| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
5
|
0
|
Food properly stored, thawed, prepared, cooked, cooled, handled, served, transported, packaged and identified; only supervised children in kitchen; water from a handwash lavatory not consumed or used for bottle warming:. 2804, .2806, .2808, .2836 |
No |
No
|
No |
General comment:
15A NCAC 18A .2806 (d) Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in the 2800 rules when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs.- Observed speciality milks in the kitchen refrigerator without date that was received at the center. EHS, director discussed proper way to handle specialty milks at the time of inspection. Ensure to receive the unopened container of specialty milks at the beginning of the week, put name and date that was received, send home or discard at the end of the end either opened or unopened containers. |
|
10
|
5
|
Food contact surfaces properly washed, rinsed, sanitized and air dried; single-service articles not re-used: .2809, .2810, .2812, .2814 |
No |
No
|
No |
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 tray need better cleaning at the back crevices. Observed teacher is cleaning the trays stationary in the classroom after feeding. All multi-service articles (high chair trays, spoons, plates/bowls, rubber bibs) shall be wash, rinse and sanitize properly in the kitchen after each use. |
|
16
|
0
|
Hot water supplied and maintained as required in all other areas: .2815, .2836 |
No |
No
|
No |
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 in toddle room measure 115F and 3 classroom measured at 117F. Ensure to provide tempered water where is accessible to children. |
|
19
|
2
|
Approved drinking fountains, pressure regulated, clean: .2815, .2836 |
No |
No
|
No |
15A NCAC 18A .2815 (f).Drinking fountains, if provided, shall be separate from handwash lavatories and kept clean.- Observed very soiled water fountains in need of deep cleaning and keep clean. |
|
21
|
4
|
Properly sized, located, accessible, and in good repair; sinks, toilets and potty chairs cleaned and disinfected; proper change of use procedure: .2817, .2818, .2836 |
No |
No
|
No |
15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.
15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair.- Observed slow drain of the hand sink in 2 classroom, need repair.
-Observed throughout the center toilets and hand washing sink need better cleaning and keep clean. |
|
22
|
3
|
Soap, approved hand drying devices, toilet tissue paper available: .2817, .2818, .2836 |
No |
No
|
No |
15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area.- Observed throughout the facility some missing soap in the dispenser and paper towels dispenser was not working properly causing no paper towels to be available. Ensure to provide soap and paper towels at all hand washing sinks at all time. |
|
26
|
2
|
Approved cleaning solution and approved disinfectant provided; test kit available when required: .2817, .2818, .2819, .2820, .2836 |
No |
No
|
No |
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 the center was using sanitizer solution for disinfectant. Corrected during the inspection and solution concentration was measured 1000 ppm. Ensure to provide disinfectant solution at the concentration between 500-800 ppm. |
|
30
|
0
|
Non-hazardous products properly stored: .2820 |
No |
No
|
No |
General Comment:
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 sanitizer bottle behind a front desk stored less than 5ft, hand lotion and bulk container of soap in the cabinet in front restroom less than 5ft. Ensure to stored all non hazardous items at 5ft or higher at all time. |
|
32
|
0
|
Adequate linen provided and properly stored; adequate beds, cots, mats provided, in good repair, properly stored, labeled, spaced during use: .2821, .2836 |
No |
No
|
No |
General Comment:
15A NCAC 18A .2821 (c). Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens.- Observed cots with no name or number system labeling. Ensure to put name or number chart of cots assignment. |
|
35
|
0
|
Mouth-contact surfaces cleaned and sanitized in rooms designated for children who are not toilet trained: .2822, .2836 |
No |
No
|
No |
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 dirty toys were collected and put in dirty bin and get clean at the end of the day. Teacher spray sanitizer solution on toys (that cannot not be submerged in water) after washed/rinsed. EHS discussed with teacher and director, all toys that can be in the water should be submerged in sanitizer solution for at least 2 minutes and let air dry after. Ensure to use correct strength of sanitizer solution when cleaning toys. |