THE NEST SCHOOLS

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 Toddler 1 refrigerator with no name or date. Needs name and date received. 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 cereal in the kitchen in non-resealable bags. Needs to be in resealable bag/container.

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 a thin probe thermometer. Needs a thin probe thermometer. REPEAT.

General Comment: 15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes. Observed sanitizer in kitchen 3-comp sink below 50 ppm chlorine solution. Needs to be 50-200 ppm. CDI - Sanitizer was adjusted.

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 gasket torn on refrigerator. Needs repair.

General Comment: 15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. Observed water temperature at handsinks in infant room reach 112F. Needs to be 80-110F.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed bathroom in main area outside summer camp classroom being used for storage. Toilet room shall not be used for storage. Toilet would need to be removed and capped off to have room be used as a storage room.

General Comment: 15A NCAC 18A .2824 (a). Floors and floor coverings in food preparation, food storage, utensil washing, toilet rooms, and laundry areas shall be constructed of nonabsorbent material and shall be kept clean and in good repair. Observed tile missing near floor in Twos bathroom. Needs repair.

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 no thermometer in center for notated rule, per director, a thermometer has been ordered.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed general cleaning needed to outside corners of toilets throughout center. Improvement made from previous report. -General comment.

15A NCAC 18A .2820 (f). Coat hooks not in individual cubbies or lockers must be 12 horizontal inches apart. 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 coat hooks less than 12 inches apart resulting in different children coats touching in 3’s-4’s classrooms.

15A NCAC 18A .2826 (b).Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. Observed general cleaning needed to ceiling vents in toddler classroom.

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 1 container of specialty milk stored in kitchens refrigerator brought from child’s home not labeled with date milk was brought into center. 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 food pouches and baby food brought from infant’s home not labeled with date food was brought into center.

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. Required testing not completed, EHS emailed new administrator contact information on how to complete required testing through Clean Water for US Kids. CRITICAL VIOLATION. Re-inspection required within 7 calendar days.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed detailed cleaning needed to outside corners of toilets throughout center. Observed 2 loose toilet seats in 4’s classroom restroom.

15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed plastic paint containers stored in handsink basin in 3’s classroom. -General comment.

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 all cots not labeled with individual child’s names in toddler 1 classroom. -General comment.

15A NCAC 18A .2830 (c) Dumpsters and other containerized systems shall be kept clean and covered. Observed 1 dumpster sliding door opened during time of inspection. -General comment.

5A NCAC 18A .2831 (c). For outdoor toys and play equipment, including all structures accessible to children, the following shall apply: (1) Equipment and toys shall be kept clean, in good repair, and free of peeling, flaking, or chalking paint, rust, and corrosion; and (2) A sandbox used in outdoor play shall be constructed to allow for drainage of water and shall be covered when not in use and kept clean. Observed outside sandbox uncovered (children were not playing on playground during time of inspection) and with debris commingled with sand. 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 litter surrounding dumpster.

General Comment: 15A NCAC 18A .2803 (a) and (c), .2836 (15).Child care center employees and children shall wash their hands when required. Observed child enter infant classroom and not have hands washed before being set into play area. Needs hand washing.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed detailed cleaning needed in toilets in numerous closed bathrooms. Needs cleaning/repair. 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 perform Diaper change in Cardinals A miss step 5 of diaper change. Needs to follow procedure. 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 diaper change procedure missing in Cardinals A. CDI - Diaper change procedure was posted.

General Comment: 15A NCAC 18A .2821 (f).Linens shall be kept clean, in good repair, and stored with the mat or cot that the linens are assigned to or stored apart from the mattress or cot in a manner that keeps the linens used for each child separate from the linens belonging to other children. Observed blankets brought in from home for children stored in stack on Cardinals A. Needs to be kept separate.

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 tables in Penguin A and B classrooms. Teacher stated one was filled yesterday and one last Thursday. Water play centers shall be filled immediately before beginning a session and emptied after the play session.

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 milk in bag in Closed infant 2 classroom. Assistant director stated she believes this is from a staff member. EHS stated this needed to be labeled and dated. 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 graham crackers stored in opened plastic. Needs to be stored in 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 specialty bulk milks in kitchen refrigerator missing date received labels. REPEAT. 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. EHS spoke with staff in infant room, who stated they get water from the classroom food prep handwash lavatory for bottle warmers. Needs to use water from the kitchen.

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 thin probe thermometer had dead battery. Needs thin probe thermometer.

General comment: 15A NCAC 18A .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions. Observed build up on one bottle warmer in the infant room. Needs cleaning.

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 facility has chlorine test strips. Facility is also using QAC tablets for the kitchen sanitizer. Needs QAC test strips if using QAC sanitizer.

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 in infant room at 112F. 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. Observed facility has not had water tested for lead since 2021. Facility can to Clean Classrooms for Carolina Kids website to register for testing. PROVISIONAL ITEM.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed detailed cleaning needed in toilets in numerous closed bathrooms. Observed toilet seats loose in Pengins B front bathroom. Observed one toilet staff stated is out of order in Pengins B back bathroom. Needs cleaning/repair. REPEAT.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed ball in Middle 1s bathroom. Observed storage in staff bathroom. Observed storage in Robins A back bathroom. Storage in toilet rooms shall be limited to toileting adn diapering supplies.

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 stored unlocked and less than 5ft up on diaper table in Infant 1 and Middle 1s classrooms. Needs to be 5ft up or locked.

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed windex in unlocked cabinet in closed infant 2 room. Observed disinfectant stored unlocked in staff break room. Both rooms are unlocked and accessible to children. Items need to be stored in locked cabinets or lock the rooms to be inaccessible to children.

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. 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 some children’s bottles and snacks brought from home in both infant classrooms not labeled with dates. 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 several containers of speciality milk brought from children’s home being in center longer than a week. EHS educated center on notated rule.

Provide15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes (50-200ppm bleach). Observed sanitizer measuring at 500ppm bleach throughout center. -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. Facility is currently enrolled in program and awaiting testing bottles. -General comment.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed detailed cleaning needed to toilets throughout center.

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 entire diaper changing procedure. EHS advises center to go over proper diaper changing procedure with staff. -General comment.

15A NCAC 18A .2820 (f). Coat hooks not in individual cubbies or lockers must be 12 horizontal inches apart. 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 different children’s coats touching throughout center as a result of coat hooks being less than 12 inches apart.

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. Head of maintenance was present during time of inspection matching paint, per him, paint will be touched up this coming weekend. -General comment.

15A NCAC 18A .2830 (c) Dumpsters and other containerized systems shall be kept clean and covered. Observed dumpster sliding doors opened and a couple bags of trash outside of dumpster area.

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 1 container of bulk speciality milk stored in dorm refrigeration unit in Ducklings A’s classroom 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 some water bottles brought from child’s home not labeled with child’s name sporadically throughout center.

15A NCAC 18A .2806 (j) (1) Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. Observed no thermometer in dorm refrigeration unit in Ducklings A’s classroom.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed general cleaning needed to toilets in unused classrooms throughout center.

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 1’s classroom. Director supplied paper towels during time of inspection.

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 200ppm chlorine during time of inspection, corrected during time of inspection to 500ppm chlorine.

15A NCAC 18A .2827 (d). The child care center shall have written procedures that employees shall follow when responding to vomiting or diarrheal events that involve the discharge of vomitus or fecal matter onto surfaces in the center. The procedures shall address the specific actions employees must take to minimize the spread of contamination and the exposure of employees, children, food, and surfaces to vomitus or fecal matter. EHS emailed center required vomit/diarrhea procedure plan.

15A NCAC 18A .2830 (c) Dumpsters and other containerized systems shall be kept clean and covered. Observed dumpster doors opened during time of inspection. Observed debris/litter surrounding dumpster area.

15A NCAC 18A .2806 (g) Food shall be stored above the floor and in a manner to protect it from dust, pests, drip, splash, and other contamination. Observed sippy cup set on diaper changing table, infant 2, containers of water for children in splash zone of hand sinks, several classrooms.

15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area. Repeat-Observed paper towels and soap missing at a couple hand sinks.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Repeat-Observed wrapping paper and clean laundry stored in bathrooms.

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 epi pen less than 5 feet above the floor. Make sure measurements are taken from the bottom of the bag. CDI-measured 5 feet from the floor and re-hung the bag.

Purses, that do not contain hazardous items, must be stored 5 ft above the floor, behind lock and key, or behind a child safety lock. 15A NCAC 18A .2820 (f). Repeat-Observed key stored in lock in 2’s class. Purse and sunscreen was stored less than 5 feet. 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).

Soiled laundry shall be handled and stored separately from clean laundry using cleanable containers. 15A NCAC 18A .2820 (a). Repeat-Observed clean laundry stored in a dirty laundry basket.

Wash cloths, bibs, and burping clothes shall be laundered after each use. 15A NCAC 18A .2821 (g). Repeat-Observed used cleaning rags stored in 1 classroom. Two wet hand towel/cleaning rags hanging next to hand sink, staff said it was her personal towel for cleaning her hands.

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 diaper changing table cabinet interiors need wiping out. Washing machine with food debris and rust.

Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Repeat-Observed very dusty ceiling vents. One class the dust had spread to the ceiling and nearby light fixtures

Keep the property free of high vegetation. 15A NCAC 18A .2831 (i). Repeat- Observed high grass/weeds back part of playgrounds.

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 at least 2 staff members turn off water with hand. 1 staff member did an entire handwash in < 10 seconds. Follow posted hand washing procedures.

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 bottles and snacks without dates. If sharpie rubs right off, use another way of labeling. 15A NCAC 18A .2806 (d) Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in the 2800 rules when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs. Observed specialty milks without dates and dated previous week.

15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area. Observed majority of classrooms without paper towels. One classroom with empty soap dispenser. If paper towel dispensers are being replaced with a new kind there still must be paper towels at all hand sinks.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed toys, art supplies, clean blankets, children’s coats stored in multiple bathrooms.

Childcare center employee shall change a child’s diaper as listed in rule 15A NCAC 18A .2819(d). Observed improper diaper changes in infant 1 and infant 2. Children that can support their own head must have hands washed at hand sink. Follow posted procedures.

All medications must be stored behind lock and key. 15A NCAC 18A .2820 (d). Observed liquid Benadryl and an epi pen stored together over 5 feet, but unlocked. Benadryl is not considered an emergency medication and must be locked.

All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed unlocked gorilla glue, infants 2. Unlocked anti fog spray, Windex, and liquid correction fluid in Pre-k 2. Unlocked white board cleaner in infant 1. Plug in air freshener, Keys used to access hazardous item storage must be out of reach of children (5 ft above the floor) and stored separately from lock. 15A NCAC 18A .2820 (b). Observed keys in locks in several classrooms.

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 less than 5 ft at front desk.

Soiled laundry shall be handled and stored separately from clean laundry using cleanable containers. 15A NCAC 18A .2820 (a). Observed clean laundry stored in a dirty laundry basket.

Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e). Observed children sleeping <18 inches apart in infant 2. All crib and play pens, used for sleeping, shall have an easily cleanable, waterproof, washable, firm, and tight fitting mattress that is at least 2 inches thick. 15A NCAC 18A .2821 (b). Observed torn crib mattress in infant 2.

Linens shall be stored with each child's cot or mat or placed in the child's designated area. 15A NCAC 18A .2821 (f). Observed children’s blankets stored in a stack in one classroom. Wash cloths, bibs, and burping clothes shall be laundered after each use. 15A NCAC 18A .2821 (g). Observed used cleaning rags stored in 2 classrooms. One hand towel hanging next to diaper changing table, infant 2.

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 in 2 classrooms.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed large hole behind door in laundry room.

Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Observed very dusty ceiling vents. One class the dust had spread to the ceiling and nearby light fixtures

Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d). Observed dumpster door open and some trash on ground

Keep the property free of high vegetation. 15A NCAC 18A .2831 (i). Repeat- Observed high grass/weeds back part of playgrounds.