LEGACY EUROPEAN ACADEMY

General comment: 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 in classrooms 127,123, 118, and 125 reach 115F. Needs to be 80-110F.

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 reading just under 500 ppm. Observed facility does not have test strips for bleach. Facility needs bleach test strips and to increase concentration of disinfectant.

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed liquid white out stored unlocked in one classroom. Observed gorilla glue stored unlocked in 118. Needs to be stored behind lock and key. Both were removed from the classrooms.

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 mops in 122 and 125 with attachment bottle in place. The Director stated only soapy water was in the mop attachment. EHS stated this part needs to be removed and stored 5ft up. 15A NCAC 18A .2820 (c ) Sanitizing, disinfecting, and detergent solutions shall be labeled with the product name (ex. "Sanitizer"). Observed soapy water in mop attachments not labeled. Needs label.

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 located on main hallway near 118 and 122 resulting in different children jackets and bags touching. Many hooks have been moved since previous inspection. Continue to work on spacing hooks 12 inches apart. REPEAT.

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 located on main hallway resulting in different children jackets and bags touching.

15A NCAC 18A .2822 (d).Water play centers shall be filled with potable water immediately before children begin a water play session. Water shall be emptied after each play session and at a minimum each morning and afternoon, or more often if no longer clean. Observed Meck PreK classrooms with water play tables filled with water and no children playing in water. Per conversation with staff, water tables are filled and empty once a day, children play with water play tables twice daily. EHS educated center on notated rule.

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 touch up paint needed to walling in classroom 131. -General comment.

General Comment: 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 raw meat over ready to eat foods in WIC. CDI- Raw meat was moved.

15A NCAC 18A .2807 (h) Metal stem-type, thin probe, numerically scaled indicating product thermometers, accurate to ± 3 degrees Fahrenheit shall be used to ensure the maintenance of the internal cooking temperatures of all potentially hazardous foods required under this Rule. Observed battery dead on thermometer. Needs new battery.

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 small tears on younger twos diaper pad.

General Comment: 15A NCAC 18A .2820 (d).Medications, including prescription and non-prescription items, shall be stored in a locked cabinet or other locked container and shall not be stored above food. Observed Benadryl stored unlocked in room 125. Needs to be stored behind lock and key.

General Comment 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed bottle of purple cleaner in 122 and liquid white out pen in 120 stored unlocked. Needs to be stored behind lock and key.

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 in main hallway resulting in children’s coats touching. REPEAT.

15A NCAC 18A .2821 (a). In child care centers, beds, cribs, cots, mats, and play pens shall be kept clean and in good repair, stored to prevent contamination, and cleaned and sanitized between users. Observed corners tearing on some mats. Needs repair/replacement.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed toys stored in restroom in class 118. Remove.

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 in main hallway resulting in children’s coats touching.

15A NCAC 18A .2825 (b).Walls and ceilings in rooms in which food is stored, handled, or prepared, utensil-washing rooms, and toilet rooms shall be nonabsorbent. Acoustic and other absorbent ceiling material may be used where ventilation in the room precludes the possibility of grease and moisture absorption by the acoustic or other material. Observed absorbent ceiling tiles in restrooms throughout childcare center with ventilation system turned off. During time of inspection, Director made facilities team aware of issue. -General comment.

15A NCAC 18A .2810 (f) If food is prepared in a child care center classroom, then the classroom shall be equipped with a food preparation area. This food preparation area shall contain a countertop that is kept clean and in good repair, a handwash lavatory, and refrigeration when items are stored that require refrigeration. Observed bulk animal cookies being brung into classrooms in a woven basket where classrooms are only equipped with 1 handsink. EHS educated director on notated rule and advises center to complete all food prep in approved kitchen. -General Comment

15A NCAC 18A .2809 (1) Utensils shall be made of nonabsorbent material that is free from hazards, finished to have a smooth surface, and shall be kept clean and in good repair. Observed animal cookies being served in woven basket that made up of absorbent material.

15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed 2 hula hoops and toys stored in restroom in classroom 138.

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 measuring at 200ppm chlorine throughout center.

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 miss step 5 during diaper changing procedure in classroom 118. EHS advises center to go over proper diaper changing procedure with staff. Center also has diaper changing signs posted that are missing step 5 as outlined in notated rule. EHS left center with proper diaper changing procedure signs.

5A NCAC 18A .2831 (c). For outdoor toys and play equipment, including all structures accessible to children, the following shall apply: (1) Equipment and toys shall be kept clean, in good repair, and free of peeling, flaking, or chalking paint, rust, and corrosion; and (2) A sandbox used in outdoor play shall be constructed to allow for drainage of water and shall be covered when not in use and kept clean. Observed cleaning needed to outside sand box. Observed outside sandbox not covered when not in use. -General Comment

15A NCAC 18A .2807 (a) In child care centers, the preparation of food shall take place only in the kitchen or space equipped as required in Rule .2810. Observed teacher slicing vegetables in auxiliary kitchen. Per permit conditions this space is not approved for food preparation only for catered food proportioning or distribution. EHS advises center to use approved kitchen in “the commons” building to prepare food.

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 113F in restroom located between rooms 138 and 140.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed sleeping mats stored in restroom in between infant and toddler classrooms.

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 different kids coats coming into contact with each other stored on coat hooks less than 12 inches apart in hallway.

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 kitchenette improperly resealed with clips. EHS advises center to adhere to notated rule.

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 113F-114F in classrooms 3 and 4.

15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed toys stored plastic container in restroom in between classrooms 4 and 5. Toys were removed during time of inspection.

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 miss step 8-11 after completing diaper change. EHS educated director on missteps and missteps were translated to teacher.

15A NCAC 18A .2820 (f). Coat hooks not in individual cubbies or lockers must be 12 horizontal inches apart. 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 coats and bags stored on coat hooks coming into contact with other children’s items with childcare 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 director, new required template procedure.

Provide a numerically scaled metal stem-type thermometer accurate to 2°F. 15A NCAC 18A .2807 (h). Observed no probe thermometer. CDI-thermometer ordered.

All areas where food preparation occurs shall have an approved hand washing sink. 15A NCAC 18A .2810 (b). Observed refrigerator in 1 classroom. All classrooms have 1 hand sink, if there is also a diaper changing table in that room then no refrigerator allowed.

Hot water at areas accessible to children shall not exceed 120°F. 15A NCAC 18A .2815 (e). Observed hot water at hand sinks in bathrooms and classrooms 122F. Mixing valve adjusted. Check water temps daily for 80-110F

Potty chairs may only be used if restroom is equipped with spray-rinse toilet or utility sink. 15A NCAC 18A .2817 (c ). Observed potty chairs in bathroom.

Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a). Observed paper towels and a cot sheet below hand sink plumbing.

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 wall mounted hand sanitizer less than 5 feet. Lotion < 5 feet in 1 classroom.