KIDDIE ACADEMY OF CORNELIUS

15A NCAC 18A .2812 (g) A testing method or equipment shall be used in accordance with the product manufacturer's instructions to test the strengths of sanitizing solutions to ensure the prescribed concentrations are met.- Observed QAC sanitizer in some classrooms measured less than required concentration. At least between 200-400 ppm. Ensure to provide correct concentration of QAC sanitizer at anytime. NOTE: Observed the center without QAC test strips. Please obtain the test strips to test the correct concentration of QAC.

REMINDER: 15A NCAC 18A .2816 (b) (1) Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. Samples shall also be collected and tested within 30 calendar days of completion of any renovations or repairs that may impact the facility's drinking water infrastructure, such as repair or replacement of all or part of drinking water service lines or faucets, at impacted outlets. The operator shall provide documentation of testing results for review by the Department during each unannounced routine sanitation inspection. - Last water testing 08/16/2023.

REPEAT 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed slow draining at hand sinks in Lion, Turtle, Eagle. Observed gaps along edge of hand sinks in some classrooms need new caulking. Observed slow draining at hand sinks in Lion room. Observed hot water is not available at the faucet in restroom of Eagle need repair. Keep all hand sinks in good repair.

REPEAT: 15A NCAC 18A .2820 (d) Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. A product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor.- Observed diaper creams stored on diaper table in Panda. Ensure to keep/store items at 5ft or higher at anytime. 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 hand sanitizer bottle on the table in unlocked office. Keep all hand sanitizer at 5ft or higher at anytime.

15A NCAC 18A .2821 (e). When in use, cribs, cots, mats and play pens shall be placed at least 18 inches apart or separated by partitions that prevent physical contact between children.- Observed in Eagle room children cots were placed too close to each other while napping. Keep space at least 18” while napping . 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 damage at corners of mattresses in infant room need replace or repair.

GENERAL COMMENT: 15A NCAC 18A .2831 (b). Sand toys, water tables, and other unfiltered items that can collect standing water in the outdoor learning environment shall be emptied and stored to prevent the collection of standing water.- Observed standing water in toy table at the other side of the playground. Ensure to empty the water out and keep no standing water anywhere in the premises.

REPEAT 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 baby bottles in infant refrigerator without date. Ensure to put name and date on items sent from home.

General Comment: 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed slow draining at hand sinks in Lion, Turtle, Eagle. Observed gaps along edge of hand sinks in Eagle, Panda, Dolphin. Caulking/Repairing needed.

15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area.- Observed soap dispenser not working causing soap not to be available in hallway restroom, gym room, Turtle. Ensure to provide soap, or have available soap pump at hand sinks at all times.

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 solution measure about 200ppm throughout the center. Ensure to provide correct solution of disinfectant at anytime between 500 to 800 ppm.

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 in Lion, soapy and sanitizer spray bottles stored on counter less than 5ft. Ensure to keep approved non hazardous items at 5ft or higher at all time.

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 hanging on a desk front office less than 5ft upon entry. Ensure to keep all personal belongings that do not contain hazardous items at least 5ft or higher at anytime.

General Comment: 15A NCAC 18A .2821 (c). Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens. Observed not all cots properly labeled, or stickers is peeling off, or need update in Eagle, Panda. Ensure to label with name or number clearly and visibly. If number use, please provide cot chart.

General Comment: 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 cut/damage diaper pad in Dophin. Repair or replacement needed.

15A NCAC 18A .2803 (a) and (c), .2836 (15).Child care center employees and children shall wash their hands when required.- Observed student and teacher after toileting not washing their hands before heading out to playground. Handwashing procedures discussed with director at the time of inspection. Ensure to wash hand properly when required.

REPEAT 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 bottles in refrigerator in infant rooms some dated today date 4/8, some dated yesterday 4/7, some dated tomorrow 4/9. Ensure to put both name and correct current date that items received at the center for that day.

General Comment: 15A NCAC 18A .2810 (f). Water from a handwash lavatory shall not be used for bottle warming or to prepare formula, mix dry cereals, or other foods.- Observed water in bottle warmers in infant rooms. According to teacher, water comes from hand sink. Water use to prepare food shall come from the kitchen, bottle water, or water fountains, NOT from the hand sink.

15A NCAC 18A .2812 (e) Multi-service articles, including highchair feeding trays, shall be washed, rinsed and sanitized in the child care center kitchen after each use.- Observed teacher is rinsing a rubber bib at classroom hand sink in toddler. All multi-service articles (high chair trays, spoons, plates/bowls, rubber bibs) shall be wash, rinse and sanitize properly in the kitchen after each use. 15A NCAC 18A .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions.- Observed soiled bottle warmers in infant 1. Detail cleaning needed and keep clean.

General Comment: 15A NCAC 18A .2820 (b).Keys used to access hazardous item storage must be out of reach of children (5 ft above the floor) and stored separately from lock.- Observed keys to unlock the cabinet where diaper creams stored in 2’ hanging down from a hook less than 5ft. Ensure to keep all keys at 5ft or higher at all time.

General Comment: 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 book bags/jackets hanging on the hooks in 3’s touching each other. Ensure to keep all individual items separate and not touching each other while storing.

REPEAT 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 bottles in refrigerator in infant room without date. Ensure to put both name and date on the item that was received at the center for that day. 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 foods and baby snacks in refrigerator in infant room without date received. Name and date received shall be labeled on items that sent from home.

15A NCAC 18A .2815 (f).Drinking fountains, if provided, shall be separate from handwash lavatories and kept clean.- Observed soiled water fountains, detail cleaning needed all around surfaces, crevices, spouts. Keep clean.

REPEAT 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 changing diaper and missing/skipping step 3-6. Proper diaper changing procedure discussed and educated with teacher and director at the time of inspection.

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 store in the same ziplock bag with emergency medication in red bag in infant room. All medication including prescription and non-prescription must be stored in a lock cabinet/box/storage at all times. Ensure to keep/store the key high at least 5ft as well. NOTE: **Lock storage rooms and cabinets shall include those which are unlocked with a combination lock, electric or magnetic device, key pad, key, or equivalent locking device, keep/store keys at least 5ft or higher at all time**

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 teacher purse store in the cubby less than 5ft in infant room. Ensure to keep all personal belongings that do not contain hazardous items at least 5ft or higher at all time.

General Comment: 15A NCAC 18A .2822 (b) and .2810 (f).Hard plastic toys may be washed, rinsed, and sanitized in a dishwasher, food preparation handwashing sink, or in the kitchen sink.- Observed a bucket of hard toys sitting in a diapering hand washing sink in the restroom. All toys shall be clean (wash, rinse, sanitize) at the appropriate sink, not the sink inside the toilet room.

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 bottles in refrigerator in infant room without date received. Ensure to put both name and date the item that was received at the center. 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 foods and baby snacks in refrigerator in infant room without date received. Name and date received shall be labeled on items that sent from home.

REPEAT 15A NCAC 18A .2812 (e) Multi-service articles, including highchair feeding trays, shall be washed, rinsed and sanitized in the child care center kitchen after each use. - Observed at the back of higher trays in the infant room need better cleaning. According to director, the tray they use it as a table. They use plated on top of the tray. For the purposes of this rule, all multi-service articles (high chair trays, spoons, plates/bowls, rubber bibs) shall be wash, rinse and sanitize properly in the kitchen after each use. Suggestion on ways that would work well for the center made/discussed during the inspection with teacher and director.

REPEAT 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 changing diaper and missing/skipping step 4-6. Proper diaper changing procedure discussed and educated with teacher and director at the time of inspection.

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 specialty milk in kitchen refrigerator dated 5/28 and has no name of a child that belong to. EHS, kitchen staff, and director assistant discussed proper way to handle specialty milks at the time of inspection. Ensure to receive the unopened container of specialty milks at the beginning of the week, put name and date that was received, send home or discard at the end of the end either opened or unopened containers. 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 rice crackers and sugar power were not in proper bag/container while storage. Store leftover food items in resealable container/bags to prevent any possible contamination.

General Comment: 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 the center does not have thin probe thermometer for measuring the temperature of food that being cooked and served at the center. Obtain a thin probe food thermometer.

15A NCAC 18A .2812 (e) Multi-service articles, including highchair feeding trays, shall be washed, rinsed and sanitized in the child care center kitchen after each use. - According to teacher spoons and food containers, and higher trays in the infant room get clean at the sink in the classroom. All multi-service articles (high chair trays, spoons, plates/bowls, rubber bibs) shall be wash, rinse and sanitize properly in the kitchen after each use. 15A NCAC 18A .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions.- Observed very soiled bottle warmers in infant rooms. Need better cleaning and keep clean. NOTE: -Ensure to use water from fountain, water bottles or water from the kitchen in the warmer as part of preparing food.

REPEAT 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 hand sink in infant room and toddler 2 measured at 117F. Ensure to provide tempered water where is accessible to children

PROVISIONAL ITEM: 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 in hand sinks measured between 120F-126F in infant rooms, and restroom sink between toddler 3 and young 2. Water temperature shall be between 80F -110F where is accessible to children at all time.

REPEAT 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 soap or paper towels at several classrooms hand sinks. And several soap dispenser is not working causing no soap to be available. Ensure to provide all hand washing supplies at all hand sinks at all time.

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 the center without test strips for disinfectant solution. Obtain the chlorine test strip for disinfectant solution that can read between 500- 800ppm.

REPEAT 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 is changing a child and missing steps 4, 5, 8 and 10. Proper diaper changing procedures discussed with teacher and director assistant at the time of inspection. Diaper changing poster provided.

General Comment: 15A NCAC 18A .2820 (b) (e). All hazardous items must be stored behind lock and key. A locked kitchen is not considered to be a locked storage room or cabinet for the purpose of this rule - Observed container of Clorox and other chemicals in the kitchen not being lock away in the storage room. Hazardous items and how to store them discussed with chef and director assistant at the time of inspection. Items container put away in the locked storage room outside the kitchen at the time of inspection. Observed wipe-out at the front desk, and adhesive glue gun in the riser room left unlock in the playground. NOTE: **Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. Keep all keys at 5ft or higher at all time **

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 hand lotion, hand sanitizer in front desk drawer, Observed toy sanitizer bin stored on the counter less than 5ft in 4’s classroom. Ensure all non hazardous items stored at 5ft or higher at all time.

GENERAL COMMENT: 15A NCAC 18A .2822 (a). In rooms designated for children who are not toilet trained, toys and other mouth-contact surfaces that are used by children shall be cleaned and then sanitized after each use and when visibly dirty. Toys and other mouth-contact surfaces shall be cleaned and sanitized as follows: (1) the items shall be scrubbed in warm, soapy water, using a brush to reach into any crevices; (2) the items shall be rinsed in clean water; (3) the items shall be submerged in a sanitizing solution for at least two minutes or in accordance with the instructions on the label of the sanitizing solution; and (4) the items shall be air dried. - Observed classrooms where using 3 step bins for toys cleaning. Please remove all bins from the restrooms shelves and install/finding new space to store those bin in clean area/classroom, not the restrooms. Toys shall not be wash in the toilet room at any time.

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 undated and misdated bottles in infant A 15A NCAC 18A .2808 (a) In child care centers, milk and milk products used for drinking purposes shall be stored in the original commercially filled container until the milk or milk product is served for drinking. Unused milk and milk products that are transferred from the original commercially filled container into a separate container, such as a pitcher, for serving shall be discarded and shall not be put back into the original commercial filled container or stored in the container that was used for serving. Observed leftover pitchers of milk not disposed of.

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 115F at diaper changing table hand sink, infant B. Hot water at 114F pre-school bathroom. Hank sinks need mixing valves adjusted.

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 soap or paper towels at several hand sinks.

15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed bin of toys in diaper changing hand sink in toddlers. Keep items from being stored inside or under sink plumbing.

15A NCAC 18A .2812 (i) Provide a testing method for chlorine disinfectant to ensure compliance with prescribed chlorine concentration. Observed no test strips for disinfectant.

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 steps 4, 5, and 10 missed during diaper change

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed unlocked aerosol air freshener in hall bathroom. Keep cabinet door locked or remove spray.

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 purse on table in lobby, no one in area. Diaper creams, spray bottles and bin of sanitizer for cleaning toys on diaper changing counter top in toddlers

15A NCAC 18A .2821 (c). Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens. Observed not all cots properly labeled. Label with name or number and cot chart

15A NCAC 18A .2827 (e). Employees with a communicable disease or a communicable condition shall be excluded from work or subject to restrictions to prevent transmission in accordance with the Rules in Section 10A NCAC 41A .0200. New Rule-provide training to employees regarding when not to come to work, what diseases and symptoms are reportable.

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. New Rule-Observed no vomit clean up plan available. Must have written plan.