Location: 801 W. Garner Road GARNER, NC 27529 Facility Type: Child Day Care Inspection Date: 01/17/2024
Score: 7
#
Comments
Points
2.
Two teachers (infant room and toddler room) washed hands and turned off the water with their bare hand.
(e) Handwashing procedures shall include the following steps:
(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 the 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.
Use towel to turn off the water to protect hands.
5.0
5.
Childrens plates with food stacked on top of each other without a barrier to be transported to classrooms on cart. Bottom of the plate in contact with the food on another plate. Use a barrier like parchment paper or a speed rack cart so that the bottom of the plate that was on the counter does not touch the food.
0.0
11.
Note, not a violation: Facility is currently using bleach as a sanitizer which is the correct concentration during inspection. They do have a quat dispenser they are wishing to use for sanitizer. when tested today it was 500 ppm which is too strong to be a sanitizer and not safe for toys or dishes as designed. Quat sanitizer shall be 200 to 400 ppm.
0.0
26.
Bleach disinfectant currently being used in classrooms and is slightly weak and just under 500 ppm chlorine. The quat disinfectant in the dispenser that the center would like to use does not say that it is approved for use in schools nor childcare centers, it has a 10 minute contact time, and the information provided by Cintas states it should be 660 ppm. "Approved Disinfectant" means a chlorine solution containing 500 to 800 parts per million (ppm)
of chlorine or a disinfectant as defined at 40 C.F.R. 158.2203 that is registered with the United States
Environmental Protection Agency (EPA) in accordance with 40 C.F.R. 152 with use indicated in
schools and child care settings and that is prepared and maintained in accordance with Rule .2812(i)
of this Section. Chlorine disinfectant shall be 500 to 800 ppm.
2.0
33.
Some of the sheets on the cots in the toddler room and 2s room are not clean. (f) Linens shall be kept clean, in good repair, and stored with the mat or cot that the linens are assigned to or stored
apart from the mattress or cot in a manner that keeps the linens used for each child separate from the linens belonging
to other children. Linens shall be laundered between users, when soiled, and otherwise once per week. Linens used in
rooms where the children in care are less than 12 months old shall be changed and laundered when soiled and otherwise
at least daily. Linens shall be large enough to cover the bed, cot, or mat`s sleeping surface.
Wash more frequently or have extra linens to replace as needed.
Location: 801 W. Garner Road GARNER, NC 27529 Facility Type: Child Day Care Inspection Date: 01/09/2024
Score: 14
#
Comments
Points
5.
General Comment: 15A NCAC 18A .2810 SPECIFICATIONS FOR KITCHENS, FOOD PREPARATION AREAS AND FOOD SERVICE AREAS
Water from a handwash lavatory shall not be used for bottle warming or to prepare formula, mix dry cereals, or other foods.
0.0
11.
Observation: The disinfectant observed in facility does not have test strips for evaluating levels. The sanitizer when tested was observed at (0ppm) chlorine. SDS sheets are not available for chemicals. A chemical dispensing system installed does not have a known approval.
(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.
(i) An approved disinfectant shall be provided for cleaning purposes. Throughout this Section, when an approved disinfectant is used in a child care center, the manufacturer`s Safety Data Sheets for the disinfectant product shall be kept on file at the child care center and the instructions for use of the disinfectant product shall be followed
(j) A sanitizing solution shall be provided for cleaning purposes. Throughout this Section, when a sanitizing solution is used in a child care center, the manufacturer`s Safety Data Sheet shall be kept on file at the child care center and the instructions for use of the sanitizing solution shall be followed.
2.0
26.
General Comment: An approved disinfectant that is testable was not provided. See #11.
0.0
27.
Observation: Staff member did not wipe hands or childs hands with moist towelette before putting on clean diaper.
(d) Child care center employees shall change a child`s diaper as follows:
(1) gathering supplies before placing child on diapering surface;
(2) donning disposable gloves (if needed);
(3) using disposable towelette or moistened paper towel to clean child, wiping front to back;
(4) disposing of gloves if used, soiled towelettes and diaper in a plastic-lined, covered receptacle;
(5) wiping the child care center employee`s hands and the child`s hands each with a separate disposable towelette or moistened paper towel;
(6) sliding a clean diaper under the child, applying diapering products if needed, using facial or toilet tissue, and discarding the tissue in a plastic-lined, covered receptacle;
(7) fastening the diaper and placing clothing on child;
(8) washing child`s hands in accordance with Rule .2803 of this Section, or, if child is unable to support the child`s head, cleaning the child`s hands with a disposable towelette or moistened paper towel, then drying the child`s hands and returning the child to a supervised area;
(9) spraying entire diapering surface with detergent solution and wipe clean, using disposable paper towels;
(10) spraying entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry; and
(11) washing hands in accordance with Rule .2803 of this Section even if disposable gloves are used by the child care center employee.
4.0
29.
Observation: Aerosol bug spray found in outdoor play bag stored in toddler room unlocked.
15A NCAC 18A .2820 STORAGE
(a) In child care centers, adequate space shall be provided for the storage of equipment, furniture, toys, clothes, linens,
backpacks, book bags, diaper bags, beds, cots, mats, and supplies. Storage areas shall be kept clean. Laundry that is
not clean shall be handled and stored separately from clean laundry using separate containers that are made clean in
between uses and kept in good repair.
(b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product
which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested,
inhaled, or handled shall be kept in the original container or in another labeled container, used according to the
manufacturer`s instructions, and stored in a locked storage room or cabinet when not in use.
6.0
49.
Observation: Plastic playground equipment does not drain standing water accumulating.
15A NCAC 18A .2832 OUTDOOR LEARNING ENVIRONMENT AND PREMISES
(a) Child care center premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazards, and maintained in a manner which does not create conditions that attract or harbor pests.
2.0
General Comments
A reinspection wall take place in 7 days (January 16, 2024)
Location: 801 W. Garner Road GARNER, NC 27529 Facility Type: Child Day Care Inspection Date: 04/21/2023
Score: 5
#
Comments
Points
6.
15A NCAC 18A .2804 FOOD SUPPLIES- In the Infant Classroom, observed bottles of infant formula dated for 4/19 in the classroom refrigerator. Breast milk, formula, and other bottled beverages, including beverages in sippy cups, sent from home shall be
fully prepared, dated, and identified for the appropriate child at the child`s home. All breast milk, formula, and other
bottled beverages shall be returned to the child`s home or discarded at the end of each day.
3.0
31.
15A NCAC 18A .2820 STORAGE- In the toddler classroom, observed Employee`s Personal gymp bag stored below five (5) feet in the classroom bathroom. Employee purses and other personal effects shall be kept out of reach of children.
2.0
37.
15A NCAC 18A .2824 FLOORS- Observed some stains on the playmat in the Infant classroom. Ensure all carpets and mats are kept in good repair. All floors and floor coverings shall be kept clean and maintained in good repair.
0.0
General Comments
Per our earlier general discussion- Child safety latches are not acceptable as a means to prevent access. HH Magnetic locks, combination locks, and padlocks are acceptable to use. The unlocking devise should be stored separately. Do not store a key to a padlock inside the lock.
Location: 801 W. Garner Road GARNER, NC 27529 Facility Type: Child Day Care Inspection Date: 08/26/2022
Score: 6
#
Comments
Points
26.
Disinfectant solution in all classrooms throughout facility reading below required 500-800ppm. .2801(7)
2.0
27.
Observed plastic container of toys being stored within diapering sink and exposed to splash in infant room. .2820 (A)
4.0
General Comments
Significant improvement observed from last inspection. Great job!
Effective October 1, 2019, childcare centers are required to test all water outlets used for drinking or food preparation. Initial samples shall be collected by the childcare center within one year of the effective date of this Rule (.2816). Non-compliance with this Rule on the initial inspection on/after October 1, 2020 will result in a general comment. Subsequent inspections with non-compliance to this Rule will be assessed 6-demerits. For free, initial testing, please contact RTI International (https://www.cleanwaterforcarolinakids.org/).
Sanitizer solution in all classrooms throughout facility reading higher than required 50-200ppm. .2801(22)
2.0
13.
Clean utensils being stored inside handwashing sink in kitchen area. It appears center is using handwashing sink as drainboard space for clean utensils. This sink should only be used for handwashing. .2814 (B)
3.0
26.
Disinfectant solution in all classrooms throughout facility reading below required 500-800ppm. .2801(7)
2.0
27.
Infant lunch boxes/bags being stored within diapering sink and exposed to splash. .2820 (A) Observed staff member not discard soiled gloves or wipe hands after discarding soiled diaper. .2819 (D 4 & 5)
4.0
28.
Several boxes of Advil and medications inside first aid kits accessible to children throughout facility. .2820 (D)
6.0
29.
General Comment: White out and containers of printer ink stored accessible to children. .2820 (B)
0.0
32.
General Comment: Cribs in infant rooms are not individually identified on the cribs themselves. .2821 (C)
0.0
33.
General Comment: When asked, operator stated that linens in infant rooms are not washed daily as required. .2821 (F)
0.0
42.
General Comment: When asked, operator stated facility does not have a designated sick cot or mat for sick children. .2827 (B)
0.0
General Comments
Inspection lead by Peri Sellew accompanied by State Regional Kimly Blount.
Effective October 1, 2019, childcare centers are required to test all water outlets used for drinking or food preparation. Initial samples shall be collected by the childcare center within one year of the effective date of this Rule (.2816). Non-compliance with this Rule on the initial inspection on/after October 1, 2020 will result in a general comment. Subsequent inspections with non-compliance to this Rule will be assessed 6-demerits. For free, initial testing, please contact RTI International (https://www.cleanwaterforcarolinakids.org/).
Location: 801 W. Garner Road GARNER, NC 27529 Facility Type: Child Day Care Inspection Date: 01/11/2022
Score: 2
#
Comments
Points
11.
No test kit available for chlorine sanitizer solution that reads from 0-200ppm. No test kit available for disinfectant solution that read 1,000ppm due to COVID-19.
2.0
General Comments
No signature of recipient due to COVID-19 pandemic.
