NANA'S PLACE UNIVERSITY, LLC

15A NCAC 18A .2810 (f) A classroom food preparation area countertop shall be kept clean and in good repair. All equipment shall be kept clean. Observed some broken tiles on countertop. Needs repair. REPEAT.

General Comment: 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 at handsinks in NC 2 between 112-117F.

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 center filled in Meck 4 classroom and children were not in classroom. Director stated they fill the water table before kids go outside. Needs to be filled immediately before use.

15A NCAC 18A .2824 (b). Floors and floor coverings in sleeping and play areas shall be kept clean and in good repair. Observed floor damaged in NC1. Needs repair. REPEAT. 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 stained ceiling tile in Meck 4 room.

Floors dirty with debris under rugs in Meck 4 Large rug and NC Pre-K 3: - 2 floor pieces broken in NC Pre-K 2 that need immediate repair - ceiling tiles stained in Meck 1 Room - maintain in good repair -dust window sill in Meck 4 room

Hair and beard restraints must be used by staff when preparing food. Non observed during kitchen inspection. CDI

Mats must be stored so that the sleeping side does not come in contact with the floor side of another mat. Therefore the mats need a barrier of separation during storage: NC Pre-K 1 and Meck 1 classes

Many closets in the classrooms are packed full of items and need to be organized into tubs or just in an orderly manner.

Two small tubes of lotion found in NC Pre-K #3 that was less than five feet. Store at least five feet up. - Store clean linens up off the floor (Busy Bees in a crate at the exit door)

One child did not wash her hands when she arrived to the classroom in Busy Bees. Teachers should be aware and instruct them if they forget when entering classroom.

Meck-3 teacher watched children wash hands incorrectly and did not correct them; even after instructing the teacher on how to wash their hands correctly and pointed to the handwashing sign, she did not instruct the children correctly. - wash with soap outside of water for 15 seconds and them rinse for 10 seconds per .2803

All water bottles need to be labeled with the child's name and stored individually; mostly a problem in the Busy Bees classroom and NC Pre-K #3

Ensure that all staff refrigerators have thermometers to ensure food temps stay 45 degrees or below.

Busy Bee class has a food prep countertop area that is too full of other items to be used for its purpose/ Keep this area cleared of misc. items so that food prep can be utilized in this space.

Discussed the limitations of skillet cooking turkey on the stove as their is not a commercial hood in the kitchen. Discussed boiling beef or baking it in the oven as options.

third compartment sink is using quat sanitizer but there are no test strips available. Provide and use *200-400ppm*

Non-food contact items in the kitchen need to be in good repair: - several broken tiles on the kitchen counter - screw holes in the sheetrock above the 3-compartment sink

Caulking needed behind the sink where they attach to the wall in Pre-K #2 and Meck #4

Hazards must be stored under lock and key. White-out (2 liquid bottles) found in NC Pre-K #3. This was an issue on the last round of inspection. REPEAT Busy Bees class with loose lock - CDI. Keep lock tight so that the doors to all the hazards stay inaccessible to the children

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 snacks brought from home with name and no date, with date no name (busy bee, Meck2). Ensure all items send from home labeled with name and date that was received.

REPEAT 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed stained/damaged toilet seats in NC PreK 2, PreK 1, and Meck 1. Repair or replace of toilet seats needed. 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair Observed handwashing sinks in NC PreK 2, NC 3, and Meck 4 detaching from wall. Repairing or caulking needed. NOTE: Please check around all the rooms (sinks and toilets). Ensure all are in good repair.

REPEAT 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 stained ceiling tile in NC3, PreK1. Repair leaks and replace ceiling tiles. Please check all the rooms throughout the building. Keep clean and good repair.

General Comment: 15A NCAC 18A .2803 (a) and (c), .2836 (15).Child care center employees and children shall wash their hands when required. Observed teacher enter Meck 4, place personal belongings in cabinet, and sit down without washing hands.

REPEAT 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed stained/damaged toilet seats in NC PreK 2 and Meck 1 need repair or replaced. 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair Observed handwashing sinks in NC PreK 2 and Meck 4 detaching from wall. Need caulking and repair.

REPEAT Provisional Item 15A NCAC 18A .2820 (b) (c). All hazardous items must be stored behind lock and key. A locked kitchen is not considered to be a locked storage room or cabinet for the purpose of this rule - Observed locking cabinet inside the kitchen need better locking system that will not allow big gap or opening at anytime for easy access to container of Clorox and chemicals. The same cabinet door at this time is broken creating a gap exposing chemicals inside. Repair needed. Observed E6000 industrial adhesive stored in unlocked in Meck 1. Observed liquid white out stored in unlocked cabinet in Meck 2. Observed alcohol and antiseptic wipes stored in first aid kit in Meck 4. Keep all hazardous items behind lock and key at all times.

REPEAT 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 inside cubby with body lotion inside bag less than 5ft above the floor. Keep personal belongings and purses with non-hazardous items at 5ft above the floor at all times.

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 drooping ceiling tile in Meck 3. Observed stained ceiling tile and dust covered AC vent in Meck 4. Observed stained ceiling tile in NC 3. Repair leaks and replace ceiling tile.

15A NCAC 18A .2831 (b). Sand toys, water tables, and other unfiltered items that can collect standing water in the outdoor learning environment shall be emptied and stored to prevent the collection of standing water. Observed mosquito larvae in play table and standing water in playground. Make sure equipment does not have standing water to prevent mosquito breeding.

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 sanitizer solution concentration measured at 250 ppm. Ensure to provide correct concentration of chlorine sanitizer between 50-200 ppm at all time. The solution was corrected 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 NC preK1. Hot water measured at 117-118F at classroom and restroom sinks. Provide tempered water between 80-110F at all time.

General Comment: 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 kitchen door prop wide open with a stopper. Observed in NC preK1, teacher has Keurig coffee machine in the classroom, the machine was full of water and plugged into the outlet. EHS suggests to empty the water out. Refill only what needed and leave it empty. No hot water shall be accessible to children at anytime.

REPEAT 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed pink/brown mildew around hand sink faucet base in several classrooms and restrooms. Detail cleaning needed. Keep clean.

General Comment REPEAT: 15A NCAC 18A .2820 (b) (c). All hazardous items must be stored behind lock and key. A locked kitchen is not considered to be a locked storage room or cabinet for the purpose of this rule - Observed locking cabinet inside the kitchen need better locking system that will not allow big gap or opening at anytime for easy access to container of Clorox and chemicals. Observed the same locking sliding device in busy bee classroom. Staff fix the lock and make it tight at the time of inspection. Observed empty class room with GLUE GOO and PINE SOL cleaner sit on top of a paper towel dispenser in Meck 1. All hazardous items shall be kept in lock cabinet at all time. ***NOTE. The locking device currently is long sliding locking device that hook into the two handle of each cabinet door, it must be tight and very close for the cabinet to be completely close/lock. Ensure the cabinet kept completely lock at all time.***

REPEAT 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 stand at the front entrance, sanitizer bottle on office desk less than 5ft. Ensure to keep all non hazardous items at 5ft or higher.

REPEAT 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 hanging down from a hook less than 5ft in busy bee. Store purses and personal belongings that contain no hazardous items at 5ft or higher at all times.

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 lunch box in refrigerator MECK 3, with name and without date that brought into the center. Ensure to have both name and date that was received at the center and send items home at the end of the day.

General Comment: 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 indicating thermometer inside refrigerator kitchen. Obtain the thermometer and put it in the warmest part of the refrigerator.

General Comment: 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 concentration measured at or above 750 ppm. Ensure to provide correct concentration of chlorine sanitizer between 50-200 ppm at all time. The solution was corrected at the time of inspection.

General Comment: 15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair.- Observed damage shelf at the bottom and damage gasket around the bottom of refrigerator in busy bee. Repair/replace needed. Keep all equipment 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 hallway restrooms hot water temperature at hand sinks measured between 75F -77F. NCPreK 3 classroom the temperature in class hand sink measured at 76F Meck 4. Provide tempered water for hand washing between 80-110F. NO point this time due to much improved.

REPEAT 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed broken faucet knob at hand sink in MECK 4. Need repair or replace. Observed soiled looking all around hand sink in Meck 4. Pink film of mildew around faucet at one of the sink in shared restrooms NCPreK1. Observed the separation of hand sinks and the wall in restroom NC 2. Cleaning, caulking or repairing needed. Keep all hand sinks clean and in good 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 measured above 250ppm but less than 500 ppm. Ensure to provide correct concentration between 500-800 ppm at all time. CDI- The solution was corrected at the time of inspection.

General Comment: 15A NCAC 18A .2820 (b) (c). All hazardous items must be stored behind lock and key. A locked kitchen is not considered to be a locked storage room or cabinet for the purpose of this rule - Observed locking cabinet inside the kitchen need better locking system that will not allow big gap or opening at anytime for easy access to container of Clorox and chemicals. NOTE. The locking device currently is long sliding locking device that hook into the two handle of each cabinet door, it must be tight and very close for the cabinet to be completely close/lock. Ensure the cabinet kept completely lock at all time.

REPEAT 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 squeeze stand at the front entrance and sanitizer bottle next to the hand sink in busy bee classroom less than 5ft. Ensure to keep all non hazardous items at 5ft or higher.

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 is hanging down a hook in busy bee classroom less than 5ft. Ensure to keep all teacher and personal belongings which contain no hazardous items right at 5ft or higher at all time.

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 one gate around HVAC units at playground with lock hanging on but can’t be locked. The other gate without lock device. According to director assistant the units were serviced about last month. Obtain a working locking device and keep the gates lock during business hours or/and when not actively servicing the units.

REPEAT 15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children.- Observed throughout the center water temperature at hand sinks measured between 70F -78F. In couple classrooms the temperature started at 80F and going down to 70F-77F. Provide tempered water for hand washing where accessible to children.

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. - Observed the center with expired water testing for lead. Last testing was 4/10/2021. According to email confirmation, Director had completed all the webinar and the test kit emailed saying the kit was shipped to the center on 4/18/2024. The center will ensure all procedures are completed as required and the results will be updated with EHS next inspection.

REPEAT 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed damaged (peeling/flaky) several toilet seats in MECK PreK restrooms. Need repair or replace. Keep all fixtures in good repair. 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed disrepair hand sink (leaking) in restroom MECK PreK 3-4. Need repair. Observed the separation of hand sinks and the wall in NC 2. Caulking or repairing maybe needed.

REPEAT 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 big container of hand sanitizer on the counter and the standing hand sanitizer dispenser at the front entrance less than 5 ft. Ensure to keep all non-hazardous items at 5ft or higher.

15A NCAC 18A .2826 (b).All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair.- Observed restroom ceiling vent in NC 2 covered with thick dust, need cleaning and keep clean.

General Comment: 15A NCAC 18A .2804 (k) Hot foods that a child brings from home to the child care center in double-walled, insulated thermos containers may be stored outside of refrigeration at the child care center with the written permission of the child's parent or guardian.- Observed lunches provided by parent in double walled (thermo-container) without parent permission. Obtain the permission from parent/guardian and keep for records.

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 lunch/snack boxes in MECK 3, one without name and the other one without date that brought into the center. One lunch box on kitchen counter while waiting to be serve without name. Ensure to have both name and date that was received at the center and send items home at the end of the day. 15A NCAC 18A .2806 (b) Food that is stored in child care center classrooms or other rooms intended for child care use, shall be limited to foods that are individually packaged unless the classroom is equipped with a food preparation area.- Observed several classrooms that are not equipped with food prep area are storing bulk snacks (gold fish, crackers) in their classrooms. Proper way to handle the situation discussed with director, only store the individually packaged items.

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 sanitizer solution concentration measured above 250 ppm. Ensure to provide correct concentration of chlorine sanitizer between 50-200 ppm.

General Comment: 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 NC PreK 2 hand sinks measured at 68F. Ensure to provide tempered water for hand washing.

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 the center with expired water testing for lead. Last testing was 4/10/2021. The person in charge of the process is currently on vacation. The process shall be started and completed as required ASAP.

General Comment: 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed damaged (peeling) several toilet seats in MECK PreK restroom. Need repair or replace. Keep all fixtures in good repair. 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed disrepair hand sink with orange tape around in restroom MECK PreK. Need repair. Observed the separation of hand sinks and the wall in several classrooms. Caulking or repairing maybe needed.

15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area.- Observed 2 soap dispensers are out of soap and one paper towel dispenser is out of paper towel in NCPreK1. Ensure to provide all hand washing supplies at all hand sinks at all time.

General Comment: 15A NCAC 18A .2812 (i) Provide a testing method for chlorine disinfectant to ensure compliance with prescribed chlorine concentration.- Observed the center without the test strips for disinfectant solution. Obtain the test strip.

PROVISIONAL ITEM: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key.- Observed cleaner supplies, aerosol can cleaner in a malfunctioning cabinet with loose key lock in busy B room. EHS can put the hands in the cabinet and took stuff out during the inspection. Observed 2 containers of wipe-out inside the computer bag stored unlocked on the chair in MECK 2. Observed disinfectant wipes stored unlock in front office and on the sanitizer shelf in MECK PreK room. Observed glasses cleaner stored in unlock cabinet in NC PreK3. Ensure to store all hazardous items in lock cabinet/storage at all time. 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 to unlock doors to the laundry room, storage rooms that contain chemicals hanging on the wall, stringing down less than 5ft high. Ensure to put all the keys up at 5ft or higher at all time. NOTE: **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. Keep keys at 5ft or higher at all time. **

REPEAT 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 in drawer less than 5 ft in NC PreK 1, left unlock front office. Ensure to keep all non-hazardous items at 5ft or higher.

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 MECK 4, water table filled with water after the session was ended. Children were outside at the playground. Ensure to empty water after each play session, and keep clean. Proper procedures discussed with director at the time of inspection.

General Comment: 15A NCAC 18A .2804 (a) In child care centers, food shall be kept free from spoilage, filth, or other contamination and shall be safe for human consumption.- Observed container of foods prepared by the center in the kitchen refrigerator dated passed the expiration date. Baked bean 11/7/23, bean 12/4, cream of chicken 12/4, bologna 11/9. EHS discuss/educate with kitchen staff and director and director assistant at the time of inspection of date marking system according to food code. All items voluntary discarded at the time of inspection.

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 milks in the kitchen with a name and date of today. All most all of those milks are almost to empty. Director stated that center sent all the milks home at the end of end. EHS, kitchen staff, and director discussed the proper way how to handle specialty milks at the time of inspection. Ensure to receive unopened container of specialty milk, put name and date that was received at the center. Send item home or discard at the end of the week either opened or unopened. 15A NCAC 18A .2806 (g) Food shall be stored above the floor and in a manner to protect it from dust, pests, drip, splash, and other contamination. -Observed couple classrooms stored snack boxes and cases of water bottles on the floor. Keep food items off the floor at least 6 inches to prevent any possible contamination.

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 chlorine sanitizer bottles throughout the facility measured at 750 ppm. Ensure to provide the correct concentration for chlorine sanitizer solution between 50- 200 ppm.

General Comment: 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 facility for the most part measured from 67F -78F at the hand sinks. Ensure to provide tempered water for hand washing.

General Comment: 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed the separation of hand sinks and the wall in several classrooms. Caulking or repairing maybe needed.

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 chlorine disinfectant solution bottles throughout the facility measured more than 1000 ppm. Ensure to provide the correct concentration at all time.

General Comment: 15A NCAC 18A .2820 (b). (c). All hazardous items must be stored behind lock and key. A locked kitchen is not considered to be a locked storage room or cabinet for the purpose of this rule - Observed cleaning products/chemicals/aerosol cans inside a broken lock cabinet in the kitchen (Fixed at the time of inspection). Observed cleaner products in side a broken lock cabinet in the 3’s classroom, The locked was fixed and proper locked at the time of inspection). Keep all hazardous items properly locked at all time. ** 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. **

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 a bottle of hand sanitizer stored on the counter less than 5ft in 3’s classroom.

15A NCAC 18A .2821 (d). Mats be stored so that the side of the mats that makes contact with the floor does not touch the side of a mat that any child sleeps on. The sleeping surface of one child's mat shall not come in contact with the sleeping surface of another child's mat during storage.- Observed some classroom stored their sleeping mat/sheets on top and touching each other. EHS discussed proper way to store items with director and teachers at the time of inspection.

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.

Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a). Observed opened package of graham crackers not properly resealed in classroom 2. Director discarded of opened package of snacks during time of inspection.

Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d). Observed sanitizer measuring at 500ppm chlorine throughout center.

Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f). Observed glass screen to oven in need of repair in kitchen. A work order has been submitted to have oven repaired.

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 bulk hand sanitizer stored below 5 feet on counter in main lobby.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed several minor stained ceiling tiles in classroom 1. EHS advises center to ensure no active leak is occurring and to have stained ceiling tiles replaced/repaired.

Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Observed dilapidated toys stored in dumpster enclosure area. Keep the property free of standing water. 15A NCAC 18A .2831 (b). Observed 2 containers full of standing water on playground.

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 a couple speciality milks brought from children’s home labeled with names and no dates located in refrigerator in kitchen.

All cleaning and disinfectant solutions shall be properly labeled (i.e. soapy water, disinfectant). 15A NCAC 18A .2819 (c ) and .2820 (c ). Observed a few spray bottles throughout center with name of solution fading. EHS advises center to remark solutions on bottles that are not clearly showing product 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), (c). Water play centers shall be filled just prior to each water play session. Water shall be emptied after each session or more often if visibly soiled. Observed detailed cleaning needed to baby dolls throughout center. Observed water play table filled with water in 1 classroom while children were outside playing.

Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Observed dilapidated printer and large plastic bin stored in dumpster area. *NOTE: Director Ms. Karen was present during time of inspection, report emailed to: KARENSMITH-JONES@NANASPLACEINC.COM

Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d). Observed sanitizer at 500ppm throughout center.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed stained ceiling tile in classroom 5 and 6. EHS advises center to ensure no active leak is occurring and to have stained ceiling tile replaced.

Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Observed 2 sandboxes stored within dumpster area. EHS advises center to have dilapidated structures removed.

Label all baby bottles, sippy-cups, and bottled beverages sent from home with the child's name and date it was brought into the facility. 15A NCAC 18A .2804 (d). Observed specialty milk brought from child's home stored in kitchen refrigerator with child's name but no date.

Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d). Observed sanitizer at 0ppm throughout center.

The kitchen dishwashing sink shall be supplied with hot water at 120°F or above. 15A NCAC 18A .2815 (e). Observed hot water at 110F at 3 compartment sink. EHS will conduct a reinspection within 7 days to ensure critical violation has been rectified.

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 ranging between 65F-72F at all classroom hand sink checked during time of inspection. Hot water in restroom within classrooms ranged between 80F-84F.

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed loose toilet seat in between classrooms 5 and 6. Observed toilet handle cracked in classroom 4 and in between classrooms 5 and 6.

Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Observed disinfectant at 0ppm during time of inspection. Center at this moment do not have infants or toddlers enrolled, all children attending center are toilet trained. Center was given a "bleach" cleaning solution that is chlorine free. Director was unaware and said she will purchase bleach with chlorine immediately.

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 below 5 feet in unlocked closet in classroom 7. 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 hand sanitizer stored below 5 feet in classroom 3 and at table at entrance into center that is accessible to children.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed stained ceiling tile in classroom 5 and 6. EHS advises center to ensure no active leak is occurring and to have stained ceiling tile replaced.

Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Observed 2 sandboxes stored within dumpster area. EHS advises center to have dilapidated structures removed. *NOTE: Ms. Shannon was present during time of inspection, report emailed to center at: KARENSMITH-JONES@NANASPLACENC.COM shannonmills777@yahoo.com

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

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed touch up paint needed throughout center to walls. Observed stained ceiling tile in corner classroom across from kitchen.

Observed water stained ceiling tile at the entrance to the infant room. Needs to be repaired/replaced. Observed wall peeling near the toilet in the restroom between PreK rooms. **Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed torn mats in the infant room. Needs to be replaced. **Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).

Observed baseboard coming apart from the wall and the stall peeling and rusting in the restroom within the Meck PreK class. Needs to be repaired. **Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed bulk milk brought from home dated 7/1. Child has been out the facility since prior week. Ensure that bilk milk brought from home is removed from the center at the end of the week. **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 hand sanitizer stored on bag below five feet in Cuddle Bugs rooms. Sanitizer was removed. **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 paint chipping on exterior fence. Needs to be painted. Lead swab used on fence. Negative results. **Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).

Observed disinfectant around 250ppm in Meck PreK, Koala and NC PreK rooms. Disinfectant was replaced. **Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

Observed cots stored in Rocking Robbins with sheets touching. Cot storage was rearranged. **Sleeping mats, cribs, and cots shall be stored to prevent contamination. 15A NCAC 18A .2821 (a).

Observed fence around the playground in need of painting. Paint is chipping. **Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).

Observed loose toilet seat in Busy Bee's room. Needs to be tightened. **Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed loose faucet and the handwashing sink in NC PreK #1. Needs to be repaired. **Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Observed fence around the playground in need of painting. Paint is chipping. **Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a).

Observed bulk milk not dated with the date it was brought into the facility in Cuddle Bugs and Kitchen. **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 febreeze in the restroom in Cuddle Bugs. **All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b).

Observed water stained ceiling tiles in Cuddle Bugs and Little Koalas. Needs to be replaced. **Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed standing water in equipment on playground. Ensure water is being drained. **Keep the property free of standing water. 15A NCAC 18A .2831 (b).

Observed Lactaid milk in Kitchen refrigerator with a date of 3/18. Milk was discarded. Spoke with staff about ensuring that bulk milk brought from child's home should be sent home at the end of the week. REPEAT NONCOMPLIANCE. **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 broken faucet handle at the food prep handwashing sink in Sugar Bear room. Sink is still operational but needs to be fixed. REPEAT NONCOMPLIANCE. **Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Observed milk brought from home by a parent dated for 12/7 in the Cuddle Bug room and in the Kitchen. Bulk milk brought into facility by parents shall be dated and labeled with child's name and sent on at the end of the week. **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 table in Little Koala room with standing water. Kids were on the playground. **Water tables shall be filled just prior to each water play session. Water shall be emptied after each session or more often if visibly soiled. 15A NCAC 18A .2822 (c ).

Observed tables on the Playground with standing water. Needs to be drained. **Keep the property free of standing water. 15A NCAC 18A .2831 (b).

Observed some board books were worn and damaged. **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 the care giver used the same paper towel to dry her hands after using it to turn off the water. **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).

(CRITICAL) Observed the hot water accessible to the children was 117F-124F throughout the buiding. Maintain hot water accessible to children between 80-110F. **Hot water at areas accessible to children shall not exceed 120°F. 15A NCAC 18A .2815 (e).

Observed bowls and utencils were stored inside the hand washing sink in the infant room and toddler room. **Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a).

Observed hot water as high as 116F in 2 year old room. **Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e).

Observed 1 water fountain on playground not draining and the water pressure too low. Repair or shut off. **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 hand sanitizer wipes stored below 5 feet in toddler room. **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 water play tables on playground need cleaning. **All play ground equipment must be kept clean and in good repair. 15A NCAC 18A .2832 (c ).