MAGNOLIA PRESCHOOL, LLC

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 bottles without date received in infant room refrigerator. Ensure to put both name and date received on all items sent from home. 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 leftover snack needs to be stored and kept safe from pests in resealable containers or ziplock bags. Corrected at the time of inspection. 15A NCAC 18A .2806 (d) Bulk food stored in a refrigerator shall be stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator. *** Observed bulk milk containers stored in a dorm refrigerator in infant room. EHS discussed proper storage and possible way to handle situations appropriately at the time of inspection.

General Comment: 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 temperature in older class restroom measured at 119F. Provides tempered water between 80F- 110F at anytime where is accessible to children.

REMINDER: 15A NCAC 18A .2816 (b) (1) Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. Samples shall also be collected and tested within 30 calendar days of completion of any renovations or repairs that may impact the facility's drinking water infrastructure, such as repair or replacement of all or part of drinking water service lines or faucets, at impacted outlets. The operator shall provide documentation of testing results for review by the Department during each unannounced routine sanitation inspection. *** Last water testing was 02/05/2024

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 solution at 250 ppm. Disinfectant needs to be between 500-800ppm.

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 solution at 250 ppm. Disinfectant needs to be between 500-800ppm.

15A NCAC 18A .2806 (d) Bulk food stored in a refrigerator shall be stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator. Observed bulk milk in mini fridge in infant room. Needs to be in a full size refrigerator.

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 high chair trays stacked at food prep area in infant room. Operator stated the trays are cleaned in the classroom during the day and sent to the kitchen at the end of the day. Highchair trays shall be cleaned in the kitchen after each use.

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 113F in bathroom and older children’s classroom handsinks. Needs to be 80 -110 F.

15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed high chair trays stored in the bathroom. 15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed high chair tray stored across food prep sink in infant room.

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 cheese crackers and pretzels stored in infant room in non resealable bags. Needs to be stored in resealable bags or 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 disinfectant at 250 ppm chlorine. Needs to be 500-800 ppm chlorine.

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 hydrocortisone cream and another medical cream stored in first aid box not locked up. CDI - Items were locked.

15A NCAC 18A .2821 (f). 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. Facility staff stated that linens in infant room are changed every other day and occasionally more frequently. Needs to be changed and laundered at least daily.

Disposable towels shall be provided at all hand washing sinks. 15A NCAC 18A .2818 (d). Observed paper towels missing from one handsink. CDI-paper towels put in holder.

Handwashing sinks must be free of storage. 15A NCAC 18A .2818 (a). Observed paper towels stored below hand sink. Paper goods cannot be stored below sink plumbing.

Provide test strips for the chlorine disinfectant. 15A NCAC 18A .2819 (c ) Observed no test strips available for disinfectant.