THE LEARNING EXPERIENCE

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 without date received mark on the bottle in kitchen refrigerator. 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.

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 concentration in some spray bottles are too strong more that 250 ppm. Ensure to provide correct chlorine concentration between 50-200 ppm at anytime in all classrooms.

REPEAT 15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair.- Observed refrigerator in Toddler A, B and Twadller need cleaning all surfaces. Keep clean.

REPEAT 15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children.- Observed in toddler A and B, Preschool 1B, water temperature at 73F. Infant B sinks measure at 112- 114F. Ensure to provide tempered water temperature between 80F- 110F at anytimes.

15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed hand sinks in most classrooms throughout the center need better cleaning and keep them clean. Observed disrepair sink counter top/area in Toddler A, clogged/slow draining in Preschool 1B, very low pressure on hot water side in restroom sink Preschool 1A. Repair needed. Keep all hand sinks clean and in good repair.

General Comment: 15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies.- Observed toy table stored inside the restroom Toddler B. Do not store anything that are not toiletries related inside the restrooms at anytimes.

REPEAT 15A NCAC 18A .2812 (i) An approved disinfectant shall be provided for cleaning purposes. When a chlorine solution is prepared by a child care center employee for use as an approved disinfectant, then the solution shall be prepared for use within 24 hours, and a testing method shall be used to ensure compliance with the prescribed chlorine concentration (500 -800 ppm).- Observed disinfectant solution measured less than 200 ppm. Ensure to provide correct concentration range between 500-800ppm at anytime.

General Comment: 15A NCAC 18A .2812 (e) Multi-service articles, including highchair feeding trays, shall be washed, rinsed and sanitized in the child care center kitchen after each use. - Observed high chair tray need details cleaning at the back crevices in infant rooms. Observed rubber bibs laying air dry on the counter in the infant room, according to teacher they get clean at the sink in the classroom. Proper cleaning for all multi-service articles (high chair trays, spoons, plates/bowls, rubber bibs) shall be wash, rinse and sanitize in the kitchen after each use.

REPEAT 15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair.- Observed refrigerator surfaces throughout the center need detail cleaning and keep clean.

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 temperature for most classroom throughout the center measure less than 80F. Make Believe room measured at 119F. Toddle B at 112- 116F. Provide tempered water between 80F -110F where is accessible to children at anytime.

15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area.- Observed no soap available in restroom sink in Preschool 3, Preschool 1B. No paper towels available in dispenser in Prepper, and Toddler A. Ensure to keep supplies available and accessible at all time at all hand sinks.

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 slightly less than 500 ppm. Ensure to keep correct range between 500-800ppm at all time. Observed the center is out of testing strips, obtain a new test kit and have available.

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 in infant room change diaper towards the end of process, missing step 8, and 11 (hand washing procedures incorrectly). Proper diapers procedures discussed in detail with teacher during inspection. Diaper poster posted for reference. Ensure to follow correct diaper changing procedures at anytime.

General Comment: 15A NCAC 18A .2820 (d) Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. A product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor.- Observed diaper cream stored in broken lock cabinet in Prepper. Ensure to keep items at 5ft or keep lock at anytime.

REPEAT 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 throughout the center, children coats/book bags storing and hanging on a hook in their cubbies. Items are touching each other while storing. Ensure to keep individual items separate and not allow touching at any time while storing.

General Comment: 15A NCAC 18A .2822 (a) Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair.- Observed damage diaper pad need repair or replace in Twaddler, Toddler B. Provide good repair diaper pad.

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 refrigerator surfaces need cleaning and keep clean in Twaddler, Infant B. Keep clean.

General Comment: 15A NCAC 18A .2815 (e) (e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use.- Observed at 3 compartment sink in kitchen, hot water temperature measured 115F. Ensure to maintain hot water temperature at 3 compartment sinks in the kitchen at least 120F at all time.

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 temperature in Twaddler at 76F, PS3 at 61F, hallway restroom at 71F, Prepper B at 71F, Prepper A at 62F, PS1 at 68F in restroom, Make Believe 71F & 76F, general room 123 at 74F. Ensure to provide tempered water between 80F -110F where is accessible to children at all time.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed damage/loose toilet seats in need of repair or replacement needed (restroom hallway, PS1, front desk restroom, PS2). Keep all toilet fixtures in good repair. 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed slow draining and or soiled (black building up at the drain) at hand sink in toddler A, Infant A, PS3, PrepperB. Detail cleaning and repairing needed. Keep clean and in good repair.

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 coats/book bags storing and hanging on a hook in their cubbies. Items are touching each other while storing. Ensure to keep individual items separate and not allow touching at any time while storing.

REPEAT 15A NCAC 18A .2821 (c). Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens.- Observed same number on different cot showing repeatedly in several classrooms. Some classroom has many different numbers on the same cot. Cleaning all numbers and come up with one system showing just number or name clearly and visibly, have cot chart available if using number.

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 with occasional theme in PS1, last played was yesterday. According to discussion with teacher they get clean at the end of the week. Proper procedures for water play station discussed in detail with teacher and director at the time of inspection. (filled with potable water immediately before children begin a water play session. Water shall be emptied after each play session).

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 Prepper washed hands and turned off the faucet knobs with bare hands upon entry. Proper hand washing reviewed with teacher through Hand washing procedure poster, then teacher washed hands again properly during inspection.

REPEAT 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 in couple classrooms change diapers incorrectly, missing from steps 3 through 11. Proper diapers procedures discussed in detail with teachers and director during inspection. Diaper poster provided at the time of inspection. Ensure to follow proper diaper changing procedures every changing time.

REPEAT 15A NCAC 18A .2821 (c). Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens.- Observed missing number/mix and match old and new number on the cots in several classrooms. Ensure to put name/number system assignment. Easer old numbers and only have new/current numbers that use, provide update current assignment of number and name on cot chart and have available in the classroom.

15A NCAC 18A .2803 (a) and (c), .2836 (15).Child care center employees and children shall wash their hands when required.- Observed a child was dropped off by a parent in infant room A. Upon entering a classroom, a child didn’t have his/her hands wash before engaging in group activities. Observed a teacher in infant B, entering classroom without hand washing before opening the refrigerator and engaging in a task. Proper procedures according to the notated rule discussed in detail with staff and director at the time of inspection.

General Comment: 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 Twaddler washing hands after diaper changing and turning a faucet knob off with bare hands. Proper hand washing discussed with teacher and director during inspection. Hand washing poster provided at the time of inspection.

REPEAT 15A NCAC 18A .2806 (d) Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in the 2800 rules when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs.- Observed speciality milks in the kitchen refrigerator without date received at the center, another one with incorrect date 7/14/24. Proper way to handle specialty milks discussed in detail at the time of inspection. Ensure to receive the unopened container of specialty milks at the beginning of the week, put name and date that was received, send home or discard at the end of the end either opened or unopened containers.

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 temperature at least half part of the building measured 113F- 122F. (Twaddler, Toddler A/B, Infant A/B, Make Believe Room, Preschool 1A, Room #123) Ensure to provide tempered water.

PROVISIONAL ITEM: 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 hot water measured at or above 120F in Preschool 1A, Room #123, Infant A. Repair needed, provide water temperature between 80F- 110F where is accessible to children.

General Comment: 15A NCAC 18A .2815 (f).. The water pressure of a drinking fountain shall be regulated so that an individual's mouth does not come in contact with the nozzle and so that water does not splash on the floor.- Observed water pressure of the two fountains inside are very low. Water pressure needs to be adjusted and not allow month contact to the nozzle.

REPEAT 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed disrepair toilet with black bag covered in Make Believe restroom. Need repair. 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed leaking hand sink in Make Believe restroom. Repair needed.

General Comment: 15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area.- Observed no paper towels and soap available in Toddler A restroom, prepper B, and prepper restroom. Ensure to provide all hand washing supplies at all hand sinks at all time.

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 staff in several classrooms change diapers incorrectly, missing/mixing steps #3, 5 through 11. Proper diapers procedures discussed in detail with teachers and director in one classroom during inspection. Diaper poster provided at the time of inspection. Ensure to follow correct diaper changing procedures every time.

General Comment: 15A NCAC 18A .2820 (d) Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. A product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor.- Observed diaper creams in unlocking drawer in Toddler B. Ensure to put items at 5ft or higher at all time if not keep them lock. NOTE: **Lock storage rooms and cabinets shall include those which are unlocked with a combination lock, electric or magnetic device, key pad, key, or equivalent locking device, keep keys at 5ft or higher at all time**

General Comment 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 bottle attached to keychain in drawer less than 5ft, not locking in Infant B. Ensure to put non hazardous items at 5ft or higher.

General Comment: 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 in broken lock cabinet less than 5ft in Prepper. Keep items store properly at all time.

REPEAT 15A NCAC 18A .2821 (c). Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens.- Observed no name/number on the cot. Ensure to put name/number system assignment. - Observed no cot chart, and there are three cots labeled #9 in Prepper. Ensure to provide/have available current update number/name on the cots

General Comment REPEAT: 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 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) which what is being utilized currently. 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 for cleaning toys each day and store it at 5ft or higher. Proper sanitizer solution made and tested together during the inspection to ensure correct procedure is done across the board.

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 thermos container inside lunch box in Toddler B without parent/guardian written permission. Obtain the written permission and keep records.

15A NCAC 18A .2806 (a) Once pre-packaged food has been opened, the food shall be stored in clean, resealable bags or containers made of plastic or glass that are tightly covered and manufactured for the purpose of food storage.- Observed a bag of crackers closed with blue painting tape in the kitchen cabinet. Ensure to store bulk food in a resealable bag/container. 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 speciality milks in the kitchen refrigerator without date was received at the center. EHS, kitchen staff, director discussed proper way to handle specialty milks at the time of inspection. Ensure to receive the unopened container of specialty milks at the beginning of the week, put name and date that was received, send home or discard at the end of the end either opened or unopened containers. 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 .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 a child lunch box in toddler B without name and date. Ensure name and date on when come into center.

General Comment: 15A NCAC 18A .2812 (e) Multi-service articles, including highchair feeding trays, shall be washed, rinsed and sanitized in the child care center kitchen after each use. - Observed high chair tray need better cleaning at the back crevices. According to teacher spoons and rubber bibs in the infant room get clean at the sink in the classroom. All multi-service articles (high chair trays, spoons, plates/bowls, rubber bibs) shall be wash, rinse and sanitize properly in the kitchen after each use.

15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children.- Observed 2/3 of the facility hot water temperature betwee 56F-119F. Ensure to provide tempered water.

General Comment: 15A NCAC 18A .2815 (f).Drinking fountains, if provided, shall be separate from handwash lavatories and kept clean.- Observed water fountains need details cleaning and keep clean.

General Comment: 15A NCAC 18A .2816 (b) (1) Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. Samples shall also be collected and tested within 30 calendar days of completion of any renovations or repairs that may impact the facility's drinking water infrastructure, such as repair or replacement of all or part of drinking water service lines or faucets, at impacted outlets. The operator shall provide documentation of testing results for review by the Department during each unannounced routine sanitation inspection. -Observed last facility water testing for lead was 10/3/2020. The facility is already enrolled and earned the certification from RTI on 10/23/2023. The facility is still need to complete other online training and will follow all the requirements and complete the process ASAP. EHS and director discussed the process and website and phone number of RTI given at time of inspection.

General Comment: 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed disrepair toilet in Make Believe restroom. Need 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 weak concentration of disinfectant solution in spray bottle measured about 300 ppm. Ensure to provide correct concentration between 500-800 ppm of chlorine disinfectant.

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 on the counter upon arrival at the front desk. Director removed item at the time of inspection. Ensure to put non hazardous items at 5ft or higher.

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 no name/number on the cot. Ensure to put name/number system assignment.

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 for cleaning toys each day and store it at 5ft or higher.

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 measuring 119F inside Pre-school 1A; Observed hot water measuring 113F inside Preppers classroom.

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 edges of tables inside several (Toddler) classrooms in need of detailed cleaning.

REPEAT 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 throughout classrooms measuring above 110F (112-119F)

NO POINTS DEDUCTED All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed bleach and Aerosol spray stored accessible inside unlocked cabinet. CDI all hazardous items stored behind lock and key.

NO POINTS DEDUCTED 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 table edges having build up in need of cleaning inside classrooms.

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 measuring above 110F in (infant) room and in Older aged kids classroom (113F / 116F).

Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a). Observed non-toiletry items stored inside bathroom in (Toddler) classroom.

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed flooring entering bathroom in (pre-school 2) peeling in need of repair. Observed wall behind trash can inside (infant) room scuffed in need of touch-up paint. Observed water damaged ceiling tiles in multiple rooms in need of repair. (note) center is in process of painting all areas in need; center is also working with roofers to repair leaks.

REPEAT 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 baby bottles inside (Infant B) classroom not date marked on the label. CDI dates added to label.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825; Observed water damaged ceiling tiles in bathrooms of several classrooms in need of replacing / repair.

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

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 baby bottle not labeled inside infant room (CDI bottle labeled).

REPEAT 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 at hand sink inside (school age) classroom measuring 116F.

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 measuring above 110F (112F-114F) inside (Infant rooms); Observed numerous classrooms measuring below 80F (62F) in need of correction; work order placed during inspection.

REPEAT Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a). Observed mats damaged throughout all classrooms in need of repair.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed scuffed / damaged walls in several classrooms in need of repair.

Approved non-hazardous products must be stored 5 ft above the floor or behind lock and key. 15A NCAC 18A .2820 (b), (c ) and (d). Observed diaper creams stored in unlocked drawer below 5 ft in 2's room.

REPEAT Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a). Observed sleeping mats with ripped corners and damage in need of replacing.

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 baby bottles in Infant room not dated (had childs name only).

REPEAT Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a). Observed sleeping mats in all classrooms having damaged corners in need of replacing / repair.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed water damaged ceiling tiles in toilets rooms in PS2B, LEAP, P3 in need of replacing.

Observed build-up on water fountain nozzles. **Keep water fountains clean at all times. 15A NCAC 18A .2815 (f).

Observed mats and mattresses with rips in infant rooms and other older classrooms. **Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a).

Observed cleaning needed under tables where there is food debris from fingers in toddler rooms. Observed cleaning needed in toy bins where debris is collecting in several classrooms. Observed stained pillow in 4's cozy corner. Observed debris build-up on several larger interactive toys in the cracks and crevices i.e. play kitchens/shopping carts in 4's and 3's rooms. **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).

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 rusted muffin pan in preschool 1 room. SIGNIFICANT IMPROVEMENT from last inspection. REPEAT VIOLATION

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. MInor touch up paint needed in preppers and losse part of ceiling in Boulevard play room. REPEAT VIOLATION Work order has been submitted for ceiling.

Wash hands when required. 15A NCAC 18A .2803 (a) Observed two parents bring children into infant B with no handwash. One parent washed the child's hands after she began playing with the toys and other children. The other parent did not wash hands at all.

All potentially hazardous food products shall be maintained at 45°F, or below, or 140°F or above. 15A NCAC 18A .2806 (f) Observed cooked peas and carrots, whole milk, and cheese to be above 45F. CDI: Items voluntarily discarded.

Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a). Observed nap mats in preschool 1 and some crib mattresses in Infants A to have damage to the vinyl.

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 some vinyl toys in Toddler B and in Twaddler to be damaged. CDI: Those items were voluntarily discarded. Observed board books damaged in some classrooms. All items removed.

Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3). Observed dirty spoons being put into hand sinks, keep items out of handsinks. Bottom sides of high chair trays with dried food debris.

Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e). Observed many hand sink water temps did not reach 80F or took too long to reach 80F.

Keep water fountains clean at all times. 15A NCAC 18A .2815 (f). Observed moldy outdoor water fountains

Adequate space shall be provided for the storage of equipment, furniture, toys, clothes, linens, backpacks, book bags, diaper bags, beds, cots, mats, and supplies and shall be kept clean. 15A NCAC 18A .2820 (a). Observed storage on floor in supply closet.

Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e). Observed children napping less than 18 inches apart All sleeping mats, used during nap time, shall be waterproof, washable, and at least 2 inches thick. 15A NCAC 18A .2821 (b). Observed some mats with frayed edges. Some mats not minimum of 2 inches thick. Some crib mattresses do not fit tightly in the cribs. Some crib mattresses old and flattened and no longer 2 inches thick.