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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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|---|
|
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 a child's nuggets dated 1/20 in the infant room refrigerator.
**Meals, non-frozen breast milk, formula, and other bottled beverages brought from home shall be returned to the child's home or discarded at the end of each day. 15A NCAC 18A .2804 (d) and (f).
Observed several milk bottled prepared by parents were not dated.
**Label all baby bottles, sippy-cups, and bottled beverages sent from home with the child's name and date it was brought into the facility. 15A NCAC 18A .2804 (d) |
|
12
|
4
|
Equipment, non-food contact surfaces clean; in good repair: .2809, .2810, .2812, .2814 |
No |
No
|
No |
Observed the infant room bottle warmer with brown residue. thoroughly clean or replace.
**Bottle warming equipment shall be cleaned and sanitized at least daily and when visibly soiled. 15A NCAC 18A .2810 (f) (1) and .2804 (d).
Observed the underside of the highchair trays with dried food debris, and the tray surface were very worn and no longer smooth.
**Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f)
NOTE: The care giver stated the high chair trays were cleaned then sprayed with disinfectant. **Ensure that the high chair trays are cleaned with soapy water and SANITIZER is sprayed and allowed to air dry |
|
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) Observed the care room sinks were severely corroded throughout the facility.
Observed the toilet bases and areas surrounding the toilets with urine, and a heavy urine odor, a toilet would not flush in the 2's care room.
***Thoroughly clean all toilet/fixtures including the toilet base daily and when visible soiled.
Observed the hand washing sink in the kitchen was dirty.
**Sinks shall be cleaned and disinfected at least daily, when visibly soiled, and when the designated use of the hand washing sink has been changed. 15A NCAC 18A .2818 (c). |
|
23
|
2
|
Approved storage in toilet rooms, lavatories free of storage; hand wash signs posted: .2817, .2818, .2836 |
No |
No
|
No |
Observed dishes from lunch were stored inside the hand washing sink in the infant room. Provide a container for storing dirty dishes.
**Hand washing sinks must be free of storage. 15A NCAC 18A .2818 (a).
Observed some restroom with storage (chairs, jackets, shoes, etc.)
**Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a). |
|
25
|
6
|
Diapering surfaces cleaned and disinfected after each use: .2817, .2818, .2819, .2820, .2836 |
No |
No
|
No |
Observed the care giver in the infant room used soap and quat sanitizer to clean the diaper changing surface after changing a soiled 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 |
(REPEAT) Observed the diaper changing pad was torn and had exposed cushioning.
**Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b).
Observed the care giver in the infant room kept her gloves on through the entire diaper change, did not wipe her hands after removing the her gloves, and after wiping the child's nose used the same wipe to wipe the child's hands.
**Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (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 the napping mats were stored with sheets of paper between them. The paper was worn and torn, and did not completely cover the mats.
Observed the cribs in the infant room were not labeled. **All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ).
**Store all sleeping mats so that the floor side of the mats are only touching. 15A NCAC 18A .2821 (d).
NOTE: Observed that a child was napping on a pile of stuffed/plush animals. **Ensure that all children sleep on mats, cots, or cribs. |
|
34
|
4
|
Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 |
No |
No
|
No |
Observed a cubby shelf divider was broken, the toy phones needed cleaning in the after school room, and the wicker furniture was damaged in the 2's room
**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). |
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