CAROLINA AUM SCHOOL

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 at 50ppm. Ensure disinfectant is between 500-800ppm.

15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair.- Observed refrigerator and microwave in the kitchen need cleaning and keep clean.

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 damaged ceiling from leaks in the main classroom at entrance. Repair needed, keep all wall and ceiling in good repair.

General Comment: 15A NCAC 18A .2832 (a).In the child care center premises and outdoor learning environment. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. Wells, grease traps, cisterns, and utility equipment shall be made inaccessible to children.- Observed three outdoor HVAC units (2 units at the center building, 1 unit at the house next to center building) in the property where children are utilized for playground during recess. EHS suggests to put fence/gate around it, keep it inaccessible or reach from children at anytime.

General Comment: 15A NCAC 18A .2804 (k) Lunches, snacks, and other meals containing potentially hazardous foods shall be refrigerated at 45 degrees Fahrenheit or below and stored in the child care center kitchen or approved food preparation area.- Observed children lunches from home stored inside their cubbies, not the refrigerator in the kitchen. All potential hazardous food items shall be stored and maintained properly at the required temperature (Cold at 45F or below, Hot at 135F or above). CDI- All lunches boxes moved and placed in the kitchen refrigerator at the time of inspection. NOTE: 15A NCAC 18A .2804 (k) Hot foods that a child brings from home to the child care center in double-walled, insulated thermos containers may be stored outside of refrigeration at the child care center with the written permission of the child's parent or guardian.

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 children lunches and snacks from home without name and dated received. Some are dated 5/5, 5/19. All food items sent from home shall be labeled with name and correct dated received. Sent all items home or discard at the end of each day.

REPEAT 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 sanitizer solution measured at 500 ppm. Ensure to provide correct chlorine sanitizer concentration between 50 -200 ppm every 24 hours.

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 available at hand sinks in restroom next to staff restroom and a main room sink. Ensure to provide all hand washing supplies at all hand sinks at all times

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 children book bags on the shelves in a lock closet stored and touching each other. Observed children blankets folded and placed on top of each other next to their cubbies. Ensure to keep all individual items separate and not allow any contact at anytime while storing.

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 no number or name assigned/labeled on the cots for children. Assigned a cot to the individual, labeled clearly. If numbers use, please provide the cot list what number assigned to which student name. Keep the list current and available.

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 0.00 ppm of chlorine concentration solution in older side restroom. Ensure to provide a correct chlorine sanitizer concentration between 50 -200 ppm every 24 hours. Observed chlorine sanitizer solution bottle in a younger side restroom measured at 1000 ppm or more. Observed the center without testing strips to measure their sanitizing solutions. Please obtain the testing strips to ensure correct concentration of the solution made.

REPEAT 15A NCAC 18A .2814 (b) Cleaned and sanitized utensils and equipment shall be stored above the floor in a clean, dry location and shall be kept clean while stored. The food-contact surfaces of fixed equipment shall be kept clean while stored or otherwise not in use. Equipment and utensils shall not be stored under exposed sewer lines. Observed bulk of paper towels stored on a floor in laundry room. Keep/store all items off the floor at least 6 inches to prevent any possible contamination.

General Comment: 15A NCAC 18A .2815 (f).Drinking fountains, if provided, shall be separate from handwash lavatories and kept clean.- Observed water fountains covered with slight dust. Regular cleaning needed and keep clean.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed soiled toilet and shower stall in staff restroom. Cleaning needed and keep clean. 15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed soiled hand sink in staff restroom. Cleaning needed. Observed hand sink in younger side restroom starting to separate and has gap between wall and sink. Repair needed. Keep all in good repair.

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 chlorine disinfectant solution measured at 1000 ppm at a younger side restroom. Observed 0.00 ppm at the older side restroom. Ensure to provide correct chlorine disinfectant solution between 500-800 ppm at all time. 15A NCAC 18A .2812 (i) Provide a testing method for chlorine disinfectant to ensure compliance with prescribed chlorine concentration.- Observed a center without testing strips strips. Obtain one. Example gave to teacher at the time of inspection.

General Comment: 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 on a desk less than 5ft. Teacher is sitting on a desk with her purse while monitoring children sleeping, and there is time she walks away from the item. Ensure to put all personal belongings that do not contain hazardous items at 5ft or higher at all time.

15A NCAC 18A .2803 (a) and (c), .2836 (15).Child care center employees and children shall wash their hands when required. Observed children and staff not wash hands upon arrival to 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 children’s food brought from home not dated.

Provide15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes. Observed sanitizer at 0 ppm. Prepare daily

15A NCAC 18A .2814 (b) Cleaned and sanitized utensils and equipment shall be stored above the floor in a clean, dry location and shall be kept clean while stored. The food-contact surfaces of fixed equipment shall be kept clean while stored or otherwise not in use. Equipment and utensils shall not be stored under exposed sewer lines. Observed paper goods in laundry room stored on floor. Keep all storage off floor.

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 can wash (shower) in staff bathroom not turned off at the top and the door was not locked. The door must be locked or turned off at the top (critical violation)

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 0 ppm chlorine. Prepare daily.

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 cots not labeled with child’s name or a number and cot list.

15A NCAC 18A .2827 (e). Any employee with boils, sores, burns, infected wounds, or other draining lesions on exposed skin shall bandage the affected area to avoid exposing others to drainage. If such bandaging obstructs handwashing as set out in Rule .2803 of this Section, if the exposure to drainage cannot be prevented, or if otherwise required under the rules in Section 10A NCAC 41A .0200, then the employee shall be excluded from food preparation and work activities that involve contact with other employees or children while risk of transmission of the communicable disease or condition exists. Employee health review

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. Employee review. Handout given