CHILD CARE CENTER PLAN REV APP HARNETT COUNTY CHILD CARE CENTER PLAN REVIEW
APPLICATION
* The application will be reviewed using 15A NCAC 18A .2800 "Rules Governing the
Sanitation of Child Care Facilities."
Plans must be submitted and approved prior to construction, renovation, modification, or upon
the change of ownership of such facilities. Submit plans to the Harnett County Central
Permitting Office located at 108 East Front St., Lillington, NC 27546 or by mail at PO Box 65,
Lillington, NC 27546. You may contact the Central Permitting Office at 910 - 893 -7525, Ext. 2. If
you have questions regarding this application, contact one of the following people listed below at
910 - 893 -7547
Gale Violette Greene, RS Jamie Turlington, RS
Food and Lodging Program Specialist Environmental Health Specialist
Cindy Pierce, RS
Environmental Health Specialist
✓ Plans must include drawings showing placement of equipment in the facility,
including storage, food service areas, diaper changing areas, can wash facilities,
along with general plumbing, electrical, mechanical, and lighting plans. You
must also submit equipment and finish schedules.
I Each child care classroom should be identified by age group(s) that will be using
the room.
✓ Plans must have a proposed menu provided listing the foods to be served at the
child care center
le' Plans must include a site plan locating exterior equipment such as dumpsters or
compactors and indicating the proposed connections to approved sewer and water.
In addition, please complete the following information to identify the child care facility and .
who to contact about questions regarding the review of this establishment:
V NEW REMODEL CONVERSION /ADDITION
-�[, c nn
NAME OF CHILD CARE CENTER: Sole !.!Gk-Sea/I. r tccb, ( Cfl e Id 2et*dcp heal
CHILD CARE CENTER'S ADDRESS: , 3D Ne LL ��I u / • 0. 4 41/ 29g'
PHONE: fro 891 "a7�11� FA on /tt Z9,1?-6 9 /4 -%f3 9a6s
NAME OF OWNER: re p y r/ P2meEPi , /
MAILING ADDRESS: P4 601 ��2 h / / /� <�J j � (I/ , ' V ¢6
PHONE: g7.� " , 4/h (€) EMAIL:
910 61,1d
i
APPLICANT'S NAME: //a / -_i , / /t
MAILING ADDRESS: I O. 150/ 24R Li) JI l n tj1, fl./C 0
c� �i ro— 7�
PHONE: CO b - a tiA - ol.y--�-11 �r tf0� EMA
TITLE (MANAGER, ARCHITECT, DIRECTOR): i /.' A .� #Ii.: —'1
NUMBER OF CHILDREN FOR WHICH FACILITY WILL BE LICENSED: 46
If this is a remodel or a change of ownership, what is the age of the building? rt(n
Main Food Service
Meals prepared on site or catered meals? (With catered meals you are still required to have the
minimum requirements in the kitchen) P 03 I U r\C.h
Where will the children eat meals? (Family style, tables in classrooms, dining area, etc...)
- 1711a1Ps ; c IGI 5 arns.
Will multi -use utensils, silverware sippy cups, etc..., be used or disposable ut sils?
dic.posnh)f, Iltensl I011 M tl.se4
Can he kitchen door e locked? Is ;here . _a barrier to keep children out of he kitchen?
i \ C ;, Ii" o.n,� br loe ed. I e.re 1 s a keep, I n p al wen pot
Please list all equipment to be used in the kitchen and include specification sheets:
1)0 i 1)0 nc And coo1Ci n9 tre.nsi is
Do you have a thermometer available to mot food temperatures? 11 P 5 Do you
have thermometers in the refrigerators?
t i
f„S
Will leftovers be served? to Will meals be prepared 12 or more hours in advance? Kt)
Infant Food Service
Will bottles be stored, prepay d, warmed, servpd, etc... in the infant room or in the kitchen?
NO — 30st Wormer!
Describe your procedures for handling breast milk: The, pa re ri+ \/.1 ■ It F i)C
0 • • - + 14; . a •. I kern 1 .• a -
IN I 1 Wnrrn hh +flec, -fin r- 4-he_ i n an
Does the infant room have countertop space for warming bottles? lj e S
What method will be used to warm bottles?
Is there a refrigerator for bottle storage? l ( e Is there a thermometer? (' e s
Is there a separate sink used exclusively for bottle /food preparation? 7 e
Diaper Changing
Are diaper changing stations in each age appropriate room? 1 e.S
Where will diaper changing supplies be kept? • (l L b A - 5 T+ ' h 1
Is there a dirty diaper receptacle with a lid? e, s
Can the caregiver view the children while changing diapers? yes
Where how d w will soapy water, sanitizers and isinfectants be stored?
fa Th C_ohNse - 6 V t. Nigh
Is there a separate hand wash lavatory used exclusively for diaper changing hand washing?
t IPC
Are diaper changing signs provided? L es
Cubbies and Storage
How and where will cubbies be arranged? AkaI I h co rherc
Are coat hooks spaced at least 12" apart? 4, a S
Is all storage in all closets stored off floor (recommend 12 ") to facilitate cleaning ? V P
Will toothbrushes be used at the center? WI) Will they be labeled? IV O
Beds, Cots, Mats, Cribs, and Linens
Will cribs have the capability of being spaced 18" apart while in use? (if not, crib dividers and
partitions are acceptable) If e. - f
How and where will cots and/or mats be stored? .T n r Q �S roo 1 1 - { 1 6Q,1 1 n a eoyneK
Where will crib, cot, and mat sheets be stored? - in fl Gk 0.56 rein nil
Where is there a designated sick area with cot/mat? Zn ' be. o il Ce, Q (ea
Is linen being provided by the center or the parents? C en C
How often will infant sheets be changed? P V P. r t! da (o n Q Q 5 heerPtl)
How often will sheets be laundered? P _V e r' f cia ( on t 1/416,(2, (l i if 10 r p rescho o ( )
Cleaning, Sanitizing and Disinfecting
Is all furniture in the center of a smooth, washable finish?
How will toys jn infant and toddler rooms be washed and sanitized? Where? How ften?
nnifizc i n The SlnK wee k fseeJeci
Please explain what type of saniti er will be used to sanitize toys, food areas, furniture, etc.:
San i4 Ter Cind Sngpy Ln)a + er
Please explain what type of disinfectant will be used to sanitize toilets, lavatories and diaper
changing tables: S(A n i - hi ter and 5 na p I Iuo to r
Do you have appropriate test strips for the types of sanitizer and disinfectant you are using?
y
Where is the can wash facility for cleaning trash cans, dumping mop water, etc...?
r) !Ai sli C I Cnre center
Will water play centers be used? t p.S
Hand wash lavatories
Does each toilet area have a hand wash lavatory? Yes
Does the dianer cc station have a hand wash lavatory exclusively for diaper changing?
Does the food service area in the infant and toddler room have a lavatory exclusively for food
service? NO
Does the kitchen have a hand sink that is separate from the 2 or 3 compartment sink for hand
washing only? Y O 6
What types of faucets are at all hand wash lavatories (please note that metering type is not
allowed unless they can retain warm water for at least 20 seconds at the first pressing):
Are handwashing signs provided? ye 5
Locked Items
Please indicate where the following type of locked items will be stored and what type of lock:
Medicines (both refrigerated and non refrigerated)
loll efa C I nw,k boy
Cleaning supplies and all types of chemicals
G -orktA rnhwe
Personal belongings (purses, keys, employee items),
/ cc kpd ( hole
Aerosols and all other toxic products
Mildly I11 Children
Will you be licensed to care for mildly i11 children pursuant to 10A NCAC 09 .2400? Am
Please include your protocols for this type of care.
Water Supply L
Is the child care center on a well or provided with county water? r.(J U r y wafer
Sewage Disposal ll �__ �/f
Is disposal through an onsite septic system or county sewer? on Al Ie .
Grease trap provided? /es
Hot Water Supply
The kitchen hot water temperature will need to be a minimum of 120 degrees Fahrenheit. All
other sinks that are accessible to children and the can wash facility must be maintained between
80- 110'Fahrenheit. Using two separate water heaters may be the best option since it is often
difficult to obtain two separate temperatures with one water heater. Mixing valves installed on
sinks have a high failure rate and are not very dependable.
Explain what the specifications of your water heater(s) are. (For example, if you are using two
water heaters, indicate which one is for the kitchen and which one if for the classrooms). It
is recommended that the minimum water heater size be 50 gallons. I.
Tank Manufacturer and Model # En vi -ro --f em C(VereYT/yIQ'.S& -&/t 16 3,T53PI/
Storage tank size I1fJ /OMS GPI-1 recovery 1 Additional tank size
Lighting ✓
Do all light fixtures have shatterproof or shielded bulbs? ye. 5
Will lighting illuminate 50 ft. candles at all work areas? y e 5
and 10 ft. candles at all other areas, including storage closets? e
Finishes
Please describe the finishes /construction material in the following areas:
f
Floors Walls Baseboards Ceilings
Kitchen it SW,P rO6.-A WOOS L C/7Pef/77GT
Bathrooms hoc& pod /)ile SA2 /rocA Wad ,gAPP.trnr
Infant Room Ana) wood SAPe,'f/ork Woo ,S'r1ee,, ' off
Room Nord woe (I S heefrnrAk woo 41 nhePt rfirA
Other Rooms /
Staff Room /Office / /n01 earl cAt,t, 1 nxt 1 (4) 666; S kec ro Pk
Storeroom / ar d ulllK J 'A f ro( 'A w £4eefrac/
Other K�
*Wall to wall carpets must be cleaned at least every six months
Animals
What type of animals will be on the premises? No f1�P
Outside premises
Please describe the playground area (size, type of play equipment type of fence, water activities,
etc...) 9'' X A0 t04 I I$ Dots i/1) x aD t 'o gtIss
fens% is a eAd'H , Ji P1 c" net,
`J
Is there chromatecopper arsenate (CCA) pressure- treated wood in the play ground area?
What methods will you use to make this inaccessible to the children? /t/�4-
Is the can wash facility located outside? Ye S
If yes, is there a fence and lock around it so it is not accessible to children? yci
Is the HVAC, mechanical equipment, etc... locked with a fence around it so it is not accessible
to children? Y P,s
Attach additional sheets if necessary.
gg
8/06
n ^ 0. O s - C 2 n 0 o 2
O � o -, Y c _ o
" p, -C, ^ F N G N P O G F 4 ti r F 2, art? 2 7 O W L. N F 2 • N 2 i'J < V' i • v . A '1 n d g 3
J = N O 5” B = '" O o C C O'5 G 2 8- ❑ O O m G ' in 181=P ' O^ W i._ ,.. o n r.
6 0. d d • w N O 00 R N N dd a w y 0 d N F. d K C ' G n
a ` ' ati g.' w 7 w ry -n _ ao v, F w w '4 8 n o !t 2 7.: o
n Cy O C 7 . • °= r 2 el c s 7. o w C w 2 .... O ^ n 4;‘:: v
sv m =: b 2 F 2 m o
a n n • yI
O E'
a) n) Z.. -----.„... l
co i- t.
"
N O Fy
CD x q
'I ----„... t i:
zt. .;‘,..... i I i ll 2 4
kg , .,,,, • „.„.:
Lt low • ''''......„ c:k• •&- -
n . C0') : o
:
p
-0 „ mot
a.
fc 1 (* .,--F,,, ,. , w,
r ._,,
.., . a
a
--- It c' ;
k5 \4.
l lL \
1. } j -i----t,„
, , 4.„ , ,
N.,
, ,
, „fr.,,,
.c i . r
1‘, - ! 1->
. 15•••