KINDERCARE LEARNING CENTER AT BALLANTYNE

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 and child in Twos 1 turn off faucet with clean hand. Needs to use paper towel in order to not recontaminate hands.

15A NCAC 18A .2804 (i) A water bottle that a child brings to the child care center from home and that is used only for water consumption by that child shall be exempt from the requirements of 2804 (h). Instead, the water bottle shall be labeled with the name of the child to whom the water bottle belongs, individually stored in the child's cubby, and sent home with the child at the end of the day. Observed water bottles missing name labels in 4s classroom. Needs labels. REPEAT.

15A NCAC 18A .2819 (b). Diapering surfaces shall be made of smooth, intact, nonabsorbent material and shall be kept clean and in good repair. Observed diaper pad with crack in it in Toddlers classroom. Needs replacement. 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 miss step 5 in procedure in Twos 1 classroom. Needs to follow procedure.

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 sunscreen in unlocked cabinet less than 5ft up in Fours 2. CDI - Sunscreen was moved to a locked cabinet. REPEAT.

15A NCAC 18A .2804 (i) A water bottle that a child brings to the child care center from home and that is used only for water consumption by that child shall be exempt from the requirements of 2804 (h). Instead, the water bottle shall be labeled with the name of the child to whom the water bottle belongs, individually stored in the child's cubby, and sent home with the child at the end of the day. Observed water bottles missing name labels. Needs to be labeled with child’s name. 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 snacks in cabinet in Fours 2 in opened non-resealable bags. Needs to be in resealable bags or containers. 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 missing name and date received labels. Needs to be labeled with the child’s name and date received.

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 reach 113 in boys bathroom 1. Needs to be 80-110F

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. Center completed enrollment for lead water testing throughout Clean Water for US Kids on 7/18/2025. Per director, center received testing bottles, collected samples, and returned bottles back to RTI. Center has submitted water samples and they were not able to be sampled. Needs to have water tested. REPEAT. PROVISIONAL ITEM.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed broken urinal and heavily worn/stained toilet seats in boys bathroom 1. Observed broken toilet in girls bathroom 1. Needs repair. REPEAT.

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed kitchen containing hazardous items left with doors propped open. Observed aerosol shaving cream and sunscreen unlocked in Fours 2 (the cabinet lock is broken). Observed hazardous items unlocked in Threes 1 due to a broken cabinet lock. Needs to be stored behind lock and key. Verify locks are engaged. Kitchen door needs to be kept closed and locked. PROVISIONAL ITEM.

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 sunscreen and diaper cream stored less than 5ft up and unlocked in Twos 2. 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 bottles of sanitizer/soapy water/disinfectant stored less than 5ft up and unlocked in Threes 1 and Fours 2. Needs to be stored 5ft up or behind lock and key.

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’s bags stored next to window on shelf in contact with bags from other children in Infant 1. Observed children’s bags stored in contact with those belonging to other children in Fours 2.

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 less than 18 inches apart in Toddler and both Twos classrooms. Needs to be 18 inches apart when in use.

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 ceiling tiles missing in Gym. The director stated there is a work order in for repairs.

15A NCAC 18A .2804 (i) A water bottle that a child brings to the child care center from home and that is used only for water consumption by that child shall be exempt from the requirements of 2804 (h). Instead, the water bottle shall be labeled with the name of the child to whom the water bottle belongs, individually stored in the child's cubby, and sent home with the child at the end of the day. Observed water bottles brought from children’s home not labeled with child’s name.

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 reach 122F at handsink in infant classroom. During time of inspection hot water heater was adjusted by staff. When checked again hot water reached 109F. -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. Center completed enrollment for lead water testing throughout Clean Water for US Kids on 7/18/2025. Per director, center received testing bottles, collected samples, and returned bottles back to RTI. Center has not received results. During time of inspection center reach out to RTI for update on sampling results. EHS advised center that if results are not posted by next routine inspection, demerits will be taken.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed 1 urinal and 1 toilet out of order in boys restroom near PreK1 classroom. Observed minor cleaning needed to outside corners of toilets throughout center.

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 some books torn and in need of replacing in classroom throughout center. -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 minor touch up paint needed to walling throughout center. -General comment.

15A NCAC 18A .2832 (a). Child care center premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazards, and maintained in a manner which does not create conditions that attract or harbor pests. Observed minor trash surrounding dumpster area.

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 milk sent from home dated 7/21. Needs to be sent home at the end of each week and labeled with the date received. 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 teacher chips/snacks in Fours and twos in nonresealable bags/containers. Needs to be in resealable bags/containers.

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 in half the building at 112-117F at handsinks accessible to children. Needs to be 80-110F.

General Comment: 15A NCAC 18A .2815 (f).Drinking fountains, if provided, shall be separate from handwash lavatories and kept clean. Observed build up on hallway drinking fountain. Needs cleaning.

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 bottle on counter in infant 2 classroom. Staff stated bottle would go back to child. The child was playing on the floor with staff and other children. EHS informed staff that bottles cannot be given back to children after the feeding session is complete. 15A NCAC 18A .2806 (d) Bulk food stored in a refrigerator shall be stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator. Observed bulk milks in small refrigerator in Infant 1. Needs to be in full size refrigerator. 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 specialty bulk milks in kitchen refrigerator missing date received. REPEAT.

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 thermometer in infant 2 refrigerator reading just under 60F. EHS thermometer read 47F. Check thermometer and consider replacing to new and more accurate thermometer.

General Comment: 15A NCAC 18A .2814 (b) Cleaned and sanitized utensils and equipment shall be stored above the floor in a clean, dry location and shall be kept clean while stored. The food-contact surfaces of fixed equipment shall be kept clean while stored or otherwise not in use. Equipment and utensils shall not be stored under exposed sewer lines. Observed high chair trays and bottle warmer stored under sink in Infant 2. Equipment and utensils shall not be stored under exposed sewer lines.

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 hot water in kitchen only reach 86F. Needs to be a minimum of 120F. PROVISIONAL ITEM. *When adjusting water in kitchen ensure temperature reaches a minimum of 120F and any water accessible to children remains 80-110F.

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 is past 3 years since last water lead test. Needs to be completed. PROVISIONAL ITEM.

General Comment: 15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed storage under sink sewer lines in several classrooms, including items such as clean linens.

General Comment: 15A NCAC 18A .2819 (h) Signs that instruct child care center employees on proper methods of diaper changing and handwashing as set forth in the rules of this Section shall be posted in each diaper changing area. Observed sign for diaper changing procedures in Infant 2 is incorrect and toddlers 1 was missing procedures. Needs correct procedure signage.

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed aerosols and cleaners in cabinet over sink and large cabinet unlocked in infant 1 room. Observed aerosols in large cabinet in Threes 2 room unlocked. Observed aerosols unlocked in Toddlers 2 room and detangler unlocked in DPS 1 classroom. Needs to be stored behind lock and key. PROVISIONAL ITEM.

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 lotion stored less than 5ft up in infant 1 and lotion and hand sanitizer stored less than 5ft up in infant 2. Needs to be 5ft up or behind lock and key.

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 gym. Needs to be checked for leaks and repaired/replaced. REPEAT. No points deducted due to items from previous inspection being repaired. Gym tiles not listed on last inspection.

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 apple sauce pouch brought from child’s home not labeled in infant classroom 1 dorm refrigeration unit. 15A NCAC 18A .2804 (i) A water bottle that a child brings to the child care center from home and that is used only for water consumption by that child shall be exempt from the requirements of 2804 (h). Instead, the water bottle shall be labeled with the name of the child to whom the water bottle belongs, individually stored in the child's cubby, and sent home with the child at the end of the day. Observed several water bottles throughout center not labeled with child’s name. 15A NCAC 18A .2806 (d) Bulk food stored in a refrigerator shall be stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator. Observed bulk milk provided by center stored in dorm refrigeration units in infant classrooms 1 and 2. 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 brought from child’s home not stored in kitchen full sized refrigerator not labeled with date milk was brought into center. 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 opened package of chips in 4’s classroom not properly resealed.

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 hot water at 117F at 3 compartment sink in kitchen. During time of inspection hot water heater was adjusted, hot water restored to 120F. -General comment.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed 1 urinal out of order in boys group restroom located by 4’s classroom. Observed general cleaning needed to toilet bowl in toddler 1 classroom. Observed general cleaning needed to outside corners of toilets throughout center.

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 minor touch up paint needed to walling/baseboards, improvement made from previous report. - General comment.

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 several lunches brought from children’s home not labeled with date in 4’s classroom.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed detailed cleaning needed to outer toilets in DP2 and Toddler 1 classrooms.

15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed paint brushes and plates stored in handsink in toddler 2 classroom.

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 purse stored below 5 feet in unlocked cabinet in DP1 classroom.

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 1 book torn in DP1 classroom.

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 minot touch up paint needed to walling throughout center.

15A NCAC 18A .2804 (i) A water bottle that a child brings to the child care center from home and that is used only for water consumption by that child shall be exempt from the requirements of 2804 (h). Instead, the water bottle shall be labeled with the name of the child to whom the water bottle belongs, individually stored in the child's cubby, and sent home with the child at the end of the day. Observed water bottles brought from children’s homes not labeled with individual child’s name sporadically throughout building.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed 1 loose toilet seat in 4’s girls restroom. Observed 1 toilet out of order in boys 3’s restroom.

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 at 1 handsink in toddler classroom.

15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed blue bowl stored in handsink in infant classroom.

15A NCAC 18A .2819 (d). (9), Diapering surfaces shall be cleaned, prior to disinfection, by spraying the entire diapering surface with detergent solution and wiping clean, using disposable paper towels. Observed teacher in 2’s classroom complete diaper changing process in 2’s classroom and clean surface with disinfectant spray only. CRITICAL VIOLATION. EHS will complete re-inspection in 7 calendar days.

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 leave on soiled gloves throughout diaper changing procedure in 2’s classroom. Observed teacher miss step 10 above during diaper changing procedure (teacher sprayed disinfectant on diaper changing pad only).

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed aerosol paint stored on high shelving unlocked in 2’s classroom. Observed aerosol sunscreen stored unlocked in 3’s classroom. CRITICAL VIOLATION. EHS will complete reinspection for violation in 7 calendar days.

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 purse stored below 5 feet in unlocked cabinet in the following classrooms: toddler, 3’s, and 4’s.

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 cot chart in 2’s classroom to accompany numbered labeled cots.

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. Observed improper toy cleaning set up throughout center. Center has soapy water buckets and sanitizing buckets only. EHS advises center to adhere to notated rule.

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 touch up paint needed to walling throughout center. Observed detailed cleaning needed to flooring in 2’s classroom.

15A NCAC 18A .2830 (c) Dumpsters and other containerized systems shall be kept clean and covered. Observed minor debris surrounding dumpster area.

15A NCAC 18A .2803 (a) and (c), .2836 (15).Child care center employees and children shall wash their hands when required. Observed child being dropped off by parent for childcare come into classroom and not wash hands in younger 2’s classroom.

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 1 child’s lunch stored in domestic refrigeration unit in kitchen not labeled with name/date.

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 reach 114F at handsink in infant 2 classroom.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed detailed cleaning needed to toilets located in toddler, younger and older 2’s classroom.

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 at handsink in restroom area located in 3’s classroom.

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed aerosol paint stored in cabinet in younger 2’s classroom. Paint was properly locked behind lock/key during time of inspection.

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 stored on shelving below 5 feet in infant 1 classroom by diaper changing handwash sink.

Handwashing procedure shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing well for 10 seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. 15A NCAC 18A .2803 (c). Observed child and teacher wash hand less than required time and turn off faucet handle with bare hand in “toddler 1” classroom.

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 water bottles brought from children’s home not labeled in “toddler 2” and “preschool 2” classrooms.

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed 1 loose toilet seat in girls group restroom located on preschool hallway. Observed 1 toilet out of order in boys restroom located on preschool hallway (per director a work order has been submitted to have toilet repaired). Observed detailed cleaning needed to outside corners of toilets in all classroom that house a toilet.

Disposable towels shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d). Observed several handsink missing paper towels during time of inspection. Director supplied paper towels to handsinks that were not supplied during time of inspection.

To clean and disinfect diapering surface: 1) Spray soapy water onto surface 2) Wipe off soapy water 3) Spray disinfectant onto surface until surface is glistening wet 4) Let disinfectant sit for at least 2 minutes or until air dry. 15A NCAC 18A .2819 (d). Observed teacher in toddler 1 classroom spray disinfectant onto diapering surface and wiped after 1 minute. Center uses an approved disinfectant that has a contact time of 3 minutes. EHS educated teacher on notated rule and diapering surface was properly cleaned. If critical violation is observed during next inspection demerits will be taken.

Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d). Observed teacher in “infant 1” classroom not wipe her hands or child’s hands with a wipe before donning clean diaper. Observed teacher in “toddler 1” classroom leave on soiled gloves throughout entire diapering procedure.

All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed glass cleaner stored unlocked on high shelving in restroom locked near kitchen. Observed aerosol Lysol stored in unlocked cabinet on high shelving in “preschool 1” classroom. Both hazardous products were properly locked during time of inspection. If critical violation is observed during next inspection, demerits will be taken.

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 “preschool 2” classroom. Observed cabinet located below 5 feet and not locked housing non-prescription diapering creams in “toddler 2” classroom.

Individual linen must be kept clean and in good repair. 15A NCAC 18A .2821 (f). Observed 2 crib sheets with staining in “infant 1” classroom.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed minor touch up paint needed in “toddler 1” classroom and sporadically throughout center.

Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a). Observed pizza sauce stored in can after opening.

Provide a numerically scaled metal stem-type thermometer accurate to 2°F. 15A NCAC 18A .2807 (h). Observed only metal stem thermometer available was the thermocouple for the oven. Provide a metal stem thermometer that does not need to be plugged into the oven to work.

Protect food service equipment from contamination. 15A NCAC 18A .2814 (a) and (b). Observed rack of clean utensils stored on dirty side drain board with vat set up for washing. Use table if need more air drying space.

Hot water at areas accessible to children shall not exceed 120°F. 15A NCAC 18A .2815 (e).Critical Violation- Observed kitchen door not latching easily. Door either needs to be slammed or lifted up to latch. Have repaired ASAP.

Toilets shall be cleaned and disinfected at least daily and when visibly soiled. 15A NCAC 18A .2817 (b). Observed no soapy water/disinfectant in gang bathrooms.

Disposable towels shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d). Observed no paper towels at hand sink in kitchen.

Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d). Observed improper diaper changing procedures. Staff kept same gloves on until after the child’s hands had been washed. Follow posted procedures.

All medications must be stored behind lock and key. 15A NCAC 18A .2820 (d). Critical Violation- Observed burn cream and alcohol swabs in first aid kits. Remove all medications from kits or kits need to be kept locked.

All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Critical Violation -Observed aerosol cans of foam paint unlocked. All aerosol/pressurized cans, no matter the contents, must be locked up. Bottle of glycerin unlocked.

Sleeping mats, cribs, and cots shall be stored to prevent contamination. 15A NCAC 18A .2821 (a). Observed blankets stored under sheet on cots. Sheet is contacted the underside of the cot above. All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ). Observed no cot chart in one classroom.

Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Observed a couple dusty vents. Keep all light fixtures clean and in good repair. 15A NCAC 18A .2826 (a). Observed a couple light fixtures with dead bugs in the cover.

Keep the property free of high vegetation. 15A NCAC 18A .2831 (i). Observed some weeds growing along fence line and entwined on fence.