BEGINNING YEARS II

Observed no handwash sign posted in the restroom between rooms 4 and 5 (not being used) and hallway restroom. **15A NCAC 18A .2818 (e) Handwash signs shall be posted at every handwash lavatory area. The signs shall instruct children and child care center employees to wash their hands in accordance with Rule .2803

Observed disinfectant below 500ppm during the inspection. Informed staff that using hot water could reduce the concentration. **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 construction paper on diaper changing pad in the infant room. Removed. GENERAL COMMENT **15A NCAC 18A .2819 (b) Nothing shall be placed on the diapering surface except for those items required for diapering and the child whose diaper will be changed.

Observed mats torn in room 3. **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 water stained ceiling tiles in rooms 2 and 6. **15A NCAC 18A .2825 (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas, shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint.

Observed multi-color structure on the playground cracked. Observed bench on playground peeling paint and in need of repair. 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 (2) A sandbox used in outdoor play shall be constructed to allow for drainage of water and shall be covered when not in use and kept clean.

Observed bag hanging on hooks touching in the infant room. **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 water stained ceiling tiles in room 6 bathroom. **15A NCAC 18A .2825 (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas, shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint.

Observed dead bugs in the light shields in room 6. **15A NCAC 18A .2826 (a). Light fixtures in all areas shall be kept clean and in good repair. Observed vent covers with build up in the restroom in room 6. **15A NCAC 18A .2826 (b).Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair.

Observed specialty milk brought from home dated 2/25. Needs to be sent home at the end of the week. **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 chips not properly sealed in the kitchen, closed using tape. **15A NCAC 18A .2806 (a) Once pre-packaged food has been opened, the food shall be stored in clean, resealable bags or containers made of plastic or glass that are tightly covered and manufactured for the purpose of food storage.

Observed no updated results for lead testing. Website is showing 1/19/22. During the last inspection, Clean Water for Carolina Kids stated that the last order was not received so that order would be canceled. New kit needed to be re-ordered. **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 loose toilet seats in staff restroom. Needs to be tightened. GENERAL COMMENT **15A NCAC 18A .2817 (a.) All toilet fixtures shall be kept clean and in good repair.

Observed no handwash sign posted in the restroom between rooms 5 and 6 and within room 6. **15A NCAC 18A .2818 (e) Handwash signs shall be posted at every handwash lavatory area. The signs shall instruct children and child care center employees to wash their hands in accordance with Rule .2803

Observed no diaper changing sign posted in the infant room. Provided. GENERAL COMMENT **15A NCAC 18A .2819 (h) Signs that instruct child care center employees on proper methods of diaper changing and handwashing as set forth in the rules of this Section shall be posted in each diaper changing area.

Observed cots not properly labeled in room 5. **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 water stained ceiling tiles on the main hall, and in room 6. Improvement. GENERAL COMMENT. **15A NCAC 18A .2825 (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas, shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint.

Observed dead bugs in the light shields in room 2 and 4. **15A NCAC 18A .2826 (a). Light fixtures in all areas shall be kept clean and in good repair. Observed vent covers with build up in the restroom between rooms 2 and 3 and between 5 and 6. **15A NCAC 18A .2826 (b).Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair.

Observed water had not been tested since 1/19/22. During the last inspection a provisional was issued. According to the website the testing kit was delivered but no sample was ever collected. Staff not sure if they ever received the testing kit. During the re-inspection today, we spoke with Clean Water for Carolina Kids who confirmed that the previous order would be canceled and a new kit will be sent out. 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 build up in toilet in room #6. **15A NCAC 18A .2817 (a.) All toilet fixtures shall be kept clean and in good repair.

Observed water stained ceiling tiles in rooms #2, 3, 4 and 6, main hallway, and right out side #5. Observed touch up paint needed in room #6. **15A NCAC 18A .2825 (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas, shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint.

Observed dead insects in the light shield in room #6. GENERAL COMMENT **15A NCAC 18A .2826 (a). Light fixtures in all areas shall be kept clean and in good repair.

Observed no results for lead testing in water. Last date recorded on Clean Water for Carolina Kids was 1/19/22 **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 torn mats in 2 year old room. **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 two children sleeping on mats without linen that covered the entire surface. **15A NCAC 18A .2821 (f) Linens shall be large enough to cover the bed, cot, or mat's sleeping surface.

Observed water stained ceiling tiles outside of 3 year old room, in the 3 year old room, tile near 4 year old room and in the after school 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.

Observed dead bugs in the light shields in the after school room. Needs to be cleaned. GENERAL COMMENT **15A NCAC 18A .2826 (a). Light fixtures in all areas shall be kept clean and in good repair.

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 one child’s bottles sent from home in Infant room missing date labels. Needs dates. REPEAT.

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. Facility lead water test expired last week. Facility is in the process of getting water tested.

General Comment: 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed build up at base of toilet in Room 4. Needs cleaning.

General Comment: 15A NCAC 18A .2819 (c) and 15A NCAC 18A .2819 (d) (10). Diapering surfaces shall be disinfected using an approved disinfectant by spraying the entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry. Observed employee wipe disinfectant off diaper surface after spraying. Needs to remain on surface for 2 minutes or air dry.

15A NCAC 18A .2819 (d) Use approved diapering methods as follows: 1) gather supplies, 2) wear disposable gloves (if needed), 3) use a disposable moist towelette to clean child, wiping front to back, 4) dispose of gloves if used and soiled towelettes, 5) wiping the employee's hands and the child's hands with a separate disposable towelette, 6) slide clean diaper under child and apply diapering products if needed using approved methods, 7) fasten diaper and place clothing on child, 8) wash child's hands, 9) and 10) clean and disinfect diapering surface using approved methods, 11) employee washes their hands. Observed employee complete diaper change and did not wash the child’s hands. Follow diaper change procedure.

General Comment: 15A NCAC 18A .2822 (a) Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. Observed gray chair torn in Room 3. Needs repair.

General Comment: 15A NCAC 18A .2825 (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas, shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint. Observed top coat of paint rubbing off wall in Room 4. Needs touch up. Observed toilet paper holders on wall needing repair in Room 5 and Room 4. Needs repair. Observed stained ceiling tiles in hall.

15A NCAC 18A .2804 (k) Lunches, snacks, and other meals containing potentially hazardous foods shall be refrigerated at 45 degrees Fahrenheit or below and stored in the child care center kitchen or approved food preparation area. Observed a box of pepperoni rolls that was to be frozen until cooked stored at room temperature in a child’s cubby in room 3. Needs to be stored refrigerated. CDI- Food was removed from classroom and placed in refrigerator. Staff shall give the food back to the parent and not serve to the child.

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 dates on bottles in infant class is 7/16. Staff accidentally put yesterday’s date on bottles. Needs to be corrected. 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 pizza rolls in child cubby sent from home with no name or date label. Needs name and date label. 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 carton of specialty bulk milk in kitchen refrigerator with no date received label. Needs date received label.

15A NCAC 18A .2815 (f).Drinking fountains, if provided, shall be separate from handwash lavatories and kept clean. Observed build up on drinking fountain nozzles. Needs cleaning.

15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair. Observed handsink in kitchen leaking. Observed hot water handle in room 5 bathroom not operable. Needs repair. 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 no paper towels in room 6 second bathroom and at kitchen handsink. Needs papertowels.

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 build up and small tear on diaper pad in room 3. Needs cleaning repair/replacement. REPEAT.

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 advil stored in unlocked cabinet in infant room. CDI- Advil was removed and locked away.

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 brown stain on cot in hall outside of room 5.

15A NCAC 18A .2822 (a) Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. Observed sticky residue on table in room 6. EHS discussed toy cleaning for mouthing toys in infant room. Staff stated they spray toys with disinfectant to clean. EHS informed staff toy cleaning should be done with a wash/rinse/sanitize method. Needs cleaning.

15A NCAC 18A .2806 (a) Once pre-packaged food has been opened, the food shall be stored in clean, resealable bags or containers made of plastic or glass that are tightly covered and manufactured for the purpose of food storage. Observed marshmallows and tortilla chips stored in non-resealable bags. Needs to be in resealable bags or containers.

15A NCAC 18A .2806 (j) (1) Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. Observed refrigerator thermometer sitting on top of instead of inside kitchen fridge. Needs to be in refrigerator.

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

15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair. Observed spring loaded faucet for hot water not operating in back bathroom of room 5. Needs repair. 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 disinfectant at 250 ppm chlorine. EHS and director reviewed recipes for disinfectant and found facility was using teaspoons instead of tablespoons on recipe. Corrections were made.

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 chipping paint on diapering table in room 4. Observed debris on table in room 3 and 4. Needs cleaning and repair.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed chipping paint on walls in afterschool room and walls in need of cleaning. REPEAT. Carpet shall be extraction cleaned at least once each 6 months. 15A NCAC 18A .2824 (c ). Observed no documentation stating carpets have been cleaned by extraction in 6 months. Director stated he has a carpet cleaner that is not kept in the facility and is brought in to clean carpets. EHS asked for documentation on the cleaner to show it performs extraction cleaning. Director had no documentation on cleaning dates or on the machine used for cleaning. REPEAT.

15A NCAC 18A .2806 (d) Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in the 2800 rules when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs. Observed soy milk in kitchen sent from home for a single student with no label. Needs to be labeled.

Provide15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes. Observed sanitizer in classrooms at 500 ppm chlorine. Sanitizer should be between 50-200 ppm chlorine.

15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair. Observed food residue on the underside of high chair trays in infant room needs to be cleaned.

Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a). Observed spring loaded faucet with short run time in 2-3 and 3-4 year old classrooms. EHS advises center to ensure all spring loaded faucet are running for a minimum of 15 seconds to allot proper handwashing. REPEAT.

No points deducted. All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed aerosol Lysol and child cleaning spray on shelf over 5ft up in infant room. CDI - Items were removed by director

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed large floor rug in after school room with staining and debris build up. REPEAT. Carpet shall be extraction cleaned at least once each 6 months. 15A NCAC 18A .2824 (c ). Observed no documentation stating carpets have been cleaned by extraction in 6 months.

General Comment: The childcare center shall have a written procedure 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. 15A NCAC 18A .2827 (d). Observed facility does not have a written procedure. Requirement has recently been adopted in rule changes on July 1, 2023. EHS emailed PIC link to page with procedures and rule update information.

Keep the facility free of rodents, insects and vermin. 15A NCAC 18A .2831 (b). Observed many drain flies in infant room at food prep sink. Facility stated they had treated for flies yesterday and are working with pest control on eradication.

Bottle warming equipment shall be cleaned and sanitized at least daily and when visibly soiled. 15A NCAC 18A .2810 (f) (1) and .2804 (d). Observed staining on bottle warmer in dorm refrigeration unit in infant classroom.

Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a). Observed spring loaded faucet with short run time in classroom 4. EHS advises center to ensure all spring loaded faucet are running for a minimum of 15 seconds to allot proper handwashing.

Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Observed disinfectant measuring at 250ppm chlorine throughout center. Director remade disinfectant throughout center to 500ppm chlorine.

Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a). Observed crib mats fraying on corners in cribs in infant classroom. Observed blue mats fraying around corners in classroom 4. #33. Individual linen must be kept clean and in good repair. 15A NCAC 18A .2821 (f). Observed staining on linen in classroom 3. Linens for children less than 12 months old shall be changed and laundered when soiled and at least daily. 15A NCAC 18A .2821 (f). (NO DEMERITS FOR THIS VIOLATION).

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed minor stained ceiling tiles sporadically throughout center. Observed large floor rug in after school room with staining.

Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Observed large filing cabinet stored in dumpster area. Observed minor debris surrounding playground area. Ms. Parker stated that there has been an ongoing issue with patrons throwing trash onto playground area and that she is doing her best to remove trash/litter as she sees it. *NOTE: Director, Tonya Parker was present during time of inspection. Report emailed to her at: beginningyears2@gmail.com

Each diaper changing station shall have a diaper changing sign and a handwashing sign posted. 15A NCAC 18A .2819 (h). Observed diaper changing sign not posted inside (infant room / 2's room) at changing station. CDI copies given to staff and signs posted during inspection.

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed water damaged ceiling tiles in hallway in need of repair (repair leak and replace tiles).

In child care centers, areas accessible to children shall be free of identified lead poisoning hazards as defined in G.S. 130A-131.7(7). As of (JULY 1ST, 2021) water samples where required to be pulled at all food and drinking water sources within center; failure to provide samples by that date results in (PROVISIONAL STATUS ISSUED); PROVISIONAL STATUS ISSUED DUE TO WATER SAMPLES NOT PULLED AND SUBMITTED BEFORE JULY, 1ST, 2021. PROVISIONAL GUIDELINES EMAILED TO CENTER DIRECTOR. RE-INSPECTION WILL BE CONDUCTED ONCE SAMPLES HAVE BEEN PULLED AND MAILED OFF TO STATE LAB.

Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a). Observed faucet at hand washing sink inside classroom #3 damaged in need of repair. Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed toilet seat loose / damaged inside group restroom in 3yr old classroom in need of repair.

Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Observed disinfectant measuring too low (solution was placed in wrong bottle sanitizer in disinfectant labeled bottle and vice-versa) in (infant) room. CDI corrected during inspection.

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 diaper cream (Vaseline) stored below 5ft inside classroom #3; CDI stored above 5ft.

Observed teacher not wash hands at end of diaper change.

Touch-up paint needed in various areas (floors, restroom class 5). Carpet frayed near restroom in class . Observed stained ceiling tiles in class 4, 5, and hall (bulging).

Observed wall paint peeling in class 4 at hand sink and in infants near food prep sink. Observed water stained ceiling tiles in hallway and in closed class 6. Observed wall racks used for storing cleanind/sanitizing/disinfecting solutions rusted in variuos classrooms. Observed carpet fraying at joint between carpet and tile florring in class 4. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed teacher's purse stored in unlocked cabinet of diaper changing table in room 4. Must be kept at least 5 ft up or locked in a cabinet. Purses, that do not contain hazardous items, must be stored 5 ft above the floor, behind lock and key, or behind a child safety lock. 15A NCAC 18A .2820 (f).

Observed build up in crevices of hard toys in rooms 3 and 4, wood pitting on kitchen set in room 3, paper blocks damaged in room 7, red couch damaged in room 6. Shelving damaged near restroom door in room 4. Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

Observed water stained ceiling tiles near front door, in room 4 near restroom, and room 5. Observed wall paint in room 3, in restroom (rm3), and beside toy shelving in room 7. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

REPEAT Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed loose toilet seats in Womens restroom and inside classrooms in need of repair.

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). Tape residue on wooden cubbies throughout classrooms.

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed walls in need of touch-up painting in numerous classrooms.

REPEAT Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed loose toilet seats in Womens restroom and inside #7 classroom.

REPEAT All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed aerosol shaving cream stored on shelf accessible to children in After School room; Observed hazardous wipes and ice compress in room #7 in need of storage behind lock and key; Observed hazardous wipes in outdoor bag in Toddler room in need of storage behind lock and key. DISAPPROVED STATUS ISSUED DUE TO FAILURE TO CORRECT PROVISIONAL ITEMS. DISAPPROVED GUIDELINES EMAILED TO DIRECTOR

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). Tape residue on wooden cubbies throughout classrooms.

REPEAT Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed toilets seats loose in staff restroom and restrooms in classrooms #1 / toddler, and 4's classroom in need of repair.

All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed Vaseline in Toddler room Outside bag; Observed Aerosol Shave Cream accessible in Afterschool classroom; Observed 2-50lb bags of hazardous De-Icer on back deck area in need of proper storage. Provisional Status issued; Re-inspection will be conducted within 10 calendar days; Provisional guidelines emailed to director.

Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d). Observed numerous large containers of uncovered trash located within dumpster containment in need of proper disposal. Solid wastes shall be disposed of in a manner that prevents insect breeding and public nuisances. 15A NCAC 18A .2830 (d). Observed loose trash containing organic materials (pumpkins) that are rotting causing fowl odor in need of proper disposal.

Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Observed damaged equipment collected near dumpster in need of removal. Keep the property free of standing water. 15A NCAC 18A .2831 (b). Observed large containers of standing water in need of dumping to prevent insect breeding area on premise near dumpster area.

Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3). Observed bottom surfaces of stand up freezer in need of cleaning; Observed counter top surfaces underneath microwave in need of cleaning.

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed staff restroom toilet seat very loose in need of tightening; Observed after school room restroom toilet seat very loose in need of tightening.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed stained ceiling tile in after school room in need of replacing; Observed wall in need of touch up painting toddler room near cot storage area.

Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a). Observed handwash sink in the kitchen with a leak. Observed handwash faucet in afterschool room to stay on for less than 15 seconds.

Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d). Observed caregiver don clean diaper before wiping child's and her hands.

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 disinfectant bottle below 5 feet in toddlers room.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed some minor carpet stains in 2's room. Observed toilet paper holder off of the wall in after school room. Observed two ceiling tiles and one light shield in 3's room to have staining.

Wash hands when required. 15A NCAC 18A .2803 (a) Observed caregiver not wash hands after wiping several children's noses. Wash hands (or wear gloves) between helping children blow their nose.

Bottle warming equipment shall be cleaned and sanitized at least daily and when visibly soiled. 15A NCAC 18A .2810 (f) (1) and .2804 (d). Observed bottle warmer with brown residue on interior.

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 boxes stored on floor in pantry and hall closet near entrance.

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 tape residue on furniture throughout center.

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 toys in several classrooms being mouthed and not put in dirty toy bin to be washed. Multiple children chewing on same toys or returned mouthed toy to toy bin.

Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Observed chipped paint on exterior of building and bench on playground.

Caregiver in kitchen turned off water with bare hands, prior to getting paper towel to wipe 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 sanitizer over 250 ppm. Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d)

Observed toilet leaking room 7, rear restroom. Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).

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

Repeat non-complaince: Observed mats damaged in classroom 3. Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).

Observed carpet frayed in room 3 at transition. Observed chipped floor paint in hallway throughout. Observed damaged toilet paper dispensers in several restrooms. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Repeat non-compliance: Observed disinfectant over 1000 ppmPrepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

Observed damaged chair in room 7.Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

Observed dumpster overfull, lids not closing.Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d).

Observed hour rule in use for bottles. Observed milk in hallway not on ice returned to kitchen.All food shall be stored and handled in a manner that protects it from contamination. 15A NCAC 18A .2806 (d),(f), .2807 (b), and .2808 (e).

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

Observed diaper table damaged in toddler classroom.Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b).

Observed wall damage throughout facility.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed crackers stored in bin that was not properly sealed in kitchen.Observed cup with no handle used as scoop left in cereal. Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a)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 wet stacked cups in kitchenMulti-service utensils must be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e)

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

Observed vents collecting dust throughout facility.Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).

Observed trash collecting around dumpster area.Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d).

Observed caregiver in toddler room turn off water with bare hands. Observed caregiver in toddler room turn on water with bare hands for child to wash hands and did not wash their hands, turn off water with paper towels and give to the child to wipe hands. Hand washing 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 milk being transported for lunch not on ice. 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 water fountain collecting residue near front door. Keep water fountains clean at all times. 15A NCAC 18A .2815 (f).

Observed dusty vents in halls, bathrooms and classrooms throughout facility. Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).