A MOTHERS TOUCH FAMILY CHILD CARE

Observed water only reach 69F in the hallway restroom. **15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children.

Observed no paper towels at the handwashing sink in the restroom. Provided during the inspection. 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 water only reach 69F in the hallway restroom. **15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children.

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 bathroom at 66F. Needs to be 80-110F. REPEAT.

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 200 ppm. Needs to be 500-800 ppm. REPEAT.

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 fridge and kitchen cabinets in need of cleaning.

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 bathroom at 70F. Needs to be 80-110F. REPEAT.

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. Observed facility has not completed lead water testing since 7/2021. No points deducted due to facility being registered. Operator stated she has received test kits.

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 100 ppm. Needs to be 500-800 ppm. REPEAT.

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed liquid white out and machine dish detergent stored unlocked. Needs to be stored locked.

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 bathroom at 66F. Needs to be 80-110F. REPEAT.

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 100 ppm. Needs to be 500-800 ppm.

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. Observed facility does not have a vomit and diarrheal cleaning plan. EHS provided a copy. REPEAT.

15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair. Observed build up in refrigerator. 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 hot water at bathroom handsink at 70F after correcting hot water valve. Director is planning to install mixing valve.

No points deducted. 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 at bathroom handsink at 145F. CDI - Hot water was turned off. Director is contacting plumber to install a mixing valve since going through bathroom remodel.

15A NCAC 18A .2820 (c ) Sanitizing, disinfecting, and detergent solutions shall be labeled with the product name (ex. "Sanitizer"). Observed spray bottle of soapy water with no label. 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 sanitizers at handsink less than 5ft up.

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. Observed facility does not have a vomit and diarrheal cleaning plan. EHS provided a copy via email.

REPEAT Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e). Observed hot water inside bathroom at hand washing sink measuring 119F, CDI mixing valve not functioning as required, hot water turned off until repair can be made to mixing valve.

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed toilet seat very loose with hardware in need of tightening.

Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e). Observed hot water 119F at hand washing sink in bathroom.

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 debris collecting underneath changing mat in need of general cleaning.

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed toilet seat broken in need of repair in bathroom.

Replace missing cabinet near stove.

Repair/repaint shelving above diaper table. Clean shelf at kitchen pass through (above small table with laptop). 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).

Organize storage area in kitchen. Daycare items, papers, etc. 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 counter needing to be cleaned above table. Shelf (top) damaged above diaper table. 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 wall paint peeled behind table near pillows. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed hole in wall under window near blocks. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed standing water on outside toys. Keep the property free of standing water. 15A NCAC 18A .2831 (b).

Sanitizer between 250-300ppm. Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d)

Observed hot water 107F in kitchen. Teacher was in process of cleaning toys in kitchen. Waited a while and rechecked hot water, 107F. The kitchen dishwashing sink shall be supplied with hot water at 120°F or above. 15A NCAC 18A .2815 (e).

Observed had sanitizer stored on counter behind hand sink (less than 5 ft). 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 standing water on toy lids in backyard. Remember to dump/ tilt all toys in the morning to prevent standing water. Keep the property free of standing water. 15A NCAC 18A .2831 (b).

Observed thermometer not stored in back of fridge. All thermometers in refrigerators shall be stored in the warmest part of the refrigerator and located to be easily readable. 15A NCAC 18A .2806 (h) (1).

Observed debris on diaper table. Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b).

Observed floor needing to be cleaned near front door. Reattach gold plating on hard wood flooring to tiles (separates play area from kitchen). Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed spills in refrigerator. Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f)

Observed bib stored on handsink. Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a).

Observed paper blocks peeled in areas. 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 plastic container filled with standing water in back yard. Empty. Keep the property free of standing water. 15A NCAC 18A .2831 (b).

Observed specialty milk not labeled with child's name and date marked. Label and date mark specialty milk provided by parents and return home at end of week. 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 clean utensils stored on cloth drying mat beside two compartment sink in kitchen. Do not store or place clean utensils on cloth drying mat. Clean base drawer under oven and shelving in cabinet area where clean utensils/equipment is stored. Protect food service equipment from contamination. 15A NCAC 18A .2814 (a) and (b). • • •

Patch holes in wall in bathroom or reattach towel rack. Wipe/clean lower section of wall in classroom area. Clean flooring near front entrance door. Clean front entrance door to daycare. Repaint door framing to back door. Replace missing transitional floor molding and quarter round shoe molding in classroom area. Clean pole/hanging fixture to ceiling fan. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Monitor base door to storage shed and repaint or replace. Cut vegetative growth in old dog fence and cut thorny vegetative growth. Recommend spraying vegetative growth in old dog fence with herbicide to eliminate the thorny growth. Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Keep the property free of high vegetation. 15A NCAC 18A .2831 (i).

Clean edge of door to refrigeration/freezer unit. Replace broken/split gasket on refrigeration unit. Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3).

Diaper changing/pull up changing procedure was explain to me wrong. Follow correct diaper changing and pull up changing procedure posted on the wall. Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d).

Install quarter round shoe molding in hallway/diaper changing area where molding is missing. Patch small hole behind bathroom door and repaint. Highly recommend replacing damaged door stopper behind bathroom door. Tightly secure loose transitional floor molding in classroom area. Replace missing transitional floor molding in classroom area. Clean floor under book shelving. Touch-up paint exterior of back door framing. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Replace broken boards and tightly secure loose boards on playground fencing. Discard and removed broken/damaged blue folding table from playground area. Store items on the playground so they do not hold or collect water. Monitor vegetative growth starting to grow over top of fencing and cut growth or spray vegetative growth if needed. Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Keep the property free of standing water. 15A NCAC 18A .2831 (b).

Observed teacher handling ready to eat food products with bare hands. Use gloves or utensils with handle to dispense and handle food products. Observed food products in refrigeration unit loose and out of package in refrigeration unit. Store food products completely covered in refrigeration unit. Observed sippy cup brought from home not labeled with child's name or date. Label bottles and sippy cups brought from home with child's name and date item was brought into center. Observed fruit cocktail stored and placed in a apple sauce container. Store food products in approved food grade container(rubber maid/plastic container with lid)-------->>>you can not physically reach inside of old apple sauce container/jar and wash, rinse and sanitize. All food shall be stored and handled in a manner that protects it from contamination. 15A NCAC 18A .2806 (d),(f), .2807 (b), and .2808 (e). Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a) Staff shall prepare food with the least possible manual contact by using utensils or clean disposable gloves. 15A NCAC 18A .2807 (b). 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 interior walls and shelving in refrigeration unit soiled. Thoroughly detail clean entire refrigeration unit. Clean exterior of kitchen cabinet doors. Clean interior of microwave. Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3).

Observed plastic cups with children name stored stacked on kitchen counter top and plastic cups with child's name in wash water in vat of two compartment sink. Observed old/used ziploc bags stored on kitchen counter. DO NOT REUSE PLASTIC CUPS OR ZIPLOC BAGS. ONCE ITEMS ARE USED DISCARD! Single-service articles must be kept clean and protected from contamination. 15A NCAC 18A .2809 (8), .2814 (a) and (b).

Observed disinfectant solution in spray bottle registering low! Disinfectant shall be 500ppm-800ppm. Use test strips to check disinfectant! Disinfectant properly made at time of inspection. Keep disinfectant solution at diaper changing table! Sanitizer was located above diaper changing table and disinfectant was stored near hand washing sink near kitchen. Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Cleaning and disinfecting solutions shall be provided at each diaper changing station. 15A NCAC 18A .2819 ( c ).

Replace missing quarter round shoe moulding in hallway area. Tightly secure and seal transitional floor moulding. Patch small hole behind bathroom door and repaint. Recommend replacing damaged door stopper. Clean door to laundry room. Clean bae board and wall near refrigeration unit and dish washer. Clean back door. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed exterior of cabinet doors, hood systems and exterior of refrigeration unit soiled. Observed interior of refrigeration unit and shelving within refrigeration unit soiled. Thoroughly clean exterior of cabinet doors, hood systems exterior and interior of refrigeration unit. Repair base cover on refrigeration unit.

Observed utensil/equipment shelving, utensil drawer and equipment drawer under oven soiled. Thoroughly clean utensil/equipment storage area. Protect food service equipment from contamination. 15A NCAC 18A .2814 (a) and (b).

Tighten loose leg/stand on play fixtures. Clean cracks and crevices of toys and toy shelving within the classroom area. Replace damaged/cracked toy bin/containers. Clean area where books are stored. Repair lower shelving on diaper changing table. 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).

Patch hole in wall behind bathroom door and repaint. Recommend replacing damaged door stopper behind bathroom door. Clean walls in hallway area. Replace missing quarter round shoe moulding in hallway area. Clean base board and shoe moulding throughout center. Touch-up paint throughout classroom area. Tightly secure transitional floor moulding in classroom area. Clean screen door and front entrance door. Repaint back door framing. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed edge of refrigeration unit door soiled and area around handle. Thoroughly clean edge of refrigeration unit door and handles. Observed broken handle on oven door. Replace damaged handle on oven door. Observed broken gasket on refrigeration unit. Replace damaged gasket on refrigeration unit. Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3).

Observed sleeping mats and crib not labeled with child's name. Label sleeping mats and cribs with child's name or use the name and number system. All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ).

Observed wall damaged behind bathroom door in bathroom. Patch hole in wall and touch-up paint. Highly recommend replacing damaged door stopper behind bathroom door. Wipe/clean walls in hallway and classroom area and touch-up paint throughout where needed. Tightly secure loose transitional floor moulding in toys center. Thoroughly clean base boards throughout in classroom and main entrance. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed shatter proof coating over light bulb in bathroom and classroom coming off of light bulb. Replace light bulb which coating is coming off. Observed light bulb under hood system not shatter proof or shielded. Replace light bulb under hood system with a shatter proof light bulb or provide light shield over light fixture. Observed ceiling fan blades soiled in classroom area. Thoroughly clean ceiling fan blades.

Observed loose railing on playground fencing. Tightly secure loose railing on playground. Observed high grass within the playground area. Cut grass in playground area. Observed gutters full of leaves. Clean leaves from gutter. Observed toys on the playground area needing general cleaning. Clean toys on the playground area. Observed area around back door framing leading on the playground area needing painting. Paint wood around back door framing. Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). Keep the property free of high vegetation. 15A NCAC 18A .2831 (i). All play ground equipment must be kept clean and in good repair. 15A NCAC 18A .2832 (c ).

Observed 2 children not wash hands prior to touching toys.Wash hands when required. 15A NCAC 18A .2803 (a)

Observed hot water at 113 at bathroom hand sink.Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e).

Observe disinfectant below 250 ppm.Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

Observed several light bulbs with damaged shatterproof coating. Observed light under exhaust hood in kitchen not shielded or shatterproof.Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).

Observed can opener blade collecting residue. Observed knife blade collecting residue food residue.Multi-service utensils must be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e)

Observed debris collecting on top of refrigerator gasket. Observed top of refrigerator collecting residue.Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3).

Observed floor collecting debris in corners in restroom and in kitchen. Observed baseboard near refrigerator collecting residue in kitchen.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed oven exhaust hood light not shielded or shatterproof. Observed damaged shatterproof coatings in light bulbs in bathroom and track lighting in kitchen.Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).

Observed residue collecting on kitchen cabinet doors, and on refrigerator where door closes at bottom. Observed debris collecting in refrigerator gasket.Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3).

Observed hot water at bathtub at 119 degrees F. Observed hot water spike at 126 and fall to 109 in restroom.Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e).

Observed transition strip at bathroom threshold and at far side of care room damaged.Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Repeat non-compliance: Observed lights with damaged shatterproof coating in kitchen. Observed light under hood and in refrigerator not shielded or shatterproof.Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a).