some storage drawers were off track in the 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). NOTE: Provide "dirty toy" bins for mouthed toys in each care room where the children are not toilet trained.

REPEAT - Observed the popcorn textured ceiling in some area was damaged handing from the ceiling, the baseboards were separating from the wall in the 3's restroom, and some wall switch plates were broken and repaired with tape. **Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed the care giver in the toddler room lathered and rinsed her hands at the same time. Follow the correct procedure and perform each step separately. **Hand washing procedure shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for 10 seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 15A NCAC 18A .2803 (c).

REPEAT - Observed the interior bottom surface of the kitchen refrigerator was rusty and no longer cleanable. Observed the some drawer off track and broken fronts,

Observed the drinking fountains in the hallway with black residue on the water spout. **Keep water fountains clean at all times. 15A NCAC 18A .2815 (f).

Observed some sink faucets were corroded, some push faucet sink fixtures with short run times, the mop bucket was blocking the hand washing sink in the kitchen, the toilet seat was not secure in 4's room, and the paper towel dispenser and toilet handrail was rusty in the 4's restroom. **Adjust push faucet sink fixtures so that the water runs long enough for proper hand washing procedure. **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 no paper towels at the hand washing sink in the infant restroom and the hallway restroom. **Disposable towels shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d).

Observed diaper rash ointment was stored in a drawer below 5ft in the infant room, and a child's personal hand soap was stored on a low shelf/cubbies in the 4's room. **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 some children napping without linen on their cots in the toddler room, and several torn/damaged mats in the 4's room. **Individual linen shall be provided for all beds, cots, or mats. 15A NCAC 18A .2821 (c ). **Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).

Observed linen was soiled on infant crib mattress in the infant room. **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 chair cushions throughout the facility needed cleaning, a child's bed pillow with sticky substance in the infant room, wire bottle racks/shelves were rusty throughout the facility, several drawers were off track/damaged fronts, some toy shelves with sticky residue/debris collecting, toy bins needed thorough cleaning, step stools with accumulation of debris, and the plush toys needed cleaning. **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). NOTES: Observed several children in the toddler room with runny noses, and are not cleaned in a timely manner. Children were wiping their own noses with sleeves of clothing . To minimize cross contamination, wipe children's runny noses in a timely manner, and wash hands thoroughly.

Observed ceiling's popcorn texture falling in the Toddler room closet and the 2's room closet, the wall near the food prep sink splattered with food residue, the kitchen 3 comp floor drain with accumulated black residue, the exterior walls and door (near the playground) was splattered and needed pressure washing, the floor was damaged (cracked) in the 4's restroom, some cozy corners with debris accumulated behind pillows, the closet floor with dust and debris accumulation, and the ceiling with dust accumulation (near AC vent) in the 4's room.

Observed the bathroom vent with accumulated dust in the Toddler room (REPEAT), several light were not working in the 2's and 3's rooms, and the window blinds were dusty throughout the facility and some were damaged. **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).

REPEAT - Observed trash collecting around the dumpster on the ground, and the exterior garbage can had no lid (ramp to playground). **Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d).

Repeat non-compliance: Observed kitchen refrigerator collecting water and rust on bottom of interior, tray with trash bags placedunder used to separate food from water. Observed refrigerator gaskets on classroom refrigerators collecting debris.Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f)

Observed hot water at infant diaper changing hand sink at 116 degrees F. Observed hot water at bathroom hall hand sink at 114.5 degrees F.Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e).

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

Observed damaged mats in classrooms throughout.All sleeping mats, used during nap time, shall be waterproof, washable, and at least 2 inches thick. 15A NCAC 18A .2821 (b).l

Repeat non-compliance: Observed kitchen refrigerator collecting water and rust on bottom of interior, tray with trash bags placed under used to separate food from water. Observed refrigerator gaskets on classroom refrigerators collecting debris.Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f)

Observed hot water at 117.1 degrees F in the kitchen.The kitchen dishwashing sink shall be supplied with hot water at 120°F or above. 15A NCAC 18A .2815 (e).

Observed damaged mats in classrooms throughout.All sleeping mats, used during nap time, shall be waterproof, washable, and at least 2 inches thick. 15A NCAC 18A .2821 (b).

Observed ceiling damaged in restrooms in older 4's restroom, hall restrooms and 3's & 4's classroom.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Repeat non-compliance: Observed HVAC vents collecting dust in the older 4's classroom.Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).

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

Observed water collecting at bottom of refrigerator.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 several children sleeping on mats with no sheet, or no bottom sheet.Individual linen shall be provided for all beds, cots, or mats. 15A NCAC 18A .2821 (c ).

Observed vents in bathrooms throughout facility collecting dust.Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).

Observed trash collecting behind dumpster on ground.

Observed several loose deck boards in front of outside classrooms. Observed railing falling in front playground area, removed from building with screws exposed.

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

Observed children sleeping on linen too small for mats/cots throughout facility. Linens shall be large enough to cover the entire sleeping surface of mats, cots, and crib mattresses. 15A NCAC 18A .2821 (f).

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

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

CCA treated lumber not sealed since 10/8/11. 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).