| 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 |
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 oat milk in kitchen dated 9/14. Observed soy milk in kitchen with no name or date label. Specialty bulk mild need to be labeled with name and date. Specialty milks shall be sent in unopened at the beginning of each week and sent home at the end of the week. |
|
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 b) Except for fixed equipment and utensils too large to be cleaned in sink compartments, equipment and utensils that are cleaned manually instead of in a dishwasher shall be washed, rinsed, and sanitized. EHS observed first two sink compartments filled in kitchen 3 -comp sink. Kitchen staff stated the second compartment had sanitizer (this was confirmed with test strips) and that the procedure used for cleaning is to wash, sanitize, and then rinse. EHS corrected procedure and reviewed proper procedure with staff. |
|
12
|
0
|
Equipment, non-food contact surfaces clean; in good repair: .2809, .2810, .2812, .2814 |
No |
No
|
No |
15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair. Observed build up from rusting thermometer in infant room fridge needs cleaning. |
|
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
Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a).Observed toilet seat in hall bathroom furthest from entrance very loose in need of tightening. |
|
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 facility disinfectant was less than 250 ppm chlorine. Needs to be between 500-800 ppm chlorine. EHS spoke with kitchen staff who mixes disinfectant to correct formula. |
|
28
|
0
|
Medications properly stored: .2820 |
No |
No
|
No |
No points deducted.
15A NCAC 18A .2820 (d).Medications, including prescription and non-prescription items, shall be stored in a locked cabinet or other locked container and shall not be stored above food. Observed mucus medicine in desk drawer of unlocked cabinet in 3 to 4s classroom. Needs to be stored behind lock and key. CDI - Director removed medicine and locked it away. |
|
29
|
6
|
Hazardous products properly stored and locked: .2820 |
No |
No
|
No |
15A NCAC 18A .2820 (b). All hazardous items must be stored in a locked storage room or cabinet. Observed closet in 3s to 4s room unlocked with aerosols stored in unlocked desk. Observed unlocked hall closet with sulfur powder pesticide, aerosol tile foam, and hair dress olive oil stored inside. Observed anti fog stored in unlocked desk in hall outside 3s and 4s room. Needs to be stored behind lock and key. PROVISIONAL ITEM. |
|
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 lens cleaner in unlocked closet drawer. Observed disinfectant wipes stored under sink unlocked and not 5ft up in toddler room. Needs to be stored locked or 5ft above the floor.
15A NCAC 18A .2820 (c ) Sanitizing, disinfecting, and detergent solutions shall be labeled with the product name (ex. "Sanitizer"). Observed disinfectant and hand sanitizer not labeled in 3s and 4s classroom. Needs to be labeled. |
|
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 |
15A NCAC 18A .2821 (a). In child care centers, beds, cribs, cots, mats, and play pens shall be kept clean and in good repair, stored to prevent contamination, and cleaned and sanitized between users. Observed torn mats in hall outside toddler class. Director stated cots have been ordered to replace mats. |
|
34
|
0
|
Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 |
No |
No
|
No |
General comment.
15A NCAC 18A .2822 (a) 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
EHS discussed toy cleaning with teacher in toddler room who stated she gets a large bucket and sanitizes toys and then lets them dry. EHS informed teacher of correct procedure. |
|
42
|
0
|
Designated area for sick children; maintained as required; written procedures for vomiting or diarrheal events: .2827, .2836 |
No |
No
|
No |
15A NCAC 18A .2827 (d). The child care center shall have written procedures that employees shall follow when responding to vomiting or diarrheal events that involve the discharge of vomitus or fecal matter onto surfaces in the center. The procedures shall address the specific actions employees must take to minimize the spread of contamination and the exposure of employees, children, food, and surfaces to vomitus or fecal matter. Observed facility does not have vomit and diarrhea cleaning plan. EHS gave copy of plan via email. |