THE GODDARD SCHOOL AT MALLARD CREEK

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 children snacks send from home in room 2 without date. Put both name and date received on all items send from home. REPEAT 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 leftover snack was folded and clipped with pin in cabinet in room 2. Keep/store all leftover in ziplock bag or resealable containers to prevent pests at all time. 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 store in room 2 full size refrigerator dated 4/27- 5/12. 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 .2810 (f). Water from a handwash lavatory shall not be used for bottle warming or to prepare formula, mix dry cereals, or other foods.- Observed and according to teacher in infant rooms, water that goes into bottle warmers is coming from food prep handwashing sinks. Water use for warmers shall come from the kitchen or bottle water, not from the handwashing sink.

GENERAL COMMENT: 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed several classrooms (4, 10, hallway restroom, 3, 11) hand sinks need new caulking. Observed slow draining at diaper sink in room 3 need repair. Keep all hand sinks in good repair.

REPEAT 15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every hand wash lavatory area.- Observed no soap/paper towels available at food prep sinks in room 2. Ensure to provide all hand washing supplies at all sinks at anytime. NOTE: All sinks in the classrooms are hand washing sinks. Ensure to wash hands at food prep sink when preparing meals.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies.- Observed toys, book shelving stored inside the restroom at the gym. ONLY store toilet related items in restrooms.

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 bottle in unlock cabinet less than 5ft in room 11, 3. Ensure to keep all hand sanitizer at least 5ft or higher at anytime. 15A NCAC 18A .2820 (c) Bulk soaps shall be kept inaccessible to children by storing the product at least 5ft above the floor.- Observed bulk soap refilling bag stored in the drawers in hallway restrooms. Keep/store all bulk soap 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 stored in unlocked closet less than 5ft. Ensure to keep all personal belongings that do not contain any hazardous items inside at least 5ft or higher at all time. 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 class 4, children book bags are putting on top of cubby touching each other. Keep/store all individual items separate and not allow contact while storing at any time.

GENERAL COMMENT: 15A NCAC 18A .2821 (e). When in use, cribs, cots, mats and play pens shall be placed at least 18 inches apart or separated by partitions that prevent physical contact between children.- Observed in some classrooms while children are napping, their cots were placed too close to each others. Ensure to keep them separate from all directions at least 18” apart.

REPEAT 15A NCAC 18A .2804 (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center.- Observed baby bottles in toddler room without date, lunches without date received in toddler and kitchen refrigerator. Observed no date received on snack in infant room. Ensure to label both name and correct date received on items send from home. 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 and opened bag of snack folded and clipped with clipper in cabinet infant. Ensure to store leftover food in resealable containers/bags to prevent pests at all time.

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

REPEAT 15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every hand wash lavatory area.- Observed no soap/paper towels available at food prep sinks in room 1,2 where they have refrigerator and food prep area. Ensure to provide all hand washing supplies at all sinks at anytime.

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 sanitizer bottles stored in a cabinet in several classrooms/front desk/front entrance counter less than 5ft. Ensure to store all approved non hazardous items at 5ft or higher at all time.

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 in several class, children book bags and jackets are hanging on the cubby hooks touching each other. Keep/store all individual items separate and not allow contact while storing at any 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 some classroom need to update their assign cots with either name or number. Make it clear and legible. If number use, please provide the current and update cot list and have available.

15A NCAC 18A .2804 (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center.- Observed bottle, food in infant refrigerator without date received and one bottle with past date 5/25. Ensure to label both name and correct date on items send from home. 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 box of opened cereal in cabinet infant. Ensure to store leftover food either students or staff in resealable containers/bags to prevent pests.

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 in toy cleaning bucket measured at 500ppm. Ensure to provide correct concentration of the chlorine sanitizer between 50-200 ppm at all time.

General Comment: 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed in several classrooms soiled hand sinks around basin, faucet. Detail cleaning needed and keep clean.

General Comment: 15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every hand wash lavatory area.- Observed no soap available at a dispenser in play restroom. Observed no soap at food prep hand washing sinks in infant and toddler. Ensure to provide all hand washing supplies at all sinks at all times.

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 in several classrooms, emergency medications in the red bag hanging down very low- less than 5ft. Ensure to keep all emergency medications 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 sanitizer bottle stored in a cabinet less than 5ft in infant, room 2, 9, 10. Observed an approved disinfectant wipes in room 9 in cabinet less than 5ft. Ensure to store all non hazardous items at 5ft or higher at all time.

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 on top of cubbies less than 5ft in room 3. Ensure to put teacher purses/ personal belongings that contain no hazardous items at 5ft or higher at all times or keep a lock storage. 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 in several class, children book bags are storing on top of cubby and touching each other. Ensure to keep all individual items separate and not allow contact while storing at any times.

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 soiled sheet on cot in room 11 and 3. Clean sheet when visibly soiled. Keep clean. 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 mix and match, same number on different cots in room 7, 8, 10, and maybe in other classes. Ensure to clean old number, update the list and have available.

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 classroom refrigerator, several with name and without date that was received at the center. EHS, teacher, executive 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 .2804 (h) After the completion of each feeding, any leftover formula, human milk, or other bottled beverages used during the feeding shall be discarded or sent home with the child whose name is on the label for the formula, human milk, or bottled beverage at the end of each day. Feeding is complete when the child care center employee has stopped feeding the child and the child has been removed from the feeding area in the child care center and returned to other activities. Bottles previously used for feeding shall not be returned to communal mechanical refrigeration.- Observed sippy cup of milk without date and maybe served to a child this morning at meal time, the cup was put back inside the refrigerator for maybe later use. Ensure to not put any bottles/cups that was previously served to a child back to clean refrigerator.

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 disinfectant solution spray bottle stored on the diaper sink counter less than 5ft. Store all non hazardous items at 5ft or higher at all time.

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 on the table less than 5ft in teacher break room. The room left unlocked at the time of inspection. According to executive director, the room usually lock at all time. Ensure to put personal belongings that has no hazardous items at 5ft or higher at all times or keep the door lock.

REPEAT 15A NCAC 18A .2821 (e). When in use, cribs, cots, mats and play pens shall be placed at least 18 inches apart or separated by partitions that prevent physical contact between children. Observed in use cots during nap time in several classrooms placed less than 18” inches apart. Ensure to place cots at least 18 inches apart or separated by partitions during nap time.

REPEAT 15A NCAC 18A .2804 (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. Observed 2 bottles with no dates that was received and 1 bottle with no name and recieved date in infant room.

REPEAT 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 feeding trays not being cleaned properly after discussion with infant room teacher. EHS discussed washing, rinsing, and sanitizing the trays in the kitchen after each use. All multi-service articles (high chair trays, spoons, cups, rubber bibs) shall be W/R/S at the kitchen not in hand sink in classroom after each use. 15A NCAC 18A .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions. Observed bottle warmer in need of cleaning in infant room.

15A NCAC 18A .2809 (2) Food-contact surfaces shall be kept clean and in good repair. Observed water pitcher in cheetah room in need of cleaning.

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 outside water fountains in need of pressure adjustment. One fountain is too high and the other is too low.

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 behind locked cabinet, but items in cabinet are still accessible while cabinet is locked. EHS suggested to change type of lock and not allow accessibility at all. NOTE: Keep keys at 5ft or higher at all time.

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed aerosol bottle of shaving cream stored in unlocked cabinet in tiger room.

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 lotion and hand sanitizer stored at the desk below 5ft in unlocked office/lobby area.

15A NCAC 18A .2821 (e). When in use, cribs, cots, mats and play pens shall be placed at least 18 inches apart or separated by partitions that prevent physical contact between children. Observed in use cots 7-14 inches apart in penguins room. Cots need to be at least 18 inches apart or separated by partitions.

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 in panda room filled with water during nap time. Water shall be emptied after each play session. 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 soiled under diaper changing pad in wallabie room in need of cleaning.

15A NCAC 18A .2804 (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center.- Observed bottles in the refrigerator in room #1 without date, some has old date (11/13, 11/19). Ensure to check that both name and date that was received on the items before putting them in the fridge and send home or discard at the end of the day. 15A NCAC 18A .2804 (d) All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day.- Observed old snack and food container in the refrigerator in room #1 from a day before that didn’t get discard or send home at the end of the day. 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 refrigerator in room #2 without date that was received at the center. EHS, 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 week either opened or unopened containers. 15A NCAC 18A .2804 (h) After the completion of each feeding, any leftover formula, human milk, or other bottled beverages used during the feeding shall be discarded or sent home with the child whose name is on the label for the formula, human milk, or bottled beverage at the end of each day. Bottles/container previously used for feeding shall not be returned to communal mechanical refrigeration.- Observed apple sauce snack bag and food container once opened and given to a child, left over was put back in the refrigerator for later. EHS, teacher, and director discussed the proper procedures at time of inspection. 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 snacks send from home in the refrigerator in room #2 without date that was received. Ensure to put name and date on items.

General Comment: 15A NCAC 18A .2807 (h) Metal stem-type, thin probe, numerically scaled indicating product thermometers, accurate to ± 3 degrees Fahrenheit shall be used to ensure the maintenance of the internal cooking temperatures of all potentially hazardous foods required under this Rule.- Observed the facility without the thin probe food thermometer. Obtain a thin probe food thermometer for the kitchen to use.

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 wet, freshly washed spoons, containers and rubber bibs on the counter/hanging to dry. According to teacher spoons and rubber bibs in several rooms 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 .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions. -Observed very soiled bottles warmer need details cleaning and keep clean.

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 lotion in drawer with child prove click in room#2. Observed diaper creams store in lock cabinet with key stored less than 5ft in room #1. Ensure to stored all non hazardous items at 5ft or higher. And store all the keys that use to unlock cabinets at 5ft or higher 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 throughout the facility, name or number, sleeping chart need to be updated/re-labeled, make it clear and legible.

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 the AC utility equipments inside the fence with unlock gate which make it accessible to children. Lock the gate to prevent children access.

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 3 infant bottles stored in domestic refrigerator in infant classroom not labeled with child’s name or date. Observed container of speciality milk brought from child’s home not labeled with date in penguins classroom. Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a). Observed opened package of snacks stored in cabinets not properly resealed in the following classrooms: infant and foxes. REPEAT VIOLATION.

Provide a numerically scaled metal stem-type thermometer accurate to 2°F. 15A NCAC 18A .2807 (h). Observed high temperature thermometer in kitchen. EHS advises center to obtain a thermometer that is capable of measuring all temperatures. Provide an accurate thermometer in all refrigerators. 15A NCAC 18A .2806 (h). Observed red dial on thermometer broken in penguins domestic refrigerator, thermometer was replaced during time of inspection.

Hand washing signs shall be posted at all hand washing areas. 15A NCAC 18A .2818 (e). Observed no handwashing sign posted at sink located in gym restroom.

Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d). Observed teacher in infant classroom miss the following steps during diaper change process: wipes hands with a wipe after removing soiled gloves before donning clean diaper to child; wash child’s hands after completing diaper change process. REPEAT VIOLATION. All cleaning and disinfectant solutions shall be properly labeled (i.e. soapy water, disinfectant). 15A NCAC 18A .2819 (c ) and .2820 (c ). Observed 1 spray bottle not labeled in Panda’s classroom.

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 the following classrooms: infant, wacky wallabies, cheetahs, toucans, and bears. Observed cabinet full of non prescription diaper creams stored unlocked below 5 feet in wacky wallabies classroom. Director relocated diaper creams appropriately during time of inspection.

All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ). Observed cots not labeled according to notated rule in cheetahs classroom.

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 red cardboard blocks torn in Panda’s classroom.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed minor stained ceiling tiles in the following classrooms; penguins, toucans, and foxes. EHS advises center to ensure no active leaks is occurring and to have stained ceiling tiles replaced/repaired.

Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d). Observed dumpster doors and lids opened during time of inspection. Observed boxes/palates behind dumpster area.

Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a). Observed opened package of flour and sugar in infant classroom not properly resealed. Observed opened package of sugar in kitchen pantry not properly resealed. Observed opened packages of rice cakes throughout multiple classes in center not properly resealed. Label all food brought from home with the child’s name and the date that the food was brought into the facility. 15A NCAC 18A .2804 (f). Observed lunches brought from children’s home with name and no date throughout multiple refrigeration units within center. 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 labeled with name and no date in “first steps” classroom.

Provide an accurate thermometer in all refrigerators. 15A NCAC 18A .2806 (h). Observed thermometer in “first steps” refrigerator red dial broken. EHS advises center to replace thermometer.

Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d). Observed sanitizer measuring at 750ppm chlorine at “wash, rinse, sanitize” buckets set up in multiple classrooms (infants/toddlers classes).

Bottle warming equipment shall be cleaned and sanitized at least daily and when visibly soiled. 15A NCAC 18A .2810 (f) (1) and .2804 (d). Observed dark brown accumulation within bottle warmers in infant classroom.

Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d). Observed teacher not wipe hands in between removing soiled diaper and placing new diaper on child during diaper change procedure in “first steps” classroom. All cleaning and disinfectant solutions shall be properly labeled (i.e. soapy water, disinfectant). 15A NCAC 18A .2819 (c ) and .2820 (c ). Observed water spray bottle not labeled in classroom 5.

All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed aerosol sunscreen stored in cubby in classroom 9. Aerosol sunscreen was properly locked behind lock and key during time of inspection.

Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). Observed child sized furniture throughout center with paint markings.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed stained ceiling tile in “first steps” classroom. Observed minor staining on large floor rugs throughout center. Observed touch up paint needed to light blue walls throughout center. *NOTE: Assistant Director, Sarah, was present during time of inspection. Report emailed to center at: DCHARLOTTE3NC3@GODDARDSCHOOLS.COM

Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a). Observed opened package of crackers in 1's classroom not properly resealed.

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed loose toilet seats in 2's classroom and older Pre K classroom.

Liquid soap shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d). Observed no paper hand soap at "Food Prep Handwashing" sink located in infant classroom. Disposable towels shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d). Observed no paper disposable towel at "Food Prep Handwashing" sink located in infant room. Per conversation with Director, center is using that Food Prep Handwashing Sink in infant room to dump bottles and rinse. EHS educated center that the Food Prep Handwashing sink is designated for staff to wash hands before feeding children. This sink is not designed to be a sink that is used for rinsing bottles or container. Bottles and containers should be rinsed at 3 compartment sink in kitchen.

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 and lotion stored below 5 feet on shelving in older Pre K classroom. EHS advises center to store approve non-hazardous items above 5 feet.

All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ). Observed no updated cot charts that correspond to children in several classrooms during time of inspection. *NOTE: Report emailed to Director, Jennifer at DCHARLOTTE3NC3@GODDARDSCHOOLS.COM

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed loose toilet seats in 2 Pre-K classrooms. Repair.

Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). Observed tape residue stuck to wooden cubbies inside (Young Toddler) classroom in need of removal.

Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e). Observed cots stored within 18inches throughout Pre-K classrooms.

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

Observed disinfectant at 100-250ppm throughout the inspection. Kitchen was using 1/8 cup pf bleach for 2 gallons of water. Provided recipe that called for 1/4 cup of bleach for 1 gallon. Staff made 2 gallon container using 1/2 cup of bleach. 500ppm was reached and bottles were redistributed throughout. **Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

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

Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Observed all Disinfectant in center measuring 250-300 ppm. Provide test strips for the chlorine disinfectant. 15A NCAC 18A .2819 (c ) Test strips available but possibly out of date (when tested strips were measuring too high giving a false reading when compared to EHS strips, no date observed on strip container).

Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). Observed tape residue left on cubbies throughout; Observed edges of tables in all classrooms collecting debris build-up in need of cleaning.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed walls damaged in classrooms behind trash cans and chairs near and around diaper changing table area in (Infants, Penguins).

Liquid soap and disposable towels shall be provided and accessible at all hand washing sinks. 15A NCAC 18A .2818 (d). Observed no paper towels at infant room food prep hand sink. Keep paper towels at all hand sinks. Observed hand soap at prep sink and dish sink in kitchen. Keep hand soap only at hand sink.

Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a). Observed diapers stored below hand sinks in 2 classrooms. Do not store clean items below sink plumbing.

Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d). Observed incorrect diaper changing procedure in infant room. Gloves left on through whole diaper change, follow posted procedures. All cleaning and disinfectant solutions shall be properly labeled (i.e. soapy water, disinfectant). 15A NCAC 18A .2819 (c ) and .2820 (c ). Observed some of the spray bottles not properly labeled. Make sure any spray bottle is labeled with the contents.

Linens shall be large enough to cover the entire sleeping surface of mats, cots, and crib mattresses. 15A NCAC 18A .2821 (f). Observed several children sleeping on mats without sheets.