KIDDIE COLLEGE PRESCHOOL

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 bottle measure more than 1000 ppm. Ensure to provide correct concentration of chlorine sanitizer between 50- 200 ppm at anytime.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed loose toilet seats in the restrooms need repair. Keep all toilet fixtures in good repair. REPEAT 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed hand sinks need new caulking to seal the gap and keep in good repair.

15A NCAC 18A .2817 (a) In child care centers, toilet tissue paper shall be provided in each toilet room and stored in a clean, dry place.- Observed no toilet tissue available at the dispensers in restrooms. Ensure keep it refilled.

15A NCAC 18A .2812 (i) Provide a testing method for chlorine disinfectant to ensure compliance with prescribed chlorine concentration.- Observed the center without disinfectant test strips. Obtain the test strip for disinfectant solution and have available. 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 no disinfectant solution in spray bottle available in infant room. Ensure to provide disinfectant solution for cleaning at all time.

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 bottles some with name no date. Some without name and date in infant refrigerator. Ensure to label name and date that items was received that day. 15A NCAC 18A .2804 (k) Lunches, snacks, and other meals that a child brings from home to the child care center shall be labeled with the date on which the food is brought to the child care center and the name of the child to whom the food belongs at the child's home and shall be returned to the child's home or discarded at the end of each day.- Observed baby food in infant refrigerator without name and date. Label name and date on items sent from home. 15A NCAC 18A .2806 (d) Bulk food stored in a refrigerator shall be stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator.- Observed a bulk container of pineapple juice in dorm infant refrigerator. Bulk size food shall be stored in a full-size refrigerator in the center kitchen. 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 kitchen refrigerator without name and date received. 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.

General Comment: 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed some hand sinks throughout the center need new caulking and in good repair. Repair needed.

REPEAT 15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area.- Observed some hand sink without soap and/or paper towel. Ensure to provide soap and paper towels at all hand sinks 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 spray bottles measured less than 500 ppm. Ensure to provide correct concentration of disinfectant between 500-800 ppm at all time.

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 during nap time placed very close to each other in middle room. Ensure to provide at least 18” apart while napping at anytime .

General Comment: 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; and - Observed loose wood panels on walk way down to the playground. Repair needed. Keep the walkway in good repair stable and in place.

REPEAT Provide15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes.- Observed 3’ and 4’ classroom with only soapy water, and without sanitizer spray bottle for cleaning. CDI- Sanitizer provided at the time of inspection. Ensure to provide sanitizer solution for cleaning at all time. - According to teacher when describing how to clean tables, teachers stated using soapy water and then sanitizer, then let it sit no more than 2 minutes. NOTE: Proper and effective way to clean tables: soapy water and wipe them down, spray with sanitizer solution and let it sit at least 2 minutes before wiping them dry or let them air dry.

REPEAT 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 in 3’ and 4’ restroom measured at 112F, and 111F at hand sink near the kitchen. Provide tempered water between 80F -110F at all time at all hand sink where is accessible to children. (No points due to improvement).

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed loose toilet seat in school age restroom, repair needed. Observed soiled (pink circle mildew around bowl) toilets in infant and school age restrooms. Detail cleaning needed and keep clean.

15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area.- Observed no soap at one of the hand sink in 3/4 classroom. CDI- soap provided at the time of inspection. Ensure to provide all handwashing supplies at all hand sinks at all times.

General Comment: 15A NCAC 18A .2820 (d) Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. A product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor.- Observed diaper cream stored on the side of a child book bag inside unlocked cabinet underneath changing table in infant restroom, less than 5ft. EHS made teacher aware and educated proper way to store item at the time of inspection. Keep diaper cream store at 5ft or higher above the ground, or keep item lock at all time.

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key.- Observed a correction liquid container stored inside unlock drawer in school age classroom. Observed insect repellent in aerosol spray can inside a child book bag on top of the cubby in 3’-4’ classroom. All hazardous items must in stored inside a lock cabinet or storage at all time. NOTE: **Lock storage rooms and cabinets shall include those which are unlocked with a combination lock, electric or magnetic device, key pad, key, or equivalent locking device, keep/store keys at least 5ft or higher at all time**

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 on a table in school age classroom less than 5ft. 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 purse stored on a table in school age classroom less than 5ft. Ensure to put up personal belongings that contain no hazardous items at 5ft or higher at all time. 15A NCAC 18A .2820 (f) A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children.- Observed children book bags stored on top of a cubby in 3’/4’ classroom touching each other. Keep all individual items separate and not allow in contact while storing.

General Comment: 15A NCAC 18A .2821 (f). Linens used in rooms where the children in care are less than 12 months old shall be changed and laundered when soiled and otherwise at least daily.- According to teacher in infant, the sheet get clean once a week. Ensure change and clean the sheets daily or when soiled.

REPEAT: 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 sanitize (chlorine) concentration solution in the the middle classroom measured at 500 ppm. And a sanitizer solution in infant room measured at 0 ppm. Ensure to provide the correct concentration between 50-200 ppm. Provide15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes.- Observed infant room without the sanitizer solution bottle for cleaning purposes.

15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair.- Observed very soiled microwave in infant room and it is missing a glass tray inside. Keep equipment clean and in good repair. Observed rusted microwave in the kitchen, repair or replace needed. Keep it in good repair.

REPEAT 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 throughout the center where accessible to children measured at 67F-70F. Ensure to provide tempered water between 80F -110F at all time.

REPEAT 15A NCAC 18A .2815 (f).Drinking fountains, if provided, shall be separate from handwash lavatories and kept clean.-Observed soiled water fountains that are not currently in used. Needs details cleaning and keep clean even when not use.

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 07/02/2021. According to RTI website showing the facility is in the progress status for (lead in water- Enrollment completed 8/30/2024), Lead Based Paint and Asbestos status showing “Waiting for on site visit results”. The director had emailed EHS stated that all actions that were required by the center had been completed. Now just waiting to hear from RTI. EHS inform director assistant at the time of inspection to follow up and ensure that required procedures and process are completed and the center obtain the results for lead testing as required by this rule. The results shall be updated by the next routine inspection to avoid provisional classification status.

General Comment: 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed soiled hand washing sinks, need detail cleaning (middle classroom and restroom, infant room). Keep clean.

15A NCAC 18A .2812 (i) Provide a testing method for chlorine disinfectant to ensure compliance with prescribed chlorine concentration.- Observed no labeling on the bottle that contains disinfectant solution. Ensure to label all spray bottles even it is just a water.

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 1 cot on the list without name assigned (cot #11). Everyone else has number and name assigned (cot #1-7). Ensure to label with name or number chart, update as needed and made available. No points deducted due to improvement.

REPEAT: 15A NCAC 18A .2824 (b). Floors and floor coverings in sleeping and play areas shall be kept clean and in good repair. -Observed flooring, carpets in classroom throughout the center in need of detail deep cleaning and keep clean. NOTE: Carpets just got cleaned on 11/2/24. Email confirmation. Please continue to keep a log of detail cleaning for record.

15A NCAC 18A .2804 (h) After the completion of each feeding, any leftover formula, human milk, or other bottled beverages used during the feeding shall be discarded or sent home with the child whose name is on the label for the formula, human milk, or bottled beverage at the end of each day. Feeding is complete when the child care center employee has stopped feeding the child and the child has been removed from the feeding area in the child care center and returned to other activities. Bottles previously used for feeding shall not be returned to communal mechanical refrigeration.- Observed empty/leftover baby bottle inside the ziplock bag along with two other full bottles, and a cup with little coke in it with straw inside the infant room refrigerator. Ensure keep all contaminated items out of the refrigerator.

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 over 1000 ppm of sanitize (chlorine) concentration solution in the the middle classroom. Ensure to provide the correct concentration between 50-200 ppm. Provide15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes.- Observed infant room without the sanitizer solution bottle for cleaning purposes.

REPEAT 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 throughout the center where accessible to children measured at 58F. Ensure to provide tempered water.

General Comment: 15A NCAC 18A .2815 (f).Drinking fountains, if provided, shall be separate from handwash lavatories and kept clean.-Observed water fountains that are not currently in used. Needs details cleaning and keep clean even when not use.

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 diapering table in the middle classroom restroom need details cleaning and keep clean either use or not in use currently.

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 children cots without name or numbers labeling. Ensure to label with name or number chart, made available.

15A NCAC 18A .2824 (b). Floors and floor coverings in sleeping and play areas shall be kept clean and in good repair. -Observed flooring in infant room and after school room in need of details cleaning and keep clean.

General Comment: 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 the facility without the vomiting and diarrhea written procedures in place. EHS emailed the director the written plan and poster at the time of inspection.

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 thermometer to measure thin foods. The center has meat thermometer in the kitchen. Obtain the thin probe thermometer.

15A NCAC 18A .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions. - Observed soiled bottle warmer in the kitchen. The director cleaned the equipment at the time of inspection.

REPEAT 15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. - Observed water hot measure at 69F-70F at all hand sinks in the classroom. Water temperature needs to be adjusted and the temperature shall maintain between 80F-110F as required.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. - Observed several toilets in the afterschool classroom need cleaning.

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 several cots in the comment classroom and after school are missing name of a child. Ensure to put name of a child as it assigned to each individual.

Wash hands when required. 15A NCAC 18A .2803 (a). Observed child arrive to childcare center and their hands were not washed by parent or teacher before allowing child to play.

Provide a numerically scaled metal stem-type thermometer accurate to 2°F. 15A NCAC 18A .2807 (h). Observed metal stem type thermometer no accurate within 2F of EHS calibrated thermometer. EHS advises center to obtain a thermometer that is accurate.

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

Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3). Observed general cleaning needed flooring of dorm refrigeration unit stored in toddler classroom. Observed faucet to handsink loose in kitchen, Director has ordered a new faucet, which EHS saw, and is awaiting for a plumber to come to install unit.

Hot water shall be maintained between 80°F and 110°F at mop sinks and can washes accessible to children. 15A NCAC 18A .2815 (e). Observed hot water ranging between 56F-58F at handsinks throughout center.

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed build up under toilet lid in toddler classroom restroom.

Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Observed disinfectant at 10ppm chlorine in 3-4’s classroom.

Individual linen must be kept clean and in good repair. 15A NCAC 18A .2821 (f). Observed staining to white linen on cots in 3-4’s classroom. *NOTE: Director, Sandy Drayton, was present during inspection. Report emailed to center at: kiddiecollege2619@gmail.com

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 having water at hand sink below 80F (70-74F); (note) kitchen was measured at 134F. (recommendation) to adjust thermostat on water heater to ensure proper temp.

Approved non-hazardous products must be stored 5ft above the floor or behind lock and key. 15A NCAC 18A .2820 (b), (c ) and (d). Observed sanitizer and disinfectant hanging on shelf below 5ft; CDI items stored above 5ft during inspection.

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed area behind hand washing sink with bare absorbent plaster in need of painting / sealing in front classroom.

REPEAT Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e). Water at hand sinks throughout classrooms measuring below 80F (72-74F).

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed caulking at hand washing sink in need of replacing located near entrance to kitchen.

Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e). Observed hand sinks inside classrooms stabilizing at 73F-74F.

REPEAT Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Observed old cots and random center equipment collected behind center inside empty lot providing potential harborage for pest. Keep the property free of high vegetation. 15A NCAC 18A .2831 (I). Grass is in need of cutting inside play ground enclosure. At child care centers, the premises, including the outdoor learning environment, shall be kept clean. 15A NCAC 18A .2832 (a). Observed several plastic containers and wrappers and bags collected inside play ground enclosure.

Individual linen shall be provided for all beds, cots, or mats; clean and in good repair 15A NCAC 18A .2821 (c ). Observed linen for cots and crib damaged and or soiled in need of changing / replacing.

REPEAT Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Observed old broken equipment piled up against center in need of removal (small area left of ramp in back play enclosure).

REPEAT Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed toilet seat inside girls lavatory very loose in need of tightening in after school 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 front panels of water fountains held together with duct tape (duct tape may be used for temporary fix until proper repair can be made) GC was noted last inspection regarding duct tape.

Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a). Observed light fixtures inside kitchen not shatterproof in need of proper shielding. Observed light shield inside girls lavatory damaged / cracked held together with silicone chaulking.

Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Observed old broken equipment piled up against center in need of removal (small area left of ramp in back play enclosure).

Observed sink needing to be resealed to wall in girls restroom. Observed rust on stall wall in boys restroom. Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a). Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).

Observed spray nozzle on disinfectant spray bottle at diaper table not operating properly. There are currently no infants and toddlers are potty trained (some still in process). Cleaning and disinfecting solutions shall be provided at each diaper changing station. 15A NCAC 18A .2819 ( c ).

Observed cots fraying around edges. Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).

Observed floor bulging/bulking near water fountains. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed bulging/bulking slats on outdoor ramp to playground.

Observed open packages of flour and sugar were not properly sealed in the kitchen. Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a)

Observed the kitchen sanitizer was below 50ppm chlorine Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d)

Observed the water fountain spouts with pink residue, and the front cover was not secure. Keep water fountains clean at all times. 15A NCAC 18A .2815 (f).

Observed the disinfectant was at 250ppm. Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Chlorine test strips were expired. **Provide test strips for the chlorine disinfectant. 15A NCAC 18A .2819 (c )

Observed some sheets were torn/worn that the children were napping on, and some mats had no fitted sheets. Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a). Individual linen shall be provided for all beds, cots, or mats. 15A NCAC 18A .2821 (c ).

Observed some chipping paint in some care rooms, the wood floor in need of sealing in the preschool restroom, and the kitchen floor was sagging/soft in some areas. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

(REPEAT) Observed one live roach in the kitchen. **Provide effective pest conrol to eliminate insect presence. Keep the facility free of rodents, insects and vermin. 15A NCAC 18A .2831 (b).

Observed several floor board on the ramp with holes and not secure, ramp top hand rail with curved boards and exposed nails, a play structure was leaning and not secure and some nails protruding, the fascia boards at the roof line were water damaged, and some areas with high grass/vegetation in the back outdoor play area. Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). At child care centers, the premises, including the outdoor learning environment, shall be kept clean. 15A NCAC 18A .2832 (a).

Observed specialty milk provided by parent with child's name and date for June 16, 2017. Use by date on container of milk was August-->no problem. Return baby bottles and sippy cups containing juice or milk back home at end of day. Return specialty milk provide by the parent back home at end of week. Label specialty milk with child name and date specialty milk was brought into center; return at end of week. 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 cots in infant/toddler room with child's name or use the name and number system. Thoroughly clean old tape and tape adhesive from corners of sleeping cots. All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ). Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).

Repair flooring in kitchen. The area of flooring under up-right refrigeration unit look like floor is about to fall in. Tightly secure flooring under three compartment sink. WIpe/clean door to can wash in back kitchen area. Monitor water spots on ceiling in front classroom and infant/toddler room and repair any and all roof leaks; then repaint ceiling. Repair flooring in back after school room near exit door. Observed flooring in after school room damaged from water coming under door and getting onto flooring. Clean floor drains in kitchen. Repair flooring in infant/toddler room. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed roaches in kitchen area. Continue to exterminate building to address roaches. Replace missing facia and soffit boarding on backside of daycare to prevent (squirrels, opossum, bats, raccoons) gaining access to attic area. Remove mulch pile from front corner of daycare. Mulch pile been there every since middle of last year. Place mulch on playground area or remove mulch pile from premises. Remove large hub part to eighteen wheeler. Keep the facility free of rodents, insects and vermin. 15A NCAC 18A .2831 (b).

Tighten loose playground fencing and boards. Replace broken boards on playground fencing. Cut high vegetative growth from fenced in area of unused playground area. Clean branches/ stick from playground area. Remove old boarded up wooden playground fixture from playground area. Observed loose boards and protruding nail on old wooden fixture. Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Keep the property free of high vegetation. 15A NCAC 18A .2831 (i). All play ground equipment must be kept clean and in good repair. 15A NCAC 18A .2832 (c ).

Thoroughly clean mouth guard and water nozzle on water fountain. Observed mouth guard on water fountain soiled. Monitor gap between back of water fountain and wall; tightly secure water fountain to wall. Keep water fountains clean at all times. 15A NCAC 18A .2815 (f).

Observed damaged crib mattress and sleeping cots. Replace damaged crib mattress and damaged sleeping cots. Was informed by teacher that cots have been ordered to replace damaged sleeping cots. Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).

Monitor gaps between floor paneling in kitchen and bathroom in infant classroom and repair. Eliminate gaps between floor paneling. Tightly secure linoleum flooring under three compartment sink near floor drains. Thoroughly clean floor drains in kitchen. Repair and repaint ceiling near exit door in front classroom leading out to playground area. Patch hole in wall beside water fountain and repaint. Continue to touch-up paint corner of walls in classroom area and anywhere throughout daycare where needed. Wipe/clean door between front classroom and infant room. Tightly secure hand washing sinks to wall and recaulk-----> make caulking around hand washing sink smooth and easily cleanable! Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Tightly secure vent cover to ceiling in boys after school classroom. Monitor light fixtures in bathrooms and tightly secure to ceiling. Replace damaged light shield over light fixture in storage room off of infant room. Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a).

Observed staff sweep floor, collect trash in dust pan, remove soiled lid from top of trash can and not wash hand afterwards. PROVIDE SOAP AND PAPER TOWELS SO HANDS CAN BE WASHED WHEN REQUIRED AND PROPER HAND WASHING PROCEDURE CAN TAKE PLACE------> SEE ITEM #22. Wash hands when required. 15A NCAC 18A .2803 (a)

Observed can of baby formula stored on shelf in infant room. Asked staff who baby formula it was and she stated "that it was the daycare and they sometime make bottles for babies if the parent forgets". Asked staff if she had written permission from parent or doctor and she stated and other staff stated that they were unaware of having to have written permission. **** IF DAYCARE MAKE BABY BOTTLE USING DAYCARE FORMULA, WRITTEN PERMISSION FROM PARENT OR DOCTOR MUST BE PROVIDED. DO NOT STORE OR PLACE DAYCARE BABY FORMULA INFANT ROOM SINCE BABY ROOM DOES NOT HAVE A FOOD PREP AREA. Observed (1) sippy cup not labeled with child's name or date. Label baby bottles and sippy cups brought from home with child name and date item was brought into center. Observed staff Jello stored in daycare refrigeration unit. Recommend storing staff food in staff dorm refrigeration unit. Cover staff Jello and label staff Jello if being stored/placed in daycare refrigeration unit. Food storage in classrooms shall be limited to foods that are individually packaged unless the room is equipped with a food preparation area. 15A NCAC 18A .2806 (b). All centers that prepare formula for children shall have a doctor's or parent's written permission to prepare the formula. 15A NCAC 18A .2804 (d). 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 handle on microwave and shelving in refrigeration unit soiled. White shelving had black debris/growth on top and underside of shelving. Wipe/clean dry storage shelving on right hand side of wall upon entering kitchen. Thoroughly clean handle on microwave and shelving in refrigeration unit. Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3).

Observed debris in base of utensil drawer, drawer under oven and live and dead roaches on utensil shelving in cabinet above three compartment sink. Thoroughly clean all utensil shelving and storage areas Protect food service equipment from contamination. 15A NCAC 18A .2814 (a) and (b).

Observed water fountains in back classroom area soiled! Thoroughly clean water mouth guard and water nozzle on water fountains! Employee informed me that children does not come/use back room, but two chairs and a stool was present in front of water fountain and chairs had foot marks from where children have been standing in chairs to get water from water fountain. Keep water fountains clean at all times. 15A NCAC 18A .2815 (f).

Observed area around faceut fixture in both classroom, bathrooms and infant room soiled. Observed loose faucet fixture in front classroom on right hand side of class. THOROUGHLY CLEAN AND DISINFECT HAND WASHING SINK AND FAUCET FIXTURES AT LEAST DAILY AND ANYTIME THROUGHOUT THE DAY; IF NEEDED! Clean stall fixtures in back classroom area(after school bathrooms). Tightly secure faucet fixture on hand washing sink in kitchen and classroom area to sink basin. Observed facuet fixtures on sink loose. Sinks shall be cleaned and disinfected at least daily, when visibly soiled, and when the designated use of the hand washing sink has been changed. 15A NCAC 18A .2818 (c). Keep hand washing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

PROVIDE SOAP AND PAPER TOWELS AT ALL HAND WASHING SINKS AT ALL TIMES! Today only 14 halves of paper towels at time and write-up of inspection. By the time I wash my hands only a few paper towels were left. No more paper towels could be provided at time of inspection and no one brought any paper towels to center. Provide paper towels so staff and children can properly wash their hands. Provide paper towels and extra paper towels at all times at center so proper hand washing can take place and hand can be washed when required! Disposable towels shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d).

Observed torn/damaged diaper changing pad on diaper changing table in infant room bathroom. Replace damaged pad on diaper changing table. Tightly secure loose railing and sides on diaper changing table. Employee explained to me the diaper changing procedure wrong. Follow correct dipaer changing procedures posted on the wall! Provide a smooth easily cleanable diaper changing pad fro table. Do not get one with design pattern/ indents because it is hard to clean and area on pads become questionable if it is clean or not.------>item #25.To clean and disinfect diapering surface: 1) Spray soapy water onto surface 2) Wipe off soapy water 3) Spray disinfectant onto surface until surface is glistening wet 4) Let disinfectant sit for at least 2 minutes or until air dry. 15A NCAC 18A .2819 (d).Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b). Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d).

Clean and organize back office/storage room area. Observed room unorganized and stuff on the floor. 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).

Discard torn/damaged sleeping cots. Observed surface area ripping at corner more onto the sleeping area and loose string on corners of cots. Remove old tape/adhesive from sleeping cots. Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).

Observed torn/damaged linen on sleeping cots. Discard and replace damaged linen on sleeping cots. Observed linen stored/placed on the floor in back storage/office area. No linen storage on the floor! Individual linen must be kept clean and in good repair. 15A NCAC 18A .2821 (f). Linens shall be stored with each child's cot or mat or placed in the child's designated area or stored in a manner to prevent contamination. 15A NCAC 18A .2821 (f).

Clean blue kitchen play fixture in front center room. Replace damaged plastic bin at front door. Detail clean toys and fixture in room where water fountains are located.--->clean shelving, toys, remove broken toy fixtures, secure loose laminate on white shelving. Secure loose metal leg brace on green sensory table with yellow lid. Paint chairs which paint is coming off or replace chairs, Clean plastic dolls in front center classroom. Wipe/clean lower shelving in infant 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).

Repair damaged flooring in kitchen. Tightly secure and seal loose base board in can wash room. Clean edge of doors to bathrooms. Clean wall around light switch in bathrooms. Repair or replace bathroom door in front center classroom. Door paneling is separating. Clean and rapint or replace French doors separating front classroom. Paint is chipping and missing and also missing a glass panel. Lead swab test performed on door and reading read negative. Clean walls and doors throughout room and touch-up paint. Repair ceiling in back infant room and repaint damaged area. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Repair light fixture above two compartment sink in kitchen area. Repair light fixtures or replace blown light bulbs in light fixtures in classrooms and bathrooms. Tightly secure loose hanging light fixture to ceiling in after school bathroom. Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a). Lighting shall be capable of illumination to at least 50 foot-candles at work surfaces describe in 15A NCAC 18A .2826 (a).

Observed dead and alive roaches on kitchen counter and in cabinets of kitchen. Have center exterminated by a licensed exterminator. Keep the facility free of rodents, insects and vermin. 15A NCAC 18A .2831 (b).

Observed loose section of playground fencing and damaged boards on fencing. Tightly secure loose section of fencing and replace damaged/broken boards. Observed standing water in fixtures/ bins on the playground. Store items on the playground so they do not hold or collect water. Observed chipping and flaking paint on side of daycare and soffit area of daycare near back exit door to infant, front center classroom and after school room. ------> Lead swab test performed and reading read negative. Repaint area on wall and soffit area of daycare where paint is flaking and chipping off. Tightly secure loose boards/trim on soffit/facia boards. Remove rotten half tree from within playground areas and do not let children playground rotten half tree. I barely pushed on tree and tree stated to fall over! Remove old tires, grocery cart, green carpeting, boards, etc from premises(blocked off area). Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). At child care centers, the premises, including the outdoor learning environment, shall be kept clean. 15A NCAC 18A .2832 (a). Keep the property free of standing water. 15A NCAC 18A .2831 (b).

Observed no metal stem thermomter in kitchen. Provide metal stem thermometer.

Observed floors damaged in kitchen, finish worn in school age room, and school age restroom floors damaged. Observed partition in school age boys restroom rusting. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Repeat non-compliance: Observed old play ground equipement in one sections, remove. Observed several missing or loose fence planks. Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). All play ground equipment must be kept clean and in good repair. 15A NCAC 18A .2832 (c ).

Observed water nozzle on water fountain in after school room soiled. Observed black debris in water nozzle. Thoroughly clean and sanitize water fountain, water nozzle, mouth guard. Observed water in base of water fountain not properly draining. Adjust water fountain so water will properly drain in base and not collect. Keep water fountains clean at all times. 15A NCAC 18A .2815 (f).

Observed protruding screws/bolts on cribs. Screw in protruding screws/bolts on cribs. Continue to clean old tape adhesive off of end of cribs! Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).

Observed base of white shelving dusty in main classroom. Repair blue toy house fixture in main classroom or remove toy house fixture. Clean handle on infant/toddler chairs in infant room. Observed base of infant/toddler chairs . splintering. Remove or replace splintering infant/toddler chairs. Secure loose laminate on white shelving in after school roomToys, 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 flooring in kitchen and after school room. Repair damaged flooring throughout center. Observed base of wall damaged in can wash room. Repair base of wall and tightly secure loose rubber cove base moulding in can wash room. Observed damaged ceiling in main classroom and infant/toddler room. Repair damaged ceiling throughout where needed. Observed loose hanging fire exit sign in after school room. Repair exit sign above door in after school room. Clean wall around light switch in bathrooms. Observed gap along base of exit door in after school room. Provide a door sweep on base of exit door. Repair corner of wall in after school room and repaint. Touch-up paint throughout center where needed.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Repair light fixture in kitchen near door/ two compartment sink. Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a).

Observed loose railing on playground fencing. Continue to secure loose boards and damaged boards on playground fencing. Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Ms. Linda Abernathy, Ms. Tamara Perez and Ms. Stephanie William present at time of inspection.

Observed banana stored on diaper changing table in classroom at front entrance. Observed raw eggs stored above other food products. Observed opened bag of cat food stored on transfer cart near a bag of cereal. Observed opened pre cooked and cooked food products stored in the refrigeration unit not labeled/date marked. DO NOT STORE OR PLACE FOOD PRODUCTS ON DIAPER CHANGING TABLE! Store food products in kitchen or a clean table where children eat at. Store raw egg and raw meat products below and away from other food products. WHY IS THEIR CAT FOOD IN THE KITCHEN AND THERE IS NO CAT ON PREMISES! Do not store or place animal food in the kitchen. Date mark opened packages of food products and cooked food products stored in refrigeration unit. 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). Raw meats, poultry, fish, shellfish, and eggs shall be stored on shelving beneath and separate from other foods. 15A NCAC 18A .2806 (f)

Observed stained and damaged oven mittens. Clean and replace damaged oven mittens. Observed base and shelving within both refrigeration units soiled. Observed broken gasket on both refrigeration unit. Observed coffin freezer door lid broken at the hinge. Clean base and shelving within refrigeration unit. Replace broken gaskets on refrigeration unit. Repair lid on coffin freezer unit or replace entire freezer. Observed a grocery cart being used/stored in kitchen area. Remove grocery cart from kitchen area; purchase a transfer cart if needed. Observed rusted shelving/ which laminate is missing in refrigeration unit. Replace rusted shelving and shelving which laminate is coming off. 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).

Observed water fountains in after school room soiled around water nozzles and mouth guards. Thoroughly clean water nozzles and guards on water fountains! Observed low water pressure on water fountains. Adjust water pressure on fountains! 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 damaged stall fixture in after school bathroom. Stall fixture is leaning against the wall in bathroom. Observed loose toilet paper holder in bathroom. Repair stall fixture and secure toilet paper holders. Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).

Observed paper towels missing from hand washing sink throughout daycare and teacher and kitchen staff going to other area of daycare to get napkins/ paper towels. Provide soap and paper towels at all hand washing sinks at all times. Observed paper towels/napkins stored behind faucet fixtures on hand washing sinks. Do not store napkin/paper towels behind faucet fixtures on hand washing sink. Liquid soap and disposable towels shall be provided and accessible at all hand washing sinks. 15A NCAC 18A .2818 (d).

Observed storage on diaper changing table (staff apron, facial tissue, along with banana)at arrival of inspection! NO STORAGE ON DIAPER CHANGING TABLE! Keep the diaper changing table free of non-diaper changing related storage. 15A NCAC 18A .2819 (b).

Observed back corner office/storage room unorganized. Clean and organize storage closet/office in infant/toddler 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 crib not labeled with child's name and torn/damaged crib mattress. Label cribs with child's name. Replace torn/damaged crib mattress. Observed old adhesive on end of cribs. Thoroughly clean adhesive from end of cribs. Monitor sleeping cots and replace if needed. Observed corner of cots fraying. Observed labels coming off of ends of sleeping cots. Reattach label/child's name to end of sleeping cots. All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ). Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a). During inspection observed no linen on cribs or sleeping cots. After questioning teacher she informed me that children had taken a nap in the morning and that she had removed linen from cribs and cots. Teacher went to storage room/closet and could only find one linen to cover cot or crib. MAKE SURE DAYCARE HAS ADEQUATE LINEN TO COVER CRIBS AND COTS!

Observed torn/damaged linen on sleeping cots and linen on cots soiled. Replace torn/damaged linen and thoroughly clean linen on cots. Individual linen must be kept clean and in good repair. 15A NCAC 18A .2821 (f). Linens for children older than 12 months shall be changed and laundered when soiled and at least weekly. 15A NCAC 18A .2821 (f).

Observed toys, furniture and fixtures soiled throughout daycare three rooms. Thoroughly clean toys, furniture and fixtures in rooms. Clean lower toy shelving and base of toy bins. Clean chairs to tables. Tightly secure loose laminate on base of shelving/cubbies. Observed toys and soft plush toys soiled in infant/toddler room. Thoroughly clan toys and soft plush toys in infant room. Observed art supplies stored in dirty toy bin in infant/toddler room. Label dirty toy bin in infant room and do not store art supplies in dirty toy bin. 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 flooring throughout in kitchen, classroom and bathrooms. Repair damaged flooring throughout daycare. Observed holes in wall in kitchen near hand washing sink. Patch hole in wall in kitchen and repaint. . Observed water stained ceiling and signs of microbial growth present on ceiling in front classroom near exit door and entrance. Repair any and all roof leaks then repair ceiling in classroom. Wipe/clean walls throughout and touch-up paint. Clean wall around light switch in bathrooms. Patch holes in wall and repaint/touch-up paint.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed lights in front classroom bathroom and after school room bathroom not properly working. Replace blown light bulbs in light fixtures or repair light fixtures. Observed ceiling ventilation in after school room soiled; clean ceiling ventilation. Properly repair broken glass in door and remove board and tape. Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a).

Observed old boards and debris in fenced in area directly behind the kitchen area. Remove old boards and debris from premises. Replace missing crawl space vent cover within fenced in area behind kitchen. Keep the facility free of rodents, insects and vermin. 15A NCAC 18A .2831 (b).

Observed standing water in containers/fixtures on the playground. Store items on the playground so they do not hold or collect water. Observed loose and damaged fencing on the playground area. Repair fencing surrounding play ground area. Observed door framing on exterior of exit doors rotten and breaking apart. Repair or replace damaged door framing around exit doors leading onto the playground area. Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Keep the property free of standing water. 15A NCAC 18A .2831 (b).

Observed bags of cereal and graham crackers tied in a knot.Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a)

Observed debris collecting in oven drawer.Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f)

Observed partition wall very loose in boys bathroom in after school room.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed breaker box panel off on ramp to outdoor learning environment.Wells, grease traps, cisterns and utility equipment shall be made inaccessible to children. .2832 (a).

Observed damaged children utensil handles in cabinet.All food service equipment shall be easily cleanable. 15A NCAC 18A .2809 (1)

Observed wet stacked bowls in kitchen. Observed exterior of bowls collecting residue.Completely air-dry all equipment and utensils before stacking or storing the items. 15A NCAC 18A .2812 (h)

Observed no paper towels at hand sink in front classroom.Disposable towels shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d).

Observed kitchen floor tiles damaged. Observed hand rails around toilets in school age room rusting.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed broken ladder up swing set in play area to the left of the front side of the facility. Observed fencing damaged in large play ground area.Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).

Observed one bag of sugar not properly sealed. **Store all foods in approved re-sealable bags or containers once opened. See rule .2806 (a)Observed meat in 2 compartment sink thawing at room temperature. **All potentially hazardous food shall be properly thawed. See rule .2807 (i). Observed eggs stored over ready to eat food in refrigerator. **Raw meats, poultry, fish, shellfish, and eggs shall be stored on shelving beneath and separate from other foods. See rule .2806 (f)

Observed debris collecting in drawer behind storage of multi-service utensils. **Keep all non-food contact surfaces and equipment clean and in good repair. See rule .2812 (f) and .2809 (1) and (3).Observed pot used to boil water on stove top with damaged/scraped coating. **Keep all food service equipment clean and in good repair. See rule .2812 (f)

Observed floor damaged throughout school age classroom and restrooms.**Keep all floors walls and ceilings in good repair.

Observed mosquito larva in water collecting in playground toys. Observed flies in infant room bathroom/diaper changing area. Observed mouse droppings in kitchen under 2 compartment sink. **Keep the facility free of rodents, insects and vermin. See rule .2831 (b).

Repeat Non-compliance: Observed disinfectant below 500 ppm.**The diaper changing surface shall be properly disinfected between each child. See rule .2819 (c ).

Observed wall damaged in after school room and after school boys restroom.Observed floors damaged in after school restrooms and classroom.**Keep all floors, walls, and ceilings, clean and in good repair. See rule sections .2824 and .2825.

Repeat non-compliance: Observed mouse droppings in kitchen cabinet under 2 compartment sink.**Keep the facility free of rodents, insects and vermin. See rule .2831 (b).

Observed standing water in wheelbarrow in locked area behind fence.**Keep the property free of standing water. See rule .2831 (b).

Repeat non-compliance: Observed: Children unsupervised completing improper hand washing techniques. **Supervise children to ensure proper hand washing.

Observed: Can opener stored as clean in drawer collecting residue on blade. **Keep all food contact surfaces clean and in good repair.

Observed: Sanitizer over 500 ppm in care room next to kitchen. **Provide a spray on sanitizer at 50-200 ppm chlorine, made and tested daily.

Repeat non-compliance: Observed: Disinfectant at 250 ppm. **Provide a disinfectant at 500-800 ppm bleach.

Repeat non-compliance: Observed: glade aerosol air freshener and germcidal wipes unlocked in a bathroom near the kitchen. Removed during inspection. **Keep all hazardous items stored under lock and key. See rule .2820

Observed: Children napping with less than 5 inches seperation. **Children must be spaced a minimum of 18 inches between cots/mats when sleeping.

Observed: Turtles in care room next to kitchen. **Reptiles are restricted from child care centers.

Observed: Front door open for extended period during nap time. **Keep doors closed to prevent insects from entering the building. Rodent signs in kitchen under 2 comp sink. **Keep facility free from rodents. Mosquito larva in water collecting in outdoor toys in front of playground area.