PRECIOUS PLAYMATES CHILD DEVELOPMENT CENTER

Observed thermometer not operable during the inspection. **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 chlorine sanitizer below 50 ppm. **15A NCAC 18A .2812 (j) Provide a sanitizing solution shall be provided for cleaning purposes.

Observed disinfectant concentration below 500ppm. **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 no test strips available for testing disinfectant. **15A NCAC 18A .2812 (i) Provide a testing method for chlorine disinfectant to ensure compliance with prescribed chlorine concentration.

Observed bag of chips not properly sealed in the kitchen. Placed in ziplock bag. 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 chlorine sanitizer below 50 ppm. GENERAL COMMENT **15A NCAC 18A .2812 (j) Provide a sanitizing solution shall be provided for cleaning purposes.

Observed toilet leaking in the restroom near the kitchen. Needs to be repaired. **15A NCAC 18A .2817 (a). All toilet fixtures shall be kept clean and in good repair.

Observed no paper towels at handwashing sink. Provided during the inspection. **15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area.

General Comment: 15A NCAC 18A .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions. Observed build up in bottle warmer in kitchen. Staff cleaned bottle warmer during inspection.

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 bleach disinfectant at 200 ppm chlorine. Needs to be 500-800 ppm.

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 in unused/unlocked classroom 5 less than 5ft up. Observed disinfectant wipes in unlocked storage room less than 5ft up. Observed sani-cloths stored on desk in front entrance room less than 5ft up. Needs to be 5ft up or locked. REPEAT.

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 folding mats with small tears in folded corners in classroom 3. Needs repair/replacement. REPEAT.

General Comment: 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 small stain on ceiling near front entrance. Observed staining on wall/ceiling of infant room near kitchen half door. Needs repair.

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 not reading properly in refrigerator. Needs new thermometer.

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 had water tested since 6/24/2021. No points deducted. Facility has registered for testing and is currently doing the training for lead water testing.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed bubbles and art supplies on shelf in room 2 bathroom. Needs removal. REPEAT.

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 individual packaged medicines in new first aid kit in closed classroom. All medications were removed. Check new first aid kits for prepacked medicines.

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 less than 5ft up in infant room including infant outside bag hanging below 5ft up. REPEAT.

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 crib mattresses heavily torn. Observed small tears on bends of mats in room 2. Needs replacement.

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 water damage under bathroom sink cabinet in room 1. Observed build up under bathroom 2 cabinet in room 2. Needs cleaning/repair. REPEAT.

Provide15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes. Observed chlorine (bleach) sanitizer less than 10 ppm chlorine. Needs to be 50-200 ppm. Facility was using a weak chlorine solution needs to add more bleach to water when using weaker bleach solutions.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed balls and emergency bags stored in Room 2 staff bathroom. Observed infant chairs stored in bathroom in infant room. Storage in toilet rooms shall be limited to toileting and diapering supplies. REPEAT.

No points deducted. 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed aerosol pledge spray stored unlocked in Room 1. CDI - Pledge spray was removed to locked storage.

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 less than 5ft up in Room 1. Needs to be 5ft up. REPEAT.

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 cabinet under sink in Room 2 bathroom in need of cleaning. Observed wooden kitchen set in Room 1 with a loose top shelf connection. Observed build up under diaper pad in Room 1. Needs cleaning/repair. REPEAT.

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 cereal, grits, and pancake mix stored in unsealed packaging. Needs to be in sealed packaging.

Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a). Observed outside bags, toys, and desks stored in employee bathroom in 3-5 room.

Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Observed test strips reading 200 ppm chlorine for inspector test strips and 600 for facility test strips. Facility is using test strips that read free chlorine similar to pool test strips and do not accurately measure disinfectant. Facility needs correct test strips.

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 in bag in employee bathroom in 3-5 room less than 5ft above the floor. Observed hand sanitizer in infant room stored less than 5ft above the floor.

Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a). Observed tears in mattresses in infant room. Needs repair/replacement.

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 build up on feeding chair in infant room. Observed debris on changing table in 2s room under diaper changing pad. Observed tape peeling and pulling off cabinet liner of handsink in 2s room. Needs cleaning.

General Comment: The childcare center shall have a written procedure 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. 15A NCAC 18A .2827 (d). Observed facility does not have a written procedure. Requirement has recently been adopted in rule changes on July 1, 2023. EHS emailed PIC link to page with procedures and rule update information.

Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Observed disinfectant inside classrooms measuring the strength of sanitizer while labeled (disinfectant). CDI disinfectant correct during inspection.

NO POINTS DEDUCTED All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed toilet bowl cleaner stored accessible inside infant room bathroom; Observed aerosol cleaner left accessible inside bathroom of older aged classroom (butterfly room). CDI all chemicals / cleaners stored behind lock and key during inspection.

Individual linen must be kept clean and in good repair. 15A NCAC 18A .2821 (f). Observed crib mats cracking / splitting on surface in need of replacing.

Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e). Observed hand washing sink inside (infant) classroom not measuring between 80-110F (65) beginning of inspection and again (74) at end of inspection.

Observed water stained ceiling in kitchen. Repeat. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed crack in wall near shelf in infants and observe ceiling stained and bulging beside hood in kitchen. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed child use restroom and did not wash hands. Ensure children are washing hands after using restroom. Wash hands when required. 15A NCAC 18A .2803 (a)

Restroom with diaper changing table must have soapy water to complete cleaning and disinfecting process. All cleaning and disinfectant solutions shall be properly labeled (i.e. soapy water, disinfectant). 15A NCAC 18A .2819 (c ) and .2820 (c ).

Observed dust/ debris build up on hard toys such as cars, lego table, trucks, etc in various classrooms. 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 standing water on outside toys. Suggest dumping water during morning walk through, before outside play time. Keep the property free of standing water. 15A NCAC 18A .2831 (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 turning off water with hand. Use a paper towel to keep from recontaminating hands.

Provide sanitizer test kit. 15A NCAC 18A .2812 (g) Observed no sanitizer test strips for quat sanitizer.

Single-service articles must be kept clean and protected from contamination. 15A NCAC 18A .2809 (8), .2814 (a) and (b). Observed chemicals stored over paper goods such as paper towels, toilet paper,

Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a). Observed storage below hand sink with a leak. Do not store clean items below hand sink plumbing.

Provide test strips for the chlorine disinfectant. 15A NCAC 18A .2819 (c ) Observed no disinfectant test strips. Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Use bleach soilution for diaper changing tables. Cintas disinfectant has a 10 minute contact time (teacher did not know contact time) which is not approved at diaper changing tables.

Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d). Observed incorrect diaper change. Gloves kept on until new diaper put on. Follow posted procedures. Clean diaper changing table properly. Follow posted procedures

All sleeping mats, used during nap time, shall be waterproof, washable, and at least 2 inches thick. 15A NCAC 18A .2821 (b). Observed some mats with tears/frays. Repair or replace any mats with uncleanable surfaces.

Wash hands when required. 15A NCAC 18A .2803 (a) Children not washing their hands before breakfast.

Raw meats, poultry, fish, shellfish, and eggs shall be stored on shelving beneath and separate from other foods. 15A NCAC 18A .2806 (f) Observed shell eggs stored above bagged lunches. Store eggs below ready to eat foods.

Hand washing signs shall be posted at all hand washing areas. 15A NCAC 18A .2818 (e) Observed a couple of hand washing signs missing at hand sinks. Emailed link

Provide test strips for the chlorine disinfectant. 15A NCAC 18A .2819 (c ) Observed no disinfectant test strips.

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 dusty areas. General cleaning of surfaces.