LITTLE PEOPLE'S PLAYHOUSE

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 at 250ppm. Ensure disinfectant is between 500-800ppm.

15A NCAC 18A .2804 (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center.- Observed baby bottle in refrigerator without date received. Ensure to label both name and date on items send from home for the day. REPEAT 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 lunch containers in refrigerator without date received. Ensure to label all items send from home with name and date.

REPEAT 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 bottle stored on a kitchen counter and table in the office less than 5ft. Observed soapy/sanitizer/disinfectant solution bottles stored on kitchen counter less than 5ft. Ensure to keep all non hazardous items at 5ft or higher at anytime.

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 new little milk cartons with straw for snack in refrigerator without name of student and date received. Ensure to label all items send from home with name and date.

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key.- Observed charcoal lighter liquid container, and a bag of charcoal stored on the shelf of outdoor smoker trailer in front the fence at the front side gate entrance. Observed a little square plastic white aunt trap on the counter in dining room. Observed air freshener in aerosol can in the unlocked office next to bathroom. Ensure to keep all hazardous items locked at all time.

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 bottle stored on counter in the dinning room. Ensure to store all non hazardous items at 5ft or higher at all time.

15A NCAC 18A .2804 (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center.- Observed bottles in kitchen refrigerator dated incorrectly 3/30. Ensure to put both name and correct date that was received at the center on all items sent from home. 15A NCAC 18A .2804 (g) After opening, jars of baby food shall be covered, labeled with the date on which they were opened, refrigerated and used within two days of opening, provided that the baby food is not served directly from the jar.- Observed opened baby food jar in kitchen refrigerator with incorrect date that was received, and without date that was open. Ensure to label name, date received, date opened, food can be kept up to two days. 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 speciality milks in the kitchen refrigerator, two containers with name and without date. One is without name and date that was received at the center. EHS, and director discussed proper way to handle specialty milks at the time of inspection. Ensure to receive the unopened container of specialty milks at the beginning of the week, put name and date that was received, send home or discard at the end of the end either opened or unopened containers.

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 chlorine disinfectant solution concentration measured more than 250ppm and less than 500 ppm. Ensure to provide correct chlorine concentration solution at all times between 500-800 ppm, and prepare it for use every 24 hours.

General Comment: 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 bags stored on top of their cubby. Items are touching each other while storing. CDI- Director put each bag inside their individual cubby at the time of inspection. Ensure to keep all individual items separate and not allow contact at anytime while storing.

REPEAT 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.- Observe the facility without thin probe food thermometer, there is a meat thermometer available in the kitchen. Obtain a thin probe food thermometer. Detail type of correct thermometer discussed with PIC during the inspection.

General Comment: 15A NCAC 18A .2820 (b).Keys used to access hazardous item storage must be out of reach of children (5 ft above the floor) and stored separately from lock.- Observed magnetic key to unlock a cabinet where all hazardous items stored, was place on the washer machine less than 5ft. Ensure to keep the key at 5ft or higher at all time.

REPEAT 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 on the kitchen/dining room counter less than 5ft. Ensure to keep all non hazardous items at 5ft or higher at all time.

REPEAT 15A NCAC 18A .2804 (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center.- Observed sippy cups send from home without name and date in the refrigerator. One sippy cup with name and dated 1/10. Ensure to put both name and correct date on items from home and send back home with a child at the end of the day. 15A NCAC 18A .2804 (h) After the completion of each feeding, any leftover formula, human milk, or other bottled beverages used during the feeding shall be discarded or sent home with the child whose name is on the label for the formula, human milk, or bottled beverage at the end of each day. Feeding is complete when the child care center employee has stopped feeding the child and the child has been removed from the feeding area in the child care center and returned to other activities. Bottles previously used for feeding shall not be returned to communal mechanical refrigeration.- Observed children sippy cups from home that was previously served throughout the day going in and out the refrigerator until the end of the day, then get send home with a child. EHS and PIC discussed proper way to handle the situation. Ensure to not return leftover beverages containers to the refrigerator.

General Comment: 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.- Observe the facility with malfunction (bent) thin probe food thermometer, causing 10F degree difference during the calibration. Obtain a new working thermometer.

REPEAT 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 chlorine sanitizing solution bottle in the restroom measured 500 ppm. Ensure to provide sanitizing solution containing 50 to 200 ppm of chlorine.

General Comment: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key.- Observed air freshener in aerosol can on the shelf in front of the restroom. Observed in laundry room, hazardous items (Clorox wipes, cleaner, chemicals) in the magnetic cabinet that was not properly latched to lock at the time of inspection. The cabinet had to be adjusted and readjusted several time in order to latch and lock properly. Ensure to check the lock of the cabinet before leaving the area.

REPEAT 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 bottle on the table at back porch. Ensure to put all non hazardous items at 5ft or higher at all time.

15A NCAC 18A .2804 (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center.- Observed bottles of milk and sippy cup that was sent from home in the kitchen refrigerator without name and date that was received at the center. Ensure to check every morning with name and date when receiving them from parent each day.

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 chlorine sanitizing solution bottle in the kitchen measure 0.00 ppm. Ensure to provide sanitizing solution containing 50 to 200 ppm of chlorine.

General Comment: 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. -Observed tears on the toilet seat cushion in the restroom. Need repair or replace.

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 two bottles of hand sanitizer stored below 5ft on the outdoor patio leading to the playground at the back. Keep all non- hazardous items 5ft or above.

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 the facility without the written plan.EHS emailed the director at the time of inspection. The facility will keep the plan and supply in the facility and the van during the transportation.