WOODS MONTESSORI SCHOOL

15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Repeat-Observed items unprotected under hand sink plumbing. Items stored inside hand sinks. 15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed shoes stored in bathroom of room 6, should only be pull ups, wipes, change of clothes, etc.

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. Repeat-Observed hooks in several areas/classrooms <12 inches apart. Remove extra hooks and keep children’s belongings separate.

15A NCAC 18A .2822 (a) Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. Repeat-Observed new wood shelving needs painting/sealing throughout.

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. Repeat-Observed stained ceiling tiles throughout. Repair any holes or damaged paint on walls.

15A NCAC 18A .2803 (a) and (c), .2836 (15).Child care center employees and children shall wash their hands when required. Observed child’s hands weren’t washed after diaper change. Another child’s hands were not wiped instead of a hand wash at the end (child couldn’t support their head.

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 4 containers of hummus stored in pantry at room temperature. Hummus must be refrigerated. Hummus discarded.

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 shell eggs stored above ready to eat foods.

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 blender and water igloo cooler stored below hand sink plumbing in classroom.

15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed items unprotected under hand sink plumbing. Items stored inside hand sinks. 15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed blankets stored in cubbies in bathroom of room 5, should only be pull ups, wipes, change of clothes, etc.

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 incorrect diaper change, no hand’s wiped for middle step. Follow posted procedures

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 hooks in several areas <12 inches apart. Remove extra hooks and keep children’s belongings separate.

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 books in disrepair, 1 vinyl chair, new wood shelving needs painting/sealing throughout.

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. Through discussion with staff (infant room) she said that the toys get picked up at the end of the day and sprayed with disinfectant. Provide training for proper toy cleaning in classrooms where children are not potty trained.

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 stained ceiling tiles throughout

15A NCAC 18A.2803 (e). Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. Observed children and staff turning off water with hand. Use paper towel to turn off water, children need coaching on proper hand washes.

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 3 specialty milks dated with a discard date of 2 weeks. Follow above rule. 15A NCAC 18A .2807 (c) Food shall be prepared using utensils, deli paper, or disposable gloves to prevent exposed, ready-to-eat-food from coming into direct contact with an employee's bare hands or exposed skin. Observed children serving themselves, child was holding a larger piece of food while cutting off a portion. Cut food into smaller pieces so each child practices picking up or cutting their own food.

15A NCAC 18A .2815 (e) (e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Observed hot water at 3-comp sink 110F. Must be min. of 120F

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed supplies stored below majority of handwash sinks. 15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed dishes and other items in hand sink basins

15A NCAC 18A .2819 (d). (9), Diapering surfaces shall be cleaned, prior to disinfection, by spraying the entire diapering surface with detergent solution and wiping clean, using disposable paper towels. Observed diaper changing table sprayed with sanitizer. Follow posted procedures.

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 5 omitted and dirty gloves removed after clean diaper put on. Follow posted procedures

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 Tylenol unlocked in room 1.

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Repeat- Observed unlocked goo gone, aerosol lubricants, aerosol insect repellent and other hazardous items, room 1. Kitchen unlocked with accessible hazardous items.

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 less than 5 ft above floor in room 2.

15A NCAC 18A .2820 (f). Coat hooks not in individual cubbies or lockers must be 12 horizontal inches apart. Observed coat hooks used inside classrooms for children’s jackets less than 12 inches apart, room 4. 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’s items touching each other on hallway hooks

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 damaged vinyl chair in room 2.

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 stained ceiling tiles throughout building.

15A NCAC 18A.2803 (e). Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. Observed child turn off water with hand after handwashing, teacher failed to coach. Make sure handwash sign are visible at hand sinks.

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’s lunch boxes stored in hallway, snacks and milk stored on counter. Through discussion with staff, lunches get picked up around 9:30AM to go to kitchen refrigerator. If child arrives at 6AM this is too long for the food to be sitting out without mechanical refrigeration. Food may need to be transported to kitchen several times throughout morning. Snacks and drinks may need to be put in kitchen as well.

15A NCAC 18A .2817 (c) If potty chairs are used, they shall be located and stored in a toilet room equipped with a spray-rinse toilet or utility sink. Potty chairs shall be emptied, rinsed, cleaned, and disinfected after each use. Observed potty chair in room 4, remove from premises.

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 at hand sink in kitchen.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed supplies stored below majority of handwash sinks. 15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed cots stored in bathroom in room 5.

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed antiseptic pads and a burn cream stored unlocked in an outside bags. Check all outside bags and remove any hazardous items. Observed aerosol spray cans, insect repellents, metal polish in cabinet with non-operational lock, room 6. Unlocked super glue in cabinet, room 6.

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 spray bottles of sanitizer and disinfectant and hand sanitizer stored on counters in room 8. If a room is not open, lock door or keep items inside room properly stored.

15A NCAC 18A .2820 (f). Coat hooks not in individual cubbies or lockers must be 12 horizontal inches apart. Observed coat hooks used inside classrooms for children’s jackets less than 12 inches apart.

15A NCAC 18A .2821 (f).Linens shall be kept clean, in good repair, and stored with the mat or cot that the linens are assigned to or stored apart from the mattress or cot in a manner that keeps the linens used for each child separate from the linens belonging to other children. Observed cots stacked with blankets touching cot above it.

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 chipped paint on door jambs. Wall paint in disrepair room 8. Many ceiling tiles water stained. Some ceiling tiles wet, repair roof leaks.

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 dusty vents room 8.

15A NCAC 18A .2830 (d) Solid wastes shall be disposed of to prevent conditions that attract and harbor pests and other public health nuisances. Observed dumpster with lid open. Drain plug missing from dumpster, needs replacing.