FIRST STOP DAYCARE

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 2 bags of chips opened and not properly resealed in kitchen. -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 heavy ice accumulation to freezer. Defrost. -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 some plastic blinds torn. Observed blue seat cushions stained on child sized chair located outside of kitchen.

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, baseboards and doors throughout center. Observed ceiling peeling near exit door in classroom located by playground.

15A NCAC 18A .2831 (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained to prevent the harboring and breeding of pests. Observed medium/high vegetation to outside playground.

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 litter on premises throughout to include near front walkway, on playground, and under patio leading to playground. Observed wooden panel in need of repair on patio leading to playground (trip hazard).

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 of milk brought from child’s home stored in kitchen refrigerator not labeled with child’s name and date. 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 container of specialty stored in refrigerator brought from child’s home not labeled with date or name.

15A NCAC 18A .2812 (f) Kitchen surfaces that are not food-contact surfaces shall be kept clean. Observed flooring of reach in freezer connected to refrigerator with residue build up. Clean. -General comment.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed 1 loose toilet seat in hallway restroom. Repair. -General comment.

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 0 ppm. Director remade disinfectant during time of inspection to be within required range.

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 sleeping mats torn within 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. Observed outside toys in need of cleaning.

15A NCAC 18A .2831 (b). (b) Pests shall be excluded from the child care center. Traps set for pests shall only be placed in areas that are inaccessible to children. Observed dead insects on Trapper Max Glue Traps. Improvement made from previous inspection. Observed “Trapper Max Glue Traps” stored in trash can in children’s hallway restroom.

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/litter on premises of center. -General comment.

15A NCAC 18A .2803 (a) and (c), .2836 (15).Child care center employees and children shall wash their hands when required. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. Observed children return into center from outdoor play and all children did not wash their hands.

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 1 child wash hands and turn off faucet with bare hands. -General comment.

Provide15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes (50-200ppm bleach). Observed sanitizer not measuring within required range. -General comment.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed 1 toilet with loose seat in children restroom. Repair. Observed general cleaning needed under toilet seats and outside corners of toilets.

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 disposable towels in back classroom handsinks, although classroom are not being used, notated rule should still be followed. -General comment.

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 measuring at 100 ppm bleach in front play room.

15A NCAC 18A .2821 (f) Linens shall be large enough to cover the bed, cot, or mat's sleeping surface. Observed some linen (pink) not large enough to cover sleeping surface. 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 blue sleeping mats torn and in need of replacing.

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 floor tiles cracking in toilet room. -General comment.

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. Center did not have written procedure for vomit/diarrheal clean up plan. EHS left center with a copy of required procedure plan. -General comment.

15A NCAC 18A .2831 (b). (b) Pests shall be excluded from the child care center. Traps set for pests shall only be placed in areas that are inaccessible to children. Observed crawling and dead insects throughout center to include under 3 compartment sink in kitchen, 1basin of 3 compartment sink, in cabinet attached to handsink in rear left classroom, and sporadically throughout center. EHS advises center to have their pest control come and treat facility (while children are not present) for pest.

Observed children sleeping on sheets that were not fitted. Child’s body was in contact with the cot. GENERAL COMMENT **15A NCAC 18A .2821 (f) Linens shall be large enough to cover the bed, cot, or mat's sleeping surface.

Observed ceiling in need of repair of back classroom not currently being used. **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 rusted vent not properly secured in the back classroom not currently being used. **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 several bugs crawling in the kitchen on the countertop, the oven and in cabinets. Observed small bug crawling in the hallway restroom. **15A NCAC 18A .2831 (b). (b) Pests shall be excluded from the child care center. Traps set for pests shall only be placed in areas that are inaccessible to children.

Observed hot water reach 115F in the 1yr/2yr old room. **15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children.

Observed sampling kit was requested on 08/20/24. Ensure sample it collected at the prep sink in the kitchen and return samples. **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 toilet seat peeling in the hallway restroom. **15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.

Observed diaper changing pad torn in the toddler room. **Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b).

Observed torn mat in 1yr/2yr old 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 rusted vent cover in the hallway restroom. **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 bags of cereal not properly sealed in the kitchen. Placed in ziploc bags during the inspection. **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 diaper changing pad torn in the toddler room. **Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b).

Observed wall decor in the infant room taped to the wall in need of replacement. Wall decor is ripped. **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 rusted vent in the restroom. **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 staff and child turn off water without using paper towels or other methods to prevent recontamination of hands. **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 bulk milk brought in from home not labeled in the kitchen. **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 bag of cereal not properly sealed. **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 diaper changing pad torn. **Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b). Observed caregiver not wash hands prior to diaper change, not wash child’s hands prior to cleaning diaper pad, and not disinfecting the diaper pad properly. **Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d).

Observed Fabuloso in spray bottle in infant room on shelving. Bottle was placed in locked staff restroom. CRITICAL VIOLATION **All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). NOTE: Ensure that chemicals remain locked. No points during this inspection but points will be deducted if repeated.

Observed bucket of water beside the van leading to the playground. Needs to be poured out. **Keep the property free of standing water. 15A NCAC 18A .2831 (b).

Observed painted wood placed on back of the commode on top of the lid. Lid was cracked on the last inspection. Lid would need to be replaced, wood would not be easily cleanable. **Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).

Observed floor tile cracked in the restroom. Replacement floor tile was provided. Needs to be installed. **Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed back of the toilet bowl lid cracked. Needs to be repaired. **Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).

Observed floor tiles cracked near the entrance of the hallway restroom. Needs to be repaired. **Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed hot water reach 114F in the kitchen. Temperature needs to be increased. **The kitchen dishwashing sink shall be supplied with hot water at 120°F or above. 15A NCAC 18A .2815 (e).

Observed back of toilet cracked in the hallway restroom. Needs to be repaired. **Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).

Observed drain at three compartment sink backing up and water overflowing onto the kitchen floor. Drain needs to be unblocked to ensure wastewater is properly disposed of. **Keep the septic system in good repair and functioning properly. 15A NCAC 18A .2829.

Observed sippy-cups in the refrigerator not labeled. Ensure that all cups are labeled with childs name and date. **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 no soap at the handwashing sink in the prek room. **Liquid soap shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d).

Observed touch up paint needed during the inspection. **Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed floor vents rusting, in need of painting. **Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).

All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ). Observed crib in infant room not labeled. Observed sleeping mats in infant room not labeled.

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

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed touch up paint needed to walls and baseboards throughout center.

The kitchen dishwashing sink shall be supplied with hot water at 120°F or above. 15A NCAC 18A .2815 (e). Observed hot water reach 111F at kitchen 3 compartment sink. EHS will conduct a re-inspection in 7 days.

Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Observed disinfectant at 250ppm chlorine throughout center.

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 aerosol air fresheners and cleaning chemicals stored in unlocked closet located outside of restrooms. Director locked door and EHS educated director on the importance of ensuring that all hazardous items are stored properly behind lock and key. EHS also emailed center a hazardous handout document.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed chipping purple paint in toddler classroom on wall near exit door. Lead swab indicated no lead present, EHS recommends center to touch up paint throughout center. Observed debris build up on the wall behind 3 compartment sink in kitchen.

Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a). Observed opened bag of chips in infant room stored on shelving and not in an approved re-sealable bag or container. Observed opened bag of rice and grits in kitchen cabinet not properly sealed. REPEAT VIOLATION. Raw meats, poultry, fish, shellfish, and eggs shall be stored on shelving beneath and separate from other foods. 15A NCAC 18A .2806 (f). Observed shell eggs stored on top shelving above other foods in refrigerator located in kitchen.

Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3). Observed sticky residue build up on handles and outside of refrigerator located in kitchen. Observed shelving in refrigerator located in kitchen with debris build up. REPEAT

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed loose toilet seat in restroom located on main hallway. Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a). Observed handsink located in front room near office leaking.

Adequate space shall be provided for the storage of equipment, furniture, toys, clothes, linens, backpacks, book bags, diaper bags, beds, cots, mats, and supplies and shall be kept clean. 15A NCAC 18A .2820 (a). Observed room being used for storage with toys and supplies stored in an unorganized fashion. Organization needed.

Individual linen must be kept clean and in good repair. 15A NCAC 18A .2821 (f). Observed sheets stored on crib mats in infant room with staining.

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 cleaning needed to floor rugs. Observed child sized furniture with minor tape residue build up.

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 infant bottles stored in kitchen refrigerator without date. Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a). Observed a bag of animal crackers opened in kitchen and not re-sealed.

Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d). Observed sanitizer at 500ppm in infant room.

Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3). Observed shelving in refrigerator in need of cleaning and outside of refrigerator in need of cleaning.

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed loose toilet seat in infant room restroom. Observed loose toilet seat in hallway restroom. Observed staining and cleaning needed to hallway restroom toilets.

Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Observed disinfectant in infant room at 200ppm. Observed disinfectant in front room at 0 ppm. Observed disinfectant in infant room at 200pp. Director remade disinfectant and sanitizer. EHS emailed Director a chart on how to make sanitizer and disinfectant.

Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d). Observed teacher in infant room not wash child's hands after diaper change. Observed teacher use sanitizer instead of disinfecting solution after using soapy water on diaper station. (correct sign by infant diaper station to say disinfectant and not sanitizer).

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). Observed director's purse stored below 5 ft on desk. 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 bulk hand soap stored below 5 ft in reach in cabinet.