LYRICAL PRE-K ACADEMY

Observed water stained ceiling tiles during the inspection **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 water stained ceiling tiles in the Library and in the classroom. **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.

General Comment: 15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed loose toilet seat in girls bathroom in the first stall. Needs tightening.

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 200 ppm. Needs to be 500-800 ppm. 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 lotion stored in drawers less than 5ft up in lobby. REPEAT. 15A NCAC 18A .2820 (c ) Sanitizing, disinfecting, and detergent solutions shall be labeled with the product name (ex. "Sanitizer"). Observed soapy water bottle in classroom 167 with no label. Needs label.

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 in 184 storage room, gym stage, and cafeteria. Observed ceiling leaking in the lobby. Needs repair. 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.- Observed kitchen without a thin probe thermometer to measure the temperature of foods. Obtain a thin probe thermometer.

REPEAT Provide15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes. Observed no sanitizer available for general cleaning. Ensure to provide sanitizer solution for cleaning at correct concentration between 50-200 ppm of chlorine daily and store 5 feet above the floor.

General Comment: 15A NCAC 18A .2815 (e) Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children.- Observed kitchen door left unlock while not operational or not during lunch hours. Keep the door lock at all time when no staff attended. Observed water machine dispenser in the hall way in front of the gym, Hot water must be disconnected, made it unavailable if choose to have the machine or remove the machine all together, then provide drinking water other way that are safe.

15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed hand sinks in restroom need better and detail cleaning all around. Keep clean.

REPEAT 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 spray bottles measure less than 250 ppm classroom, and no disinfectant spray bottle available in the bathroom. Provide disinfectant solution where is applicable and needed for cleaning. Solution must be between 500-800 ppm and prepare within 24 hours for use.

General Comment REPEAT: 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 unlocked antiseptic wipes and ointment medication tube in unlocked first aid kit in 166. All medication (prescription or nonprescription/over the counter) shall be in lock cabinet/box/storage at all time. NOTE: **Lock storage rooms and cabinets shall include those which are unlocked with a combination lock, electric or magnetic device, key pad, key, or equivalent locking device, keep/store keys at least 5ft or higher at all time**

General Comment REPEAT: 15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed liquid wipeout, Clorox disinfectant wipes, air freshener and other form of spray aerosol can in unlock cabinet/drawer/on top of the counter/unlock office along hallway. Observed unlocked electrical room with a box of chemicals on the way to the gym. Observed Clorox cleaner spray bottle in women locker in restroom. Observed ice pack in the first aid kit. Ensure to keep all hazardous items that has labeled “Keep out of reach of children “ and other “warning” and “caution” in a lock storage/ cabinet/box at all times. Child safety locks are not considered locks. Locks must have keys, combination or be magnetic. 15A NCAC 18A .2820 (b) (c). All hazardous items must be stored behind lock and key. A locked kitchen is not considered to be a locked storage room or cabinet for the purpose of this rule - Observed container of Clorox sit at the three compartment sinks in the kitchen. Staff are preparing meals at the time of inspection. Hazardous items and how to store them properly discussed with kitchen staff and director assistant the time of inspection. NOTE: **Lock storage rooms and cabinets shall include those which are unlocked with a combination lock, electric or magnetic device, key pad, key, or equivalent locking device, keep/store keys at least 5ft or higher 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 lotion, hand sanitizer, disinfectant bottle on a desk in unlock office, classroom and other approve space throughout the center. Ensure to keep all non-hazardous items at 5ft or higher at all time. 15A NCAC 18A .2820 (c) Bulk soaps shall be kept inaccessible to children by storing the product at least 5ft above the floor.- Observed bulk soap container in unlock locker in women restroom. All bulk soap shall be stored at 5ft or higher or lock it up at all times.

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 personal bag/belongings on a chair in library. Keep all personal belongings that contain non hazardous items in it at 5ft or higher at all times.

General Comment: 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. - According to teacher in classroom where mouthing/dirty toys present. The dirty toys were collected and put in dirty bin and get clean at the end of the day. Teacher spray disinfectant solution on toys and let them air dry. Proper toys cleaning discussed with teacher and director at the time of inspection. All dirty toys shall be washed/rinsed/sanitized properly in the kitchen at the three compartment sinks. Or 3 step bins suggested, label (wash/rinse/sanitize). Some toys that cannot not be submerged in water after washed and rinsed, the sanitizer spray can be used. All toys that can be in the water shall be submerged in sanitizer solution for at least 2 minutes and let air dry after. Ensure to use/provide the correct strength of sanitizer solution in the bin for cleaning toys each day and ensure to store the sanitizer bin at 5ft or higher.

REPEAT 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 in bathroom and classroom. Check if no active leaks, repair/replace the ceiling tiles.

15A NCAC 18A .2803 (a) and (c), .2836 (15).Child care center employees and children shall wash their hands when required. Observed children were not washing hands on arrival. Children need to wash hands before going to classroom.

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 lunches from home were not being taken to the kitchen for refrigeration. Lunch was still < 45F at this time. Children’s lunches with PHF need to be labeled and dated and put in the refrigerator in the kitchen.

Provide15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes. Observed no sanitizer or soapy water available. Mix a bleach solution 50-200 ppm chlorine daily and store 5 feet above the floor

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 at left hand sink in girl’s bathroom 75F. Adjust mixing valve

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 no disinfectant spray bottles available in the bathroom.

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 unlocked antiseptic wipes and other meds in unlocked first aid kit in 166.

15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed unlocked shaving cream in 167. Child safety locks are not considered locks. Locks must have keys, combination or be magnetic.

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 in bathroom and classroom. Walls with grimy smudges under hand dryers in bathroom.