MALLARD CREEK LEARNING CENTER

Observed empty paint containers underneath the diaper changing in the 2 year old room. Removed during the inspection. **15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies.

Observed torn diaper changing pad in the 1 year old room. Replaced during the inspection. GENERAL COMMENT **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 loose floor tile in the restroom in the red room. **15A NCAC 18A .2824 (a). Floors and floor coverings in food preparation, food storage, utensil washing, toilet rooms, and laundry areas shall be constructed of nonabsorbent material and shall be kept clean and in good repair. Observed touch up paint needed in the red room. **15A NCAC 18A .2825 (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas, shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint.

15A NCAC 18A .2814 (b) Cleaned and sanitized utensils and equipment shall be stored above the floor in a clean, dry location and shall be kept clean while stored. The food-contact surfaces of fixed equipment shall be kept clean while stored or otherwise not in use. Equipment and utensils shall not be stored under exposed sewer lines.- Observed package/big bag of plastic disposal cups, plates, plastic trays, metal bowl stored underneath a small single sink in kitchen lower building. Director removed single-use items out of the space during inspection, left only reusable trays and bowl. Reframing from storing any food contact surfaces items under exposed sewer lines.

REPEAT 15A NCAC 18A .2820 (c). Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use by storing the items 5 ft above the floor or behind lock and key.- Observed hand sanitizer squeeze bottle attached to a little bag in a cubby less than 5ft, in purple classroom. Ensure to put all non-hazardous items at 5ft or higher at all time.

REPEAT 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 for children label classroom color and number (Green room 1, 2, 3 etc..) same label on their cubby, without name assigned to it. Ensure to assign name to a number, which cot number assigned to which student in the classroom. Whichever system choose, ensure to label clear and legible. NOTE: The blue classroom did assign number to name, list was available in blue room.

15A NCAC 18A .2822 (d).Water play centers shall be filled with potable water immediately before children begin a water play session. Water shall be emptied after each play session and at a minimum each morning and afternoon, or more often if no longer clean.- Observed water with toys/soapy look in a clear bucket on a table play station in green room. The classroom is currently out on a field-trip during the inspection. Director emptied the water out at the time of inspection. Correct water play procedures going over with director and director assistant at the time of inspection.

General Comment: 15A NCAC 18A .2806 (h) The temperature of potentially hazardous food provided by the child care center for consumption by children shall be 45 degrees Fahrenheit or below, or at 135 degrees Fahrenheit or above at all times, including field trips, catering events, and outdoor service, except during periods of preparation and service immediately prior to consumption.- Observed lunch-able inside an opened and closed lunch boxes in purple classroom cubby. The items labeled “Keep refrigerated” due to potential hazardous food items (chicken nuggets and cheese). EHS did not take a temperature of food items at the time of inspection. The items feel warm. All potentially hazardous food items and how to store them discussed in detail with staff and director assistant at the time of inspection.

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 milk in lower building in kitchen refrigerator dated 5/24. Observed one specialty milk in upper building refrigerator without date received and the other one dated 6/30, but was left over from last week. According to staff it was waiting to go home this afternoon. EHS, staff and director assistant 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 (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 children lunch boxes in purple classroom without name and date received. Ensure to label all food items send from home with name and date received upon arrival to the center.

PROVISIONAL ITEM: 15A NCAC 18A .2820 (b) (c). All hazardous items must be stored behind lock and key. A locked kitchen is not considered to be a locked storage room or cabinet for the purpose of this rule - Observed unlocked/broken magnet lock cabinet under the sink in kitchen lower building containing all Clorox containers and cleaning chemicals. Observed disinfectant aerosol spray can and other hazardous items in left unlocked cabinet in the blue room, key left on top of toy cubby less than 5ft. Hazardous items and how to store them discussed in detail with staff and director assistant at the time of inspection. 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**

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 less than 5ft, inside the unlock black office metal fill drawer between blue and green classroom. Ensure to put all non-hazardous items at 5ft or higher at all time.

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 black purse stored inside a blue bin underneath a table in purple classroom, as well as a personal black book bag on the floor less than 5ft. Ensure to store all purses/personal belongings that contain no hazardous items at least 5ft at all time.

General Comment: 15A NCAC 18A .2821 (c). Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens.- Observed cots for children label classroom color and number (Ex. Blue class 1, green class 1) also on the cubby, without name assigned to it. If use number system, please ensure to assign what name goes with which number. Have cot list available if choose number system or just labeling name. Be clear and legible.

15A NCAC 18A .2812 (g) A testing method or equipment shall be used in accordance with the product manufacturer's instructions to test the strengths of sanitizing solutions to ensure the prescribed concentrations are met.- Observed sanitizer solution in lower building measured at 500ppm. At the time of inspection, EHS, staff, director assistant are figuring out the correct measurements base on a jag of gallon size and measurement spoon that center use for correct concentration. Ensure to provide sanitizer solution concentration between 50-200 ppm at all time.

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 solution in upper building measured about 250ppm. At the time of inspection, EHS, staff and director assistant are figuring out the correct measurements base on a jag of gallon size and measurement spoon that center use for correct concentration. Ensure to provide disinfectant solution concentration between 500-800 ppm at all time.

15A NCAC 18A .2822 (d).Water play centers shall be filled with potable water immediately before children begin a water play session. Water shall be emptied after each play session and at a minimum each morning and afternoon, or more often if no longer clean.- Observed water table station in red room last play was yesterday. Correct procedures going over with teacher and director assistant at the time of inspection. Ensure to adhere to this notation rule.

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 milk in lower building in kitchen refrigerator, one without date received and the other one dated 11/25/24. EHS, teacher and director assistant 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.

REPEAT 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 the disinfectant spray bottles throughout the center measured less than 500ppm. Ensure to provide correct concentration between 500-800 ppm of chlorine disinfectant solution.

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 eye wash medication bottle inside a ziplock bag with glove and bandages, item is in the red bag (outside bag) on the shelf, in front of restroom in Red room. All medication (prescription or non prescription) must be stored in lock cabinet/storage stay/box 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**

PROVISIONAL ITEM 15A NCAC 18A .2820 (b) (e). All hazardous items must be stored behind lock and key. A locked kitchen is not considered to be a locked storage room or cabinet for the purpose of this rule - Observed container of Clorox and cleaners in unlocked cabinet kitchen lower building. The cabinet has magnetic lock installed, but left unable to latch when close. All hazardous items in the kitchen and how to store them discussed with teacher and director assistant at the time of inspection. -Observed in purple room, disinfectant wipes container, liquid wipe out container, Air freshener aerosol spray can in broken cabinet that keep closed/with a lock attached like it locks at the front. When EHS touching a door try to open the cabinet, the whole door panels fell out, leaving hazardous items exposed. Observed dust spray aerosol cans on top of the black metal panels cabinet in hallway upper building. How to store hazardous items discussed in detail with teachers, director and director assistant at the time of inspection. Ensure to keep all hazardous items that have label “Keep out of reach of children” and extra warning label in lock cabinet/storage at all time. NOTE: **Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keep/store key at 5ft or higher at all times.**

REPEAT 15A NCAC 18A .2820 (c). Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use by storing the items 5 ft above the floor or behind lock and key.- Observed hand sanitizer bottle stored less than 5ft ft on the signing-in counter upon entry main door. Ensure to put non-hazardous items at 5ft or higher at all time.

General Comment: 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 children while sleeping their cots were placed less than 18 inches apart. Ensure to keep all cots from all side and angles at least 18” apart at nap time.

REPEAT 5A NCAC 18A .2831 (c). For outdoor toys and play equipment, including all structures accessible to children, the following shall apply: (1) Equipment and toys shall be kept clean, in good repair, and free of peeling, flaking, or chalking paint, rust, and corrosion. - Observed 2 damaged seats of the see-saw swing at the front playground. Director has new seats and they will be replaced. Ensure to keep all equipment in good repair. NO point at this time. Just waiting to be replaced. Ensure to replace and keep in good repair to avoid future violations.

General Comment: 15A NCAC 18A .2804 (k) Hot foods that a child brings from home to the child care center in double-walled, insulated thermos containers may be stored outside of refrigeration at the child care center with the written permission of the child's parent or guardian.- Observed children’s lunch in insulated thermos containers without parent/guardian permission form. Obtain the parent/guardian written permission form and keep for records.

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 children lunches boxes without name and date that brought to the center in the kitchen lower building. Ensure to have name and date on items brought 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 children’s water bottle in the refrigerator in lower building without name and date that was received.

REPEAT 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 the center without thin probe food thermometer. The center has dial metal stem thermometers that have not been used. The center ordered the thin probe food thermometer to measure thin foods at the time of inspection. No points deducted.

15A NCAC 18A .2812 (g) A testing method or equipment shall be used in accordance with the product manufacturer's instructions to test the strengths of sanitizing solutions to ensure the prescribed concentrations are met.- Observed sanitizer solution in spray bottles throughout the center measured about 1000ppm. Ensure to provide correct concentration of chlorine sanitizer solution between 50-200 ppm.

General Comment Repeat: 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 the facility last water testing for lead was 10/10/2020. The facility completed lead seminar on 11/7/2023 and will be working on the other seminar on 2/13/2024 at 10 am. The facility already received the kit to collect samples from RTI. The facility will follow all requirements and complete the process as soon as possible.

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 the disinfectant spray bottles throughout the center measured more than 1000ppm. Ensure to provide correct concentration between 500-800 ppm of chlorine disinfectant solution.

General Comment: 15A NCAC 18A .2820 (b) (e). All hazardous items must be stored behind lock and key. A locked kitchen is not considered to be a locked storage room or cabinet for the purpose of this rule - Observed container of Clorox and cleaners in unlocked cabinet kitchen. The cabinet has magnetic lock installed. The cabinet was locked at the time of inspection. Hazardous items in the kitchen and how to store them discussed with chef and director at the time of inspection. -Observed Lysol disinfectant aerosol spray on top of cabinets higher than 5ft in purple and red classrooms. Observed eye washed bottles, ice packs, and antiseptic wipes inside the first aid kit in purple classroom (has label: Keep out of reach of children and extra warning label). All hazardous items shall be stored behind the locking key. **Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device.**

REPEAT 15A NCAC 18A .2820 (c). Non-aerosol sanitizing solutions, approved disinfectants, detergent solutions, hand antiseptics, and hand lotions shall be kept inaccessible to children when not in use by storing the items 5 ft above the floor or behind lock and key.- Observed hand sanitizer bottle inside the outside bag in blue classroom and outside bags on the playground hanging less than 5ft. Ensure to put non-hazardous items at 5ft or higher at all time.

REPEAT 5A NCAC 18A .2831 (c). For outdoor toys and play equipment, including all structures accessible to children, the following shall apply: (1) Equipment and toys shall be kept clean, in good repair, and free of peeling, flaking, or chalking paint, rust, and corrosion. - Observed severe damaged bench tables and seats, damaged seats of the see-saw swing at the front playground, damaged slide, and sand table cover. Need repair or replace.

15A NCAC 18A.2803 (e). Handwashing procedures 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 the hands under tempered water 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. Observed a child washed her hands less than 5 seconds without soap in pre-K red after using toilet. EHS informed/discussed with teacher and director assistant to education all children how to proper hand washing at the time of inspection. Hand washing poster provided at the time of inspection.

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 a specialty milk with a child name and date 10/19/23 in the refrigerator in the kitchen. EHS informed the kitchen staff and director assistant that all specialty milk needs to be sent home at the end of each week with the child that it’s belong to. And come back fresh- unopened with name and date that was received at the center.

General Comment: 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 the center without thin probe food thermometer. Obtain a thin probe thermometer to measure thin food.

General Comment: 15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. Observed water temperature at 117F at hand sink in yellow classroom. Ensure to provide tempered water range within 80F -110F to children.

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 the facility last water testing for lead was 10/10/2020. The facility is able to go the RTI website and obtain a confirmation that the testing procedures will be followed as required. The test result date will be updated at next inspection.

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 bottles inside the emergency bags in blue and yellow classrooms stored below 5ft. Observed several hand lotions and sanitizer bottles stored in the unlock file cabinet below 5ft. Teacher and director assistant removed items and put up 5ft and above at the time of inspection.

5A NCAC 18A .2831 (c). For outdoor toys and play equipment, including all structures accessible to children, the following shall apply: (1) Equipment and toys shall be kept clean, in good repair, and free of peeling, flaking, or chalking paint, rust, and corrosion. - Observed severe damaged bench table and seat, damaged seats of the see-saw swing at the front playground, need replacement. The director assistant stated that the see-saw swing seats are ordered and will be replaced once they arrive to the center.

Provide a numerically scaled metal stem-type thermometer accurate to 2°F. 15A NCAC 18A .2807 (h). Observed metal stem thermometer used to measure food and water temperatures not accurate within 2F of EHS calibrated thermometer.

Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d). Observed sanitizer measuring at 800ppm chlorine throughout center.

Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a). Observed low water pressure at handsink in “purple” classroom restroom.

Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a). Observed storage in “yellow” classroom restroom that is not used for toileting/diapering.

All cleaning and disinfectant solutions shall be properly labeled (i.e. soapy water, disinfectant). 15A NCAC 18A .2819 (c ) and .2820 (c ). Observed soapy water spray bottle not labeled in 1’s classroom.

Keep the property free of standing water. 15A NCAC 18A .2831 (b). Observed standing water in plastic play bins located on playground. Water was tipped and tossed during time of inspection.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed walls scuffed behind trash cans in classrooms and kitchen; in need of touch up painting.

Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b). Observed surface of changing pad damaged (cuts) exposing absorbent material (inside) in need of replacing; in older aged 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 card board blocks and books with damaged corners and edges in need of replacing in older aged classroom.

Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Observed large storage bins used to house toys and other misc items having broken lids creating sharp areas in need of removal / replacing. At child care centers, the premises, including the outdoor learning environment, shall be kept clean. 15A NCAC 18A .2832 (a). Observed food wrappers collected in corners of playground enclosure; sweep playground daily to remove any debris that accumulates during play.

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 / crumbs collecting on surface underneath changing pad inside young toddler classroom.

REPEAT Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e). Observed all classroom handwashing sinks having hot water below 80F (64F).

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

REPEAT Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e). Observed all classrooms in main building measuring above 110F (113-115F) at hand washing sinks.

Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e). Observed children napping on mats/cots stored within 18inches.

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 in green room at 112F, blue room at 113F, and yellow room at 115F. REPEAT VIOLATION

Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a). Observed crib mattress in orange room with several tears so the foam inside was exposed, making it no longer smooth and easily cleanable.

Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Observed dust build up on window unit of yellow room. REPEAT VIOLATION

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 to be 115F in yellow room, children's bathroom. REPEAT VIOLATION

The diaper changing surface shall be properly disinfected between each child. 15A NCAC 18A .2819 (c ). Observed no disinfectant or sanitizer present in orange room. Through discussion, care giver stated that she performed one diaper change today and did so without disinfecting the surface.

All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed unlocked cabinet with aerosol in green room. CDI: Cabinet locked. Observed kitchen door unlocked in yellow room. There were unlocked chemicals (comet) stored in cabinet. CDI: Door locked. REPEAT VIOLATION

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 some damaged books in several rooms throughout center. CDI: Damaged books removed. Observed doll house in need of some detail cleaning in yellow room. Observed diaper changing area in blue room with some debris collecting in corners. Observed chipped paint on metal part of play keyboard in orange room. REPEAT VIOLATION

Observed hot water at 116F in the pre-k bathroom, 114F in the 2-3 bathroom, and 113F in the 1 year old classroom. **Hot water shall be maintained between 80°F and 110°F at hand washing sinks accessible to children. 15A NCAC 18A .2815 (e).

REPEAT Observed low disinfectant in rooms throughout facility. **Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

Observed dust build-up in 2-3 bookshelf and on interactive toys in several classrooms. Observed paper blocks in need of replacement in 2-3 room. Observed diaper changing pad with brown build-up in the holes in the 2-3 room. Replace diaper changing pad. Observed debris build-up on the bottom of the diaper changing pad in the 1 year old 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).

REPEAT Observed caregiver state that mouth toys are cleaned by spraying with sanitizer and then disinfectant to air dry. Caregiver was educated on correct wash, rinse, sanitize procedure. 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 two infant milk bottles were not labeled. **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)

Observed the disinfectant chlorine concentration was less than 500ppm (but above 250ppm). The care giver that makes the disinfectant stated it as made every other day. **Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

Observed children sharing mouthed toys in the infant room. A care giver in the blue room stated the toys are sprayed with sanitizer instead of submerging them. **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 the chlorine sanitizer at 0ppm concentration. Staff members state the sanitizer was made every 2 days. **Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d) **Use sanitizer test kit to ensure required chlorine strength. 15A NCAC 18A .2812 (g)

Observed the chlorine disinfectant with 0ppm concentration. Disinfectant was re-made to 500ppm during the inspection. Provided Instruction/demonstration for mixing disinfectant during the inspection. **Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). **Use test strips to ensure required chlorine disinfectant strength. 15A NCAC 18A .2819 (c )

(CRITICAL) REPEAT - Observed an unlabeled bottle of Fabuloso was stored on a shelf in the 1's/2's room, an aerosol air freshener was stored on a shelf in the infant room. Observed the staff kitchen door was left open, and contained an unlocked cabinet with several containers of bleach. Observed the chemical cabinet was unlocked in the kitchen, and cooking spray was unlocked. **Provide lock for chemical cabinet in the kitchen, and store cooking spray separate from chemicals. **Hazardous products shall be stored in its original container or in another labeled container. 15A NCAC 18A .2820 (b). **All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b).

Caregiver stated that 1 hour rule is in use for bottles that have been served. Bottles must be discarded immediately after child stops taking bottle and caregiver moves onto another activity. 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 Salisbury steak cooling in domestic refrigerator. Child care centers approved for 13 or more are not permitted to cool food in domestic refrigeration.

Observed sanitizer over 200 ppm in blue room. Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d)

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

Observed children napping less than 18 inches apart in yellow room. Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e).

Observed residue collecting on interior of microwave in school age building, kitchen, and in kitchenette. Observed residue collecting on oven drawer handle. Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f)

Observed coats stored on coat rack behind door, hooks less than 12 inches apart. Coat hooks must be 12 inches apart. 15A NCAC 18A .2820 (e).

Observed flooring damaged at entrance to green room. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed sewage on ground coming from around lift station and flowing across parking lot. Keep the septic system in good repair and functioning properly. 15A NCAC 18A .2829.

Observed caregiver turn off water with back of hand.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 ceter using the 1 hour rule for bottles. Observed cereal not sealed in kitchen. Observed jar of maynoase in kitchen dated best use 8/2014.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).Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a)

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

Observed toilet backed up in red room. Observed caulk behind hand sinks in potty training restroom and in purple girls restroom damaged.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 children napping in classrooms in upper and lower building less than 18 inches apart.Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e).Observed one child sleeping directly on cot using blanket as a cover.Linens shall be large enough to cover the entire sleeping surface of mats, cots, and crib mattresses. 15A NCAC 18A .2821 (f).

Observed dusty vents in restrooms in upper building.Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).Observed light missing end cap in staff area with childcare storage present.Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).

Observed bottles not labeled with name and date in infant room. Observed chips not properly sealed in kitchen in upper building.Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a)

Observed can opener blade collecting residue.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)

Observed disinfectant over 1000 ppm in toddler room.Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

Observed lights not properly shielded in 3's and 4's room. Observed lights not shielded or shatterproof in rooms throughout lower building.Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).