CHRISTIAN MONTESSORI SCHOOL OF LAKE NORMAN

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 food in thermos container in infant room without parent permission form. Ensure to have parent permission form sign and date available for records. 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 some children lunch box without date received. Ensure to put both name and date on items sent from home.

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 in spray bottle measured more than 200 ppm. Ensure to provide correct concentration of chlorine sanitizer solution between 50-200 ppm 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 less than 5ft, hand sanitizer bottle on table in one of the room at the front, squeeze little sanitizer attached to teacher key chain on table in primary 2. Ensure to keep all non hazardous items at 5ft or higher at all time.

REPEAT 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 belongings touching each other while hanging in their cubbies. Ensure to keep each individual items separate and not allow contact while storing at anytime. 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 stored in unlocked cabinet in primary 1 less than 5ft. Keep or store all teacher belongings that contain no hazardous items at 5ft or higher at anytime.

15A NCAC 18A .2803 (a) and (c), .2836 (15).Child care center employees and children shall wash their hands when required. Observed staff not wash hands after wiping child’s nose. Staff did not wash child’s hands after diaper change.

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 lunches containing potentially hazardous food not refrigerated in room 128. Ice packs are not a substitution for refrigeration. Parents cannot ask for/sign waiver for lunches to not be put in the refrigerator.

15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair. Upon discussion, staff said the tables are being cleaned with wash cloth. If using wash cloths the are single use only then go into dirty hamper.

15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed storage, not in covered plastic bins, stored below hand sinks.

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed one outside bag with anti-bacterial wipes, room 129. Cleaner still attached Swiffer mop in classroom, room 127.

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 belongings touching in most classrooms. 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.

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. Gave hand out.