CHESTERBROOK ACADEMY

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 speciality milk in kitchen dated 1/27. Speciality milk needs to be sent home or discarded at the end of each week.

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 children’s coats and bags coming into contact with each other in several classrooms. Ensure children’s personal items are not coming into contact with one another.

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 speciality milk in kitchen dated 7/14. Speciality milk needs to be sent home or discarded at the end of each week.

General Comment: 15A NCAC 18A .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions. Observed bottle warmer in infant room with buildup inside. Keep clean.

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 above 110F throughout center. Ranged from 112-119F. Hot water that is accessible to children needs to be between 80-110F.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed loose toilet seat in Pre-K 2 bathroom. Tighten.

General Comment: 15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed paint, markers, and puzzles stored in bathroom cabinet in pre-K 2 classroom. Limit storage in bathrooms to toileting and diapering supplies.

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 250ppm throughout center. Ensure disinfectant is between 500-800ppm.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed minor chipping on one toilet seat in 3 year old room. REPEAT

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed Goo Gone stored in unlocked cabinet in Infant B room. Item needs to be behind lock and key.

15A NCAC 18A .2803 (a) and (c), .2836 (15).Child care center employees and children shall wash their hands when required. Observed teachers washing children hands in toddler room after coming in from outside but children had begun playing with toys and items in classroom while waiting for their turn for handwashing. Needs to have hands washed when coming in from outside before going to play with toys.

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 set of bottles from one child in Infant room with no date labels. Needs to be labeled with date received. 15A NCAC 18A .2804 (i) A water bottle that a child brings to the child care center from home and that is used only for water consumption by that child shall be exempt from the requirements of 2804 (h). Instead, the water bottle shall be labeled with the name of the child to whom the water bottle belongs, individually stored in the child's cubby, and sent home with the child at the end of the day. Observed children water bottles brought from home stored in cubbies in beginner B classroom with some water bottles without the child’s name. REPEAT. 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 half empty bottle on counter in infant room. Staff stated child to whom bottle had been partially fed had fallen to sleep and was in the crib and facility was following the “hour rule” and would reserve the bottle within an hour. EHS informed staff there is no hour rule and that bottles cannot be reserved after the feeding session is completed.

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

15A NCAC 18A .2815 (e) (e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Observed hot water at 118F in kitchen. Circulation switch had been flipped off. Switch was flipped on and water heated to correct temperature.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed minor chipping on one toilet seat in 3 year old room. REPEAT. 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair. Observed hot water leaking at one bathroom handsink in afterschool room. Needs repair.

15A NCAC 18A .2819 (h) Signs that instruct child care center employees on proper methods of diaper changing and handwashing as set forth in the rules of this Section shall be posted in each diaper changing area. Observed diaper changing procedures missing in Beginner B classroom. Needs procedures.

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. 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. Observed sunscreen and diaper creams stored less than 5ft up in cabinets with plastic child saftey locks which do not meet lock and key requirements. Needs to be 5ft up.

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 mega blocks in Beginner B with tears. Observed climber in toddler with tears. Needs replacement.

15A NCAC 18A .2804 (i) A water bottle that a child brings to the child care center from home and that is used only for water consumption by that child shall be exempt from the requirements of 2804 (h). Instead, the water bottle shall be labeled with the name of the child to whom the water bottle belongs, individually stored in the child's cubby, and sent home with the child at the end of the day. Observed children water bottles brought from home stored in cubbies in 3’s and 4’s classroom with some water bottles without the child’s name. 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 opened package of cereal not properly resealed in 1’s classroom.

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 teacher in infant classroom cleaning in place high chair feeding trays. EHS educated center on notated rule.

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. EHS advises center to complete updated lead water testing. EHS provided center with Clean Water for Carolina Kids contact information.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed loose toilet seats in 2’s classroom restroom. Observed some toilet lids cracked in 3’s classroom restroom.

15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed toy stored in diaper changing sink basin. EHS educated center on proper toy cleaning procedures and which sink to use within classroom (food preparation hand sink after the sink basin has been properly cleaned with soapy water and disinfectant). 15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed storage not used for toileting in the 1’s classroom restroom.

15A NCAC 18A .2820 (f). Coat hooks not in individual cubbies or lockers must be 12 horizontal inches apart. 15A NCAC 18A .2820 (f) A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. Observed coat hooks less than 12 inches apart throughout center resulting in different children’s coats touching.

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 cots not labeled in 1’s and 3’s classroom (cot number chart missing, teachers couldn’t not locate during time of inspection).

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. EHS emailed center new required procedure document.

Observed diaper pads torn in infants class. Relabel soapy spray bottle in infants class. Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b). All cleaning and disinfectant solutions shall be properly labeled (i.e. soapy water, disinfectant). 15A NCAC 18A .2819 (c ) and .2820 (c ).

Observed rust on bottom of stall wall dividers in Pre K A and Pre K B bathrooms. Observed walls needing touch up paint in various areas. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed ceiling bulging in Toddler A class. Observed ceiling peeling or cracking in most classrooms. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed build up on kitchen sets in Beginner B class. Observed paper blocks damaged in Pre K A 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 ceiling peeling in Toddler, Inter A, and Jack and Jill restrooms (Inter A) classrooms. Black build up on blinds in unused toddler side. Observed touch up paint in various areas. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

REPEAT Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a). Observed misc storage underneath drain lines of hand wahsing sink in (Beginners B) classroom.

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 teacher (lotion) stored below 5ft inside childrens toilet room; CDI properly stored during inspection.

Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Observed build-up on AC vents in several classrooms in need of general cleaning.

Toilets shall be cleaned and disinfected at least daily and when visibly soiled. 15A NCAC 18A .2817 (b). Observed toilet in the Intermediate classroom A and Pre-K (A). Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Toilet seat too big for toilet in one of the stalls in classroom Intermediate A.

Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a). Observed storage in toilet in toddlers classroom A & B and Intermediate A. Remove toys, container, baskets, metal stand and aprons from toilet. Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a).Observed storage under the sink in toddlers classroom A & B.

Individual linen must be kept clean and in good repair. 15A NCAC 18A .2821 (f). Observed soiled linen on cots in classroom A & B.

Observed extra clothing stored beneath the handwashing sink in Toddler A room. Spoke with caregivers about having clothes placed in covered containers to prevent cross contamination from piping above. **Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a).

Observed torn mats in the cribs in the infant room. Needs to be replaced. **Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).

Observed snacks in Intermediate B room stored in cabinet without adequate protection. **Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a) Observed bulk milk stored in the refrigerator dated 7/9 and 7/11. Ensure that all bulk milk is sent home with child at the end of the week or discarded. **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 loose toilet seats in Pre-K B and School Age room. Needs to be tightened. **Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).

Observed dramatic play equipment with accumulation of debris in Toddler and Pre-K 2 room. Observed build up on toy truck in Pre-K A room. Needs to be cleaned. **Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

Observed diaper pad torn in older/infants room. Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b).

Observed ceiling damage and hole in wall above hand sink in young 2s. Observed hole in blind in young 2s. Observed stain on area rug near kitchen in young toddlers. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed toilet seats and surrounding area in pre-k (5's) and game room that were soiled with debris. Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a). Observed handsink in game room that had very low flow coming through the faucet.

Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d). Observed caregiver forget to take off gloves and wiping hands off with wipe before placing clean diaper on.

Observed diaper changing table in infants room needing repair. Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b).

Observed ceiling needing to be cleaned unused room near infants room and in 3 year old room. Clean floor in unused room near kitchen. Also,clean window. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Clean vents in restroom 3 year old and in infants classroom.

Observed thermometer reading 50F (repeat violation) in infant refrigerator.**Provide an accurate thermometer in all refrigerators. 15A NCAC 18A .2806 (h)General Comment #29: Observed aerosol spray dispenser unsecured in infant room. If not used anymore, recommend removing them from the wall. **All aerosols shall be locked up.

Observed one water fountain with too low of water pressure.**Water pressure at drinking fountains must be high enough so that water clears mouth nozzle, and so that water does not splash on the floor. 15A NCAC 18A .2815 (f).**Gave artificial grass handout

Observed toilet seat needs replacing (worn surface) in room 10. Urine on toilet seat room 8-9. Wipe cabinet fronts in after school room. Hot water not working at one hand sink, room 12.**Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).**Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Observed toys stored in bathroom of room 12.**Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a).

Observed flooring damage bathroom room 10. Ceiling damage room 5. Dusty sills room 12. Minor paint damage in a couple of bathrooms.**Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Repeat: Observed dumpster doors open.**Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d).

Observed children turn the water off with bare hands after washing them. Ensure children are supervised.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).-7. GENERAL COMMENT: -Observed the thermometer in the Infant room reading 50 degrees. The Inspector's thermometer was placed in the refrigerator and read 41 degrees.-Observed the thermometer in the back of the refrigerator in the Toddler room.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 toys stored in handstands in a few of the rooms.Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a).

-Observed the paint chipping at window sills in several rooms.-Observed the restroom floor in the toddler room collecting red buildup and sticky.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Repeat Noncompliance: Observed dumpster door open.**Keep dumpster lids and doors closed to prevent insect and vermin nuisances. 15A NCAC 18A .2830 (d).No CCA Wood.Ms. Libby Gant present during the inspection.Report emailed to libby.gant@nlcinc.com

Observed dial top thermometers off by 4F each.**Facilities shall maintain an accurate and calibrated metal stem thermometer. 15A NCAC 18A .2807 (h) and .2809 (12).

Observed bottle warmer stained/soiled, infant room.**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 no soap at hand wash sink in gym, room 7, and hall bathroom. Bathrooms not used still need to be stocked.**Liquid soap shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d).

Observed paper towels stored under hand sink, room 7.Handwashing sinks (in and below) must be free of storage. 15A NCAC 18A .2818 (a).

Observed dumpster door open.**Keep dumpster lids and doors closed to prevent insect and vermin nuisances. 15A NCAC 18A .2830 (d).**No CCA wood.

Observed window open with torn screen, room 1/2.**All openings to the outer air shall be protected against the entrance of flying insects. 15A NCAC 18A .2831 ( c ).GC #29: Observed bottle of white out unlocked, room 10 and aerosol air freshener in hall bathrooms. (critical violation). **All hazardous items shall be locked.**Gave hazardous items handout.

Observed no food thermometer in refrigerator, room 3/4. Water in fridge temped at 51F. Refrigerator needs to maintain 45F or below (no children's food in refrigerator today).**Provide an accurate thermometer in all refrigerators. 15A NCAC 18A .2806 (h)

Observed box of food grade gloves stored below sink plumbing in kitchen.**Single-service articles must be kept clean and protected from contamination. 15A NCAC 18A .2809 (8), .2814 (a) and (b).

Observed one water fountain with pressure too low and residue around mouth guard.**Keep water fountains clean at all times. 15A NCAC 18A .2815 (f).**Water pressure at drinking fountains must be high enough so that water clears mouth nozzle, and so that water does not splash on the floor. 15A NCAC 18A .2815 (f).

Observed paper towel dispensers not dispensing in several classrooms. One soap dispenser empty, room 7. Make sure there are soap and paper towels and they are accessible at all hand sinks.**Liquid soap and disposable towels shall be provided and accessible at all hand washing sinks. 15A NCAC 18A .2818 (d).

Observed unprotected toys stored below hand sink, room 7.**Handwashing sinks (in and below) must be free of storage. 15A NCAC 18A .2818 (a).

Observed miracle grow potting soil within reach of children, room 8.**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 storage on floor and disorganized storage rooms in hall and laundry room.**Adequate space shall be provided for the storage of equipment, furniture, toys, clothes, linens, backpacks, book bags, diaper bags, beds, cots, mats, and supplies and shall be kept clean. 15A NCAC 18A .2820 (a).

Observed soap residue/build-up in washing machine. Sticky tape residue on furniture, room 6. Particle board shelving damaged, room 3/4.**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 table lamp's bulb not shielded or shatterproof, room 9.**Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).