FIRST GRACE ACADEMY

Observed bulk milk stored in the toddler room in dorm size refrigerator. **15A NCAC 18A .2806 (d) Bulk food stored in a refrigerator shall be stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator.

Observed interior of refrigerator in need of cleaning in the kitchen. GENERAL COMMENT. **15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair.

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed aerosol snow and air freshener stored unlocked in room 3. Needs to be stored behind lock and key. 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 sanitizer and disinfectant spray bottles stored in bag at the end of the hallway less than 5ft up. Needs to be stored 5ft up. REPEAT

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed white out stored unlocked on desk at front entrance. Needs to be locked.

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 container stored on desk in lobby less than 5ft up. Needs to be stored 5ft up. Staff stated container was empty.

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 in infant fridge was broken. Thermometer came off paper that indicated temperature. Needs new thermometer.

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 3-comp sink at 115F. CDI- hot water was adjusted to 120F.

15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. Observed bathroom handsink in 3 year old room at 70F and at handsink inside classroom at 72F. CDI - Director adjusted temperature. REPEAT.

Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a). Observed chips stored in opened bag wrapped up white is not sealed. Needs to be in re-sealable bag or container.

Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e). Observed water at handsink in 1 year old room at 77F and water in bathroom handsink of 3 year old room at 74F. Need to be raised to 80F. Other handsinks had correct temperatures.

REPEAT Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed stained ceiling tiles in classroom 5. EHS advises center to ensure no active leak is occurring an to have stained ceiling tiles replaced. Carpet shall be extraction cleaned at least once each 6 months. 15A NCAC 18A .2824 (c ). Observed no documentation detailing when carpet was last extracted cleaned. Owner stated the carpets are cleaned by the church once every 6 months. He was advised to get documentation when carpets are cleaned. *NOTE: Owner, Saintfleur Franco, was present during time of inspection. Report emailed to: SAINTFLEURFRANCO@BELLSOUTH.NET

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.

Provide an accurate thermometer in all refrigerators. 15A NCAC 18A .2806 (h). Observed no thermometer in dorm refrigerator stored in 1’s classroom.

Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed loose toilet seat in restroom located between 2’s and 3’s classroom.

All cleaning and disinfectant solutions shall be properly labeled (i.e. soapy water, disinfectant). 15A NCAC 18A .2819 (c ) and .2820 (c ). Observed disinfectant and sanitizer labeled “500/800 and 50/200” throughout center. EHS educated owner on proper labeling requirement and spray bottles were properly labeled.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed stained ceiling tiles in classroom 5. EHS advises center to ensure no active leak is occurring an to have stained ceiling tiles replaced. Carpet shall be extraction cleaned at least once each 6 months. 15A NCAC 18A .2824 (c ). Observed no documentation detailing when carpet was last extracted cleaned. *NOTE: Owner, Saintfleur Franco, was present during time of inspection. Report emailed to: SAINTFLEURFRANCO@BELLSOUTH.NET

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 unlabeled bottle and sippy-cups. Cannot wash/rinse bottles or sippy-cups in classroom. If provided by parent dump contents and put into child's cubby to go home.

Multi-service utensils must be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e) Through discussion improper dishwashing procedure. Emailing handout to W/R/S in 3-comp sink.

Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a). Observed too low of water pressure at several hand sinks.

Liquid soap and disposable towels shall be provided and accessible at all hand washing sinks. 15A NCAC 18A .2818 (d). Observed soap or paper towels missing from hand sinks. Make sure all hands sinks are stocked with soap and paper towels.

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 hand sanitizer and disinfecting wipes at desk in lobby.