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| CDI=Corrected During Inspection | |
R=Repeat Violation | |
VR=Verification Required | |
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| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
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|
2
|
5
|
Proper handwashing procedure: .2803, .2836 |
No |
No
|
No |
(REPEAT) Observed the care giver in the toddler room, turned the water off with a paper towel then used the same paper towel to dry her hands. **Hand washing procedure 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 well 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. 15A NCAC 18A .2803 (c). \ |
|
11
|
2
|
Approved sanitizer provided;test kit available: .2809, .2810, .2812, .2814 |
No |
No
|
No |
(REPEAT) Observed 2 bottles of sanitizer was above 250ppm chlorine in the toddler room.
**Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d) |
|
25
|
6
|
Diapering surfaces cleaned and disinfected after each use: .2817, .2818, .2819, .2820, .2836 |
No |
No
|
No |
(CRITICAL) (REPEAT) Observed the care giver only sprayed sanitizer onto the diaper changing pad after changing a diaper.
**To clean and disinfect diapering surface: 1) Spray soapy water onto surface 2) Wipe off soapy water 3) Spray disinfectant onto surface until surface is glistening wet 4) Let disinfectant sit for at least 2 minutes or until air dry. 15A NCAC 18A .2819 (d). |
|
27
|
4
|
Free of storage and in good repair; cleaning and disinfecting solutions labeled; approved diapering methods used; diaper changing and handwashing signs posted: .2817, .2818, .2819, .2820, .2836 |
No |
No
|
No |
Observed the care giver kept one glove on until she finished dressing the child. Ensure both gloves are removed when required; review the diaper changing procedure with all care givers who change diapers or work in care rooms with children who wear diapers.
Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d). |
|
34
|
4
|
Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 |
No |
No
|
No |
Observed the door on a toy kitchen refrigerator was broken, a toy kitchen stove and sink fixture had rust in the school age room.
Observed an empty container of Ajax in the play housekeeping area. Discontinue use of chemical and /or medicine containers for dramatic play. **Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). |
|
49
|
2
|
Premises clean and free of standing water; utility equipment inaccessible; equipment and toys clean and in good repair; sandboxes properly constructed, clean and covered; adherence to air quality forecast quality forecast outdoor activity restrictions when applicable: .2831, .2832 |
No |
No
|
No |
Observed thorny bushes grown over a fence on the playground, metal steaks (for mulch borders) were in a pile near the toy bin, the ceiling paint was chipping on the covered patio/play area. **Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). **Keep the property free of high vegetation. 15A NCAC 18A .2831 (i). |
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