CHILDCARE NETWORK #96

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 2 water bottles brought from home not labeled in toddler classroom. REPEAT.

General Comment: 15A NCAC 18A .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions. Observed debris build up in bottle warmers in Infant room. Needs cleaning.

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 reach 112F in Room 6, 114F in Room 9, and 114/115F in Room 5. Needs to be 80-110F.

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed glass cleaner stored on shelf in Toddler room. Observed super sorb stored unlocked in bathroom in Threes and in an empty classroom. Observed spray bottle of pink liquid that may or may not be hazardous in unlocked file cabinet in Room 8. All items were removed to be stored locked. If this violation is a repeat on the next inspection the facility shall receive a provisional.

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 cream drawer unlocked in Toddler room. Needs to be locked or 5ft up.

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 debris build up on high chair seat in Toddler classroom. Needs cleaning. REPEAT. 15A NCAC 18A .2822 (d).Water play centers shall be filled with potable water immediately before children begin a water play session. Water shall be emptied after each play session and at a minimum each morning and afternoon, or more often if no longer clean. Observed water in water play center containing water while children were out on playground in Room 9. Needs to be filled immediately before use and emptied at the end of the session.

General Comment: 15A NCAC 18A .2824 (b). Floors and floor coverings in sleeping and play areas shall be kept clean and in good repair. Observed build up of debris on floor around diaper changing area in Toddler room. Needs cleaning.

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 container outside back door containing standing water. Needs to be emptied.

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 cups brought from home not labeled in toddler classroom. -General comment.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed general cleaning to outside corners of toilets in PreK classrooms.

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 at diaper changing handwashing sink in toddler classroom. During time of inspection, director supplied disposable towels to handsink. -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 paint peeling on plastered diaper changing areas in infant and toddler classrooms.

15A NCAC 18A .2822 (b) and .2810 (f).Hard plastic toys may be washed, rinsed, and sanitized in a dishwasher, food preparation handwashing sink, or in the kitchen sink. Observed paint brushes and plastic paint container stored in diaper changing sink in toddler classroom. EHS educated teacher on notated rule.

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 trash/litter outside of dumpster. -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 Room 6 reach 112F. Observed hot water in room 8 reach 114 and hot water in Room 7 reach 112/113F. (Room 7 is currently not in use. Needs to be 80-110F.

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed aerosol sunscreen and diaper cream in unlocked drawer in Toddler classroom. CDI - Drawer was locked.

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 hand sanitizer less than 5ft up in Room 6. Observed disinfectant wipes less than 5ft up in Room 9. Observed disinfectant wipes stored in unlocked cabinet less than 5ft up in Room 8. Room 8 cabinet was locked. Other items were moved to 5ft up. REPEAT.

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 two book bags children brought from home on shelf in contact in Threes classroom. CDI- Book bags were separated.

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 cups brought from home not labeled in 2’s classroom. -General comment.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed detailed cleaning needed to toilet throughout center to include outside corners of toilets. Observed toilets in classroom 10 stopped up, per director a work order has been submitted to have toilets repaired.

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 below 5 feet in cubby in PreK1 classroom. Lotion was relocated according to notated rule during time of inspection. -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 some floor tiles cracked in kitchen area. Repair. Observed cleaning needed to flooring under equipment and 3 compartment sink in kitchen. Clean.

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 dust accumulation to ceiling and wall vents throughout center. Clean.

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.

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 detailed cleaning needed to flooring in kitchen beside refrigerator and under equipment. 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 sporadically throughout center.

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 dust accumulation to ceiling vents throughout center. -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 gnats sporadically throughout classrooms within 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 unlabeled water bottles, room 7

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 several classrooms spiked to 116F before settling under 110F. Mixing valve needs to be evaluated for proper operation 15A NCAC 18A .2815 (e) Hot water supplied to clothes washing machines shall be 120°F or above. Observed washing machine <120F. Laundry room/staff lounge needs a keyed lock on the door instead of the slide latch.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed drapes in bathroom 15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed diapers, paper towels, holiday decorations stored below hand sink plumbing.

15A NCAC 18A .2821 (d). Mats shall be of a waterproof, washable material at least two inches thick. Observed mats 1” thick in room 9.

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 sticky tape residue on shelving, cubbies that needs to be removed

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 carpeting under refrigerator in staff lounge/laundry room. Loose floor tiles in kitchen. Damaged carpet in staff lounge/laundry. 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 peeling paint, chipped paint in many areas.

15A NCAC 18A .2830 (c) Dumpsters and other containerized systems shall be kept clean and covered. Observed dumpster doors open. Keep closed.