PRIMROSE SCHOOL OF SOUTH CHARLOTTE

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 speciality milks with name but no date. Ensure speciality milks are labeled with date brought in to center.

General Comment: 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 snacks, cereal, crackers stored in nonresealable bags/containers. Needs to be stored in resealable bags/containers.

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 employee not wash child’s hands after diaper change in Infant room. Child was able to hold its head up so child needs to wash hands after diaper change. REPEAT.

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 small tears in red couch in Preschool 1 and 2. Needs repair.

General Comment: 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 bottle missing date received in Toddler classroom. Needs date.

General Comment: 15A NCAC 18A .2806 (j) (1) Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. Observed thermometer in young toddler refrigerator reading over 50F. EHS thermometer read 45F. Needs new thermometer.

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 Prek one classroom handsinks and girls bathroom handsink at 112F. Needs to be 80-110F.

General Comment: 15A NCAC 18A .2819 (c) and 15A NCAC 18A .2819 (d) (10). Diapering surfaces shall be disinfected using an approved disinfectant by spraying the entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry. Observed employee spray sanitizer for cleaning after diaper change. Needs to follow appropriate cleaning and disinfecting procedure.

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 employee wear disposable gloves throughout diaper change procedure in Early Preschool 1. Employee stated they change gloves between children. Gloves need to be removed when moving from soiled to clean as discribed in diapering procedure. Follow procedure.

15A NCAC 18A .2809 (2) Food-contact surfaces shall be kept clean and in good repair. Observed heavy black build up in ice machine. Needs cleaning.

No points deducted. 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 Benadryl in outside bag in Early Preschool 1. Needs to be stored behind lock and key.

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 bulk specialty milks not dated or dated in the future. Label with date brought unopened to center and send home or dispose of at end of same week.

15A NCAC 18A .2812 (h) After sanitizing, all equipment and utensils shall be air dried. Observed sippy-cups wet stacked in kitchen.

15A NCAC 18A .2809 (2) Food-contact surfaces shall be kept clean and in good repair. Observed sippy-cups stored as clean with old tape and stickers. Tape and stickers must be removed before items is cleaned. 15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair. Observed 3-comp sink basins with scum build-up.

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 water fountains on inside were operational. Fountains were not tested for lead. Discussion with owner regarding this and she said they would not be turning the fountains back on. Sign saying the fountains are out of commission does not meet the rule. Fountains must be tested ASAP or turned off.

Liquid soap and disposable towels shall be provided and accessible at all hand washing sinks. 15A NCAC 18A .2818 (d). Observed no paper towels at diaper change table in pathways. Remove paper towel dispenser and hand sanitizer from prep sink in kitchen

Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a). Observed diapers stored under hand sink in 2 classrooms.

Each diaper changing station shall have a diaper changing sign and a handwashing sign posted. 15A NCAC 18A .2819 (h). Observed staff leave dirty gloves on until after new diaper was put on, and then water was turned off with hand after hand wash

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 some broken cubby baskets in pathways class.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed ceiling damaged above ovens in kitchen.

Observed damage inside solutions (soap, sanitizer, disinfectant) cabinet in both infants classrooms. Observed red couch peeling in Pre K 2 class. 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 damage inside solutions (soap, sanitizer, disinfectant) cabinet in both infants classrooms. Observed damage on cabinet above hand sinks in Preschool 2 class (ordered). Observed red couch peeling in Pre K 2 class. 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).

Handwashing procedure 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 well 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. 15A NCAC 18A .2803 (c). Observed staff in older infant room wash hands very quickly. Staff (same room) touched garbage can lid.

Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3). Observed leak in plumbing of 3-comp sink and prep sink in kitchen. Both need repair.

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 in classrooms furthest from water heater 70F and hot water in classrooms closest to water heater at 114-120F. Have both the recirculation pump and the mixing valve evaluated by a plumber. Repair what isn't working properly.

Liquid soap and disposable towels shall be provided and accessible at all hand washing sinks. 15A NCAC 18A .2818 (d). Observed a couple classrooms where either a soap or paper towels were missing.

Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a). Observed storage below sink plumbing in several classrooms.

Sleeping mats, cribs, and cots shall be stored to prevent contamination. 15A NCAC 18A .2821 (a). Observed mats stored in most classrooms with blanket bunched under the sheet pushing the sheet into the mat above it. Store blanket flat or separate.

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 in Pre-K A(1) classroom at 117F in boys toilet and 113F in girls toilet. PIC adjusted water temperature.

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 and felt grit and dust in the toy container in Pre-S (2) classroom and Early Pre-S (1) classroom. Clean and sanitize water play centers and associated toys daily (if used) and when visibly soiled. 15A NCAC 18A .2822 (c ). Water play centers shall be filled just prior to each water play session. Water shall be emptied after each session or more often if visibly soiled. Observed water in the water play table in Pre-S (1) classroom.

Observed caregiver not wipe her nor the child's hands with a wipe during the change and only wash the child's hands for about 3 seconds with only water after the change was complete. Redirected caregiver who rewashed the child's hands. **Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d).

Observed bottle warmer basket with brown build up in older infant room. Needs to be cleaned more frequently to avoid accumulation. **Bottle warming equipment shall be cleaned and sanitized at least daily and when visibly soiled. 15A NCAC 18A .2810 (f) (1) and .2804 (d).

Observed water at 118F in the hallway bathroom and 117F in the Older Infant room. Water temperature was reduced at the water heater. **Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e).

Bottle warming equipment shall be cleaned and sanitized at least daily and when visibly soiled. 15A NCAC 18A .2810 (f) (1) and .2804 (d). Observed bottle warmers in infant room with build-up and a hair. Remove stickers from sippy cups.

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 in hall bathroom 117F and one classroom 111F. Both areas near kitchen. Check main anti-scald device, might need to install at sinks that may not be attached to the main antiscald.

Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Observed disinfectant less than 500 ppm chlorine. CDI-also had a disinfectant prep training using bleach dilution chart and test strips.