LITTLE LIFE ACADEMY

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.- Obtain proper/complete permission form from parents and ensure to put all potential hazardous food items in thermos container. -Observed potential hazardous food in a plastic lunch container in a child lunch bag. Item was stored in lunch bag with ice pack inside on top the cubby. Ensure obtain parent permission form, and food must be in the double wall insulated thermos containers for it to be placed outside the refrigerator. 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.

REPEAT 15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies.- Observed sand table and soft toy basket stored in the restroom 3. Ensure to keep only restroom related items in the restrooms at anytime.

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 the approved sanitizing wipes from state stored under front desk table. Observed hand sanitizer/ hand lotion bottle in/on the cabinet/counter in room 1, 5, 6, and the auditorium. Ensure to keep all non hazardous items at 5ft or higher at anytime.

15A NCAC 18A .2812 (g) A testing method or equipment shall be used in accordance with the product manufacturer's instructions to test the strengths of sanitizing solutions to ensure the prescribed concentrations are met.- Observed sanitizer solution measure little over 250 ppm. Ensure to provide correct concentration between 50 -200 ppm at anytime.

REPEAT 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 measured 74F in restroom 3. 78F in room 6, 76F in room 7, 72F and 76F in library room. Provide tempered water between 80-110F at all time where is accessible to children.

General Comment: 15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies.- Observed pool noodles and basketball hoop stand in library restroom. CDI- Items got removed at the time of inspection. Ensure to store only restroom related items in the restrooms.

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 sanitizer spray bottle store on top of the cubby in front of room 5, less than 5ft. Ensure to put approved non hazardous items at 5ft or higher at anytime.

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 children snacks with name labeling and without date received on items in refrigerator room#7. Put both name and date that was received on items sent from home.

General Comment: 15A NCAC 18A .2807 (h) Metal stem-type, thin probe, numerically scaled indicating product thermometers, accurate to ± 3 degrees Fahrenheit shall be used to ensure the maintenance of the internal cooking temperatures of all potentially hazardous foods required under this Rule.- Observed the center without “thin probe food thermometer”. Obtain a food thin probe thermometer and have it available for use.

REPEAT 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 room #4 restroom measured at 119F. Ensure to provide tempered water between 80-110F at all time where is accessible to children.

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key.- Observed two containers of rubbing alcohol in broken locked cabinet in room #5. Ensure to keep all hazardous items that has labeled “Keep out of reach of children, Warning, and Caution” in lock storage/cabinet 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**

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 in broken locked cabinet in room #5 stored less than 5ft. Ensure to put item 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 cheese in plastic lunch container in a child lunch box measured at 51F. Item was stored in lunchbox with ice pack on top the cubby. Ensure to maintain temperature of potential hazardous food item at 45F or below. NOTE: 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.- Obtain proper/complete permission form from parents and ensure to put all potential hazardous food items in thermos container.

REPEAT 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 without date. Ensure to put both name and date on any items sent from home.

REPEAT 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 in restroom sink in classroom #4 measured at 117F, and classroom # 5 measured at 78F. Provide tempered water temperature between 80F -110F.

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 food in thermos lunch containers without parent/guardian permission. EHS discussed proper procedures with director and the center will ensure to obtain the permission from parents. 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.

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.- Observe children’s bottle water send from home for the day with name and some without date. Ensure to put both name and date on the bottled beverages. 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 snacks and lunch boxes without date that was received at the center. Proper procedures discussed with director at the time of inspection. Ensure to have both name and date, send home or discard at the end of the day. 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 blue tape or clipper used to close a big bag of goldfish snack, and crackers in classroom #3, #6. Properly store all leftover food items in resealable bag or container

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 in classrooms at varies temperature range from 56F-79F. Ensure to provide tempered water where accessible to children.

General Comment: 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 water temperature at the restroom sink in classroom #4 at 123F. Director is reporting the issue to the maintenance person and will take care of situation right away. At the meantime, director and teacher have children wash their hands in the classroom sink where tempered water provided. Sink will be followed the change of use procedures as needed.

General Comment: 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 medication bottles in the teacher bag stored on the desk in classroom #1. Children are out in the playground at the time of inspection. Director took the bag and lock away. **Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device.**

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 bottle/lotion, lip gloss stored less than 5ft in classroom #4, #6, front desk. Ensure to put 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 big container of liquid soap in the work library room stored under the table less than 5ft. Director put item away and keep lock. 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 the unlock cabinet less than 5ft in classroom #6.

15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. Observed several classroom water temperature range from 73F - 80F. Ensure the water temperature within the required range.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed pink emergency bags and blue church bag hanging on the wall as they are storing inside the restroom in several classroom throughout the building. The director will arrange the place to properly store those bags.

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 teacher purse in 2 year old class stored below 5 ft. The director put the purse above 5 ft 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 disinfectant bottle stored on the counter below 5 ft in classroom 7. The director put item on the shelve above 5 ft at the time of inspection.

NO POINTS DEDUCTED All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed (WhiteOut) stored inside unlocked cabinet inside classroom #6. CDI hazardous items properly stored behind lock and key.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed wall inside Classroom #1 having scuffs / smudges on wall from little hands in need of cleaning. Observed chipped paint on a few door frames on entry doors to classrooms in need of touch-up painting.

Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b). Observed changing mat damage (small holes / rips) on surface in need of changing / replacing inside (toddler) classroom.

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed carpet throughout classrooms in need of cleaning.

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed scuffed wall inside (#4) classroom near cot storage area, in need of touch-up painting.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed carpets having stains throughout classrooms in need of general cleaning.

Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b). Observed diaper changing mat punctured exposing absorbent inside material, located in (2's) classroom lavatory.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed flooring in all classrooms stained in need of cleaning. •

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 caregivers purses stored on counter top below 5 ft in 3's classroom; Observed hand sanitizer stored on counter tops below 5ft in 3's classroom.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed carpets in several classrooms stained in need of cleaning.

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). Observed cup stored in cereal, use scoop/utensil with handles Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a) Observed several opened containers of snacks, put into sealed baggie or lidded container once opened.

Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a). Observed dirty rags stored in kitchen hand sink Hand washing signs shall be posted at all hand washing areas. 15A NCAC 18A .2818 (e) Observed no hand wash sign in kitchen.

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 purse sitting on classroom table with teacher out of room. 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 hand sanitizer stored less than 5 feet above floor in room children are using the bathroom in until the toilet in their classroom is repaired.

Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e). Observed children napping less than 18 inches apart in both classrooms.