PRIMROSE SCHOOL OF LAKE WYLIE

General Comment: 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 a child washing his hands and turn off the faucet knob with bare hands. Ensure to educate children to wash their hands properly at anytime.

General Comment: 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 snacks in older infant without date that was received at the center. Ensure to put both name and date on items sent from home.

15A NCAC 18A .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions. - Observed soiled bottle warmers in older infant need cleaning. Keep clean.

General Comment: 15A NCAC 18A .2812 (i) Provide a testing method for chlorine disinfectant to ensure compliance with prescribed chlorine concentration.- Observed the center without disinfectant solution testing strips. The cook stated the last one was out this morning. Obtain the test strips for the disinfectant solution.

15A NCAC 18A .2819 (c). Approved disinfectants and detergent solutions shall be kept in separate and labeled bottles at each diaper changing station. Observed soapy water with no label in Pre-K classroom. Ensure all disinfectant and detergent solutions are labeled.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed loose toilet seat in staff bathroom and in Pathways class bathroom. Tighten.

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 teacher in older infants room not perform step 5, and perform step 11 before step 10. Ensure teachers are following procedure.

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 EpiPen stored in backpack below 5ft in Preschool 1 classroom. Ensure emergency medications are stored at least 5ft above the floor.

15A NCAC 18A .2804 (d) Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Observed refrigerator reading over 50F in older infant room. All bottles were moved to kitchen refrigerator. Temperature was adjusted on refrigerator and did not change after it was emptied. Facility removed refrigerator and will be installing a new one by the end of the day. New refrigerator was delivered during inspection.

15A NCAC 18A .2806 (a) Once pre-packaged food has been opened, the food shall be stored in clean, resealable bags or containers made of plastic or glass that are tightly covered and manufactured for the purpose of food storage. Observed cereal and tortilla chips in non-resealable bags. Observed food in resealable bags but bags were not sealed. Needs to be stored in sealed, resealable bags or containers.

15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. Observed several classrooms with handsinks reaching 111-117F. Needs to be 80-110F. REPEAT.

15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed pitting on toilet seat in Pathways bathroom.

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed small aerosols stored in unlocked cabinets in unlocked teachers bathrooms. Needs to be stored locked.

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 soapy water and several containers of soap for mixing soapy water stored less than 5ft up in classrooms. Needs to be 5ft above the floor or locked. REPEAT.

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 tearing caterpillar and lounge in young toddlers. Observed tearing lounge in Older toddlers. Observed red couch tearing in EPS. Needs repair/replacement. 15A NCAC 18A .2822 (d).Water play centers shall be filled with potable water immediately before children begin a water play session. Water shall be emptied after each play session and at a minimum each morning and afternoon, or more often if no longer clean. Observed water table filled in Preschool 1. Teacher stated it is not used until the afternoon but filled every morning. Water play centers shall be filled immediately before beginning a session.

15A NCAC 18A .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions. Observed build up on bottle warmers in older infant classrooms. Needs cleaning.

Provide15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes. Observed QAC sanitizer at 0 ppm in spray bottles in classrooms. Dispenser in kitchen was operating properly and bottles were refilled. Needs to be 200-500 ppm QAC sanitizer.

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 in Prek 3 handsinks at 111-112F. Needs to be 80-110F. REPEAT.

15A NCAC 18A .2819 (b) Nothing shall be placed on the diapering surface except for those items required for diapering and the child whose diaper will be changed. Observed mug and paperwork’s items on diaper changing table in older infant room. Teacher was using diapering surface as a momentary desk. Nothing shall be placed on diapering surface except child being changed and items required for diapering.

No points deducted. 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 cough medicine stored in unlocked cabinet under the sink in infant room. CDI - cabinet was locked.

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 disinfectant wipes stored under sink in infants room in unlocked cabinet. Cabinet needs to be locked or wipes need to be stored 5ft up.

GENERAL COMMENT: 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 facility does not have written procedure for vomit and diarrhea cleaning procedures. EHS emailed copy with updated rule information.

Wells, grease traps, cisterns and utility equipment shall be made inaccessible to children. 15A NCAC 18A .2832 (a). In the playground area, observed AC units inside the fence with easily opening latch which allows the utility equipment to be accessible to the children. Lock to ensure the units are made inaccessible to children. REPEAT.

GENERAL COMMENT: After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child's home at the end of each day. 15A NCAC 18A .2804 (d). Observed baby bottle on a counter in younger infant's room. When asked, teacher stated that they have within or 1 hour (per their procedure) from the start of feeding to feed a child their bottle.

GENERAL COMMENT: Ice shall be made, handled, transported, and dispensed in such a manner as to be protected against contamination. 15A NCAC 18A .2808 (b). Observed soiled ice dispensing slots inside of the ice maker in the kitchen, need cleaning and keep clean. Ice is used for water pitcher to serve children.

GENERAL COMMENT: 15A NCAC 18A .2810 (f). Observed bottle warmer being filled with water from food prep handwashing sink in both infant's rooms according to teachers. Water from a hand washing sink shall not be used to prepare formula, mix dry cereals, or other foods.

Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e). Observed water temperature in preschool 2 and 3 (classrooms and restrooms) in range between 113F - 115F.

GENERAL COMMENT: In child care centers, areas accessible to children shall be free of identified lead poisoning hazards as defined in G.S. 130A-131.7(7). Observed facility has expired water testing for lead. The last testing was completed on 11/05/2019. During the inspection today, Director has successfully registered the facility on the clean water for Carolina kids website to complete water testing for lead. Must be completed by next inspection or provisional will be earned.

GENERAL COMMENT: Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed loose toilet seat and damaged toilet seat in older preschool restroom. Need to be repaired and/or replaced.

Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a). Observed teacher stored a gallon of milk and put trash in a food prep hand washing sink in older infant's room.

Provide test strips for the chlorine disinfectant. 15A NCAC 18A .2819 (c ). Observed facility without test strips to measure the strength of their chlorine disinfectant solution. Obtain a kit to test the solution.

GENERAL COMMENT: Hazardous products shall be stored in its original container or in another labeled container. 15A NCAC 18A .2820 (b). Observed a purple solution in an unlabeled spray bottle in a locked cabinet in pre-k 3 classroom. Teacher stated the solution was for carpet cleaner- Fabuloso. Ensure to label any bottles or keep it in its original container.

Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). Observed dust and/or residue from tape on bookshelves and toys bins, in preschool 1 and pre-k 1, need cleaning and keep clean. Observed play blocks starting to fray at corners, red couching chair damaged at the corners in older preschool and preschool 1, need repair or replace. Keep in good repair.

GENERAL COMMENT: Wells, grease traps, cisterns and utility equipment shall be made inaccessible to children. 15A NCAC 18A .2832 (a). In the playground area, observed AC units inside the fence with easily opening latch which allows the utility equipment to be accessible to the children. Lock to ensure the units are made inaccessible to children.

Observed teacher not wash hands after completing the diapering and cleaning process in Early Preschool class. Wash hands when required. 15A NCAC 18A .2803 (a)

Observed damage inside small cabinet at diaper table in young infants class. Observed damage on toy/truck shelf in Preschool 2 class. Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b).

Observed wood blocks splintering, hard trucks with dust build up in Pre K 2 class and red chair fraying in young 2/3s class. Observed damage inside sanitizer/disinfectant cabinet in young infants class.

Observed sanitizer 500-750ppm in classrooms. Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d)