| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
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 a baby bottle sitting outside the refrigerator waiting to be fed in infant room, the bottle has no date and name. Ensure to label with name and date on items sent from home.
15A NCAC 18A .2804 (g) After opening, jars of baby food shall be covered, labeled with the date on which they were opened, refrigerated and used within two days of opening, provided that the baby food is not served directly from the jar.
*** Observed opened baby food jar in infant refrigerator without date that was opened. Ensure to put the open date on items if not using it all at once. |
|
9
|
0
|
Meets specifications for other equipment and utensils, approved material and construction: .2809, .2810, .2812, .2814 |
No |
No
|
No |
General Comment:
15A NCAC 18A .2810 (f). Water from a handwash lavatory shall not be used for bottle warming or to prepare formula, mix dry cereals, or other foods.
*** Observed water in the bottle warmer, teacher stated that water came from a food prep hand washing sink in the classroom. Water shall be provided from the kitchen or bottle water, not from the hand sink. |
|
11
|
2
|
Approved sanitizer provided;test kit available: .2809, .2810, .2812, .2814 |
No |
No
|
No |
REPEAT
15A NCAC 18A .2812 (g) A testing method or equipment shall be used in accordance with the product manufacturer's instructions to test the strengths of sanitizing solutions to ensure the prescribed concentrations are met.
*** Observed sanitizer solution spray bottles in most classrooms are measured more than 500 ppm. Ensure to provide correct chlorine sanitizer concentration between 50- 200 ppm at anytime.
- Observed the center without testing strips for the solution. Obtain testing strips. |
|
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 in yellow room hot water measured between 76F -78F. Blue classroom at 73F. Restroom in hallway at 79F. Diaper sink in infant at 72F. Ensure to provide tempered water between 80- 110F at anytime. |
|
20
|
0
|
No identified lead poisoning hazards in accordance with NCGS 130A-131.7(7): .2816 |
No |
No
|
No |
REMINDER:
15A NCAC 18A .2816 (b) (1) Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. Samples shall also be collected and tested within 30 calendar days of completion of any renovations or repairs that may impact the facility's drinking water infrastructure, such as repair or replacement of all or part of drinking water service lines or faucets, at impacted outlets. The operator shall provide documentation of testing results for review by the Department during each unannounced routine sanitation inspection.
*** Last water testing was 11/21/2023. |
|
21
|
0
|
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 |
General Comment:
15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair
*** Observed in yellow room one of hand sink faucet is broken and leaking water down to the floor. Need repair. |
|
22
|
0
|
Soap, approved hand drying devices, toilet tissue paper available: .2817, .2818, .2836 |
No |
No
|
No |
General Comment:
15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every hand wash lavatory area.
*** Observed no soap coming from a dispenser in the kitchen. Soap provided at the time of inspection. Ensure to provide all hand washing supplies at hand sinks at anytime. |
|
23
|
0
|
Approved storage in toilet rooms, lavatories free of storage; hand wash signs posted: .2817, .2818, .2836 |
No |
No
|
No |
General Comment:
15A NCAC 18A .2818 (e) Handwash signs shall be posted at every handwash lavatory area. The signs shall instruct children and child care center employees to wash their hands in accordance with Rule .2803
*** Observed some hand sinks without hand washing signs. The signs provided to the center, please post the sign up for guidance. |
|
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 disinfectant solution at 1000ppm or more in most classrooms. Ensure disinfectant at correct concentration between 500-800ppm anytime.
- Observed the center without testing strips for the solution. Obtain testing strips. |
|
28
|
0
|
Medications properly stored: .2820 |
No |
No
|
No |
General Comment:
15A NCAC 18A .2820 (d).Designated emergency medications shall be kept inaccessible to children, 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 the emergency medications in clear bag in blue room handing down the hook less than 5ft. EHS discussed with teacher and found a shelf to put the bag up at least 5ft in the classroom. |
|
30
|
3
|
Non-hazardous products properly stored: .2820 |
No |
No
|
No |
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 following items less than 5ft, body mist spray in drawer in blue classroom, toothpaste and anti septic wipes in drawer in hallway. Ensure to keep all non hazardous items at 5ft or higher at anytime. |
|
33
|
3
|
Linen, bedding, wash cloths, bibs, burping cloths laundered, and in good repair: .2821, .2836 |
No |
No
|
No |
15A NCAC 18A .2821 (f). Linens used in rooms where the children in care are less than 12 months old shall be changed and laundered when soiled and otherwise at least daily.
*** Observed soiled/stained sheets on mattresses in infant room. Change and clean when visibly soiled. |
|
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 |
15A NCAC 18A .2832 (a). Child care center premises, including the outdoor learning environment, shall be kept clean, drained to minimize standing water, free of litter and hazards, and maintained in a manner which does not create conditions that attract or harbor pests.
15A NCAC 18A .2832 (a).In the child care center premises and outdoor learning environment. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. Wells, grease traps, cisterns, and utility equipment shall be made inaccessible to children.
*** Observed several ants piles around playground area and in toy box. Along the fence and flower boxes, grasses need to be cut and trimmed. Old tree branches and fencing need to be removed. Keep area safe and free of obstruction. |