FORRESTAL ACADEMY

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 one set of bottles with no date in infant room. Ensure all bottles are labeled with date.

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. Water last tested 6/27/2023. Water needs to be tested for lead every 3 years.

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 paper towels in one staff bathroom. Ensure paper towels are supplied at every sink.

General Comment: 15A NCAC 18A .2804 (k) Hot foods that a child brings from home to the child care center in double-walled, insulated thermos containers may be stored outside of refrigeration at the child care center with the written permission of the child's parent or guardian.- Observed a child food for lunch in regular containers, and other children in thermos containers. Items stored on shelving in the kitchen without written permission from parent or guardian. All food must be in double-walled, insulated thermos containers if choose to store outside the refrigerator. Also Obtain a written permission from parent and have on file for records. NOTE: 15A NCAC 18A .2806 (h) The temperature of potentially hazardous food provided by the child care center for consumption by children shall be 45 degrees Fahrenheit or below, or at 135 degrees Fahrenheit or above at all times, including field trips, catering events, and outdoor service, except during periods of preparation and service immediately prior to consumption.

General Comment: 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed loose faucets in the cafe. Repair needed.

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 in Baby Birds couples damaged crib mattress along edges. Repair or replacement needed.

GENERAL COMMENT 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. Teacher came into turtle room and only rinsed hands with water for handwashing. Ensure to follow proper hand washing procedures. EHS gave handwashing procedure poster to facility.

REPEAT 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 several bottles without the date or the incorrect date 7/16 in the baby bird and baby bear rooms. 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 a bulk bag of chips and pasta in the kitchen opened and sealed with cling wrap. Items were placed into ziplock bags.

REPEAT 15A NCAC 18A .2812 (e) Multi-service articles, including highchair feeding trays, shall be washed, rinsed and sanitized in the child care center kitchen after each use. Observed high chair tray stored as clean, soiled with old baby food in baby bird room. Observed in baby bear, pacifier stored in the dirty area, and about to be placed into the clean pacifier storage container without being washed, rinsed and sanitized. Ensure pacifiers are properly washed, rinsed and sanitized prior to putting them away. 15A NCAC 18A .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions. Observed baby bottle warmers in need of cleaning in baby bird room.

GENERAL COMMENT 15A NCAC 18A .2809 (2) Food-contact surfaces shall be kept clean and in good repair. Observed water pitcher lids broken in turtle and mice rooms.

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 in baby bird, employee not use wet towel to wipe her or baby’s hands. Soiled gloves were used to put on clean diaper and clothes. Baby was wiped back to front. Wipe was used more than one time for a wipe. EHS gave diapering procedure poster to facility.

GENERAL COMMENT 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed 2 hazardous eye solution bottles and liquid wipe-out in cabinet/drawer not under locking key in mice.

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 cots double labeled with two numbers on same cot and same number on different cot in the turtle and mice rooms.

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 stained gray cushion in the chi chi room.

15A NCAC 18A .2803 (a) and (c), .2836 (15).Child care center employees and children shall wash their hands when required.- Observed teacher in foxes finishing changing diaper and cleaning, not washing her hands at the end. EHS and teacher discussed hand washing procedures and teacher washed here hands correctly at the time of inspection.

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 4 bottles in infant 1 without date and one bottle with incorrect date 3/27 in infant 2. Ensure to label name and date received correctly. 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 snack container in kitchen refrigerator without date. Ensure to label on item name and date that was received at the center on items send from home. 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 on container of specialty milk in kitchen refrigerator without date. Ensure to receive the unopened container of specialty milks at the beginning of the week, put name and date that was received, send home or discard at the end of the end either opened or unopened containers.

General Comment: 15A NCAC 18A .2812 (e) Multi-service articles, including highchair feeding trays, shall be washed, rinsed and sanitized in the child care center kitchen after each use. - Observed high chair trays were use it by students. According to teacher in classroom, they get clean in the classroom between students feeding with soapy water and sanitizer, and then clean in the kitchen at the end of feeding time. All multi-service articles (high chair trays, spoons, plates/bowls, rubber bibs) shall be wash, rinse and sanitize properly in the kitchen after each use.

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 in unlocked drawer in Owls and infant 2. Ensure to keep drawers lock at all time or put items at 5ft or higher at all time. NOTE: ** keep/store keys at least 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 bags provided by center going back and forth from school to home. Items stored in individual cubbies and touching each other while storing. Ensure to keep all individual items separate and not allow any contact 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 in Mice and Foxes in unlocked cabinet, less than 5ft. The cabinet has a magnet lock, and not keep locked. Ensure to keep items at 5ft or keep lock at all time.

General Comment: 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 teacher and child washed hands after diaper changing and turn off the faucet knob with bare hands in Funny Fox. Proper hand washing education provided at the time of inspection. Hand washing posters provided.

General Comment: 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 baby food prepared from home in the refrigerator without date that was received. Ensure to put both name and date on all items send from home.

15A NCAC 18A .2809 (2) Food-contact surfaces shall be kept clean and in good repair.- Observed disrepair (peeling, flaking) on the surfaces. Replacement needed, keep in good repair.

General Comment: 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair. -Observed clogged or slow draining in food prep hand sink in infant room. Repair needed.

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 hand sanitizer bottles on the counter at the front lobby behind computer screen less than 5ft. Observed sanitizer and disinfectant spray bottle on the sink counter while teacher is changing a child in Funny Fox. Ensure to store or place all non hazardous items at 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 teachers purses hanging down the hook less than 5ft in the Mice. Put items at 5ft or higher at all time.

General Comment: 15A NCAC 18A .2806 (h) The temperature of potentially hazardous food provided by the child care center for consumption by children shall be 45 degrees Fahrenheit or below, or at 135 degrees Fahrenheit or above at all times, including field trips, catering events, and outdoor service, except during periods of preparation and service immediately prior to consumption. -Observed mix vegetables in the hot box in the kitchen holing temperature less than 135F. CDI- The chef reheated food to 165F to keep hot and or immediate serving at the time of inspection.

General Comment: 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 on container of special milk without date that was received. All others have both name and date in the kitchen refrigerator. Ensure to have both name and date that was received at the center.

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 hand sanitizer bottles on the counter at the front lobby less than 5ft. Director took away items at the time of inspection. Ensure to store or place all non hazardous items at 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 in Raindeer, teacher bag has body mist inside the bag, stored on the box less that 5ft. Item got moved and store properly at the time of inspection.

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 in turtle, water play table filled with water with lid closed, every one in the classroom was getting ready to leave for outside play and no longer play with it. Ensure to empty the water play table at the end of each session.

General Comment: 15A NCAC 18A .2826 (a). In child care centers, all rooms and enclosed areas shall be lighted by natural or artificial light. Lighting shall be capable of illumination to at least 50 foot-candles at work surfaces. Lighting shall be capable of illumination to at least 10 foot-candles of light, at 30 inches above the floor, in all other areas, including storage rooms- Observed several restroom in the building has very dimming light between 4.6-17 foot candles. Ensure to provide enough lighting in all rooms throughout the center.

General Comment: 15A NCAC 18A .2812(c) When utensils and equipment are washed mechanically using a dishwasher, food-contact surfaces of equipment and utensils shall be sanitized according to the dishwasher manufacturer's instructions. When commercial dishwashing equipment is used, the dishwasher shall be equipped with a temperature indicating device that is accurate to two degrees Fahrenheit. -Observed the dishwasher machine read at 142F -150F for sanitizer cycle. Per dishwasher manufacturer’ instructions the minimum rinse temperature is 180F. According to food code 2017, 4-703.11 (b), the achieving a utensil surface temperature need to be at least of 160F as measured by an irreversible registering temperature indicator. At the meantime the center will sanitize their dishes in the 3 compartment sinks with chlorine sanitizer between 50ppm -200 ppm.

General Comment: 15A NCAC 18A .2820 (b) (c). All hazardous items must be stored behind lock and key. A locked kitchen is not considered to be a locked storage room or cabinet for the purpose of this rule - Observed container of Clorox and chemicals in the kitchen under the dishwasher shelving not being lock away in the storage room. Hazardous items and how to store them discussed with chef and director at the time of inspection.

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, body spray in the drawer with child proof lock in the nursery room. Director took away at the time of inspection. 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 soap in the cabinet in empty classroom less than 5ft. Item put up 5ft at the time of inspection.

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 diaper creams stored inside unlocked cabinets below 5ft (bags of diaper creams covering magnetic lock). CDI creams locked during inspection.

NO POINTS DEDUCTED 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 baby bottles inside infant room labeled with three different dates; corrected during inspection.

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 table edges in need of cleaning inside (Bunnies) classroom.

REPEAT 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 books throughout classrooms having damaged bindings and covers in need of removal from circulation.

REPEAT 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 large number of damaged books in need of replacing in (OWLS) classroom.

REPEAT 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 table edges in need of cleaning in numerous classrooms; Observed damaged book (bindings) in (BEAR) classroom in need of replacing.

REPEAT 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 foam bricks/blocks damaged in need of replacing in classroom (#reindeer).

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 shelving in classrooms having paint fading/missing from out stickers being removed; (touch-up or seal). Observed tape residue on wooden cubbies in Owls rooms.

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 two books and one plastic milk carton to be damaged. CDI: Items removed from the classrooms.

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 cardboard boxes on floor in storage room off kitchen. Storage below hand sink in turtles room.

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 books in several classrooms torn. Replace when torn or chewed.

Repeat non-complaince: Observed single service cups uncovered in racoons and turtles. Single-service articles must be kept clean and protected from contamination. 15A NCAC 18A .2809 (8), .2814 (a) and (b).

Repeat non-compliance: Observed children napping less than 18 inches apart. Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e).

Observed caregiver in bunnies classroom not wash hands after spraying disinfectant on during diaper change. Wash hands when required. 15A NCAC 18A .2803 (a)

Observed single service cups in classrooms throughout not covered. Single-service articles must be kept clean and protected from contamination. 15A NCAC 18A .2809 (8), .2814 (a) and (b).

Observed caregiver not remove gloves and wipe hands prior to placing clean diaper on child.Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d).

Staff using disinfectant below 100 ppm after diaper changing.The diaper changing surface shall be properly disinfected between each child. 15A NCAC 18A .2819 (c ).

Observed disinfectant below 500 ppm throughout facility.Observed no proper test strips for disinfectant. Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).Provide test strips for the chlorine disinfectant. 15A NCAC 18A .2819 (c )

Observed aerosol sunscreen racoons classroom unlocked. Observed laundry room door left open. Observed air freshener in bunnies classroom over 5 feet with keep out of reach of children and other warnings.All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b).

Observed boxes of infant cereal not properly sealed in baby birds room.Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a)Caregiver stated that one hour rule is still in use.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).

Repeat non-compliance: Observed chilren napping less than 18 inches in super squirrels classroom.Observed child sleeping on cot with no bottom linen in raccoons classroom.Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e).Individual linen shall be provided for all beds, cots, or mats. 15A NCAC 18A .2821 (c ).

Observed one lid collecting sticker residue. Observed several lids stored stacked wet.Completely air-dry all equipment and utensils before stacking or storing the items. 15A NCAC 18A .2812 (h)

Observed purses stored in bear room unlocked, magnet lock not locked.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 children napping on cots, cots touching in owls room.Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e).

Observed several containers in kitchen stored as clean with label residue stored as clean. Observed several plates collecting food debris stored as clean.Multi-service utensils must be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e)

Observed single service cups bouncing bunnies outside bag stored with gloves, uncovered.Single-service articles must be kept clean and protected from contamination. 15A NCAC 18A .2809 (8), .2814 (a) and (b).

Observed whiteout in funny foxes, lime scale remover in rowdy raccoons, rubber cement and magic eraser in outstanding owls, magic eraser in chi chi, and instant cold pack super squirrels.All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b).

Observed food items not properly sealed in kitchen including, sugar, salt and pretzels. Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a)Observed milk pitcher in refrigerator, caregiver stated that milk goes into pitcher and is used throughout the day. Milk is kept in a pitcher with cooled core. Serving containers may be used to dispense milk for food service provided the unused milk is discarded. 15A NCAC 18A .2808 (a) 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)