BALLANCREST ACADEMY

General Comment: 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 diapering mat in bathroom for 3 year old room is taped at sides due to tearing. Needs replacement. Tape will hold bacteria and not allow for proper cleaning. REPEAT.

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 testing at less than 500 ppm. Facility is making disinfectant with hot water and has changed bleach. EHS and owner went over making correctly concentrated disinfectant.

General Comment: 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 diapering mat in bathroom for preschool is tearing. Needs replacement.

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 dust accumulation to ceiling vent in 3’s restroom. Clean.

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 package of snacks opened in 2’s classroom not properly resealed. 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 a few kid food pouches not labeled with child’s name/date.

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 between 72F-76F in classroom throughout center. -General comment.

15A NCAC 18A .2821 (f). Linens used in rooms where the children in care are less than 12 months old shall be changed and laundered when soiled and otherwise at least daily. Observed staining on 1 crib sheet in infant classroom. -General comment.

15A NCAC 18A .2824 (b). Floors and floor coverings in sleeping and play areas shall be kept clean and in good repair. Observed black markings on floor sporadically throughout infant classroom. Per conversation with director the marking are from the wheels on infant cribs, she stated that she has order replacement floor tiles for infant classroom. -General comment.

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 bulk milk stored in dorm size refrigeration units throughout center. EHS educated center on notated rule.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed toy box stored in 4’s-5’s restroom.

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 some children’s water bottles not labeled with child’s name in 2’s classroom. 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 cereal resealed with tape.

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed aerosol arts/crafts spray stored on high shelving in 2’s classroom. Teacher properly locked aerosol spray during time of during inspection.

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 minor chipping paint to green walling in toddler classroom. EHS advises center to touch up paint where needed throughout center.

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.

Hot water at areas accessible to children shall not exceed 120°F. 15A NCAC 18A .2815 (e). Observed kitchen not locked on arrival. Keep door locked if no staff present in kitchen.

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 vinyl wedge in toddlers room in poor repair. A couple countertops in classrooms missing edging. Repair chip in diaper changing table in toddler room.

Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed a couple missing and broken ceiling tiles. Wall corner damaged in toddler room.