OAKCREST PREPARATORY ACADEMY

General Comment: 15A NCAC 18A .2804 (d) Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Observed refrigerator in Bunnies room holding at 50F. Director adjusted temperature on refrigerator and temperature lowered to holding at 45F.

15A NCAC 18A .2804 (h) After the completion of each feeding, any leftover formula, human milk, or other bottled beverages used during the feeding shall be discarded or sent home with the child whose name is on the label for the formula, human milk, or bottled beverage at the end of each day. Feeding is complete when the child care center employee has stopped feeding the child and the child has been removed from the feeding area in the child care center and returned to other activities. Bottles previously used for feeding shall not be returned to communal mechanical refrigeration. Observed mostly empty bottle on counter in Ducks classroom. EHS asked staff what was going to happen with the bottle and staff stated it was under the 1 hour rule and would be given back to a child playing on the floor. EHS informed employee that there is no one hour rule in the rule book and that once a child is removed from the feeding session a bottle cannot be returned to the child.

General Comment: 15A NCAC 18A .2822 (b) and .2810 (f).Hard plastic toys may be washed, rinsed, and sanitized in a dishwasher, food preparation handwashing sink, or in the kitchen sink. EHS discussed toy cleaning with staff in Ducks classroom, who stated they clean toys in the diaper changing sink. Needs to use the food preparation handwashing sink and follow change of use procedures to clean and disinfect sink before and after toy cleaning.

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 bags of cereal opened and wrapped in plastic but not in a resealable bag or container. Needs to be in a resealable bag or container.

15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. Observed child sink in Owls at 116F. Observed diaper sink in Ducks at 113. Observed child sink in Turtles at 113F. Observed Food prep sink in Frogs at 111F. Observed handsink by kitchen in Chipmunks reach 114F. Observed child sink in Hedgehogs reach 112F. Needs to be 80-110F.

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 chlorine. Needs to be 500-800 ppm chlorine. Wait full minute before comparing test strip to indicator.

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 at Birds handsink at 113F, in hedgehog bathroom at 118F, in Squirrels handsink 113F, in foxes sink 112, and in turtles sink at 117F.

15A NCAC 18A .2815 (e) Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. Observed hot water in several child accessible handsinks in excess of 120F. Needs to be 80-110 F. PROVISIONAL ITEM.

No points deducted. Hazardous products shall be stored in its original container or in another labeled container. 15A NCAC 18A .2820 (b). Observed aerosol sprays and cleaner in staff bathrooms in unlocked cabinets. Cabinets did have locks but locks were broken. CDI - Hazardous products were removed to a locked storage room.

Linens shall be large enough to cover the entire sleeping surface of mats, cots, and crib mattresses. 15A NCAC 18A .2821 (f). Observed some linens not covering entire sleeping area on mats in Hedgehog and Frogs 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 sticker residue on shelving in Owls, Foxes, and bears classrooms. Needs cleaning.

Observed faucet no timed properly in Pre K 1 class. Classroom has several more hand sinks available for use in class. Work order submitted. Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Provide an accurate thermometer in all refrigerators. 15A NCAC 18A .2806 (h) Observed no thermometer in dorm fridge in kitchen. Note: Specialty milk not provided by center cannot be stored in a dorm refrigerator. Specialty milk sent from child's home must be brought into center unopened and <45F. Labeled, dated and returned home/discarded at end of the week

Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a). Observed dirty toys stored in diaper changing hand sink. Dirty toys need to be stored in a dirty toy bin until they're cleaned

Keep the diaper changing table free of non-diaper changing related storage. 15A NCAC 18A .2819 (b). Observed art projects, toys, and other misc items at hand washing sink in diaper changing area, several classrooms.