SUNSHINE HOUSE, THE

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 leftover snack in infant 2 stored in the box in cabinet. Ensure to keep all leftover snacks/dry goods in resealable bags/containers to keep away pests.

General Comment: 15A NCAC 18A .2815 (f).Drinking fountains, if provided, shall be separate from handwash lavatories and kept clean.- Observed water fountains need cleaning and keep clean all around spouts, nozzles, and other crevices. Keep clean.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed damaged toilet seat in restroom Preschool need replacement. REPEAT 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed hand sinks in Explorer 1 need cleaning and keep clean. Observed slow draining at hand sinks in hallway restroom, infant 2, PreK, Meck PreK. Keep all hand sinks clean and good repair.

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 teacher is changing diaper for a child and missing step 5 after taking off the gloves. EHS provides hard copy of the diaper changing procedures poster in English and email the Spanish version to Director.

15A NCAC 18A .2820 (d) Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. A product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor.- Observed sunscreen in outside bag stored on top of toy table less than 5ft in Preschool. Keep all sunscreen or diaper creams at least 5ft or higher at anytime. 15A NCAC 18A .2820 (c). Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use by storing the items 5 ft above the floor or behind lock and key.- Observed hand sanitizer bottle in unlocked cabinet less than 5ft in MeckPreK. Ensure to keep/store all non hazardous items at 5ft or higher at all times.

15A NCAC 18A .2821 (f).Linens shall be kept clean, in good repair, and stored with the mat or cot that the linens are assigned to or stored apart from the mattress or cot in a manner that keeps the linens used for each child separate from the linens belonging to other children.- Observed basket, toy and stuff stored on top of sheet on a stack cots inside closet in Toddler 1. Keep off items that could contaminate clean sheet, unless using a cot cover.

General Comment: 15A NCAC 18A .2825 (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas, shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint.- Observed water stain on ceiling tiles at the back hallway. Observed dust covered on ceiling tiles in some classrooms, hallway, and restroom vent need cleaning. Keep clean. Observed damaged wall with holes/covered with old glue looking disrepair from misplaced the soap dispensers near hand sinks in several classrooms need repair. Keep good repair.

REPEAT 15A NCAC 18A .2832 (a).In the child care center premises and outdoor learning environment. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. Wells, grease traps, cisterns, and utility equipment shall be made inaccessible to children.- Observed unlocked HVAC gate in the playground. Keep the gate lock and made it inaccessible to children.

REPEAT 15A NCAC 18A .2804 (k) Lunches, snacks, and other meals that a child brings from home to the child care center shall be labeled with the date on which the food is brought to the child care center and the name of the child to whom the food belongs at the child's home and shall be returned to the child's home or discarded at the end of each day.- Observed baby food, snack in infant rooms without date labeling. Ensure to put both name and date received on items that send from home. 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 bottles without date in infant 2. Ensure to label both name and date on items sent from home for the date. 15A NCAC 18A .2804 (h) After the completion of each feeding, any leftover formula, human milk, or other bottled beverages used during the feeding shall be discarded or sent home with the child whose name is on the label for the formula, human milk, or bottled beverage at the end of each day. Feeding is complete when the child care center employee has stopped feeding the child and the child has been removed from the feeding area in the child care center and returned to other activities. Bottles previously used for feeding shall not be returned to communal mechanical refrigeration.- Observed empty bottle that was used and put back inside the refrigerator after feeding according to the teacher in infant 2. Do not put previous used unclean bottles back to the refrigerator. Keep out and send home at the end of the day.

REPEAT 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed hand sink may need new caulking, holes on wall from removing the old dispenser (Preschool, PreK, Meck PreK). Repair needed. Keep good repair.

15A NCAC 18A .2820 (c) Bulk soaps shall be kept inaccessible to children by storing the product at least 5ft above the floor.- Observed bulk soap store less than 5ft in Preschool closet and Toddler 1. Keep items at 5ft or above at anytime.

15A NCAC 18A .2820 (f) A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children.- Observed Children book bags and jackets are hanging on hook, touching each other in several classrooms throughout the center. Ensure to keep/store individual items separate and not allow contact while storing at anytime. 15A NCAC 18A .2820 (a). 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.- Observed laundry basket and toys items store right on top of cot with sheet in toddler 1 closet. Keep out items and avoid any possible cross contamination at anytime.

General Comment: 15A NCAC 18A .2821 (a). In child care centers, beds, cribs, cots, mats, and play pens shall be kept clean and in good repair, stored to prevent contamination, and cleaned and sanitized between users.- Observed cots without labeling in Explorer 1. Ensure to label each cot clearly and visibly through the center. Use either name or number, if number use provide the cot chart and have available. NOTE: Store the cots in the way that sheet are not touching the floor to avoid contamination.

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 unlocked HVAC gate in the playground. Keep the gate lock and made it inaccessible to children. 15A NCAC 18A .2831 (b). Sand toys, water tables, and other unfiltered items that can collect standing water in the outdoor learning environment shall be emptied and stored to prevent the collection of standing water.- Observed old water collected in the playground basket. Ensure to empty any bucket and not allow standing water anywhere to prevent mosquitoes.

REPEAT 15A NCAC 18A .2804 (k) Lunches, snacks, and other meals that a child brings from home to the child care center shall be labeled with the date on which the food is brought to the child care center and the name of the child to whom the food belongs at the child's home and shall be returned to the child's home or discarded at the end of each day.- Observed baby food, snack in infant rooms without date received. Ensure to put both name and date received on items send from home. 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 bottles without date in infant 2. Some bottles dated 5/27, 5/28, 5/29 in refrigerator in both infants. Observed veggie drink in sippy cup from without a date received. Ensure to accurate label date and name items that was sent from home to the center.

General Comment: 15A NCAC 18A .2812 (e) Multi-service articles, including highchair feeding trays, shall be washed, rinsed and sanitized in the child care center kitchen after each use.- Observed soiled high chair tray in toddler 1, According to teacher they are cleaning in place today, the class was combined due to AC issue. They normally do not use high chair in this class. Observed teacher is rinsing bottle at a diaper sink. Proper cleaning procedure discussed in detail with teacher and director assistant at the time of inspection. All multi-service articles (high chair trays, spoons, plates/bowls, rubber bibs) shall be wash, rinse and sanitize properly in the kitchen after each use.

REPEAT 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed loose toilets seats in afterschool restrooms. Repair needed. 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed hand sink needs better cleaning and keep clean in toddler 1, Two 1’, after school, throughout the center need better cleaning and keep clean.

General Comment: 15A NCAC 18A .2820 (d).Medications, including prescription and non-prescription items, shall be stored in a locked cabinet or other locked container and shall not be stored above food.- Observed medicine bottle inside a blue bag in after school, according to director, it may be one of the teacher bag. Ensure to keep all medication in lock cabinet/storage at all time. NOTE: **Lock storage rooms and cabinets shall include those which are unlocked with a combination lock, electric or magnetic device, key pad, key, or equivalent locking device, keep/store keys at least 5ft or higher at all time**

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 item stored less than 5ft, hand sanitizer bottle on a office desk with door open, hand lotion on a shelf in toddler 1. Ensure to keep all non hazardous items at 5ft or higher at all time.

REPEAT 15A NCAC 18A .2820 (g).Purses, that do not contain hazardous items, must be stored 5 ft above the floor, behind lock and key, or behind a child safety lock.- Observed teacher purse on top of shelf in after school less than 5ft. Inside the bag there is hand lotion and medication in it. Ensure to put personal belongings that contain non hazardous items at 5ft or higher. Personal items that contain hazardous items shall be kept in lock at all time. .

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed wall with holes and glue residue at hand sinks throughout the center beside soap dispenser, repair needed. Observed cleaning needed on AC vents, ceiling tiles, in some restrooms/classrooms. Keep clean from dust.

REPEAT 15A NCAC 18A .2804 (k) Lunches, snacks, and other meals that a child brings from home to the child care center shall be labeled with the date on which the food is brought to the child care center and the name of the child to whom the food belongs at the child's home and shall be returned to the child's home or discarded at the end of each day.- Observed baby food, snack in infant rooms without date received. Ensure to put both name and date received on items send from home. 15A NCAC 18A .2806 (d) Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in the 2800 rules when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs.- Observed speciality milks in the kitchen refrigerator, some with name and without date. EHS, director discussed proper way to handle specialty milks at the time of inspection. Ensure to receive the unopened container of specialty milks at the beginning of the week, put name and date that was received, send home or discard at the end of the end either opened or unopened containers. 15A NCAC 18A .2804 (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center.- Observed bottles without date in infant 2. And some date wrong 12/24. Ensure to keep accurate of month and date the items send in the center.

15A NCAC 18A .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions.- Observed very soiled bottles warmers in infant 2. Detail cleaning needed and keep clean.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed toilets in afterschool restrooms need cleaning and keep clean. 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed several hand sinks throughout the center need better cleaning and keep clean. Clogged/slow draining sink in PreK, repair needed. Keep all fixtures clean and in good repair.

General Comment REPEAT: 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 keys was placed on top of refrigerator less than 5ft. Keys use to unlock the cabinet where teacher store personnel items and chemical in infant rooms. Also in the kitchen the key that unlock chemicals cabinet shall be store at 5ft or higher at all time, not in unlock drawer where is stored less than 5ft. All hazardous items and how to stored properly discussed with director and chief at the time of inspection. Ensure to always put the keys up at 5ft or higher at all time. 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key.- Observed unlock cabinet in the kitchen where stored hazardous items. Keep cabinet lock. Observed floor cleaner and GOO GONE in the unlocked cabinet with lock hanging but not lock in infant 2. Keep all hazardous items that has label “Keep out of reach of children “ and other “warning” or “Caution” in lock storage at all time. NOTE: **Lock storage rooms and cabinets shall include those which are unlocked with a combination lock, electric or magnetic device, key pad, key, or equivalent locking device, keep/store keys at least 5ft or higher at all time**

REPEAT 15A NCAC 18A .2820 (c) Bulk soaps shall be kept inaccessible to children by storing the product at least 5ft above the floor.- Observed bulk soap stored underneath the diaper table with child prove lock less than 5ft in toddler 1. Put bulk soap at 5ft or higher at all time. Or lock it up with locking key in storage room. NOTE: **Lock storage rooms and cabinets shall include those which are unlocked with a combination lock, electric or magnetic device, key pad, key, or equivalent locking device. Keep key at 5ft**

REPEAT 15A NCAC 18A .2820 (g).Purses, that do not contain hazardous items, must be stored 5 ft above the floor, behind lock and key, or behind a child safety lock.- Observed teacher purse in lock/unlock cabinet less than 5ft. The key to unlock the cabinet was placed less than 5ft while storing it. Ensure to put items at 5ft or higher at all time. If lock the cabinet, The key must be store at 5ft or higher to avoid the violation.

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

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed wall with holes and glue residue at hand sinks throughout the center beside soap dispenser, repair needed. Observed cleaning needed on AC vents, ceiling tiles, light shield fixtures. Keep clean from dust and dead bugs.

REPEAT 15A NCAC 18A .2832 (a).In the child care center premises and outdoor learning environment. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. Wells, grease traps, cisterns, and utility equipment shall be made inaccessible to children.- Observed gate to HVAC units left unlock. Lock the gate and keep it inaccessible to children.

15A NCAC 18A .2804 (k) Lunches, snacks, and other meals that a child brings from home to the child care center shall be labeled with the date on which the food is brought to the child care center and the name of the child to whom the food belongs at the child's home and shall be returned to the child's home or discarded at the end of each day.- Observed baby food, snack in infant room without date received. Ensure to put both name and date received at items send from home.

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. - According to teacher spoons and plates in the infant room get rinse at the sink in the classroom. All multi-service articles (high chair trays, spoons, plates/bowls, rubber bibs) shall be wash, rinse and sanitize properly in the kitchen after each use. 15A NCAC 18A .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions.- Observed very soiled bottle warmers in infant room. Detail cleaning needed and keep clean.

General Comment: 15A NCAC 18A .2816 (b) (1) Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. Samples shall also be collected and tested within 30 calendar days of completion of any renovations or repairs that may impact the facility's drinking water infrastructure, such as repair or replacement of all or part of drinking water service lines or faucets, at impacted outlets. The operator shall provide documentation of testing results for review by the Department during each unannounced routine sanitation inspection.- Observed water testing for lead last was 03/07/2021. The center had already started the process and completed the seminar according to director on 5/15/2024, except the training video still need to be completed. Ensure to complete all required procedures and processes and update the new results to the department at the next inspection.

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 keys was placed on top of refrigerator less than 5ft. Keys use to unlock the cabinet where aerosol can and hazardous items stored. Ensure to always put the keys up at 5ft or higher at all time. 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key.- Observed unlock cabinet in the kitchen where stored hazardous items. Keep cabinet lock.

15A NCAC 18A .2820 (c) Bulk soaps shall be kept inaccessible to children by storing the product at least 5ft above the floor.- Observed bulk soap stored underneath the diaper table with child prof lock less than 5ft. Put items at 5ft or lock with locking key. NOTE: **Lock storage rooms and cabinets shall include those which are unlocked with a combination lock, electric or magnetic device, key pad, key, or equivalent locking device**

15A NCAC 18A .2820 (g).Purses, that do not contain hazardous items, must be stored 5 ft above the floor, behind lock and key, or behind a child safety lock.- Observed teacher purse hanging on the hook down less than 5ft. Ensure to put items at 5ft or higher at all time.

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

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 gate to HVAC units left unlock. Lock the gate and keep it inaccessible to children.

NO POINTS DEDUCTED 15A NCAC 18A .2819 (b). Diapering surfaces shall be made of smooth, intact, nonabsorbent material and shall be kept clean and in good repair. Observed stand used for changing table having damaged / peeling laminate exposing absorbent raw wood in need of repair.

REPEAT 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 and sanitizer stored on top of changing table surface not at 5ft inside 3’s class. CDI approved non-hazardous products stored at 5ft.

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed chipped / scuffed door frames throughout center in need of touch-up painting. Observed chair rail throughout classrooms scuffed exposing raw wood in need of repair/touch-up painting. Observed wall behind trash can inside (toddler #1) classroom scuffing wall with repeated hitting from lid.

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). Observed teacher turn off water with hands not paper towel.

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 specialty milks in kitchen dated 2-3 weeks prior, send specialty milk provided by parents home at end of week or dispose of it.

Quaternary Ammonium sanitizing solutions shall be maintained between 200 - 400 ppm. 15A NCAC 18A .2812 (b)(5)(D). Observed no sanitizer test strips. Need quat strips for kitchen sanitizer.

Keep water fountains clean at all times. 15A NCAC 18A .2815 (f). Observed water fountains need cleaning. (Nozzles are covered and not in use). Clean and recover.

Liquid soap and disposable towels shall be provided and accessible at all hand washing sinks. 15A NCAC 18A .2818 (d). Observed several dispensers will dead batteries. Make sure all dispensers are operable.

Provide test strips for the chlorine disinfectant. 15A NCAC 18A .2819 (c ). Observed test strips did not have a comparison chart. Comparison charts are a required part of a test kit.

All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Critical Violation- Observed cleaner disinfectant, and deet free insect repellant unlocked. All hazardous items must be locked.

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). Repeat-Observed hand sanitizer and lotion stored less than 5 feet in classrooms.

Coat hooks must be 12 inches apart. 15A NCAC 18A .2820 (e). Observed different children’s coats on either hook.

All crib and play pens, used for sleeping, shall have an easily cleanable, waterproof, washable, firm, and tight fitting mattress that is at least 2 inches thick. 15A NCAC 18A .2821 (b). Observed majority of crib mattresses in disrepair. Sleeping mats, cribs, and cots shall be stored to prevent contamination. 15A NCAC 18A .2821 (a). Observed blankets stored under sheet causing sheets and blankets to come in contact with with other child’s sheets and blankets.

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 a LOT of toys in disrepair. Remove tape residue from furniture, Debris on shelving and toy bins.

In areas where children are not toilet trained, small mouth contact toys shall be washed, rinsed, sanitized (submerged for 2 minutes), and allowed to air dry, after use and more frequently when visibly dirty. 15A NCAC 18A .2822 (a). Observed teacher returned toys on floor back into bin in play area in classroom of potty training children.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed walls need wiping down of spills and splatters. Barn door casing in poor repair in several classrooms. Sills need replacing where paint is damaged. Walls in rooms in which food is stored, handled or prepared, utensil-washing rooms, and toilet rooms shall be non-absorbent. 15A NCAC 18A .2825 (b). Observed 2 ceiling tiles in kitchen need to be replaced with vinyl wrapped tiles.

Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Observed lots of broken/damaged toys on playground. Keep the property free of high vegetation. 15A NCAC 18A .2831 (i). Observed Holly and other large shrubs growing through fence Sandboxes must be covered when not in use and kept clean. 15A NCAC 18A .2832 (c ) (2). Observed sandbox’s without covers.

NO POINTS DEDUCTED Approved non-hazardous products must be stored 5 ft above the floor or behind lock and key. 15A NCAC 18A .2820 (b), (c ) and (d). Observed hand lotion stored below 5ft inside (infant) room. CDI lotion properly stored during inspection.

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed wall damaged inside (toddler) near exterior door in need of repair.

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

Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b). Observed infant room changing mat ripped / damaged in need of replacing. (changed during inspection).

Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a). Observed numerous bed/ crib mats ripped on seams in need of repair in (Infant 2) classroom.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed water damaged ceiling tiles in numerous classrooms in need of replacing / repair.

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed loose toilet seats inside (5's, 2s, younger 2's) classroom in need of repair.

REPEAT Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). Observed numerous books damaged inside multiple class rooms in need of replacing.

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

REPEAT Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b). Observed damaged changing mat inside (young toddler) classroom 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 tape residue on sides of cribs inside (infant) room in need of removal; Observed tape residue stuck to wooden cubbies throughout (school age) classroom in need of removal.

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed water damaged ceiling tiles inside (infant) room in need of replacing.

Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f) Observed food build up in staff microwave. Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3). Observed food build-up on high chair trays and chairs in handles and down sides.

Liquid soap and disposable towels shall be provided and accessible at all hand washing sinks. 15A NCAC 18A .2818 (d). Observed several dead batteries at soap and paper towel dispensers. If don't have replacement batteries supply on outside of dispensers.

Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a). Observed several diaper changing tables with supplies stored below plumbing.

Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b). Observed torn diaper changing pad, Explorers 2. Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d). Observed improper diaper changing procedure in infant 2 and child's hands not washed at hand sink at end of diaper change. Follow posted procedures.

Coat hooks must be 12 inches apart. 15A NCAC 18A .2820 (e). Observed coats stored less than 12" apart in Explorers 2. Cannot store children's items in contact with each other.

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 shelving units missing edging. Seal exposed particle board. Remove tape residue. Observed general cleaning of toys needed. Clean in cabinet iteriors, etc

Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Observed some dusty vents throughout. Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a). Observed dead bugs in light fixtures. Observed some non-vinyl ceiling tiles in kitchen.

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 inside surfaces of cabinet inside 3's class in need of cleaning.

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed walls scuffed inside (Toddler1) classroom.

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

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 edges of tables inside classrooms collecting debris build up from food in need of cleaning. Observed 2 plush squares covered in plastic (plastic is breaking in need of replacing/removal) in Toddler room.

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed tape residue on walls of many classrooms in need of touch up painting; Observed water damage ceiling tiles in classrooms in need of replacing.

REPEAT Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Observed vents inside classrooms collecting debris in need of general cleaning.

Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a). Observed furniture stored in toilet room connecting infant room and toddler room.

Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b). Observed all diaper changing mats having puncture holes on surface exposing inside absorbent material, mats 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 tape residue on furniture throughout center; observed interactive play stations / areas collecting dust /debris in need of cleaning in older kids room; Observed wooden side panel of hand washing sink water damaged in need of repair; Observed rusty lid to washing machine.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Stationary carpet in After school room stained in need of cleaning; Observed tape residue on walls in Toddler 2 room and Infant 1 room; Observed touch-up paint needed on walls in 2's room. Observed base board peeling from wall in 2's room in need of repair.

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

REPEAT Observed raw bacon being stored on top of yogurt in kitchen refrigerator. Observed box of cookies being stored with the bag rolled down in two's storage closet. **Raw meats, poultry, fish, shellfish, and eggs shall be stored on shelving beneath and separate from other foods. 15A NCAC 18A .2806 (f) **Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a)

Observed sanitizer measuring at 500 ppm chlorine in classrooms throughout. EHS emailed new bleach dilution chart along with inspection. **Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d)

Observed cleaning needed in kitchen microwave, in the bottom of reach-in refrigerator, and in drawers and cabinets throughout kitchen. **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 reach a max of 75F in infant room and older infant room. Hot water temperatures in other classrooms got to 85F. EHS suggested turning up hot water to reach 80F in all areas but not to exceed 110F. **Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e).

Observed build-up around the water fountain nozzle. **Keep water fountains clean at all times. 15A NCAC 18A .2815 (f).

Observed cleaning needed in the cracks and crevices of larger toys throughout older kids classrooms. Observed tape residue on furniture throughout center. Observed debris build-up on the sides of and underneath diaper changing mats. Observed cleaning needed around the washer in laundry room. Observed cleaning needed on area rugs in several classrooms. Observed music toys with rust in the 3's classroom. **Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

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 scoop handles down in product and a cup used as a scoop in the containers of salt and sugar. Raw meats, poultry, fish, shellfish, and eggs shall be stored on shelving beneath and separate from other foods. 15A NCAC 18A .2806 (f) Observed raw sausage (staff food) stored above RTE foods in kitchen.

Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3). Observed dried food on the undersides of all high chair trays. Take to kitchen daily to be thoroughly wash, rinse, sanitized.

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 on chair in office. Needs to be locked or 5 ft above 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). Observed toys, shelving with tape residue. Egg carton in classroom. Egg cartons cannot be used in center as crafts, toys, etc

Keep the facility free of rodents, insects and vermin. 15A NCAC 18A .2831 (b). Observed mosquito larvae in lid of sensory table on playground. Do not let containers/toys hold standing water.

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). Observed teacher turn off water with hand, infant room.

Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3). Observed cabinets/drawers in kitchen need wiping out. Refrigerator needs wiping out of spills.

Liquid soap and disposable towels shall be provided and accessible at all hand washing sinks. 15A NCAC 18A .2818 (d). Observed no paper towels at hand sink in kitchen. 2 of 3 soap dispensers not working in after school room.

All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed compress stating to keep out of reach of children and call poison control unlocked (in first aid kit) in 4's class. Cleaners not in separate locked storage in kitchen. Unlocked aerosol spray in cabinet below diaper hand wash sink, room 117. Mislabeled cleaners and unlabeled cleaners in spray bottles in kitchen and 1 classroom. Laundry room door not latched.

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 furniture. Some shelving units in classrooms in disrepair at bottom where they appear water damaged. Some books in disrepair. Storage areas need tidying up, un-needed items disposed of. Washing machine lid very rusted.

Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Observed extremely dusty vent in toddler room.

Keep dumpster lids and doors closed to prevent insect and vermin nuisances. 15A NCAC 18A .2830 (d). Observed dumpster doors open, keep closed. Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d). Observed several large piece of equipment behind dumpster, they need to go to the dump or thrown into dumpster.

Observed a care giver did not wash her hands after changing a diaper and cleaning the diaper changing table. **Wash hands when required. 15A NCAC 18A .2803 (a)

Observed a care giver in the infant room lathered her hands for less than 10 seconds. **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).

Observed the bottle warmers were rusty in the infant 1 &2. Replace rusty bottle warmers as soon as possible. Observed the under side of the high chair trays, and the seats with dried food residue. **Bottle warming equipment shall be cleaned and sanitized at least daily and when visibly soiled. 15A NCAC 18A .2810 (f) (1) and .2804 (d). Note: Ensure that high chair trays are sent to the kitchen once a day to be thoroughly washed/rinsed/sanitized.

Observed the diaper changing sink was not clean in Toddler 2, and a toilet seat was very loose in the school age girls restroom. **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 no soap at the women's restroom hand washing sink, and the kitchen hand washing sink. **Liquid soap and disposable towels shall be provided and accessible at all hand washing sinks. 15A NCAC 18A .2818 (d).

Observed toy shelves throughout the facility were dusty, some music toys were rusty and had chipping paint in the Fives, area rugs were frayed the clothes washer with residue and severally rusting (clean and organize the entire laundry room).

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

Repeat non-compliance: Observed cabinets for hand sinks damaged in 2's and in school age classrooms. Observed rust on backside of toilet in school age 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 dusty vents though out facility. Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).

Observed toilet dirty in infant 2 classroom. Observed residue on back side of toilet in girls school age restroom. Observed residue collecting around hand sink faucet in infant classroom.Toilets shall be cleaned and disinfected at least daily and when visibly soiled. 15A NCAC 18A .2817 (b).

Observed cabinets for hand sinks damaged in 2's and in school age classrooms. Observed rust on washer lid. Observed caulk not smooth around hand sink in 2's classroom.Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

Caregiver in infant room state incorrect change of use for food prep hand washing sink. 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 unused toilet collecting residue in infant 3/toddler 2. Toilets shall be cleaned and disinfected at least daily and when visibly soiled. 15A NCAC 18A .2817 (b).

Observed transition strip removed from carpet in 2's. Observed dust collecting on ceiling in 2's classroom.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed metal support coming out of ground for playground boarder. All play ground equipment must be kept clean and in good repair. 15A NCAC 18A .2832 (c ).

Observed bowl with sticker stored air drying. Observed knife and pizza cutter with damage to blade. Observed bottom of can opener collecting residue. Observed cup with food debris stored air drying.Food contact surfaces and utensils shall be cleaned and sanitized after preparing raw foods, prior to preparing ready to eat foods, and after any interruption of operations in which contamination may have occurred. 15A NCAC 18A .2807 (c ) and .2812 (b).

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

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

Observed refrigerator gasket damaged, freezer lid displaced from excess ice buildup, side of oven door not attached around glass, debris collecting in oven drawer.Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f)

Observed residue collecting on side of chair in toddler/older infant room. Caregiver stated incorrect cleaning of water play center in 5'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). Clean and sanitize water play centers and associated toys daily (if used) and when visibly soiled. 15A NCAC 18A .2822 (c ).

Observed hole on left side of dumpster.Keep dumpster and garbage containers free of holes and in good repair to prevent insect and vermin nuisances. 15A NCAC 18A .2830 (d).