Procedure for the Submission of Child Care Center Plan Review*

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Procedure for the Submission of Child Care Center Plan Review* *(No charge to review child care centers)* 1) Fully complete plan review application be sure to include a phone number for a contact person who can answer questions. Also, make sure that all items are completed on the application. If any items are left blank, the plan review process will be delayed. 2) Provide a drawing, to a scale, of the proposed facility and include all classrooms, storage areas, equipment, sinks, refrigerators, freezers, bathrooms, laundry, dishwashers, diaper changing stations, etc. (Usually a scale of ¼ = 1 is used). (An example of a scaled drawing is available upon request.) 3) Provide a proposed menu. Please return to: 309 E. Market Street Smithfield, NC 27577 Phone: 919-989-5180 FAX: 919-989-5190

Child Care Center Plan Review Application General Information Name of Center: Center s Address: Name of Applicant: Name of Director(s): Name of Owner: Owner s Mailing Address: Owner s Phone Number: Applicant s Name: Applicant s Mailing Address: Applicant s Phone Number: Operational Information What are the days and hours that the center plans to be in operation? Number of children that the center will be licensed for (approximately): Will the center have a licensed afterschool program? Will the center offer overnight care or two shifts? If yes, explain. Please enclose the following documents with this application: Plan of facility drawn to scale with all equipment labeled Proposed Menu Is the proposed center an existing facility/building? If yes, what is the date when the facility/building was constructed? If the facility is not pre-existing, what is the proposed date for start of construction? What is the projected date for opening of the center? What is the approximate square footage of the facility? Food Preparation Will meals be prepared at the facility or catered in? If catered in, what is the location of the catering facility? Will the equipment be shared with any other group in the same facility?

1) List equipment to be used in the kitchen and indicate whether it is commercial (NSF listed) or domestic: 2) Dishwashing Facilities: Will the center serve food/beverage on multi-service articles or single-use articles? Where multi-use articles are used, the center must have one of the following: Dishwasher and a two-compartment sink Three-compartment sink The equipment needs to be of sufficient size and volume based on the volume of utensils to be washed, rinsed and sanitized. What size sink will be used for dishwashing and what are the dimensions? Two-compartment x x in. Three-compartment x x in. Is there at least 24 inches length of countertop space or drain board space on both sides of the sinks and/or dish machine? Dishwasher: Will the center use a dishwasher? If so, list the make and model. Provide a spec sheet if available. 3) How will all food containers/pans/utensils be sanitized in the dishwashing process? 4) Will any foods be fried on-site? If yes, is a commercial hood system planned to be installed? 5) Check foods that will be prepared in your child care center kitchen: raw vegetables raw chicken raw hamburger raw fish / seafood salads precooked meats pre-prepared meats* egg-based products *pre-portioned, ready-to-cook

Where will the above items be washed and/or prepped? 6) Refrigeration / Freezers: Adequate refrigeration and freezer space provided? Conspicuous and accurate thermometer in each freezer and refrigerator? 7) Is a separate hand-washing lavatory provided*? * Only food service personnel shall use this lavatory. 8) Will there be a separate metal stem thermometer to check food temperatures? Infant Feeding Areas / Classroom Feeding 1) Where will bottles be stored or prepared? If in the classroom, is there a separate hand-washing lavatory and designated food preparation counter? How do you plan on heating the bottles? Where is the heating equipment located? 2) Will older children be dining in the classroom? If yes, how will the food be brought from the kitchen to the classrooms? Note: If bottles or sippie cups are stored in the classroom, a hand sink in addition to the hand-washing sink for diaper-changes is required. Diaper Changing Stations 1) How many designated diaper changing areas* will be in the center? (indicate areas on the plans) 2) Is a hand-washing sink accessible to each diaper changing station? Explain: 3) How do you plan on cleaning / disinfecting the changing station between uses? * This includes the changing of pull-ups or soiled clothing.

Solid Wastes 1) Is there a can cleaning facility or mop sink? 2) Will a dumpster be used? Contractor? 3) Is there a grease trap? If yes, where is it located? Water and Wastewater 1) Water service: a) Community? b) Private well*? 2) Sewage service: a) Municipal sewer? b) On-site septic system? *If the center is on a private well and serves 25 or more people, documentation shall be provided from the Public Water Supply Section that the well is approved. Hot Water Heater(s) Water heating equipment shall be provided to meet the maximum hot water requirements of the child care center. The capacity and recovery ratings are based on the number and size of sinks, capacity of dishwashing machines and laundry machines. Hot water at the kitchen sink used for cleaning and sanitizing, and laundry machines, shall have a minimum temperature of 120 F. Water in all areas that are accessible to children shall be tempered between 80 F and 110 F. Can-Wash or Mop sinks shall provide a minimum water temperature of 80 F. How will these requirements be met? List specifications of hot water heater(s) to be used. This should include capacity, set temperature, and recovery rate*. Quantity Capacity: gallons Recovery: gallons/hour Temperature Quantity Capacity: gallons Recovery: gallons/hour Temperature Quantity Capacity: gallons Recovery: gallons/hour Temperature *Note: Recovery must be in gallons per hour at 100 F rise. A specification sheet from the manufacturer detailing this information will also be acceptable.

Floors, Walls, and Ceilings Indicate materials used in each area: (e.g., Acoustical tile, linoleum, etc.) (All floors, walls, and ceilings should be cleanable in these areas.*) Floors Walls Ceilings Kitchen Food Storage Toilet Rooms Laundry Room Utility Room Classrooms *Carpeting is allowed in classrooms. *Ceilings in rooms in which food is prepared shall be non-absorbent. Carpeting Requirements: Closely woven construction and easily cleanable. Carpets must be vacuumed daily and cleaned once each six months using extraction cleaning methods. Miscellaneous 1) Where will hazardous substances be stored? (Must be stored under lock and key.) 2) Will linens be washed at the center or sent home? 3) Where will the children s personal items (bags, coats, etc.) be stored? Will cubbies or coat hooks be provided? 4) Where will the designated sick area be located? 5) Where will mats or cots be stored? 6) How and where will toys be washed and sanitized? 7) Will animals be allowed on the grounds of the facility? If yes, explain locations and restraints.

Additional Comments This plan review application is not a complete checklist and does not replace the Rules Governing the Sanitation of Child Care Centers 15A NCAC 18A.2800.