LEARNING JUNGLE SOUTH POINT

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 ranging from 111-115F throughout center. Ensure hot water accessible to children is between 80-110F.

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 blue vinyl couch with tears in 3s classroom. Repair/replace.

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 below 80F at hand sinks in Meck PreK 3 room and bathroom, and Meck PreK 4 bathroom. Adjust temperature between 80-110F. REPEAT

General Comment: 15A NCAC 18A .2819 (d) Use approved diapering methods as follows: 1) gather supplies, 2) wear disposable gloves (if needed), 3) use a disposable moist towelette to clean child, wiping front to back, 4) dispose of gloves if used and soiled towelettes, 5) wiping the employee's hands and the child's hands with a separate disposable towelette, 6) slide clean diaper under child and apply diapering products if needed using approved methods, 7) fasten diaper and place clothing on child, 8) wash child's hands, 9) and 10) clean and disinfect diapering surface using approved methods, 11) employee washes their hands. Observed teacher in toddlers room miss step 5 and perform step 11 before step 10. Ensure diaper changing procedure is followed. No points deducted.

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 lotions stored in cabinet below 5ft in Meck PreK 1. Ensure lotions are stored at least 5ft up.

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. Observed children’s bags and coats coming into contact with each other in all Meck PreK classrooms. Ensure children’s personal items are not touching each other.

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 vinyl couches with tears in Twos and Threes room. Repair/replace. REPEAT

General Comment: 15A NCAC 18A .2832 (a). Child care center premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazards, and maintained in a manner which does not create conditions that attract or harbor pests. Observed water play table with standing water in outside playground area. Drain/dump to minimize standing water.

15A NCAC 18A.2803 (e). Handwashing procedures 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 the hands under tempered water 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. Observed short wash times for staff and child in infant room.

15A NCAC 18A .2812 (e) Multi-service articles, including highchair feeding trays, shall be washed, rinsed and sanitized in the child care center kitchen after each use. Observed water dispensers in classrooms that do not appear to be getting cleaned properly. Water dispenser in Pre-k classroom with bottom side of lid molded.

Provide15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes. Observed one classroom where the sanitizer was weak. Staff said she did not dilute. In kitchen, where dispenser is located, first run sanitizer weak, second try in was correct. Check bottles with test strip to ensure proper concentration.

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 102F in front half of center. Adjust mixing valve and check water temps in classrooms for proper range.

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed Peroxide cleaner and disinfectant stored 5 feet up. Products labeled as “cleaners” must be locked.

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’s cots placed < 18 inches apart in several classrooms. 15A NCAC 18A .2821 (b). Cribs and play pens used for sleeping shall be kept clean and equipped with a firm, tight-fitting mattress made of waterproof, washable material at least two inches thick. Observed one crib mattress with soft cover. 15A NCAC 18A .2821 (c). Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens. Observed a couple classrooms where cots weren’t all labeled.

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 vinyl couches in disrepair in school age and toddlers classrooms. Tape residue on shelving in toddlers room.

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 some holes in walls in classrooms where dispensers have been changed out, hooks and come loose, etc. Keep holes repaired.

15A NCAC 18A .2830 (c) Dumpsters and other containerized systems shall be kept clean and covered. Observed broken drain plug in dumpster.

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 facility has not had drinking water tested for lead since 10/30/2020. Drinking water test for lead is past due. EHS assisted Director in finding the Clean water for Carolina Kids website and beginning process of testing. No points deducted per supervisor instruction.

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 1000 ppm chlorine. Needs to be 500-800 ppm.

No points deducted. 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed aerosol fake snow in Meck Prek 4 classroom in unlocked cabinet. CDI - Item was removed from classroom.

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 cabinet under sinks in infant room cracking and possible water damage. Needs repair.

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 peeling paint behind toilet in Meck Prek 2. Needs repair. REPEAT.

Observed toilet seat peeling in restroom between infant and toddlers class. Observed counter at hand sink damaged in Pre k 4 class. Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a).

Observed wall peeling at hand sink dispenser in infants class and in Meck Pre K 5 restroom. Observed water stained ceiling tiles in Meck Pre k 1 class. Observed touch up paint needed in various classrooms. Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

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

Wash hands when required. 15A NCAC 18A .2803 (a) Observed caregivers not wash infants hands when coming back from playing outside. CDI - Provided education to the caregivers and infants hands were washed Observed toddlers in the toddler room did not wash their hands prior to eating. Provided education.

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 caregiver in the 3’s room wash their hands and then turn off the faucet with their hands. CDI - Provided education to the caregiver, after washing using the paper towel to turn off the faucet to prevent recontaminating hands.

GENERAL COMMENT: After the completion of feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child’s home at the end of each day.15A NCAC 18A .2804 (d) Observed baby bottle with milk on the food prep counter, infants came into the room and the bottle was given to the infant, infant refused the bottle and the caregiver stated that since it had been an hour that they will wait. Explained to the caregiver that once the bottle was fed that would be the end of the feeding session and the milk shall be discarded.

GENERAL COMMENT: All potentially hazardous food products shall be maintained at 45°F, or below, or 140°F or above. 15A NCAC 18A .2806 (f) Observed the refrigerator in the infant room with an ambient air temperature of 63F, temped milk and human milk at 45F and 52F. CDI - Assistant director turned the thermostat down and relocated the bottles into the kitchen refrigerator until the unit was able to maintain 45F and below. Ensure caregivers are monitoring the refrigerator and that the temperature is 45F and below.

Raw meats, poultry, fish, shellfish, and eggs shall be stored on shelving beneath and separate from other foods. 15A NCAC 18A .2806 (f)Observed bacon and raw shelled eggs improperly stored in the kitchen refrigeration over ready to eat foods. CDI - Kitchen manager relocated the eggs and bacon to prevent cross contamination. Label all baby bottles, sippy-cups, and bottled beverages sent from home with the child's name and date it was brought into the facility. 15A NCAC 18A .2804 (d) Observed one set of baby bottles not properly dated. CDI - dated properly Food storage in classrooms shall be limited to foods that are individually packaged unless the room is equipped with a food preparation area. 15A NCAC 18A .2806 (b) Observed bulk pretzels, cookies and bulk apple juice in Pre-K 1, Pre-K 2, Pre-K 3, 2 and 3’s and toddlers rooms. 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 baby food in plastic container in infant refrigerator not labeled. CDI - caregiver labeled properly 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 pre k 2 caregiver serving food, and when a child wanted more the caregiver had recontaminated the the bulk food by touching the child’s plate with the serving spoon. Properly thaw all food products. 15A NCAC 18A .2807 (i). Observed frozen food in the kitchen improperly thawing at ambient air temperature. Provided education to the kitchen manager. CDI - frozen food was placed in the refrigerator to thaw.

Highchair feeding trays, shall be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e). Observed feeding trays for infant feeding chairs with food debris under the tray. Observed caregiver was cleaning the feeding trays in the room. Do not re-use single service items. 15A NCAC 18A .2809 (9) Observed aluminum pans being rewashed and reused in the kitchen.

GENERAL COMMENT: Provide sanitizer test kit. 15A NCAC 18A .2812 (g) Observed the quat test kit water damaged. Replace

GENERAL COMMENT: Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed loose toilet seats in the 4’s, PreK2 and staff restroom. Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a). Observed handsink counter damaged in the PreK4 room. Repair. Observed the handsink in the boys PreK 4 restroom is pulling away from the wall. Repair.

GENERAL COMMENT: Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a). Observed personal items and personal food being stored in the bathroom cabinet in the PreK 3 room.

To clean and disinfect diapering surface: 1) Spray soapy water onto surface 2) Wipe off soapy water 3) Spray disinfectant onto surface until surface is glistening wet 4) Let disinfectant sit for at least 2 minutes or until air dry. 15A NCAC 18A .2819 (d). Observed toddler caregiver did not clean and disinfect the diaper changing pad after diaper changing. The diaper changing surface shall be properly disinfected between each child. 15A NCAC 18A .2819 (c ). Observed caregiver in the infant room use sanitizer instead of disinfectant after diaper changing.

Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d). Observed diaper change procedure in toddler room completed incorrectly: caregiver kept the same gloves on through the entire process and did not wipe child’s hands.

GENERAL COMMENT: All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed anti fog mask spray with additional warnings. CDI- director removed from the class room.

GENERAL COMMENT: .2820 (e) Observed jackets touching in the PreK 3 and PreK 4 rooms. Provide adequate space to prevent children’s belonging from touching.

GENERAL COMMENT: Water shall be emptied after each session or more often if visibly soiled. 15A NCAC 18A .2822 (c ). Observed water play center in the PreK 2 and PreK 3 with water from this water play this morning. Empty water after each session.

GENERAL COMMENT: In areas where children are not toilet trained, small mouth contact toys shall be washed, rinsed, sanitized (submerged for 2 minutes), and allowed to air dry, after use and more frequently when visibly dirty. 15A NCAC 18A .2822 (a). Observed the wash, rinse and sanitize bins for cleaning small toys were in the incorrect order wash, sanitize and rinse. CDI - caregiver rearranged the order to wash, rinse and sanitize.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed some area of walls in the toddler room had some holes or peeling paint. Repair Ceiling panels are sagging throughout the center. One Ceiling panel in the PreK 1 water damaged. Employee restroom one water damaged ceiling panel. Repair/replace. Director stated they have a work order for the ceiling panels to be replaced. Area rug in the PreK2 room frayed. Replace.

Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Observed intake vents in the following rooms accumulating dust: PreK2 and PreK3. Clean and maintain.

GENERAL COMMENT: Keep the property free of standing water. 15A NCAC 18A .2831 (b). Observed toy storage containers on the playground accumulating standing water, drain to prevent attracting and harboring pests.

Observed stained ceiling tile above cabinets in Meck Pre K 1 class and above hand sink in Meck Pre K class across from 3s class. Observed touch up paint needed in various areas (walls in classrooms and around soap dispensers in restrooms). Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825.

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed 3 loose toilet seats in shared restroom between Pre K classrooms 1 and 2.

Linens for children less than 12 months old shall be changed and laundered when soiled and at least daily. 15A NCAC 18A .2821 (f). Observed staining on crib sheets located in infant classroom.

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 cabinet broken in Pre K 2 classroom near hand sink. EHS advises center to repair cabinet.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed minor touch up paint needed to walls throughout center. Observed large floor rugs in infant classroom and 2-3's classroom with minor staining.

Liquid soap shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d). Observed hand soap missing from 1 dispenser and out in another.

Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d). Observed diaper change procedure in infant room with several incorrect steps. Make sure all teachers are following the posted procedure. All cleaning and disinfectant solutions shall be properly labeled (i.e. soapy water, disinfectant). 15A NCAC 18A .2819 (c ) and .2820 (c ). Observed several soapy water bottles not labeled. CDI-bottles labeled. Keep the diaper changing table free of non-diaper changing related storage. 15A NCAC 18A .2819 (b). Observed i-pad stand and phone charger on diaper changing table. Keep clear of items that are not for diapering.

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 tape residue, damaged bookshelf and books, various classrooms.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed ceiling damage in lobby. Repair any holes in walls where a dispenser was relocated.