| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
5
|
Handwashing when required: .2803, .2836 |
No |
No
|
No |
15A NCAC 18A .2803 (a) and (c), .2836 (15).Child care center employees and children shall wash their hands when required.- Observed children came into infant room, dropping off by parents. Hands are not washed before engaging in classroom activities. Ensure to wash hands when required by anyone upon entering classrooms at anytime. |
|
2
|
5
|
Proper handwashing procedure: .2803, .2836 |
No |
No
|
No |
15A NCAC 18A.2803 (e). Handwashing procedures shall include: (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 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.- Observed teacher after helping a child on diaper changing table and washing hands incorrectly. Hand washing procedures shall be followed properly to ensure clean hands. |
|
5
|
5
|
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 |
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 bottle on the counter in infant room without name and date of a child from toddler room. Ensure to label name and date of a child on items came 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 opened leftover of bulk bag of gold fish stored in a cabinet in 2’s classroom.
REPEAT
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 container of milk stored in dorm refrigerator in infant room. All bulk milk shall be stored in a Full-Size refrigerator.
15A NCAC 18A .2806 (b) Food that is stored in child care center classrooms or other rooms intended for child care use, shall be limited to foods that are individually packaged unless the classroom is equipped with a food preparation area.- Observed opened a bulk bag of gold fish stored a cabinet in 2’s classroom. This classroom is not equipped with a food preparation area, therefore ONLY individual packages can be stored in the classroom. |
|
7
|
2
|
Thermometers provided, accurate: .2804, .2807, .2808, .2836 |
No |
No
|
No |
REPEAT
15A NCAC 18A .2807 (h) Metal stem-type, thin probe, numerically scaled indicating product thermometers, accurate to ± 3 degrees Fahrenheit shall be used to ensure the maintenance of the internal cooking temperatures of all potentially hazardous foods required under this Rule.- Observed the kitchen does not have a thin prob food thermometer. Obtain a thin probe food thermometer and have available to 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 temperature measured at 77F in school age and PreK sink. 112F at toddler sink. Provide tempered water temperature between 80F -110F. |
|
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 |
REPEAT
15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed toilet needs cleaning in school age restroom. Clean and keep clean.
15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed slow draining at hand sink in 2’s classroom. Observed hand sinks throughout the center need better cleaning. Keep hand sinks clean and in good repair. |
|
22
|
3
|
Soap, approved hand drying devices, toilet tissue paper available: .2817, .2818, .2836 |
No |
No
|
No |
15A NCAC 18A .2817 (a) In child care centers, toilet tissue paper shall be provided in each toilet room and stored in a clean, dry place.- Observed no toilet tissue in PreK restroom need refill.
15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area.- Observed no soap available in broken dispenser in toddler room. Ensure to provide all hand washing supplies at all hand sinks at all times. |
|
26
|
2
|
Approved cleaning solution and approved disinfectant provided; test kit available when required: .2817, .2818, .2819, .2820, .2836 |
No |
No
|
No |
REPEAT
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 center without test strips for chlorine disinfectant solution. Obtain test strips for disinfectant solution that can measure the concentration between 500-800 ppm. |
|
29
|
0
|
Hazardous products properly stored and locked: .2820 |
No |
No
|
No |
General Comment:
15A NCAC 18A .2820 (b) (c). All hazardous items must be stored behind lock and key. A locked kitchen is not considered to be a locked storage room or cabinet for the purpose of this rule - Observed bug spray in unlock drawer at front hallway, liquid wipe out container on the counter in infant room, laundry/disinfectant cleaner container in unlock cabinet in hallway restroom near the office. Observed containers of Clorox and dish soaps in the kitchen pantry unlock. All Hazardous items and how to store them discussed with director at the time of inspection. |
|
30
|
3
|
Non-hazardous products properly stored: .2820 |
No |
No
|
No |
15A NCAC 18A .2820 (d) Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. A product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor.- Observed diaper cream and sunscreen stored in a drawer and cabinet with childproof lock on less than 5ft in toddler room. Ensure to provide those items at 5ft or higher at anytime or lock them up.
NOTE: **Lock storage rooms and cabinets shall include those which are unlocked with a combination lock, electric or magnetic device, key pad, key, or equivalent locking device, keep/store keys at least 5ft or higher at all time**
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 at the front desk upon entry. All hand sanitizer shall be stored at 5ft or higher at anytime. |
|
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 get spray with disinfectant at the end of the day. Proper toys cleaning discussed with director at the time of inspection. All dirty toys shall be washed/rinsed/sanitized properly in the kitchen at the three compartment sinks. Or 3 step bins suggested, label (wash/rinse/sanitize). Some toys that cannot not be submerged in water after washed and rinsed, the sanitizer spray can be used. All toys that can be in the water shall be submerged in sanitizer solution for at least 2 minutes and let air dry after. Ensure to use/provide the correct strength of sanitizer solution in the bin for cleaning toys each day and ensure to store the sanitizer bin at 5ft or higher. |
|
48
|
0
|
Pest control; premises free of conditions that harbor or attract pests: .2831, .2832 |
No |
No
|
No |
General Comment:
15A NCAC 18A .2831 (i) Grass, fruit and vegetable gardens, vines on fences, and other vegetation shall be maintained to prevent the harboring and breeding of pests.- Observed tree branches, bushes over the fence in the back playground need trimming and keep clear. |