PRIMROSE SCHOOL OF CORNELIUS

General comment: 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed loose toilet seat in restroom 8 needs repair. Observed several toilet seats in some classrooms start to chipping around edges/corners need replacement. Keep all toilet seats in good repair.

REPEAT 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 a basket of blankets stored on top of sheet on cot in classroom 9. Avoid placing any items on top of cot with sheet on, unless items have cover to prevent contamination.

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 children leftover bottles of milk that was offered this morning, went back to be stored in the refrigerator. No bottles/cups previously used for feeding shall not be returned to communal mechanical refrigeration.

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 bottle spray of sanitizer measured less than 10 ppm through out the center. CDI- Bottles corrected during inspection. Ensure to provide correct chlorine sanitizer concentration between 50-200 ppm at anytime.

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 bottle spray of disinfectant throughout the center measured at 1000 ppm. CDI- The solution corrected during the inspection. Ensure to provide correct concentration of chlorine disinfectant between 500-800 ppm at anytime.

General Comment: 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 damaged sheets on cots in room 9. Provide good repair sheets on the cots.

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 baby bottle in young toddler refrigerator without date. Ensure to label both name and date received on items sent from home. 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 snack/food in infant without date received. Ensure to label both name and date that was received on all food items sent from home.

General Comment: 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 container on a self in room 9 restroom, stored less than 5ft. Ensure to keep/store item at 5ft or higher at all times.

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 book bags in few classrooms hanging especially at the corner are touching each other. Observed in room 2, 3, 4, their sheets on the cots are very loose and falling down to touch each other while storing. Ensure to keep individual sheets/bags separate and not allow contact while storing at anytime.

15A NCAC 18A .2803 (a) and (c), .2836 (15).Child care center employees and children shall wash their hands when required.- Observed music teacher from third party company entering preschool room and started teaching and engaging with children without washing his hands upon arrival. Ensure that everyone practice hands hygiene upon entering classroom and plan to stay and engage in the activities.

General Comment: 15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies.- Observed wooden chairs in shared restrooms between younger classes. The chairs are used for waiting and monitoring toiling time. The best solution discussed with director at the time of inspection, only toileting related items allow to be stored in the toilet room.

15A NCAC 18A .2804 (g) After opening, jars of baby food shall be covered, labeled with the date on which they were opened, refrigerated and used within two days of opening, provided that the baby food is not served directly from the jar.- Observed baby food in the infant refrigerator that was opened yesterday without date marking. According to teacher, the food container was opened for meal time and was sent home at the end of yesterday. The same baby food that was opened came back to the center this morning to be finished today. EHS, teachers and director assistant discussed proper way to handle the situation and way to do it correctly at the time of inspection. 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 snack, food sent from home with name and without date that was received at the center. Ensure to put both name and date that was received on items sent from home.

General Comment: 15A NCAC 18A .2815 (f). Other devices used to dispense drinking water shall be kept clean.- Observed water fountains need better cleaning around spouts, crevices, and keep clean.

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 damaged folded mats in kindergarten classroom. 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 students in room 9 and teacher in room 5 and 9, washing their hands less than 15 seconds and turn off the faucet knobs with bare hands. Proper hand washing discussed/modeled and corrected at the time of inspection. Hand washing sign emailed to director.

General Comment: 15A NCAC 18A .2810 (f) Water from hand wash lavatory shall not be used for bottle warming or to prepare formula, mix dry cereals, or other foods. According to teacher in infant room, teacher used water from food prep handwashing sink in the bottles warmer. Water for the warmers and drinking needs to come from the kitchen or bottle water, not from the hand sink.

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 last water testing for lead was 10/08/2020. The facility is already has the kit for collecting samples and will follow the procedures as required and update the testing results to EHS next inspection.

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 in the water table station. According to teacher water filled up at the beginning of the day and gets empty at the end of the day since it is a sensory station for the class. EHS/teacher/director discussed proper water play center procedures at the time of inspection. Teacher emptied the station and will follow the correct procedures going forward.

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 specialty milk brought from child’s home labeled with name only and not date. The date the milk was brought into the center was placed on the container of speciality milk during the time of inspection.

Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d). Observed 1 bag of trash outside of dumpster area. Observed minor litter/debris surrounding dumpster area. *NOTE: Director, Tiffany Jenkins, was present during time of inspection. Report emailed to center at: tjenkins@primroseofcornelius.com

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed wall paper peeling at hand washing sink inside (toddler) classroom in need of repair. Observed minor wall scuffs near cot storage inside several rooms in need of touch-up painting / repair.

Ensure individual cots are spaced at least 18 inches or greater; Observed cots in use stored within 18 inches 12-14 inches inside EPS 2 classroom. CDI cots properly spaced.

Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Observed 2-3 intake vents collecting debris within center in need of general cleaning.

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 chair cushions having damaged corners in need of

Toys, equipment, furniture, shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). Observed Washing Machine having rust around top of lid inside laundry room.

Keep water fountains clean at all times. 15A NCAC 18A .2815 (f). Observed mouth guards on water fountains in need cleaning.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed wall damage in Toddler room EP 2 room in need of repair.

REPEAT Observed caulking needed on the backs of several hand sinks. **Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Observed: The interior of the kitchen cabinet shelving worn on the edge. The fridge in the Young Toddlers holding at 60F. Fridge is only used for water bottles at this time. Advised to monitor fridge and replace if not maintaining 45F or below. Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f)

Observed: Short running spring tension faucets in Young Toddlers, Early Preschool 1 and 2, . Sink caulk damaged in the girl's Afterschool room. Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a). maintain at least a 20 second run time on faucets No points deducted: Clean and paint ceiling around vent in ktichen.

Repeat non-compliance: Observed water fountain collecting residue in hallway. Keep water fountains clean at all times. 15A NCAC 18A .2815 (f).

Repeat non-compliance: Observed table damaged 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 water fountain collecting residue next to laundry room. Keep water fountains clean at all times. 15A NCAC 18A .2815 (f).

Repeat non-compliance: Observed one damaged couch in toddler 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 one damaged sippy cup lid. Observed clean spoons stored in infant room below paper towel dispenserMulti-service utensils must be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e). Keep spoons in a clean location stored in a manner that will prevent contamination.

Observed damaged couch cushion in EPS 2.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 dmaged sippy cup lids in kitchen. Observed sippy cup with tape on side in kitchen.Multi-service utensils must be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e)

Observed refrigerator and freezer gaskets damages 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 single service cups bowls in kitchen and in EPS 2 uncovered.Single-service articles must be kept clean and protected from contamination. 15A NCAC 18A .2809 (8), .2814 (a) and (b).

Observed quaternary ammonia sanitizer in kitchen at 100 ppm.Quaternary Ammonium sanitizing solutions shall be maintained between 200 - 400 ppm. 15A NCAC 18A .2812 (b)(5)(D)

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

Observed hand lotion under 5 feet in pre k 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 damaged couch cushion in preschool.. Observed damaged sitting mat in toddler 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 caregiver in Young Toddler room turn off water with bare hands.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 bin collecting residue in kitchen. Observed cups in classroom and bin in kitchen not complely air dried and stacked. Observed canopener blade collecting residue.Completely air-dry all equipment and utensils before stacking or storing the items. 15A NCAC 18A .2812 (h)Multi-service utensils must be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e)

Observed caregiver in early preschool 1 classroom turn off water after hand wash with bare hands.**Follow proper hand washing procedure, do not recontaminate hands during hand wash.

Observed metal stem thermometer in kitchen off by 8 degrees.**Keep thermometers calibrated.

Observed bag of trash on ground at dumpster area.**Keep dumpers area clean.