GROWING YEARS DISCOVERY, THE

Touch up paint needed in room 7. **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 box of cereal not properly sealed in room 2. GENERAL COMMENT **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 under side of high chair tray in need of cleaning in room 2. **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 toilet in need of repair in restroom in room 9. GENERAL COMMENT **15A NCAC 18A .2817 (a.) All toilet fixtures shall be kept clean and in good repair.

Observed aerosol cans not properly locked in room 2. CRITICAL VIOLATION **15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key.

Observed non-prescription diaper cream below 5ft in room 2. 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 water stained ceiling tile on the hallway near the kitchen. Observed touch up paint needed in room 3, 4 and 8. **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 wall peeling in room 8. Observed water stained ceiling tile in room 9 and the hallway. **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.

15A NCAC 18A .2819 (b) Nothing shall be placed on the diapering surface except for those items required for diapering and the child whose diaper will be changed. Observed lunch bags for bottles on diaper pad while being unloaded into refrigerator. Nothing shall be placed on the diapering surface except those items needed for diapering.

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 stained ceiling tiles in the hallway. Needs repair.

General Comment: 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 from one child dated 6/3. Staff stated the bottles were brought in today. Needs to be dated with correct date received.

15A NCAC 18A .2806 (K) (1). Each hot food unit 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 coolest part of the unit. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. Where it is impractical to install thermometers on equipment such as steam tables, steam kettles, heat lamps, cal-rod units, or insulated food transport carriers, a metal stem-type, thin probe, numerically scaled indicating product thermometer that is accurate to ± 3 degrees Fahrenheit shall be used to check internal food temperature. Observed thermometer in hot box not accurate. Needs accurate thermometer. 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 facility does not have thin probe thermometer. Needs thin probe thermometer.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed broken and super glued toilet seat in Room 7. Observed loose toilet seat in Room 8 and Room 5. Needs repair/tightening. REPEAT. 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair. Observed sink broken in Room 3/4 and faucet leaking at diaper sink in Room 5. Needs repair.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed bathrooms used for large amounts of storage in Room 11. Observed potting soil and toys stored on shelves in Room 11. Storage in toilet rooms shall be limited to toileting and diapering supplies. 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 employee skip step 8 and not wash child’s hands after diaper change. EHS asked employee to wash the child’s hands as she went to lay the child in a crib. Needs to follow diaper change procedure.

General Comment: 15A NCAC 18A .2820 (d).Medications, including prescription and non-prescription items, shall be stored in a locked cabinet or other locked container and shall not be stored above food. Observed Benadryl stored unlocked in 3/4 cabinet. CDI- Cabinet was locked.

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed aerosol spray stored unlocked in Room 5. Observed 2 aerosol disinfectants stored unlocked in Room 7. Observed super sorb stored unlocked in Room 8. Needs to be stored behind lock and key. PROVISIONAL ITEM.

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 use cots placed less than 18 inches apart and not separated by partitions in Room 8. Needs to be 18 inches apart or separated by partitions.

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 bulk milks sent from home missing date received/name labels. Observed one specialty bulk milks sent in room 5 dated 12/2. Needs to be labeled with name of child and date received and sent home at the end of the week. REPEAT.

General Comment: 15A NCAC 18A .2812 b) Except for fixed equipment and utensils too large to be cleaned in sink compartments, equipment and utensils that are cleaned manually instead of in a dishwasher shall be washed, rinsed, and sanitized. Observed 3-comp sink in kitchen to be set up as rinse, wash, sanitize. Needs to be wash, rinse, and sanitize.

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 debris on under side of high chair trays in Room 1/2. Needs cleaning.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed loose toilet seats in adult bathrooms. Observed toilet tank too small to fit in Classroom 8. Needs repair. REPEAT.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed bathrooms used for large amounts of storage in Room 11 and 12. Storage in toilet rooms shall be limited to toileting and diapering supplies. REPEAT. 15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed bag of toast and plastic bin in handsinks in Room 3/4. Observed toys in sink in room 12. Lavatories shall not be used for storage.

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 and dish soap stored less than 5ft up and unlocked in Room 1/2. Observed hand sanitizer less than 5ft up in Room 6 and 9. Observed sanitizer and disinfectant stored less than 5ft up in Room 8. REPEAT.

General Comment: 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 floor cushions/bean bags stored on top of cots in Room 7. Cots need to be stored to prevent contamination.

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 in water play station in Room 5. Staff stated the water was left in the table from yesterday. Needs to be filled immediately before use and emptied after each play session.

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 tiles in hallway. Needs to be checked for leaks and repaired. 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 date received missing on bulk specialty milks sent from home. Needs to be labeled with name of the child and date received.

Provide15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes. Observed sanitizer at 250-500 ppm. Needs to be 50-200 ppm chlorine. REPEAT.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed loose toilet seats in room 9 and Room 6. Observed toilet tank too small to fit in Classroom 8. Needs repair. REPEAT.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed pillow and blanket stored in bathroom in Classroom 8. 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 at 1000 ppm chlorine. Needs to be 500-800 ppm. REPEAT.

15A NCAC 18A .2819 (b) Nothing shall be placed on the diapering surface except for those items required for diapering and the child whose diaper will be changed. Observed fire trucks on diaper pad in room 7. Room was not in use and children are potty trained. Items shall not be placed on diapering surface. 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 employee in Classroom 1/2 not wash child’s hands after diaper change. Follow procedures.

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed febreeze and air freshener stored unlocked in Classroom 12. Needs to be stored locked.

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 lotions stored less than 5 ft up in classroom 6 and classroom 3/4. Needs to be stored 5ft up or locked.

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 cots less than 18 inches apart in Room 5, Room 8, and Room 10. Needs to be 18 inches apart. 15A NCAC 18A .2821 (f) Linens shall be large enough to cover the bed, cot, or mat's sleeping surface. Observed linens on cots in room 7 (which is closed today) too small to cover cot sleeping surface. Needs to cover entire sleeping surface.

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 corner of counter near diaper space missing in Room 3/4 and room 6. Needs repair.

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 tiles in hallway. Needs to be checked for leaks and repaired.

Provide15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes. Observed sanitizer at 750 ppm chlorine. Needs to be 50-200 ppm.

No points deducted per Supervisor instruction. 15A NCAC 18A .2816 (b) (1) Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. Samples shall also be collected and tested within 30 calendar days of completion of any renovations or repairs that may impact the facility's drinking water infrastructure, such as repair or replacement of all or part of drinking water service lines or faucets, at impacted outlets. The operator shall provide documentation of testing results for review by the Department during each unannounced routine sanitation inspection. Observed facility has not had lead testing since 10/19/2020. Facility needs to have drinking water tested for lead. Facility can go to Clean Water for Carolina Kids or RTI International to register and request drinking water testing for lead.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed loose toilet seat in Room 9 bathroom and in room 5 bathroom.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed books and boxes stored in Room 11 bathroom. Observed art supplies stored in bathroom in Room 12. Needs to be limited to toileting and diapering supplies.

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 at 1000 ppm chlorine. Needs to be 500-800 ppm.

15A NCAC 18A .2820 (c ) Sanitizing, disinfecting, and detergent solutions shall be labeled with the product name (ex. "Sanitizer") Observed bottle of soap in toddler room cabinet with no label. Needs label.

NO POINTS DEDUCTED 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 one baby bottle missing date inside (minnows) classroom. Date provided during inspection.

NO POINTS DEDUCTED All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed magic eraser left inside unlocked cabinet inside (turtles) classroom; Observed aerosol spray left accessible inside staff bathroom in hallway. CDI all hazardous products properly stored behind lock and key.

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed scuffed walls throughout classrooms in need of touch-up painting / repair.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed throw rug (large) located inside (Penguins) classroom soiled in need of cleaning.

Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Observed vent inside bathroom of (whales) classroom in need of general cleaning; Observed intake HVAC grate inside (whales) classroom in need of general cleaning.

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 tape residue on equipment and furniture inside classrooms in need of removal.

Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3). Observed undersides of high chair trays and high chairs with dried food debris. Run through dishmachine daily.

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 sticky tape residue and debris on some shelving units in classrooms. Remove torn contact paper.