THE WILLOW OAKS ACADEMY

Observed loose toilet seat in the boys restroom in Bungalow 6. GENERAL COMMENT **15A NCAC 18A .2817 (a.) All toilet fixtures shall be kept clean and in good repair.

Observed no test strips available to check chlorine concentrations above 200ppm. **15A NCAC 18A .2812 (i) Provide a testing method for chlorine disinfectant to ensure compliance with prescribed chlorine concentration.

Observed coats touching in cubbies in Bungalow 1. **15A NCAC 18A .2820 (f). Coat hooks not in individual cubbies or lockers must be 12 horizontal inches apart.

Observed small couch torn in Bungalow 2. Needs to be repaired. 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.

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 at less than 500 ppm. Needs to be 500-800 ppm.

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed Lysol aerosol spray in 2s classroom cabinet behind child safety lock and not lock and key. Magnetic lock was broken. Repair lock or keep hazardous items in locked cabinet.

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 disinfectant wipes stored less than 5ft up and unlocked in 2s classroom and bungalow 4. Needs to be 5ft up or behind lock and key.

General Comment: 15A NCAC 18A .2820 (f). Coat hooks not in individual cubbies or lockers must be 12 horizontal inches apart. Observed coats on coat hooks less than 12 inches apart in 2s and Bungalow 3. Needs to be on hooks 12 inches apart or in individual cubbies.

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 disinfectant in Bungalow 1. Staff stated they had been using sanitizer for cleaning diaper pad (EHS did not observe this directly.). Disinfectant was provided. REPEAT.

15A NCAC 18A .2819 (b) Nothing shall be placed on the diapering surface except for those items required for diapering and the child whose diaper will be changed. Observed artwork placed and large spoon on diaper pad in Bungalow 1. Nothing shall be placed on diapering surface except diapering items. REPEAT.

15A NCAC 18A .2821 (d). Mats be stored so that the side of the mats that makes contact with the floor does not touch the side of a mat that any child sleeps on. The sleeping surface of one child's mat shall not come in contact with the sleeping surface of another child's mat during storage. Observed mats stacked in closet of Bungalow 1 so floor side of one was on top of sleeping side of another. Floor side shall not come in contact with sleeping surface. CDI- During inspection Director provided barriers to place between mats. 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 children sleeping on mats less than 18 inches apart in Bungalow 1 and 4.

15A NCAC 18A .2806 (h) The temperature of potentially hazardous food provided by the child care center for consumption by children shall be 45 degrees Fahrenheit or below, or at 135 degrees Fahrenheit or above at all times, including field trips, catering events, and outdoor service, except during periods of preparation and service immediately prior to consumption. Observed opened container of salsa and tomato sauce labeled “Keep refrigerated after opening” stored in cabinets at 78F. PROVISIONAL ITEM.

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 milk stored in the kitchen refrigerator dated from June. Needs to be sent in unopened at the beginning of each week and sent home at the end of the week. Specialty bulk milks sent from home shall be labeled with the date received and the name of the child. 15A NCAC 18A .2804 (i) A water bottle that a child brings to the child care center from home and that is used only for water consumption by that child shall be exempt from the requirements of 2804 (h). Instead, the water bottle shall be labeled with the name of the child to whom the water bottle belongs, individually stored in the child's cubby, and sent home with the child at the end of the day. Observed several water bottles from home with no name label in Bungalow 1.

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 facility does not have a thin probe thermometer. Needs a thin probe thermometer.

15A NCAC 18A .2812 b) Except for fixed equipment and utensils too large to be cleaned in sink compartments, equipment and utensils that are cleaned manually instead of in a dishwasher shall be washed, rinsed, and sanitized. Observed facility staff has 3-comp sink set up where utensils/equipment are being washed, sanitized, and then rinsed. Facility needs to follow proper procedure and have utensils/equipment washed, rinsed, and then sanitized in the 3 compartment sink.

15A NCAC 18A .2815 (f).Drinking fountains, if provided, shall be separate from handwash lavatories and kept clean. Observed black build up on drinking fountain at end of hall. Needs to be cleaned.

15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed paint brush in handsink in Bungalow 4. Lavatories shall not be used for storage.

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 in Bungalow 1 over 1000 ppm chlorine. All other bottles tested within appropriate range.

15A NCAC 18A .2819 (b) Nothing shall be placed on the diapering surface except for those items required for diapering and the child whose diaper will be changed. Observed artwork placed on diaper pad in Bungalow 1. Nothing shall be placed on diapering surface except diapering items.

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 two small packs of Tylenol in first aid kit in Bungalow 4. CDI- Items were removed.

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed chemical ice packs in first aid kits labeled “Keep out of reach of children” with numerous other warnings. Observed white out stored unlocked on teachers desk in Bungalow 4. CDI- All were removed to be locked away.

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 disinfectant stored less than 5ft up in Bungalow 4 bathroom. Observed handsanitizer stored less than 5ft up on Bungalow 4 and hall bathroom. Needs to be stored 5ft above the floor 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 mats slightly torn in Bungalow 3. Needs repair/replacement. 15A NCAC 18A .2821 (d). Mats be stored so that the side of the mats that makes contact with the floor does not touch the side of a mat that any child sleeps on. The sleeping surface of one child's mat shall not come in contact with the sleeping surface of another child's mat during storage. Observed mats stacked in closet of Bungalow 1 so floor side of one was on top of sleeping side of another. Floor side shall not come in contact with sleeping surface.

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 oven thermometer in refrigerator of Bungalow 2. Needs thermometer for refrigerators that will read lower temperatures. REPEAT.

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 stored less than 5ft up in Bungalow 1 and Bungalow 6. Needs to be 5ft up.

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 tear in couch in Bungalow 1. Needs repair/replacement.

15A NCAC 18A .2831 (b). (b) Pests shall be excluded from the child care center. Traps set for pests shall only be placed in areas that are inaccessible to children. Observed ants in Bungalow 6 boys bathroom sink. Contact pest control for removal.

Children shall wash hands when required. 15A NCAC 18A .2803 (c) Observed children in bungalow 2 did not wash hands before eating lunch. Children shall wash hands before meals.

Provide an accurate thermometer in all refrigerators. 15A NCAC 18A .2806 (h). Observed no thermometer in bungalow 2 refrigerator. CDI - Director placed a refrigerator in refrigerator.

Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Observed disinfectant in bungalow 2 at 0 ppm chlorine. CDI - Disinfectant was corrected to appropriate concentration.

NO POINTS DEDUCTED. GENERAL COMMENT. All hazardous items must be stored in a locked storage room or cabinet. 15A NCAC 18A .2820 (b). Observed chemicals stored in kitchen. Director stated kitchen is locked. EHS discussed storage requirements for hazardous items. CDI - All chemicals were locked in a storage room.

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 cabinetry having exposed raw wood from laminate / covering coming off surface from damage; in need of repair / sealing. REPEAT. Director got vinyl lining to apply to cabinetry to repair peeling laminate.

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.

REPEAT Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed toilet seat very loose inside classroom #3 in need of repair / tightening.

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 cabinetry having exposed raw wood from laminate / covering coming off surface from damage; in need of repair / sealing.

REPEAT All food shall be properly stored and handled in a manner that protects it from contamination. 15A NCAC 18A .2806 (d),(f), .2807 (b), and .2808 (e). Observed gallon and half gallon containers of milk stored inside dorm refrigerator inside (infant) room.

Provide an accurate thermometer in all refrigerators. 15A NCAC 18A .2806 (h) Observed no thermometer inside refrigerator inside (infant) room; NOTE refrigerator measuring 38F during inspection.

REPEAT Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed guest bathroom having broken toilet seat in need of repair.

Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a). Observed light inside bathroom inside (bungalow 3) not shielded or shatterproof.

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 on wire shelf above RTE foods. Store eggs (and raw meat) below and separate from RTE foods. Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a) Observed grits and goldfish in opened cartons, put in covered container or sealed baggie once opened. Label all dry food products that are not readily identifiable. 15A NCAC 18A .2806 (c) Observed unlabeled container in kitchen, label anything that is not readily identifiable. 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 lots of specialty milk, some not dated. Some from previous week. Will give specialty milk handout.

Provide sanitizer test kit. 15A NCAC 18A .2812 (g) Observed two empty bottles of test strips. Provide test strips for measurement of sanitizer concentration.

Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3). Observed 3-comp sink set up wrong. Staff said left basin won't hold water. Repair sink so sink can be set up properly.

Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a). Observed several hand sink knobs that lift off fixture. Repair faucet knobs.

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

Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Observed disinfectant ~250 ppm chlorine. Use test strips to test for proper strength Provide test strips for the chlorine disinfectant. 15A NCAC 18A .2819 (c ) Observed no test strips available.

Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b). Observed large tears in diaper changing pad, toddler 1 class.

Observed chemicals in kitchen stored in a cabinet that does not lock. Once kitchen staff leaves for the day chemicals need to be locked in a separate area (cabinet) as well as kitchen door locked.

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 a purse in an unlatched closet and hand sanitizer on the desk, B4. Closet in B4 doesn't latch, needs repair.

Adequate space shall be provided for the storage of equipment, furniture, toys, clothes, linens, backpacks, book bags, diaper bags, beds, cots, mats, and supplies and shall be kept clean. 15A NCAC 18A .2820 (a). Observed closets cluttered and disorganized. More shelving may be needed.

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 B5 room dusty, needs more frequent cleaning.

Maintain floors, walls and ceilings clean and in good repair; Observed large leak inside (bungalow 1) in need of repair; Observed walls and doors need wiping down where smudged or splattered.

Keep dumpster lids and doors closed to prevent insect and vermin nuisances. 15A NCAC 18A .2830 (d). Observed trash on ground around dumpster, dumpster lid open. Keep trash picked up and lid closed.

Maintain floors, walls and ceilings clean and in good repair; Observed large leak inside (bungalow 1) in need of repair; Observed small area of water damage to ceiling inside (Infant) room in need of repair.

Ensure all toilets and toiletry equipment is clean and in good repair; Observed staff bathroom having a broken toilet seat in need of repair (remounting).

Keep the property free of standing water. 15A NCAC 18A .2831 (b). Observed large puddles of standing water in play ground area coming from (AC) units (missing piping to pull condensate away from unit).

Provide a numerically scaled metal stem-type thermometer accurate to 2°F. 15A NCAC 18A .2807 (h) Observed no thermometer available.

REPEAT Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed numerous broken toilet seats in need of repair throughout center.

Adequate space shall be provided for the storage of equipment, furniture, toys, clothes, linens, backpacks, book bags, diaper bags, beds, cots, mats, and supplies and shall be kept clean. 15A NCAC 18A .2820 (a). Observed toys and storage on floor in closets. Keep storage off floors. Label children's baskets/cubbies with name.

All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ). Observed unlabeled mats. Store all sleeping mats so that the floor side of the mats are only touching. 15A NCAC 18A .2821 (d). Observed tri-fold mats stored on floor and with sleeping side touching floor side. Store to prevent contamination.

Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d). Observed dumpster lid open and trash on ground around dumpster. Keep lid and doors closed. Maintain a fully operating can wash or mop sink at all times. 15A NCAC 18A .2830 (b). Observed can wash popping up out of mold. Repair so drains properly.