LITTLE ANGELS PRESCHOOL

General Comment: 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.- Observed children lunches some in thermos containers and some are not. The center does have opt- out food program form, and not have a parent written permission form for thermos containers. Details procedures discussed with director at the time of inspection. Obtain the parent written permission form and ensure to use the correct containers. NOTE: 15A NCAC 18A .2806 (h) The temperature of potentially hazardous food provided by the child care center for consumption by children shall be 45 degrees Fahrenheit or below, or at 135 degrees Fahrenheit or above at all times, including field trips, catering events, and outdoor service, except during periods of preparation and service immediately prior to consumption.

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 lunch boxes some with name and without date. Some with no name and date. Ensure to label both name and date item received at the center.

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 concentration measured about 800 ppm. Ensure to provide correct chlorine sanitizer concentration solution between 50-200 ppm at anytime. Provide15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes.- Observed some classroom without sanitizer solution for cleaning purposes. Ensure to provide (soapy water, sanitizer, and disinfectant) spray bottle for each classrooms.

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 measured more than 1000 ppm. Provides correct disinfectant solution concentration between 500-800 ppm at anytime.

General Comment: 15A NCAC 18A .2820 (d).Designated emergency medications shall be kept inaccessible to children, 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 emergency medications in red bag hanging down from the hook, which placed the medication to be less than 5ft in classroom 3. Ensure to keep the bad up 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 lotion in unlock drawer at teacher desk. Keep all non hazardous items at 5ft or higher at all times. 15A NCAC 18A .2820 (c) Bulk soaps shall be kept inaccessible to children by storing the product at least 5ft above the floor.- Observed bulk soap containers in unlock cabinet underneath hand sink in classroom2. Ensure to keep the cabinet lock at all time or put items up at least 5ft.

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.- Observed the center without the V&D plan. EHS provided poster to director at the time of inspection.

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 HVAC gate need without lock. Obtain a lock and keep the units inaccessible to children. Observed unwanted wooden for steps on the way to playground need to be removed. Keep clear and safe path to the playground .

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. Digital thermometer with metal probe needed.

15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair. Observed microwaves with splattered food debris

15A NCAC 18A .2815 (c). A child care center's water supply plumbing shall not include cross-connections as set out in 15A NCAC 18C .0102(c)(8). If the potential for back siphonage or backflow conditions exist, an atmospheric vacuum breaker or backflow prevention device shall be installed. Repeat-Observed no backflow preventer at faucet at main ramp

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed a glade plug-in in office. Cannot have glade plug-in in this area since office door does not lock.

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 sticky tape residue on some of the children’s shelving units.

15A NCAC 18A .2824 (b). Floors and floor coverings in sleeping and play areas shall be kept clean and in good repair. Observed flooring in disrepair near office and adjoining room.

15A NCAC 18A .2830 (b) Facilities shall be provided at the child care center for the washing and storage of solid waste containers and mops. The facilities shall include a faucet with a threaded nozzle that delivers water of at least 80 degrees Fahrenheit. The faucet shall be located in either a designated utility sink or above a curbed impervious pad that is sloped to drain to the approved sewage system. Observed the whole can wash area and wall in poor repair.

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. Repeat-Observed shed in poor repair. Damaged siding. Particleboard farm themed table and chairs in disrepair. Vegetation growing into playground and fence. (No points due to most items corrected from last inspection)

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. Digital thermometer on order.

15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair. Repeat- Observed kitchen cabinet in disrepair.

15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. Repeat- Observed hot water at hand sinks <80F.

15A NCAC 18A .2815 (c). A child care center's water supply plumbing shall not include cross-connections as set out in 15A NCAC 18C .0102(c)(8). If the potential for back siphonage or backflow conditions exist, an atmospheric vacuum breaker or backflow prevention device shall be installed. Observed no backflow preventer at faucet on water heater

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. Repeat- Observed disinfecting wipes under hand sink unlocked.

15A NCAC 18A .2824 (b). Floors and floor coverings in sleeping and play areas shall be kept clean and in good repair. Repeat- Observed damaged floor tiles in office, repair walls and doors where needed. Rotted subfloor under water heater

15A NCAC 18A .2826 (a). In child care centers, all rooms and enclosed areas shall be lighted by natural or artificial light. Lighting shall be capable of illumination to at least 50 foot-candles at work surfaces. Lighting shall be capable of illumination to at least 10 foot-candles of light, at 30 inches above the floor, in all other areas, including storage rooms. Repeat-Observed low lighting in kitchen.

15A NCAC 18A .2831 (b). (b) Pests shall be excluded from the child care center. Traps set for pests shall only be placed in areas that are inaccessible to children. Observed live roach in kitchen

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. Repeat-Observed shed in poor repair need removal. Landscape timbers bordering playground rotted (spikes removed). Fence around A/C unit collapsed, needs replacement. Soft spots in ramp. Hand railing in disrepair. Damaged siding and soffits.

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. Need a digital thermometer

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 above 200 ppm chlorine. Need test strips with range of 50-200 ppm

15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair. Observed kitchen cabinet in disrepair.

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 hand sinks <80F.

15A NCAC 18A .2815 (c). A child care center's water supply plumbing shall not include cross-connections as set out in 15A NCAC 18C .0102(c)(8). If the potential for back siphonage or backflow conditions exist, an atmospheric vacuum breaker or backflow prevention device shall be installed. Observed no backflow preventer at faucet on water heater

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 hand soap or paper towels at kitchen hand sink.

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 no disinfectant provided for bathrooms, provide test strips ranging 500-800 ppm

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 teacher’s inhaler not locked. Teacher medication must be locked.

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed white-out, aerosol flex seal spray, alcohol pads, container of alcohol, in classrooms unlocked. Laundry room not locked with soap/cleaners accessible.

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 stored less than 5 feet above the floor throughout center.

15A NCAC 18A .2820 (a). Adequate space shall be provided for the storage of equipment, furniture, toys, clothes, linens, backpacks, book bags, diaper bags, beds, cots, mats, and supplies, and shall be kept clean. Observed a cubby unit with shallow dividers, allows children’s items to touch 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 staff purse stored under desk in classrooms. Store locked or 5 feet above floor if no meds or hazardous items.

15A NCAC 18A .2824 (b). Floors and floor coverings in sleeping and play areas shall be kept clean and in good repair. Observed damaged floor tiles in office, repair walls and doors where needed

15A NCAC 18A .2826 (a). In child care centers, all rooms and enclosed areas shall be lighted by natural or artificial light. Lighting shall be capable of illumination to at least 50 foot-candles at work surfaces. Lighting shall be capable of illumination to at least 10 foot-candles of light, at 30 inches above the floor, in all other areas, including storage rooms. Observed low lighting in kitchen. Try replacing light bulbs first.

15A NCAC 18A .2830 (b) Facilities shall be provided at the child care center for the washing and storage of solid waste containers and mops. The facilities shall include a faucet with a threaded nozzle that delivers water of at least 80 degrees Fahrenheit. The faucet shall be located in either a designated utility sink or above a curbed impervious pad that is sloped to drain to the approved sewage system. Observed can wash in poor repair

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 shed in poor repair need removal. Landscape timbers bordering playground rotted, spikes exposed. Fence around A/C unit collapsed, needs replacement.