SMART KIDS STREAM ACADEMY

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 2 lunches brought from child’s home not labeled with date in kitchen refrigerator. 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 1 container of speciality milk not labeled with child’s name.

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 a few books throughout center torn and in need of replacing.

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 minor debris/litter outside of dumpster area. -General comment.

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 a couple children water bottles brought from not labeled with child’s name. 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 packages of cereal in kitchen resealed with tape.

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 at 116F in kitchen, during time of inspection hot water heater was adjusted, hot water was restored to 120F. -General comment.

15A NCAC 18A .2826 (b).Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. Observed general dusting needed to ceiling vents within center. Clean.

Observed cereal/snacks in the kitchen not properly sealed. **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 diaper changing pad with a small hole in the infant room. **15A NCAC 18A .2819 (b). Diapering surfaces shall be made of smooth, intact, nonabsorbent material and shall be kept clean and in good repair.

Observed cereal in the kitchen not properly sealed. **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 raw eggs stored in refrigerator drawer with ready to eat food. **15A NCAC 18A .2806 (h) Raw meats, poultry, fish, shellfish and eggs shall be stored in a refrigerator or freezer on shelving beneath and separate from other foods.

Observed hot water reach 116F in 2 year old room. Ensure water remains within allowable range. **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 reach 118F in Froglets. Ensure water remains within allowable range. **15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children.

Observed snacks in the kitchen and in the infant room not properly sealed. **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 hot water reach 112F in the kitchen. **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 diaper changing pad with a small hole in the three year old room. Replaced during the inspection. **15A NCAC 18A .2819 (b). Diapering surfaces shall be made of smooth, intact, nonabsorbent material and shall be kept clean and in good repair.

Observed bulk milk brought from home missing the date it was received. **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 this Paragraph when the child’s parent or guardian provides written permission and the specialty bulk milk is sent to the child care center as the beginning of each week unopened, labeled with the date received and child’s name. Any remaining shall be sent home at the end of the week. 15A NCAC 18A .2806 (d) Observed bags of crackers not properly sealed in the kitchen. **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 bottles in the infant room missing date label. **15A NCAC 18A .2804 (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center.

Observed loose toilet seat in room 102. **15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.

Potentially hazardous food requiring refrigeration shall be cooled to an internal temperature of 45°F or below in a manner consistent with rule 15A NCAC 18A .2806 (h) (2). Observed leftover meals in refrigerator, cannot save leftovers that had been heated previously.

Child Care centers using multi-service utensils shall have a 2 compartment sink and a dishwasher. In lieu of a dishwasher and two-compartment sink, a three compartment sink of sufficient size and depth can be used. 15A NCAC 18A .2810 (a). CRITICAL VIOLATION-Observed facility is using 2-comp sink for washing and rinsing then using the mop sink as sanitizer vat. Mop sink cannot be used a 3rd compartment. Single service items only. No drinking pitchers, glassware, sippy-cups, etc permitted unless a 3-comp sink or a 2-comp sink and a dishwasher is provided. Child care centers, licensed for 13 or more children, are not approved to use domestic refrigerators to cool food. 15A NCAC 18A .2810 (d).CRITICAL VIOLATION - Observed meals from previous days in domestic refrigerator. Cannot cool and serve previous meals. If leftovers are to be given to staff then label it with their name and put in staff refrigerator

Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Observed NABC used as disinfectant in the spray bottles. Will get clarification if this product is approved.

Properly thaw all food products. 15A NCAC 18A .2807 (i). Observed a chicken pot pie thawing on rolling cart. Thaw under refrigeration only. 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 undated sippy-cup in infant room.

Facilities shall maintain an accurate and calibrated metal stem thermometer. 15A NCAC 18A .2807 (h) and .2809 (12). Observed no probed food thermometer. Recommend digital.

Provide sanitizer test kit. 15A NCAC 18A .2812 (g). Observed no chlorine test kit. Need test kit that can read in the 50-200 ppm range.

Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e). Observed hot water up to 115F, adjust mixing valves or install mixing valves.

Hot water at areas accessible to children shall not exceed 120°F. 15A NCAC 18A .2815 (e). Observed kitchen door unlocked and school age classroom sinks at >120F. The kitchen door shall stay locked when no staff is present. Hot water in classrooms shall be tempered between 80-110F

Disposable towels shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d). Observed no paper towels located at diaper changing hand sink in infant room.

Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Observed disinfectant ~250 ppm chlorine. Provide test strips for the chlorine disinfectant. 15A NCAC 18A .2819 (c ). Observed no disinfectant test strips. Must have a range that includes 500-800 ppm chlorine.

All cleaning and disinfectant solutions shall be properly labeled (i.e. soapy water, disinfectant). 15A NCAC 18A .2819 (c ) and .2820 (c ). Observed disinfectant labeled bleach water. Bottles must be labeled disinfectant.

All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed 2 storage closets with cleaners unlocked.

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 staff purse at table across from water fountains. 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 diaper cream stored less than 5 feet above floor and unlocked.

Keep the property free of high vegetation. 15A NCAC 18A .2831 (i). Observed vegetation growing through fence and up to fence line.