LEAFSPRING SCHOOL AT CORNELIUS

General Comment: 15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area. Observed no soap or paper towels at hand sink in Toddler classroom. Ensure all handsinks are supplied with soap and paper towels at all times.

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 below 5ft in infant room. Ensure diaper creams are stored 5ft and up.

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 at several sinks throughout the center measured between 58F- 76F. Director had to adjust it all along on the mixing valve at the time of inspection. There are some sinks that still at 58F (Blue Spruces). Provide tempered water between 80F -110F at anytime.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies.- Observed classroom chairs stored in the toilet room in Red bud 1. Director moved the chairs out of the toilet room at the time of inspection. Do not store anything in the toilet room unless it is toileting related items.

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, body spray stored in drawer/cabinet less than 5ft in Redbud2 and blue spruces. Ensure to keep all non-hazardous items at 5ft or higher at all time. 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 container of soap stored in cabinet less than 5ft in Redbud1. Director removed items and stored properly at the time of inspection. Ensure to keep the items in the lock or at least 5ft at anytime.

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 a locker in Blue spruces unlock and less than 5ft. Keep all purses and personal belongings items that do not contain hazardous items at 5ft or higher at all times. 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 jackets hanging on the hooks in Green Pines touching each other. Observed children blanket rolled up and stored on top of cot in closet Redbud2 touching each other. Ensure to keep each individual items from touching while storing at anytime.

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 laundry basket stored on top of cot with sheet on in Orange blossom and infant 2. Keep items separate to prevent any possible contamination.

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 bottle in redbuds 1 without name. Keep all cups labeled with the name of the child. 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 bag of chips stored in the kitchen dry storage area unsealed. Keep opened items in a container or resealable bag.

15A NCAC 18A .2814 (a) In child care centers, food-contact surfaces, equipment, utensils, and single service articles shall be protected from contamination. Observed opened container of spoons in green pines classroom locked cabinet, stored with the sanitizer and disinfectant bottles. Keep sanitizer and disinfectant away from food contact surfaces as not to contaminate them.

REPEAT 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair Observed hand washing sink timer faucets not stopping/or short running water after a few seconds of running in the gold ginkgo restroom, green pines classroom, and redbuds 3 classroom. 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed gold ginkgos restroom vent in need of cleaning.

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed package and container of Lysol wipes stored unlocked in the cabinets in redbuds 3 and gold ginkgo classrooms.

General Comment: 15A NCAC 18A .2822 (a) Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. Observed lime green seat in purple oaks room in need of cleaning.

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 water damaged ceiling tiles in yellow willows 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 children lunch boxes in kitchen refrigerator one without date received, the other one with date marking 7I4 (either 7/14 or 7/4). Ensure to label name and clearly mark correct date received at the center for the day. Both name and date shall be on items sent from home.

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 classroom materials/ high chair tray store underneath sink in Saplings 1 & 2. Reframing from storing any clean items under exposed sewer lines under sinks at any time.

PROVISIONAL ITEM: 15A NCAC 18A .2815 (e) Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children.- Observed hot water temperature at the sink in Purple Oaks measured at 124F. Water temperature shall be adjusted within 7 days (7/22/25). Provide range between 80F- 110F where is accessible to children.

General Comment: 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed disrepair/missing knob on faucet in shared restroom Green Pines. Repair needed.

General Comment: 15A NCAC 18A .2820 (d) Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. A product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor.- Observed diaper creams in clear lock box, left unlocked in unlock cabinet near/under diaper table in Saplings 1, Red bud 3. All diaper creams shall be at 5ft or higher or keep lock at all time. Proper lock/ way to lock discuss in detail with teachers and director at the time of inspection. NOTE: **Lock box, storage rooms and cabinets shall include those which are unlocked with a combination lock, electric or magnetic device, key pad, key, or equivalent locking device, keep/store keys at least 5ft or higher at all time**

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 purses in unlocked cabinet less than 5ft in Saplings 1, Blue Spruces, and red bud 3. Keep all personal belongings/purses that do not contain hazardous items at 5ft or higher at all time. 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 book bag and center bag (Leaf spring navy tote bag) touching each other in several classrooms. According to the director, the tote bag do not go home. Ensure to keep individual items separate and not allow contact while storing at any time.

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 flour and pretzels stored in nonresealable bags/containers in Green Pines closet. Needs to be in resealable bags/containers.

15A NCAC 18A .2815 (f).Drinking fountains, if provided, shall be separate from handwash lavatories and kept clean. Observed pink build up on hallway water fountain. REPEAT.

General Comment: 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed toilets not operating correctly in Blue spruces and Green Pines. Needs repair.

General Comment: 15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed cot stored in Orange Blossoms bathroom. Storage in toilet rooms shall be limited to toileting and diapering supplies.

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 items stored on top of cot with sheets on in Green Pines closet. Needs to be stored to prevent contamination.

15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children.- Observed hot water temperature measure at 65F- 79F (orange blossom, yellow willow, red bud 1/2/3, share restrooms green pine, saplings, hall restrooms, blue spruce). Please check and ensure to provide tempered water where is accessible to children between 80-110F.

General Comment: 15A NCAC 18A .2815 (g). Outdoor drinking fountains shall be constructed to protect the spout from contamination and shall be kept clean. 15A NCAC 18A .2815 (f).Drinking fountains, if provided, shall be separate from handwash lavatories and kept clean. - Observed soiled water fountain in the building, and outside in the playground. Detail cleaning needed and keep all clean even use or not.

General Comment: 15A NCAC 18A .2818 (a). Lavatories shall be mounted at an appropriate height to accommodate children or otherwise made accessible to children.- Observed spring loaded faucets in shared restrooms green pine, purple oak- the push bottoms are hard and water run timer is 5 seconds or less. A child was washing his hands and had a hard time to push the faucet down to get water and it keeps turning off before he has a chance to wash the soap off his hands. Faucet repair needed to accommodate proper handwashing. 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed slow draining at hand sink in red bud 2. Repair needed.

15A NCAC 18A .2812 (i) An approved disinfectant shall be provided for cleaning purposes. When a chlorine solution is prepared by a child care center employee for use as an approved disinfectant, then the solution shall be prepared for use within 24 hours, and a testing method shall be used to ensure compliance with the prescribed chlorine concentration (500 -800 ppm).- Observed disinfectant solution measured at or more than 250ppm, but less than 500ppm. Ensure to provide correct concentration between 500-800 ppm at all time within 24 hours.

General Comment: 15A NCAC 18A .2820 (d) Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. A product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor.- Observed diaper creams in clear lock box, left unlocked in unlock cabinet near diaper table in Red bud 3, orange blossom. All diaper creams shall be at 5ft or higher or keep lock at all time. NOTE: **Lock box, storage rooms and cabinets shall include those which are unlocked with a combination lock, electric or magnetic device, key pad, key, or equivalent locking device, keep/store keys at least 5ft or higher at all time**

REPEAT, PROVISIONAL ITEM: 15A NCAC 18A .2820 (b).Keys used to access hazardous item storage must be out of reach of children (5 ft above the floor) and stored separately from lock. Observed key stored in lock to cabinet holding air freshener, Clorox wipes in red bud 3. 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key.- Observed toothpaste tubes in grocery bag stored inside unlock cabinet in Orange blossom. Keep all hazardous items in lock cabinet/storage at all time. NOTE: **Lock storage rooms and cabinets shall include those which are unlocked with a combination lock, electric or magnetic device, key pad, key, or equivalent locking device, keep/store keys at least 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 teacher lotion, and lip gloss stored in unlock cabinet less than 5 feet in blue spruce, yellow willow. Keep all non hazardous items at 5ft or higher at all times.

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 purses in unlocked cabinet less than 5ft in sapling 1, and red bud 1. Keep all personal belongings/purses that do not contain hazardous items at 5ft or higher at all time.

15A NCAC 18A .2820 (b).Keys used to access hazardous item storage must be out of reach of children (5 ft above the floor) and stored separately from lock. Observed key stored in lock to cabinet holding aerosol air fresheners, red buds 1.

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. Repeat- Observed diaper creams not locked and less than 5 feet, red buds 1.

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 children in cots spaced < 18 inches apart, red buds 1.

15A NCAC 18A .2821 (g). Wash cloths, bibs, and burping cloths shall be laundered after each use. Each time a wash cloth, bib, or burping cloth is used, it shall be used for only one child. Observed used wash cloths stored for reuse without laundering. Wash cloths must be laundered after each use.

15A NCAC 18A .2822 (a) Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. Repeat- Observed debris on shelf, under diaper change table pad and housekeeping sink, red buds 1.

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 staff in 2 different classrooms turn off water with hand.

15A NCAC 18A .2804 (k) Lunches, snacks, and other meals containing potentially hazardous foods shall be refrigerated at 45 degrees Fahrenheit or below and stored in the child care center kitchen or approved food preparation area. Observed 2 children’s lunches in classroom cabinet and 2 cups of specialty milk near water bottles, gold room. Food and beverages bought from child’s home, that require refrigeration need to go immediately to the kitchen for proper storage (exception infant rooms). If parents are requesting for food to be served room temperature, PHF must be properly refrigerated or can come in an insulated thermos.

15A NCAC 18A .2814 (a) In child care centers, food-contact surfaces, equipment, utensils, and single service articles shall be protected from contamination. Observed single service spoons not protected and in bottom of cabinet along with chemical storage.

15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair. Observed hand sink loose in toddler classroom

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 pain reliever stored unlocked, purple room.

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed unlocked super glues, green class. Unlocked mouthwash, deodorant, purple room.

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 diaper creams stored unlocked <5 feet and behind child safety lock. Lock box they were in was not secured, yellow room.

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 cots in several classrooms stored with blankets, blankets touching cot above. Store blankets, pillows, stuffed animals in child’s cubby.

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 large toys with debris and grime. Cubby bins, shelving, cradles, cabinets with debris. Debris/mulch below diaper pads in 2 classrooms.

15A NCAC 18A .2824 (b). Floors and floor coverings in sleeping and play areas shall be kept clean and in good repair. Observed stained carpet, red #3. 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 grimy areas on walls, usually near light switches, by soap and paper towel dispensers.

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. Gave vomiting clean up poster.