PRIMROSE SCHOOL OF HUNTERSVILLE

General Comment: 15A NCAC 18A .2803 (a) and (c), .2836 (15).Child care center employees and children shall wash their hands when required.- Observed student arrive to the classroom 5 and go right into group activity without hand washing upon arrival. Ensure everyone who is planing to stay, engage in classrooms activities wash their hands as required.

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 dated 5/26, 6/3, and one with no date when received it. 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 week either opened or unopened containers.

REPEAT 15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children.- Observed hot water measured at sinks in room 1,2, 3, restroom hall between 112F-115F. Provide tempered water range between 80F -110F at anytime.

REMINDER: 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. - Water testing is due once every three years. Last testing was 10/10/2023.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed loose toilet seats in several classrooms and restroom hallway need repair. Keep all toilets in good repair. 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed slow draining at restroom sink in room 5 needs repair.

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 in spray bottles measured less than 500 ppm. EHS show director assistant and staff who make the solution how to read on their test strips. Ensure to provide correct concentration of chlorine disinfectant solution between 500- 800 ppm at anytime.

15A NCAC 18A .2803 (a) and (c), .2836 (15).Child care center employees and children shall wash their hands when required.- Observed teacher enter classroom, sat down, engaged and then started to read a book to children. Hand washing is required upon entering classroom for staff, children, anyone who would stay and engage in classroom activities.

15A NCAC 18A .2814 (b) Cleaned and sanitized utensils and equipment shall be stored above the floor in a clean, dry location and shall be kept clean while stored. The food-contact surfaces of fixed equipment shall be kept clean while stored or otherwise not in use. Equipment and utensils shall not be stored under exposed sewer lines.- Observed rolls of paper towels stored underneath hand sink in infant room. No storage of clean supplies under sewer pipelines at anytime.

15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children.- Observed hot water measured at diapering sinks in infant between 115F-116F. 115F in hallway restroom. 113F at diaper sink in room 3. Provide tempered water range between 80F -110F at anytime.

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key.- Observed spray bottle of lenses cleaner in stored in broken lock cabinet in room 8. All hazardous items shall be stored and kept in lock cabinet with key to unlock.

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 in several classrooms. Cots need to be updated and clearly labeled for each child. Either name or number, no mix and match. If number are use, cot chart shall be provided. No same number on several cots in one classroom.

REPEAT 15A NCAC 18A.2803 (e). Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands.- Observed teacher in infant room and children in summer camp are washing their hands when required less than 10 seconds, and turn off the faucets knobs with bare hands. The center has hand washing signs posted and proper handwashing discussed in detail with teacher and director assistant. Ensure to re-educate staff and children for proper hand washing.

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 infant room. Detail cleaning needed and keep clean.

General Comment: 15A NCAC 18A .2820 (d).Designated emergency medications shall be kept inaccessible to children, 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 Albuterol stored in the outside bag hanging down from a hook in room #13. Ensure to store all emergency medications properly as indicated in this rule above at any 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 toy sanitizer bucket stored on the counter less than 5ft in EP1. Observed hand sanitizer bottle at front desk less than 5ft. Observed hand lotion in lock cabinet but key is handing below 5ft in Toddler room. Ensure to store all non-hazardous items at 5ft or higher at all time. NOTE: Key to unlock a lock cabinet shall be stored at 5ft or higher at all time.

General Comment: 15A NCAC 18A .2820 (f) A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children.- Observed children book bags stored on a hook touching each other in several classrooms. Ensure to provide methods to prevent personal items from touching each other while storing.

15A NCAC 18A .2821 (f).Linens shall be kept clean, in good repair, and stored with the mat or cot that the linens are assigned to or stored apart from the mattress or cot in a manner that keeps the linens used for each child separate from the linens belonging to other children.- Observed damaged sheets on cots in EPS2. Observed soiled sheets on cot in young toddler. Change and clean cot sheets when visibly soiled or damaged. Keep all in good repair and clean.

REPEAT. 15A NCAC 18A .2832 (a).In the child care center premises and outdoor learning environment. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. Wells, grease traps, cisterns, and utility equipment shall be made inaccessible to children.- Observed gate without lock that lead to HVAC units on the playground, garden area. Install a lock and keep gate lock to prevent children accessibility.

15A NCAC 18A.2803 (e). Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands.- Observed teacher and children are washing hands when required. However at the very last step they turn off the faucets knobs with bare hands and re-contamination the hands again. The center has hand washing signs posted and proper handwashing discussed in detail with teacher and director assistant. As well as to educate the children proper hand washing at all time.

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 measured 119F in restroom hallway, 111F-114F at diaper sink in infant room, 116F at food prep sink in infant room, 118F at diaper sink in toddler room. Ensure to provide tempered water between 80F- 110F where is accessible to children at all time.

15A NCAC 18A .2821 (a). In child care centers, beds, cribs, cots, mats, and play pens shall be kept clean and in good repair, stored to prevent contamination, and cleaned and sanitized between users.- Observed damaged/ frayed mattresses at the corners in infant room. Repair or replace.

General Comment: 15A NCAC 18A .2822 (d).Water play centers shall be filled with potable water immediately before children begin a water play session. Water shall be emptied after each play session and at a minimum each morning and afternoon, or more often if no longer clean.- Observed water play table that was filled and played this morning in preschool 2, the water play station shall be emptied and cleaned at the end of each play session. Detail procedures discussed with director assistan at the time of inspection.

General Comment: 15A NCAC 18A .2822 (a). In rooms designated for children who are not toilet trained, toys and other mouth-contact surfaces that are used by children shall be cleaned and then sanitized after each use and when visibly dirty. Toys and other mouth-contact surfaces shall be cleaned and sanitized as follows: (1) the items shall be scrubbed in warm, soapy water, using a brush to reach into any crevices; (2) the items shall be rinsed in clean water; (3) the items shall be submerged in a sanitizing solution for at least two minutes or in accordance with the instructions on the label of the sanitizing solution; and (4) the items shall be air dried. - All toys shall be cleaned properly per rule and shall be cleaned at the approve sink, NOT the diaper sink in the restroom. Ensure to practice the change of use of the sink (clean and disinfectant) before cleaning toys.

REPEAT 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 one of the dumpsters is still missing a drain plug. Repair/replace a drain plug on the dumpster.

General Comment: 15A NCAC 18A .2832 (a).In the child care center premises and outdoor learning environment. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. Wells, grease traps, cisterns, and utility equipment shall be made inaccessible to children.- Observed gate without lock that lead to HVAC units on the playground. Install a lock and keep gate lock to prevent children accessibility.

15A NCAC 18A .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions.- Observed bottle warmers in room #1, need cleaning and keep clean.

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 measured 117F at diaper sink room #3, 113F at diaper sink room # 5, 78F at double sinks in room #10.

General Comment: 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed dysfunctional faucet on the how side. Water hot water available at the double sinks in room #10. Need repair.

General Comment: 15A NCAC 18A .2812 (i) An approved disinfectant shall be provided for cleaning purposes. When a chlorine solution is prepared by a child care center employee for use as an approved disinfectant, then the solution shall be prepared for use within 24 hours, and a testing method shall be used to ensure compliance with the prescribed chlorine concentration (500 -800 ppm).- Observed disinfectant solution in spray bottle measured at 1000ppm or more. Ensure to provide correct concentration between 500-800 ppm.

REPEAT General Comment: 15A NCAC 18A .2820 (d).Medications, including prescription and non-prescription items, shall be stored in a locked cabinet or other locked container and shall not be stored above food.- Observed in ziplock bag Benadryl along with Albuterol stored in the outside bag sitting on shelving at 5ft in room #13. All medications must be locked up with locking keys except the emergency medication only that can be stored at 5ft or higher. **Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device.**

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key.- Observed cleaning cart full of chemicals in the hallway left unattended. Observed ice pack with warning label and keep out of reach of children inside the outdoor bag hanging on the hook not being locked in room #8. 15A NCAC 18A .2820 (b).Keys used to access hazardous item storage must be out of reach of children (5 ft above the floor) and stored separately from lock.- Observed keys left on the lock at almost every storage rooms throughout the center where hazardous items stored inside. NOTE: all hazardous need to keep lock at all time, keys must be stored at 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 storing/placing less than 5ft, hand sanitizer bottle on the counter front desk, hand cream in outside bag hanging down from a hook less than 5ft measured from the floor in room #3. Ensure to store all non-hazardous items at 5ft or higher at all time.

15A NCAC 18A .2821 (a). In child care centers, beds, cribs, cots, mats, and play pens shall be kept clean and in good repair, stored to prevent contamination, and cleaned and sanitized between users.- Observed damaged/ frayed mattresses at corners in room #1. Repair or replace. 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 missing cot chart in room #10. 15A NCAC 18A .2821 (f).Linens shall be kept clean, in good repair, and stored with the mat or cot that the linens are assigned to or stored apart from the mattress or cot in a manner that keeps the linens used for each child separate from the linens belonging to other children.- Observed soiled looking sheet on the cot in room #2 and 12. Clean as needed.

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 one of the dumpsters lid was broken and missing a drain plug. Repair/replace the lid and drain plug needed.

General Comment: 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 with name, no date. The one that was dated 12/11, 12/12 was the date opened according to the cook. EHS discussed proper way to handle specialty milks with the cook and director at the time of inspection. Ensure to receive an unopened specialty milk at the beginning of the week with name and date that was received, send home at the end of the week either opened or unopened or discard. 15A NCAC 18A .2810 (f) Water from hand wash lavatory shall not be used for bottle warming or to prepare formula, mix dry cereals, or other foods. According to teacher in infant room, teacher used water from food prep handwashing sink to warm the bottles in the warmer. Water needs to come from the kitchen or bottle water, not from the hand sink.

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 kitchen refrigerator without the thermometer indicating the internal temperature. Obtain the thermometer inside the refrigerator.

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 measured in infant food prep sink at 114F, infant diaper sink at 111F, toddler diaper sink at 114F, and restroom on hall way infant side at 114F. Ensure to provide tempered water where is accessible to children.

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 teacher changing diaper missing step #3,4,5,6. Ensure to follow all steps correctly. EHS discussed the steps with teacher and director. Diaper changing poster emailed to director at the time of inspection.

General Comment: 15A NCAC 18A .2820 (d).Medications, including prescription and non-prescription items, shall be stored in a locked cabinet or other locked container and shall not be stored above food.- Observed Benadryl, tropical cream in the outside bag hanging up 5ft in toddler and pre school classroom. The Benadryl are using for mild allergic reaction according to the doctors note. Along with Benadryl, there is the epi-pen and/or Albuterol prescribed as an emergency medication for a child in the severe case of allergic reactions. EHS suggests the center to lock all medications up except the approved emergency medication that can be store at 5ft or above.

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 jackets/coats of children stored on the hooks touching each other throughout the facility. Ensure to provide methods to prevent personal items from touching each other while storing.

General Comment: 15A NCAC 18A .2822 (d).Water play centers shall be filled with potable water immediately before children begin a water play session. Water shall be emptied after each play session and at a minimum each morning and afternoon, or more often if no longer clean.- Observed water play table need to be clean and empty after play at each session in preK1. EHS and teacher discussed the proper procedures at the time of inspection.

General Comment: 15A NCAC 18A .2822 (a). In rooms designated for children who are not toilet trained, toys and other mouth-contact surfaces that are used by children shall be cleaned and then sanitized after each use and when visibly dirty. Toys and other mouth-contact surfaces shall be cleaned and sanitized as follows: (1) the items shall be scrubbed in warm, soapy water, using a brush to reach into any crevices; (2) the items shall be rinsed in clean water; (3) the items shall be submerged in a sanitizing solution for at least two minutes or in accordance with the instructions on the label of the sanitizing solution; and (4) the items shall be air dried. - According to teacher in classroom where mouthing/dirty toys present. The dirty toys were collected and put in dirty bin and get clean at the end of the day. Teacher spray sanitizer solution on toys and let them air dry. Proper toys cleaning discussed with teacher and director assistant at the time of inspection. All dirty toys shall be washed/rinsed/sanitized properly in the kitchen at the three compartment sinks. Or 3 step bins suggested, label (wash/rinse/sanitize). Some toys that cannot not be submerged in water after washed and rinsed, the sanitizer spray can be used. All toys that can be in the water shall be submerged in sanitizer solution for at least 2 minutes and let air dry after. Ensure to use/provide the correct strength of sanitizer solution in the bin when cleaning toys each day.

Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e). Observed several classrooms having children sleeping on cots stored closer than 18inches (11-13inches).

REPEAT Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). Observed ripped climbing equipment inside (Young Toddler) in need of replacing.

Individual linen / bedding / cots / mats must be kept clean and in good repair. 15A NCAC 18A .2821 (f). Observed sleeping mats inside (kindergarten) classroom having rips and tears in need of replacing / removal.

REPEAT Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). Observed canvas lounger (chair) having ripped / damaged corners / edges in need of replacing. (Note) when damage results in absorbent material being exposed the surface can no longer be properly cleaned.

NO POINTS DEDUCTED Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed water damaged ceiling tile inside (EPS2) classroom in need of repair.

REPEAT Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed toilet seats loose / damaged (hardware) in need of repair in several rooms throughout center.

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 cushions on small chair / couch damaged on corners exposing absorbent inside material in need of repair / replacing in (Toddler) room.

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed toilets seats not fastened to toilet in need of repair inside (Early Pre-school / Early Pre-school #2) classrooms.

REPEAT Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Observed intake grates / vents in need of cleaning throughout classrooms.

REPEAT Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Observed vents inside numerous classrooms (Return Grates / Vents) in need of cleaning.

All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed (WhiteOut) left stored not behind lock and key inside (EPS1) classroom; Observed (Air Freshener / Flammable / multiple warnings) stored not behind lock and key inside (Infant / Toddler) room at changing area. CDI corrected during inspection all hazardous items stored behind lock and key. (PROVISIONAL STATUS ISSUED) for 6pt violation. Provisional guidelines emailed to director. Re-inspection will be conducted within 10 calendar days.

Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Observed return grates / vents collecting heavy dust debris in need of general cleaning throughout all classrooms.

REPEAT Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed numerous loose toilet seats in need of repair in classroom lavatories.

REPEAT Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed toilet seats loose throughout facility in need of tightening. Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).Observed laminate damaged on side panel of hand sink in pre-k room in need of repair.

REPEAT Observed damaged wood on the side of the classroom hand sinks of the preschool 1 room. Observed loose toilet seats in several bathrooms. Observed caulking needed where the back of the hand sink meets the wall in several areas throughout. Observed dried urine on the base of early preschool toilet. **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 hot water reach 116F in the diapering hand sink in the older toddlers room. Observed hot water reach 108-110F in several other classrooms. It is advised that water heated be turned down. Observed laundry washer only reach 111F. Ensure water temps reach 120F. **Hot water shall be maintained between 80°F and 110°F at hand washing sinks accessible to children. 15A NCAC 18A .2815 (e). **Hot water supplied to clothes washing machines shall be 120°F or above. 15A NCAC 18A .2815 (e).

Observed dried urine on the base of toilets in the older 2's, preschool 1 and 2, and in pre-k 1 bathrooms. Observed build-up around the faucets of the hand sinks in the summer camp bathroom. Observed caulking needed where the back-splash meets the wall of several classroom hand sinks including the infant, young toddler, and older toddler rooms. Observed missing screw caps on the base of the toilets in the older 2's bathroom. Observed damage on the bottom of the hand sink counter on the right side in the preschool 1 room. Observed pit in the counter of hand sinks in preschool 2 room. **Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). **Keep hand washing sinks clean and in good repair. 15A NCAC 18A .2818 (a). NOTE: Observed paint brushes sitting in the diapering hand sink in the older 2's room. Educated caregiver on disinfecting hand sink between change of use. **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).

Observed thermometer in infant room refrigerator reading off by 10 degrees F. Provide an accurate thermometer in all refrigerators. 15A NCAC 18A .2806 (h)

Observed Lysol in school age classroom restroom unlocked. Observed baby oil unlocked in pre k 2 classroom. All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b).

Observed children napping less than 18 inches apart in pre k 1 classroom. Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e).

Observed dumpster doors open. Keep dumpster lids and doors closed to prevent insect and vermin nuisances. 15A NCAC 18A .2830 (d).

Observed purse stored below 5 feet in preschool 1, hand lotion stored below 5 feet in pre k 1. 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). 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 HVAC vents throughout facility collecting dust. Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).

Observed: Hot water at 112.5-113.5 in Toddlers.Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e).

Observed: Damaged/missing toilet seats in Preschool 1 and 2. Leaking sink plumbing beneath the sink in Explorers club.Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Observed: Disinfectant at 250 ppm. throughout.Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

Observed caregiver in infant room turn water on with paper towels, off with same tow then wipe hands with tow.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 residue collecting inside brush for butter. Observed tape residue on pitchers cleaned.Multi-service utensils must be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e)

Obsreved caregiver wash hands at general hand washing sink in infant room for food prep.Wash hands when required. 15A NCAC 18A .2803 (a)

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

Obsreved lights throughout facility not shatterproof or sheilded.Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).