ANOINTED FUTURE GENERATION 2 GENERATION

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 1 container of specialty milk with date of “8/30” of when milk was bought into center located in kitchen refrigerator. Observed 1 container of speciality milk brought from child’s home with date of when milk was brought into center located in kitchen refrigerator.

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 (50-200ppm bleach). Observed sanitizer measuring at 500ppm bleach throughout center. EHS emailed center copy of bleach dilutions chart.

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 teachers purse stored on floor in 3’s classroom. EHS educated teacher on notated rule. -General comment.

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 not washed upon parent drop off, child put directly into crib, infant room.

15A NCAC 18A .2806 (g) Food shall be stored above the floor and in a manner to protect it from dust, pests, drip, splash, and other contamination. Observed potatoes and onions stored in a box on the pantry floor. Food must be stored above the floor.

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 sippy cups rinsed out in hand sink. Through discussion with the infant and toddler rooms staff, high chair trays are being cleaned in the classroom. Sinks in classrooms are for hand washing, not washing dishes, high chair trays or rinsing bottles/sippy cups.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed baby car seat and large toy stored in bathroom in infant room. 15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed high chair trays and dirty bibs in hand sink in infants and toddlers. Keep sinks clear to be accessible when needed.

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 staff did not use soapy water to clean table before before disinfected, table sprayed with disinfectant then sanitizer, wiggler classroom.

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 improper diaper changing procedures in infant and wiggler classrooms. Review posted procedures.

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 and rescue medication in outside bag stored 4 feet above the floor. Measure 5 feet above the floor from the bottom of the bag.