CADENCE ACADEMY PRESCHOOL, BALLANTYNE

General Comment: 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 one specialty bulk milk in refrigerator missing date label. Needs name and date received.

15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. Observed hot water at handsinks in Toddler rooms and school age reach 112-113F. Needs to be adjusted.

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 ceiling peeling some in Pre3. Needs repair.

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. According to teachers in infant room, high chair trays are sprayed with soapy water and sanitizer in classrooms. High chair trays shall be washed, rinsed, and sanitized in the kitchen after each use.

15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes. Observed sanitizer at 1000ppm. Ensure sanitizing solution is between 50-200ppm.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed multiple containers of toys and craft supplies stored in bathroom in Preschool room. Ensure storage in toilet rooms is limited to toileting supplies. REPEAT

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

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 in Toddler 1 room not remove soiled gloves throughout entirety of diaper change. Ensure diaper changing procedure is followed.

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 disinfecting wipes stored below 5ft in Preschool classrooms. Ensure disinfecting wipes are stored at least 5ft up. REPEAT

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed basket of blankets in Tod 2/Preschool 1 bathroom. Limit storage in bathrooms to toileting and diapering supplies. REPEAT

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed cleaning powder with warnings on label in addition to “keep out of reach of children” in unlocked closet in Preschool 1. Keep locked.

15A NCAC 18A .2820 (c). Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use by storing the items 5 ft above the floor or behind lock and key. Observed hand cream stored in drawer below 5ft in Tod 1. Store hand lotions/creams 5ft above the floor. REPEAT

15A NCAC 18A .2806 (d) Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in the 2800 rules when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs. Observed specialty bulk milk sent from home missing date received. Needs to be labeled with name and date received. REPEAT 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 bag of pretzels not in resealable bag in Meck prek 1. Needs to be in resealable bag or container.

15A NCAC 18A .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions. Observed build up in bottle warmer in Infant 2. Needs cleaning. REPEAT.

General Comment: 15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed blankets stored in toilet rooms in Preschool 4 and Preschool 2. Storage in toilet rooms needs to be limited to toileting and diapering supplies.

General Comment: 15A NCAC 18A .2819 (a) In child care centers, children in diapers shall be changed at stations designated for diapering or toileting. Each diaper changing station shall include a handwash lavatory. Observed handwash lavatory not in the diaper changing area in Preschool 2. Observed handwash lavatory for diaper changing area is also food prep lavatory. Diaper changing stations need handwash lavatory that cannot also be food prep lavatory.

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

General Comment: 15A NCAC 18A .2819 (b) Nothing shall be placed on the diapering surface except for those items required for diapering and the child whose diaper will be changed. Observed artwork placed on diaper table in Preschool 2.

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 lotion stored in drawer less than 5ft up in toddler 1. Classroom was closed. Needs to be stored 5ft up or locked.

15A NCAC 18A .2820 (f). Coat hooks not in individual cubbies or lockers must be 12 horizontal inches apart. Observed coat hooks in Preschool 2 less than 8 inches apart. Needs to be 12 inches apart. REPEAT.

15A NCAC 18A .2804 (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. Observed 3 bottles missing date labels in Infant 1. Needs date received. 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 cereal in taped closed bag in kitchen. Needs to be in resealable bag or container. 15A NCAC 18A .2806 (d) Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in the 2800 rules when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs. Observed specialty bulk milks missing dates. Needs to be labeled with the date received, sent in unopened at the beginning of the week and home at the end of the week.

15A NCAC 18A .2807 (h) Metal stem-type, thin probe, numerically scaled indicating product thermometers, accurate to ± 3 degrees Fahrenheit shall be used to ensure the maintenance of the internal cooking temperatures of all potentially hazardous foods required under this Rule. Observed facility does not have a thin probe thermometer. Needs thin probe thermometer.

Provide15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes. Observed sanitizer at 500 ppm. Needs to be 50-200 ppm.

15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair. Observed build up in bottle warmers. Needs cleaning. REPEAT.

15A NCAC 18A .2820 (f). Coat hooks not in individual cubbies or lockers must be 12 horizontal inches apart. Observed coat hooks in Preschool 3 8.5 inches apart. Needs to be 12 inches apart.

15A NCAC 18A .2821 (e). When in use, cribs, cots, mats and play pens shall be placed at least 18 inches apart or separated by partitions that prevent physical contact between children. Observed cots, in use, less than 18 inches apart in several classrooms. Cots need to be 18 inches apart or separated by partitions when in use.

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 tear in blue couch in Preschool 1. Needs repair/replacement. Observed counter top in Summer camp and cabinet in need of cleaning. REPEAT.

15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair. Observed build up in bottle warmers. Needs cleaning. REPEAT.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed sheets and other items stored in the bathroom in Toddler 2 room. Storage in toilet rooms shall be limited to toileting and diapering supples. REPEAT.

No points deducted. 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed liquid white out stored in/on cabinet not behind lock and key. Needs to be stored behind lock and key.

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 stored less than 5ft up in Preschool 3 class.

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 ring play furniture in Infant 1 tearing. Observed sticky residue on cabinet/shelving in several rooms. Observed build up on table under diaper changing pad in Preschool 1. Needs repair/cleaning. REPEAT.

15A NCAC 18A .2825 (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas, shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint. Observed dust build up on several ceilings around vents. Observed cobwebs around outside door in Infant 1. Observed water damaged base board in Preschool 1 at handsink. Needs cleaning. 15A NCAC 18A .2824 (b). Floors and floor coverings in sleeping and play areas shall be kept clean and in good repair. Observed floors close to walls and edging needing cleaning in several areas. REPEAT.

15A NCAC 18A .2827 (d). The child care center shall have written procedures that employees shall follow when responding to vomiting or diarrheal events that involve the discharge of vomitus or fecal matter onto surfaces in the center. The procedures shall address the specific actions employees must take to minimize the spread of contamination and the exposure of employees, children, food, and surfaces to vomitus or fecal matter. Observed facility does not have vomit and diarrhea cleaning plan. EHS provided a copy.

Observed dried stains in bottle warmer in infants class. Observed tape residue on counter/food prep area in Pre 5 and Summer came/Meck Pre K classrooms. Bottle warming equipment shall be cleaned and sanitized at least daily and when visibly soiled. 15A NCAC 18A .2810 (f) (1) and .2804 (d). Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3).

Discontinue storing cot in restroom between Preschool 1 and Toddler 2 classrooms. Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a).

Observed damage on the bottom of diaper changing table in Preschool 1 class. Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b).

Observed dust build up on hard toys (dollhouses, racetracks) in various classrooms. Observed damage on toy shelves in Toddler 1 class. Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

Observed spill on floor in storage closet in Summer Camp/ Meck Pre K class. Observed baseboard needing to be cleaned and walls need ing to be repainted or cleaned in various classrooms.

Observed debris build up on hard toys in 3s classroom. Observed counter needing to be re-caulked/resealed in older infants class. Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

Observed debris in corners under hand sink in3s class and stains on wall under hand sink in Pre 4s class. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed teacher not wash child's hands after diapering. Teacher washed hands and cleaned/disinfected diaper table after. Did not wash hands after completing diapering procedure. Spkoe with teacher and director about when to wash hands. Wash hands when required. 15A NCAC 18A .2803 (a)

Observed hot water (diaper) 119F/120F(food prep) in toddler 1 class. Hot water must be 80-110F. Repeat. Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e).

Observed black build up in food prep sink in infants 2 class. Observed toilets unflushed in girls restroom (Preschool 5) class. 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) Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).

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 all hand washing sinks inside classrooms measuring 118F in need of proper tempering; (maintenance ticket entered during inspection).

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

Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3). Clean food prep handwashing sink in 4/5 year old classroom.

Toilets shall be cleaned and disinfected at least daily and when visibly soiled. 15A NCAC 18A .2817 (b). Observed urine stains on toiletr in 4/5 year old classroom toilet.

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). Relocate childrens finger paint to make it inaccessible to children; observed paint under sink in 3 year old classroom.

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

Observed caregiver place infant back in care area without washing handwash. Sprayed sanitizer on the changing table. Spoke with caregiver about proper proceduce **Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d). •

Observed torn pillows in Pre4 room. Pillows were removed. **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 wall damage in Toddler room. Needs to be repaired. **Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed toy bins and hard toys such as farmhouses, racetracks, and kitchen sets with dust/debris. 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 wall needing to be repaired near hand sink in Preschool 5 and near solutions at diaper changing station in Beginners class. Observed floor drain in kitchen under 3 comp sink. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed thermometer missing in older Infants class and thermometer not working in younger Infants class. Provide an accurate thermometer in all refrigerators. 15A NCAC 18A .2806 (h) All thermometers in refrigerators shall be stored in the warmest part of the refrigerator and located to be easily readable. 15A NCAC 18A .2806 (h) (1).

Observed hard toys, such as, kitchen set, farmhouses, toys bins need to be cleaned in Pre 5 and Pre 4 classes. Bin on kitchen set is Pre 3 class damaged. Couch torn in Toddler 2 class. Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

Observed wall damage in Pre 4, Pre 3, Toddler 2 and Toddler 1 classes. Paint peeling in Pre 3 class near window at back door. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed step 9(clean your hands with wipe) skipped during diaper change in infant 2 class. Must follow procedures correctly. Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d).

Observed ripped boppy in infant 1 room. Observed dollhouses needing to be cleaned in preschool 4&5 classes. Remove tape residue from shelving used to toys in classes where needed. 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 wall paper peeling at top of wall near ceiling in infant 1 room. Observed wall damage in toddler 2 class, preschool 1 &2. Observed ceiling near and around door and Hvac needing to be dusted. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed refrigerator holding food at 47F in infants room. One refrigerator frozen up in beginners. **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 no paper towels or paper towels not dispensing in several classrooms and hall bathroom. **Disposable towels shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d).

Observed storage in and below hand sink in infants. **Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a).

Observed hand sanitizer less than 5 feet above ground on playground. **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). General Comment #29: Unlocked aerosol in beginners class. **All hazardous products shall be locked.

Observed sticky tape residue on furniture throughout. Books in disrepair in several classrooms. **Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

Observed damaged paint on walls. Dusty window sills. **Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed the employee in Toddler 2 not wash her hands after cleaning a child's running nose. Corrected: employee washed her hands after being told.Wash hands when required. 15A NCAC 18A .2803 (a)

-Observed no date on a glass jar of milk and a quart of milk in the kitchen refrigerator, and bottles in the Beginners (all sent from home).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)Label all food brought from home with the child’s name and the date that the food was brought into the facility. 15A NCAC 18A .2804 (f)-Observed scoops with the handles touching the products in the kitchen.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 the rims of the blue water coolers collecting residue. Clean.-Observed dried food residue on a highchair tray in Infant 2. The employee placed another child in that highchair to drink a bottle. Clean before using with another child.-Observed a large block of ice built up in Infant 1's refrigerator. Defrost unit.Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f)Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3).

-Repeat Non-Compliance: Observed sticky residue on furniture.-Observed vinyl pillows in disrepair- cushion exposed.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 wallpaper peeling in Infant 2 and broken floor tiles at the back door in Toddler 1 and behind the toilet in the restroom between both toddler rooms.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed soap not dispensing, pre-4. No soap in dispenser, toddler 2.**Liquid soap shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d).

Observed diapers stored below hand sink, toddler 2. High chairs below hand sink, beginners.**Handwashing sinks (in and below) must be free of storage. 15A NCAC 18A .2818 (a).

Observed hand sanitizer stored below 5 feet and unlocked, Pre-4. Purse on floor behind front desk.**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).**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 sheets with stretched elastic and not covering mat surface. Children napping less than 18 inches, toddler 1.**Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e).**Linens shall be large enough to cover the entire sleeping surface of mats, cots, and crib mattresses. 15A NCAC 18A .2821 (f).

Observed tape residue on furniture, school age. Debris below diaper changing pad, Pre-1. Cabinet tracks dusty, infant 1. Sticky tape residue on cribs, beginners.**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 dumpster lid open.**Keep dumpster lids and doors closed to prevent insect and vermin nuisances. 15A NCAC 18A .2830 (d).

Observed broken fence on school age playground. Broken/chipped blocks on playground.**Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).GC #29: Observed unlocked white out, beginners class (critical violation).**All hazardous items shall be locked.**No CCA wood.

Observed caregiver wash hands in diaper changing sink, put on gloves (box sitting on diaper changing table) then proceed to feed an infant, beginnners. **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 fingernailsand 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).**Gave sink use handout.

Observed opened bottle of baby food not dated, infant 2. Unlabeled baby food in refrigerator, beginners. Drinking water dispenser in splash zone of hand sink, preschool 2.**Label all food brought from home with the child’s name and the date that the food was brought into the facility. 15A NCAC 18A .2804 (f)**Opened baby food jars, intended to be finished on another day, must be labeled with the date opened, and discarded after 2 days. 15A NCAC 18A .2804 (d).

Observed single service food service gloves stored below soap and paper towels, toddler 2.**Single-service articles must be kept clean and protected from contamination. 15A NCAC 18A .2809 (8), .2814 (a) and (b).

Observed hot water not working at general hand sinks in toddler 1, preschool 1, and toddler 2.**Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).Observed children washing hands in food prep sink, no change of use for 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 storage below sink plumbing in toddler 2 and preschool 2.**Handwashing sinks must be free of storage (in and below). 15A NCAC 18A .2818 (a).

Observed diaper changing tables cracked in infant 1 and toddler 2.**Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b).

Observed lotion stored below 5 feet and unlocked, infant 2.**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 washing machine with excessive soap build-up. Cubbies with dust, preschool 2. Tape residue on furniture, preschool 2 and .**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).