LOVE, LEARN AND PLAY CDC

General Comment: 15A NCAC 18A .2832 (a).In the child care center premises and outdoor learning environment. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. Wells, grease traps, cisterns, and utility equipment shall be made inaccessible to children. Observed damaged wood structures around mop sink. Staff stated it was in the process of repair and the facility has had someone out working on the repairs since a limb fell on the structures. Continue repair.

15A NCAC 18A .2820 (b).Keys used to access hazardous item storage must be out of reach of children (5 ft above the floor) and stored separately from lock. Observed key in lock and cabinet unlocked to cabinet containing cleaners and aerosols in afterschool bathroom. Needs to be locked with key stored separately from lock.

15A NCAC 18A .2821 (e). When in use, cribs, cots, mats and play pens shall be placed at least 18 inches apart or separated by partitions that prevent physical contact between children. Observed cots not 18 inches apart during nap time. Needs to be 18 inches apart or separated by partitions. REPEAT.

15A NCAC 18A .2821 (e). When in use, cribs, cots, mats and play pens shall be placed at least 18 inches apart or separated by partitions that prevent physical contact between children. Observed cots not 18 inches apart during nap time. Needs to be 18 inches apart or separated by partitions.

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 one specialty bulk milk in kitchen refrigerator labeled 1/8. Specialty bulk milk from home needs to be received unopened at the beginning of each week and sent home at the end of the week. 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 rice and crackers in kitchen in plastic bags taped closed. Needs to be in resealable bags/containers.

15A NCAC 18A .2815 (e) (e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Observed hot water in kitchen at 108F. Needs to be 120F. PROVISIONAL ITEM. Water heater needs to be adjusted to maintain water at dish washing sink at 120F and water in areas accessible to children at 80-110 F.

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 specialty bulk almond milk provided from home was labeled correctly but was not being sent home at the end of each week. (Almond milk was dated 7/10). EHS informed director that specialty bulk milks should be sent home at the end of each week.

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 missing in one of the kitchen refrigerators. Needs thermometer.

15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. Observed water in 2 year old bathroom and toddler room and bathroom handsinks at 117-118F. Needs to be lowered to 80-110 F.

Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Observed disinfectant at 1000 ppm chlorine. Needs to be between 500-800 ppm.

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 locked cabinet in 3-4 year old bathroom with broken handle allowing cabinet to be pulled open with a large accessible gap. Any hazardous items were removed. Needs repair.

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.

Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a). Observed 1 opened package of cereal sealed with tape in cabinet. EHS advises facility to store opened packages of food according to notated rule.

Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a). Observed storage in infant restroom to include toys and stroller. EHS advises center to limit storage in restroom to diapering items only. REPEAT VIOLATION. *NOTE: Mrs. Brown was present during time of inspection, report emailed to her at: BROWNRUSSHELLE@YAHOO.COM

Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a). Observed high chairs stored in infant restroom. EHS educated Director on enclosed rule. *NOTE: Director, Ms.Strong, was present during time of inspection. Report was emailed to center at: chande_strong@yahoo.com

Observed disinfectant around 250ppm during the inspection. **Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7).

All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ). Observed 2 children napping without cots labeled. CDI