A QUALITY DAP CHILD CARE CENTER

Observed flooring in need of repair in the hallway restroom and in the kitchen. Needs to be repaired. **15A NCAC 18A .2824 (a). Floors and floor coverings in food preparation, food storage, utensil washing, toilet rooms, and laundry areas shall be constructed of nonabsorbent material and shall be kept clean and in good repair.

Observed tires on the playground with standing water. Needs to be drained to prevent attracting/harboring pests. GENERAL COMMENT **15A NCAC 18A .2832 (a). Child care center premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazards, and maintained in a manner which does not create conditions that attract or harbor pests.

Observed loose toilet seat in the restroom. **15A NCAC 18A .2817 (a.) All toilet fixtures shall be kept clean and in good repair.

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 has not completed water testing. No points deducted. Facility is registered for webinar tomorrow and is in the process of water testing. Facility has been having trouble requesting for the last few months.

General Comment: 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 stored in unlocked cabinet less than 5ft up. Needs to be stored locked or 5ft up.

15A NCAC 18A .2822 (a) Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. Observed paint chipping on diaper changing table. Observed large recliner broken with upholstery peeling. Observed broken cabinet in kitchen. Needs removal/repair. Repeat.

15A NCAC 18A .2816 (b) (1) Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. Samples shall also be collected and tested within 30 calendar days of completion of any renovations or repairs that may impact the facility's drinking water infrastructure, such as repair or replacement of all or part of drinking water service lines or faucets, at impacted outlets. The operator shall provide documentation of testing results for review by the Department during each unannounced routine sanitation inspection. Observed facility has not had water tested for lead since 5/26/21. Facility is passed due for water testing. Facility should go to Clean Classrooms for Carolina Kids to register for water testing.

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 between 250-500 ppm. Needs to be 500-800 ppm.

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 small stains on diaper pad. Needs cleaning.

No points deducted. 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed adhesive spray in drawer unlocked. Needs to be locked.

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 paint chipping on diaper changing table. Observed large recliner broken with upholstery peeling. Needs removal/repair.

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 no thermometer in refrigerator. Needs thermometer.

No points deducted. 15A NCAC 18A .2815 (e) Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. Observed handsink in bathroom reaching 126F. Sink had a mixing valve and was adjusted down to 85F.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed toilet seat in bathroom loose. Needs tightening.

15A NCAC 18A .2820 (c ) Sanitizing, disinfecting, and detergent solutions shall be labeled with the product name (ex. "Sanitizer"). Observed label missing on disinfectant bottle in bathroom.

All potentially hazardous food products shall be maintained at 45°F, or below, or 140°F or above. 15A NCAC 18A .2806 (f). Observed thermometer in broken. EHS thermometer read 55F.

Provide an accurate thermometer in all refrigerators. 15A NCAC 18A .2806 (h). Observed thermometer in refrigerator is broken. New thermometer is needed. Facility placed thermometer in fridge.

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

Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a). Observed mats in storage were torn. Director stated mats are not used. REPEAT.

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.

Observed hot water reach 113F in the hallway restroom. **Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e).

Observed hot water reach 132F at the handwashing sink. Temperature needs to be decreased. **Hot water at areas accessible to children shall not exceed 120°F. 15A NCAC 18A .2815 (e).

Observed disinfectant below 500 ppm during the inspection. Needs to fall within allowable range. **Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

Observed small chairs needing to be resurfaced.

Repair faucet nozzle (cold) on kitchen 2 comp sink. Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f)

Observed sanitizer 500ppm in class and 750ppm in restroom. Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d)

Observed wall above/at hand sink kitchen needs to be resealed or recaulked. Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Observed urine on toilet. Toilet is unflushed. Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).

Observed bookbag sitting on hand sink in kitchen. Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a).

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 purse stored on chair accessible to children.

All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ). Observed crib not labeled with childs name.

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 changing table damaged under in need of repair; (water damaged).

Repair base and siding on diaper changing table or replace diaper changing table. Observed loose railing/side on diaper changing table and cracked padding on side railing. Observed base of diaper changing table under padding damaged from soapy water and disinfectant solution being sprayed on surface. Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b).

Replace damaged plush toy/fixture. Damaged doll house removed from daycare at time of inspection. Touch-up paint toy shelving and white chair in classroom area. Loose screws tighten on wooden rocker and bouncy seat secured and repaired at time of inspection. 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). General Comment: #37. Touch-up paint wall in bathroom, fire place mantle and door framing entering into kitchen.

Observed no cot list available. Provide a cot/mat list matching number on mat to child's name. All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ). General Comment: #32 or #33. Observed bouncy seat stored on clean linen on mattress in crib that was not being used. Do not store or place items on clean linen in cribs.

Touch-up paint around door framing on side door. Repair door threshold at front entrance door. Repair front screen door and remove protruding screws on front screw door. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Store items on playground so they do not hold or collect. Observed standing water in many toys and containers on playground area. General cleaning of equipment/toys on the playground. Keep the property free of standing water. 15A NCAC 18A .2831 (b). All play ground equipment must be kept clean and in good repair. 15A NCAC 18A .2832 (c ).

Observed teacher purse not properly stored in classroom area. Store teacher purse five feet vertical distance out reach of children or locked away. 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).

Secure hand washing sink counter to wall in bathroom area. Regrout floor in bathroom area where grout is missing. Repair floor in front of hand washing sink in kitchen area. Wipe/clean area around door handle on front door or repaint. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Secure railing on ramp at front entrance. Tightly secure loose boards on back section of playground fencing. Observed standing water in two fixture on playground area. Store items on the playground so they do not hold or collect water. General detail cleaning of toys on the playground area. General Comment: #12. Observed door shelving in refrigeratoion unit cracked. Replace cracked/damaged shelving in refrigeration unit. Mrs. Moore preseent at time of inspection.

Observed disinfectant solution in spray bottle at diaper changing table not registering. Disinfectant solution shall be 500ppm-800ppm. Disinfectant solution was properly mixed in other disinfectant bottle and main batch mixing bottle. Properly mixed disinfectant provided at time of inspection. Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

Tightly secure and seal hand washing sink to wall in bathroom. Wipe/clean front door around/near handle. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Repair light fixture in kitchen area. Observed light fixture not working. Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a).

Nail in protruding nail on ramp. Tighten loose boards on playground fencing. Replace damaged tricycle on playground. Repair damaged lattice around back porch. Repair latching mechanism on gate to back deck. General cleaning of toys on the playground area. Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).

Observed paint coming off of corner moulding/trim around kitchen counter top. Repaint corner moulding/trim around kitchen counter top. Observed slow draining two compartment sink in kitchen area. Monitor and repair slow draining two compartment sink. Observed paint coming off of cabinet door around handle. Repaint cabinet door around handles. Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3). Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f)

Observed torn/damaged sleeping mats and sleeping mats with several numbers present. Discard and replace torn/damaged sleeping mats. Properly label mats with one number and mark out old numbers/names. Either use the name and number system or just label mats with child's name. 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 wall around blank electrical wall outlet in center blue room below wall air conditioner unit. Touch-up paint wall beside paper towel dispenser in bathroom. Touch-up paint corner wall in back storage area/room.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed shatter proof coating coming off of center light bulb on light fixture in bathroom. Observed damaged light shield over light fixture under hood system over stove. Observed light not working in ceiling ventilation/light fixture in bathroom. Replace shatter proof light bulb which coating is coming off. Replace damaged light shield over light fixture under hood system or replace light bulb under hood system with a shatter proof light bulb.Light bulbs must be shatterproof or shielded. 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 standing water in toy fixtures, containers and trash can on play ground area. Store items on the playground so they do not hold or collect water. Keep lid closed on trash can. General cleaning of toys on the playground area.Keep the property free of standing water. 15A NCAC 18A .2831 (b).

Observed damaged/torn diaper changing pad on diaper changing table. Replace damaged diaper changing pad on diaper changing table.Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b).

Observed some missing grout around floor tile in bathroom. Regrout floor tile in bathroom. Touch-up paint yellow half door and walls throughout day care where paint is chipping/flaking. Repaint wall behind door in middle near kitchen. Repair ceiling in kitchen near pantry area. Lead swab test performed and swab test read negative. Tested area around window, wall, and door framings!Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed dusty ventilation in bathroom. Observed damaged light shield over light fixture under hood system and shatter proof coating over light bulb coming off of light bulb. Clean ventilation in bathroom and replace light bulb under hood system with a new shatter proof light bulb.Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).

Observed damaged board on hand railing on front ramp. Replace damaged board on hand railing. Replace damaged lattice beside handrail near back porch area.Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).

Air thermometers shall be accurate to + or - 3F. Observed the air thermometer in the refrigerator was reading 10F on the door when the food was 45F. Replace with an accurate thermometer. .2806

Maintain cots in good repair. Observed a few cots were starting to tear in the corners. .2821

Maintain toys, furniture, and equipment in good repair. Observed a shelf chipping to the point where the wood is exposed. Repair/replace. .2822

Maintain the premises in good repair. Observed broken glass at a small window to the crawl space accessible to the outdoor learning environment.. Remove any broken glass. Corrected. .2832

Observed damaged border around top of diaper changing table in bathroom area. Repair, remove or replace damaged border around top of diaper changing table.**Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b).

Observed cribs not labeled with child name and cot/mats with old label containing name of a child that does not attend center anymore. Label all cribs with childs name. Remove any old labels off of mats/cots!**All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ).

Observed damaged floor tile at entrance to bathroom area and floor tiles missing grout .Also observed holes in wall above mantle. Replace broken/damaged floor tile and regrout floor at entrance to bathroom. Patch/seal hole in wall and touch-up paint wall.**Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed dusty ceiling ventilation and light bulb in light fixture in bathroom not properly working. Thoroughly clean ceiling ventilation and repair light fixture or replace blown light bulb in light fixture.**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 trash bags stored on the ground beside roll out trash cans and recycle bin full behind facility. Provide additional trash can and recycle bin so trash can be properly stored.**Keep dumpster lids and doors closed to prevent insect and vermin nuisances. 15A NCAC 18A .2830 (d). Clean leaves from can wash area.**Maintain a fully operating can wash or mop sink at all times. 15A NCAC 18A .2830 (b).General Comment: Observed (1) damaged crib fiited sheet with hole present. Fitted sheet remove/discarded at time of inspection. Mrs. Catherine Moore and Kimberly Moore present at time of inspection.

12: Observed: Some areas of the Kitchen counter top in need of sealing/caulking/grouting. The interior of the microwave rusting. Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3).

Observed: Single service utensils stored improperly.Single-service articles must be kept clean and protected from contamination. 15A NCAC 18A .2809 (8), .2814 (a) and (b). ~make them all face the same direction~

Observed: The hot water in the restroom at 66F. Hot water shall be maintained between 80°F and 110°F at hand washing sinks accessible to children. 15A NCAC 18A .2815 (e).Corrected During Inspection

Observed: A loose toilet and a running toilet in the restroom. Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).

Observed: A few spray bottles with worn labels. 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).~re-label bottles~

Observed: Damaged crib mattresses. Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).

Observed: Trash can full and the lid not closed. Keep dumpster lids and doors closed to prevent insect and vermin nuisances. 15A NCAC 18A .2830 (d).