ILIM SCHOOL

15A NCAC 18A .2804 (k) Lunches, snacks, and other meals that a child brings from home to the child care center shall be labeled with the date on which the food is brought to the child care center and the name of the child to whom the food belongs at the child's home and shall be returned to the child's home or discarded at the end of each day. Observed several lunch boxes throughout center with no name/date. Ensure lunches brought from home are labeled with name of child and date brought into center.

General Comment: 15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area. Observed no paper towels at various sinks throughout center. Ensure paper towels are available at every hand sink.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed toilet adapter seat in 109 in need of cleaning.

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed essential oil stored unlocked in room 103. Needs to be stored behind lock and key.

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 reaching only 104F. Needs to be 120F. PROVISIONAL ITEM.

General Comment: 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. Obeserved hand sanitizer less than 5ft up in 102. Needs to be 5ft up or locked.

General Comment: 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 stained ceiling tile in 111. Needs to be checked for leaks and repaired/replaced.

General Comment: 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 pretzels stored in non resealable bag in 104. Needs to be in resealable bag/container.

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 112 prep sink at 114F. Needs to be 80-110F. REPEAT.

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 at handwashing sinks in classrooms and bathrooms at 125-128F. Needs to be 80-110F. PROVISIONAL ITEM.

General Comment: 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed build up on toilet chair in Room 109.

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed hot hands stored unlocked in teacher desk in 101. Needs to be stored locked. REPEAT. PROVISIONAL ITEM.

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 112 prep sink at 115F. Needs to be 80-110F.

15A NCAC 18A .2817 (c) If potty chairs are used, they shall be located and stored in a toilet room equipped with a spray-rinse toilet or utility sink. Potty chairs shall be emptied, rinsed, cleaned, and disinfected after each use. Observed potty chairs in need of cleaning in several classrooms. Clean potty chairs. 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair. Observed small classroom handsinks in 109 and 110 not operating. Needs repair.

15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area. Observed papertowels missing at multiple handsinks in facility. Need paper towels.

15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed plate and fork stored in handsink in 101. REPEAT.

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed Ajax soap in 102, glass cleaner in 111, and aerosol disinfectant in 104 stored unlocked. Must be stored 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 lotion stored less than 5ft up in teacher desk in 109. Needs to be stored locked or 5ft up.

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 opened package of snacks in classrooms throughout center not properly resealed.

15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed spoons and sponges stored in handwashing sinks in several classrooms throughout center.

15A NCAC 18A .2820 (g).Purses, that do not contain hazardous items, must be stored 5 ft above the floor, behind lock and key, or behind a child safety lock. Observed purse stored below 5 feet in classroom 9. 15A NCAC 18A .2820 (f). Coat hooks not in individual cubbies or lockers must be 12 horizontal inches apart. 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 coat hooks less than 12 inches apart resulting in different children’s jackets touching.

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 stained ceiling tile in classroom 111. EHS advises center to ensure no active leak is occurring and to have stained ceiling tiles replaced.

15A NCAC 18A .2827 (d). The child care center shall have written procedures 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. The procedures shall address the specific actions employees must take to minimize the spread of contamination and the exposure of employees, children, food, and surfaces to vomitus or fecal matter. EHS emailed center new required procedure template.

Wash hands when required. 15A NCAC 18A .2803 (a) Observed student clean nose and not wash hands after. Got correction by director.

Observed potty with urine stored in classroom instead of in restroom. Keep toileting items such as, potty stored in restroom. Also, clean when used. Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).

Observed classroom 110 without out soap at all 3 sinks. Director got refill and gave to teachers. Observed no paper towels at food prep sink in class 111. Liquid soap shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d). Disposable towels shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d).

Observed bowl stored in sink in room 101 and wash cloth and utensils stored in sink in room 110. Discontinue storing items in sinks in classrooms. Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a).

Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a) Observed snacks and coffee in classrooms not in sealable baggie. Food preparation shall occur in the approved kitchen or at an approved food preparation area. 15A NCAC 18A .2807 (a). Observed celery, broccoli, grapes in refrigerator. No food prep for washing fruits and veggies. No fruits and vegetables where the skin is eaten or needs washing.

Disposable towels shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d). Observed several hands sinks with no soap and/or paper towels. Many handwashing signs missing.

Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a). Observed paper towels and toys/art supplies stored below sink plumbing.

All medications must be stored behind lock and key. 15A NCAC 18A .2820 (d). Observed effervescent acid relief unlocked in one classroom.

All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed unlocked white-out, aerosol spray, cold packs, window cleaners, etc. Chemicals in kitchen must be stored in a separate locking cabinet. Key stored in lock of mop sink room. Store keys up 5 feet.

Purses, that do not contain hazardous items, must be stored 5 ft above the floor, behind lock and key, or behind a child safety lock. 15A NCAC 18A .2820 (f). Observed purses, lotion, hand sanitizer stored below 5 feet above floor

Coat hooks must be 12 inches apart. 15A NCAC 18A .2820 (e). Observed coat hooks <12 inches apart

Wash cloths, bibs, and burping clothes shall be laundered after each use. 15A NCAC 18A .2821 (g). Observed wash cloths, wiping cloths and sponges in classrooms and kitchen. No sponges for cleaning. Cloth must be washed after each use.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed some water stained ceiling tiles.