| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
5
|
Handwashing when required: .2803, .2836 |
No |
No
|
No |
Observed employee not wash the child's hands after changing his diaper. *CHILDREN THAT HAVE HEAD & NECK CONTROL MUST BE TAKEN TO THE SINK TO WASH THEIR HANDS BEFORE THEY ARE PLACED BACK TO PLAY.
Wash hands when required. 15A NCAC 18A .2803 (a) |
|
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 |
-Observed 2 cups of milk that had already been drunk from returned back to the refrigerator. CDI- Placed in the sink.
All food shall be stored and handled in a manner that protects it from contamination. 15A NCAC 18A .2806 (d),(f), .2807 (b), and .2808 (e).
-Per an employee, they warm the baby food in the microwave. Follow the rule below.
Microwaves shall not be used to thaw or warm breast milk, baby food, formula or other bottled beverages. 15A NCAC 18A .2804 (d). |
|
7
|
2
|
Thermometers provided, accurate: .2804, .2807, .2808, .2836 |
No |
No
|
No |
Observed the metal stem thermometer approximately 9 degrees off. Calibration handout emailed.
Provide an accurate thermometer in all refrigerators. 15A NCAC 18A .2806 (h)
Provide a numerically scaled metal stem-type thermometer accurate to 2°F. 15A NCAC 18A .2807 (h) |
|
8
|
6
|
Meets specifications for refrigeration, sinks, lavatories and dishwashing equipment: .2809, .2810, .2812, .2814 |
No |
No
|
No |
Observed multi-service spoons, bowls, and cups. They have been used for breakfast, washed, and are sitting on the counter drying. *THIS FACILITY ONLY HAS A 2 COMPARTMENT SINK (refer to the rule below). SINGLE SERVICE UTENSLES/ITEMS SHALL BE USED.
*Remove all multi-service items from the facility. *The facility has already been informed of this violation.
Child Care centers using multi-service utensils shall have a 2 compartment sink and a dishwasher. In lieu of a dishwasher and two-compartment sink, a three compartment sink of sufficient size and depth can be used. 15A NCAC 18A .2810 (a). |
|
16
|
4
|
Hot water supplied and maintained as required in all other areas: .2815, .2836 |
No |
No
|
No |
Observed the water at the careroom and restroom handsinks at 55F.
Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e). |
|
25
|
6
|
Diapering surfaces cleaned and disinfected after each use: .2817, .2818, .2819, .2820, .2836 |
No |
No
|
No |
Repeat: Observed the disinfectant below 500ppm chlorine not allowing the changing pad to be cleaned properly. CDI- Bottle remade
The diaper changing surface shall be properly disinfected between each child. 15A NCAC 18A .2819 (c ). |
|
26
|
2
|
Approved cleaning solution and approved disinfectant provided; test kit available when required: .2817, .2818, .2819, .2820, .2836 |
No |
No
|
No |
Repeat: Observed the disinfectant bottles below 500ppm chlorine. *Bleach Makeup handout emailed.
Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). |
|
28
|
6
|
Medications properly stored: .2820 |
No |
No
|
No |
Observed cough syrup stored on the stove. CDI- Locked up.
All medications must be stored behind lock and key. 15A NCAC 18A .2820 (d). |
|
32
|
3
|
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 |
Repeat: Observed pack-n-plays with <2" mattresses.
**Note: It is NOT recommended to added non-standard equipment to (mattress not provided by pack n play) to pack n play pens,
entraption/harm may occur.
All sleeping mats, used during nap time, shall be waterproof, washable, and at least 2 inches thick. 15A NCAC 18A .2821 (b). |
|
37
|
4
|
Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 |
No |
No
|
No |
Repeats:
-Observed the walls in the restroom peeling.
-Observed the ceiling in the care room peeling.
Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. |
|
39
|
2
|
Equipment clean and in good repair; maintained as required: .2826 |
No |
No
|
No |
Repeats:
-Observed dusty wall vent cover in the care room.
Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b).
-Repeat: Observed some light bulbs not shielded or shatterproof.
Light bulbs must be shatterproof or shielded. 15A NCAC 18A .2826 (a). |
|
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 |
-Repeat: Observed the fence on playground not secured in areas and some boards warped.
Keep the premises clean and free of dilapidated structures and broken play equipment. 15A NCAC 18A .2832 (a). |