DOGWOOD LANE CHILDRENS ACADEMY

15A NCAC 18A .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions. Observed bottle warmers with buildup in need of cleaning in infant room.

General Comment: 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed peeling/flaking toilet seats in 3’s joint bathroom. Repair/replace.

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 solution reading below 500ppm. Disinfectant made in one big batch then dispersed to classrooms. Wait one full minute before reading results when testing solution with strips. Ensure solution is between 500-800ppm.

15A NCAC 18A .2806 (j) (2) Potentially hazardous food requiring refrigeration after preparation shall be cooled to an internal temperature of 45 degrees Fahrenheit or below. Cooling of potentially hazardous foods shall be initiated upon completion of the food preparation or hot storage. Methods such as pouring into pans, agitation, and chilling with ice or water circulation external to the food containers shall be used to cool potentially hazardous food. Observed freshly cut watermelon on counter, put in fridge until service. Make sure all dorm fridges get defrosted regularly

15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. Repeat- Observed some hand sinks with hot water 112-117F.

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. Repeat-Observed several backpacks with overflowing blankets and stuffed animals touching other children’s belongings.

15A NCAC 18A .2821 (f).Linens shall be kept clean, in good repair, and stored with the mat or cot that the linens are assigned to or stored apart from the mattress or cot in a manner that keeps the linens used for each child separate from the linens belonging to other children. Observed a couple sheets on cots with debris/food on them. Remove linens when soiled (cots were stacked, not in use).

15A NCAC 18A .2822 (a) Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. Repeat-Observed some shelving with tape residue. Bins, shelving, and large toys with debris build-up. Large toys with smudges on the front.

15A NCAC 18A .2830 (b) Solid waste containers, mops, and other cleaning equipment shall be kept clean when not in use. Observed some trash on ground around dumpster.

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 too strong, check strength with test strip.

15A NCAC 18A .2814 (a) In child care centers, food-contact surfaces, equipment, utensils, and single service articles shall be protected from contamination. Observed debris and hair in containers holding multi-use and single service spoons, infant 1.

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 > 110F in hall bathrooms and infant room.

15A NCAC 18A .2815 (f).. The water pressure of a drinking fountain shall be regulated so that an individual's mouth does not come in contact with the nozzle and so that water does not splash on the floor. Observed water pressure too high and splattering onto floor. Fountain has a slow drain, try flushing with hot water.

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 sampling for lead past 3 years. Staff said testing bottles are on the way. Email me results when you get it. Only 3-comp sink and water fountains must be tested.

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 jock itch/anti fungal cream unlocked with diaper creams. Product was not a diaper cream/ointment and must be locked.

15A NCAC 18A .2820 (f). Coat hooks not in individual cubbies or lockers must be 12 horizontal inches apart. 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’s coats touching and many coat hooks < 12 inches apart.

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 toys, shelving drawers with debris. Lots of shelving and coat hook areas with tape residue.

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 dust build up on window sills and sashes. Repair areas with chipped paint.

Keep the property free of standing water. 15A NCAC 18A .2831 (b). Observed standing water in bins, buckets, tires on the playgroup and around the facility.

General Comment: 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 children in Classroom 4-5 are washing their hands improperly. EHS advises teachers to ensure children wash their hands properly and turn off the faucet knob with paper towels.

General Comment: 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 baby bottle on the counter top in infant's room, according to a teacher after finish serving a child, that bottle will go back inside a refrigerator for storage to be send home at the end of the day. Ensure to store used bottles in a separate space from fresh bottles. Label all food brought from home with the child’s name and the date that the food was brought into the facility. 15A NCAC 18A .2804 (f). Observed bottles and a sippy cup without a date that was received from home in Classroom 1.

General Comment: 15A NCAC 18A .2810 (f). Observed bottle warmers being filled with water from food prep sink according to director. Water from a handwashing sink shall not be used to prepare formula or other foods.

Highchair feeding trays, shall be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e). Observed soiled highchair trays in infant's room and Classroom 1 need to be sent to the kitchen after each used to be washed, rinsed, and sanitized. According to a director teachers have been washing them in the classrooms and only sending the attached trays to the kitchen.

General Comment: Bottle warming equipment shall be cleaned and sanitized at least daily and when visibly soiled. 15A NCAC 18A .2810 (f) (1) and .2804 (d). Bottle warmers present in infant's room. Director stated that they get deep clean twice a week.

Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e). Observed water temperature throughout the facility between 111F to 120F in classes. The are fluctuating between rooms.

General Comment: Hot water at areas accessible to children shall not exceed 120°F. 15A NCAC 18A .2815 (e). Observed water temperature in hallway restroom at 125F. Director locked the door during the inspection. Ensure to maintain water temperature where children have access to between 80F to 110F.

Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d). Observed teacher leave on soiled gloves throughout the entire diaper changing procedure in Classroom 1. Ensure to follow steps correctly as outlined in notated rule. Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b). Observed diaper pad at a changing table in younger 2 Classroom in need of replacement.

Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a). Observed some mattresses in infant's room starting to frayed at the corners. Need to be repaired or replaced.

General Comment: Individual linen must be kept clean and in good repair. 15A NCAC 18A .2821 (f). Observed soiled sheet on a mat in Classroom 1 and 2.

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 dusts and residues in toy bins, cabinets, and bookshelves in need of cleaning and keep clean. Observed broken plastic toy bin in Classroom 3, the bin was taken out of the classroom at the time of inspection.

Keep the property free of standing water. 15A NCAC 18A .2831 (b). Observed standing water in bins, buckets, tires on the playgroup and around the facility. Wells, grease traps, cisterns and utility equipment shall be made inaccessible to children. 15A NCAC 18A .2832 (a). Observed utilities equipment inside the gates with latched on them in the playground need to be locked and made inaccessible to children.

Observed stains on wall beside hand sink in 2s class (near teacher work room). Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Observed dust build up o HVAC vents in toddlers class. Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).

Observed children entering class without washing hands. Must wash hands upon entry. Wash hands when required. 15A NCAC 18A .2803 (a)

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

Discontinue storing items in food prep/hand washing sink in infants class. Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a).

Observed damage on counter at hand sinks in Jack and Jill restroom between 3s and 4s class. Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Observed damaged paper blocks in 2s class and debris build up in hard trucks/cars in Toddler 1 A class. Observed splash (white) on metal table near hand sink in 3s 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).

Observed hot water 116-117F at hand sink in diaper station on infants and in hall restroom (unlocked). Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e).

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

Observed grass overgrown. Keep the property free of high vegetation. 15A NCAC 18A .2831 (i).

Wash hands when required. 15A NCAC 18A .2803 (a) Observed teacher use hands to make sure water was not dripping at hand sinks. Recommend adjusting knobs so water turns off readily. Use paper towel when handling knobs.

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 basket of apples in lobby unwrapped. Apples need to be washed in kitchen and wrapped individually. Observed food in refrigerator sitting in pooled water. Protect food from contamination. 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 over ready to eat foods. Store raw meats and unpasteurized eggs below/separate from ready to eat foods.

Facilities shall maintain an accurate and calibrated metal stem thermometer. 15A NCAC 18A .2807 (h) and .2809 (12). Observed no food thermometer for checking food temperatures

Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f) Observed refrigerator needs maintenance, condensation pooling and dripping.