ALLIANCE CENTER FOR EDUCATION AT BRIGHTWALK

15A NCAC 18A .2821 (f) Linens shall be large enough to cover the bed, cot, or mat's sleeping surface. Observed many children sleeping with linens not covering the sleeping surface of the cot. Needs to cover sleeping surface.

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 salt, sugar, and pasta not in resealable bags or container. Needs to be stored in resealable bags or containers. REPEAT.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed map stored in bathroom in Classroom #1. Observed blanket and tree stump stored in bathroom in Classroom #2. Observed toilet room in storage classroom filled with equipment. Needs to be limited to toileting and diapering supplies.

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 taco seasoning, ranch seasoning, grits, and other items not in resealable bags or container. Needs to be stored in resealable bags or containers.

15A NCAC 18A .2812 (f) Kitchen surfaces that are not food-contact surfaces shall be kept clean. Observed build up in microwave and in bottom of milk cooler. Needs to be cleaned.

No points deducted. 15A NCAC 18A .2820 (b). All hazardous items must be stored in a locked storage room or cabinet. Observed containers of laundry detergent and fabric softener being used as toys. Lids were able to be removed and unscrewed. Teachers stated the containers had been glued shut but glue came loose. (When used as toys containers previously holding hazardous materials need to be sealed and unopenable.) EHS observed office left open and unlocked with aerosol sanitizer stored inside. Needs to be kept locked.

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 sticker residue on furniture in multiple classrooms. Needs cleaning.

GENERAL COMMENT: 15A NCAC 18A .2827 (d). The child care center shall have written procedures 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. The procedures shall address the specific actions employees must take to minimize the spread of contamination and the exposure of employees, children, food, and surfaces to vomitus or fecal matter. Observed facility does not have vomiting and diarrheal procedure. CDI - EHS provided PIC with email with link to updated rules and procedure.

Toothbrushes shall be individually identified, allowed to air dry, and protected from contamination. 15A NCAC 18A .2820 (e). Observed mouth side of tooth brushes touching in class rooms 2 and 3. EHS advises center to properly space toothbrushes so that mouth side of brushes do not touch.

Keep dumpster lids and doors closed to prevent insect and vermin nuisances. 15A NCAC 18A .2830 (d). Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d). Observed dumpster doors opened during time of inspection. Observed pile of trash stored outside of dumpster. Per center this dumpster space is suppose to be for the center only however residents from within the community utilize the dumpster. *NOTE: Family case manage, Christa Davis, was present during time of inspection. Report emailed to her and center Director at the following: Christa@ac4ed.org Paris@ac4ed.org

All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed center using Tri-base chemical as a soapy water. Center Director, is aware of issue and company is in the works of switching back to soap and water as a soapy water solution. If violation is observed during next inspection, per guidance from that state of NC, demerits must be taken.

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 child sized furniture with minor markings throughout child care center.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed minor staining on floor rugs throughout center.

Keep dumpster lids and doors closed to prevent insect and vermin nuisances. 15A NCAC 18A .2830 (d). Observed 1 dumpster lid opened to shared dumpster space. Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d). Observed furniture stored outside of dumpster area. *NOTE: Director, Ms. Ham, was present during time of inspection. Report emailed to her at: Paris@ac4ed.org

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed minor staining on large floor rug in classroom 1. EHS advises center to clean rug.

Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d). Observed debris surrounding dumpster area.

Observed hand wash signs missing at some hand wash sinks during the inspection. **Hand washing signs shall be posted at all hand washing areas. 15A NCAC 18A .2818 (e)

Observed no handwashing signs at sinks during inspection. **Hand washing signs shall be posted at all hand washing areas. 15A NCAC 18A .2818 (e)

Observed dolls with residue. Needs to be cleaned. **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 water standing in water play center. Ensure that water is emptied, center is washed, rinsed and sanitized after center is over. **Clean and sanitize water play centers and associated toys daily (if used) and when visibly soiled. 15A NCAC 18A .2822 (c ).

Observed tomato sauce thawing in standing water. CDI-Educated on thawing under free flowing cold running water. Properly thaw all food products. 15A NCAC 18A .2807 (i).

Observed holes on paper blocks in last class room. Observed dust on fan in middle 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).

Provide a numerically scaled metal stem-type thermometer accurate to 2°F. 15A NCAC 18A .2807 (h) Observed multiple dial top thermometers, 2 were way out of calibration. Recommend a digital thermometer.

Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e). Observed hand sinks have fallen below 80F. Ranged between 74-80F

Toothbrushes shall be individually identified, allowed to air dry, and protected from contamination. 15A NCAC 18A .2820 (e). Observed toothbrushes stored in splash zone of hand sinks. Keep toothbrushes 12 inches off sink and do not store dirty toy bins next to toothbrushes.

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 toys with old tape residue.