| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
2
|
0
|
Proper handwashing procedure: .2803, .2836 |
No |
No
|
No |
General Comment:
15A NCAC 18A.2803 (e). Handwashing procedures 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 the hands under tempered water 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.- Observed student is washing her hands in room 8, rinsing the soap out of her hand quickly and turn off a faucet knob with bare hands. Center has hand washing poster posted at the sink. Ensure to teach students and educate all staff to follow proper handwashing procedures. |
|
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 .2810 (f) Bottle warming equipment shall be cleaned and sanitized per rule .2812 and the manufacturer's instructions.- Observed soiled bottle warmer in infant. Detail cleaning needed and keep clean. |
|
11
|
0
|
Approved sanitizer provided;test kit available: .2809, .2810, .2812, .2814 |
No |
No
|
No |
General Comment:
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 chlorine concentration of sanitizer solution measure between 250ppm- 500 ppm. Ensure to provide correct concentration between 50-200 ppm at all time. |
|
22
|
3
|
Soap, approved hand drying devices, toilet tissue paper available: .2817, .2818, .2836 |
No |
No
|
No |
REPEAT
15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area.- Observed no soap available at hand sink in room 7, 8, and 3. Ensure to provide handwashing supplies at all hand sinks at all time. |
|
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
15A NCAC 18A .2819 (d) Use approved diapering methods as follows: 1) gather supplies, 2) wear disposable gloves (if needed), 3) use a disposable moist towelette to clean child, wiping front to back, 4) dispose of gloves if used and soiled towelettes, 5) wiping the employee's hands and the child's hands with a separate disposable towelette, 6) slide clean diaper under child and apply diapering products if needed using approved methods, 7) fasten diaper and place clothing on child, 8) wash child's hands, 9) and 10) clean and disinfect diapering surface using approved methods, 11) employee washes their hands.- Observed teacher is changing diaper for a child in infant room, missing step 3, 5, 8. Proper diaper changing procedures discussed in detail at the time of inspection. Every must wash their hands at the end of the changing procedure. |
|
29
|
0
|
Hazardous products properly stored and locked: .2820 |
No |
No
|
No |
General Comment:
15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key.- Observed office door left unlocked where laundry detergent containers were stored at the time of inspection. Ensure to keep the office doors locked at all time. Or treat everything inside the office like a classroom. |
|
30
|
3
|
Non-hazardous products properly stored: .2820 |
No |
No
|
No |
REPEAT
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 hand sanitizer bottle at a front desk and inside outside bag hanging down from a hook in infant less than 5ft. Ensure to put all non hazardous items at 5ft or higher at all time. |
|
31
|
0
|
Facilities provided for proper storage, used and kept clean: .2820 |
No |
No
|
No |
General Comment:
15A NCAC 18A .2820 (f) A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children.-Observed children book bags/jacket in room 3, 7 hanging in the cubbies and touching each other. Keep all individual items separate and not allow contact while storing at anytime. |
|
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 |
General Comment:
15A NCAC 18A .2821 (e). When in use, cribs, cots, mats and play pens shall be placed at least 18 inches apart or separated by partitions that prevent physical contact between children.- Observed children cots in room 3 placing side by side while napping less than 18”. Ensure to place all cots apart at least 18 inches while napping. |
|
34
|
4
|
Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 |
No |
No
|
No |
REPEAT
15A NCAC 18A .2822 (d).Water play centers shall be filled with potable water immediately before children begin a water play session. Water shall be emptied after each play session and at a minimum each morning and afternoon, or more often if no longer clean.- Observed water play station left uncleaned/emptied from last play this morning in room 5. Proper water play station discussed in detail with teacher and director at the time of inspection. Ensure to follow proper procedures and do not forget to empty/clean/sanitize at the end of each session every time. |
|
44
|
0
|
Solid waste properly handled; containers and cleaning equipment kept clean; can cleaning facilities adequate: .2830, .2836 |
No |
No
|
No |
General Comment:
15A NCAC 18A .2830 (c) Dumpsters and other containerized systems shall be kept clean and covered.- Observed dumpster door left open while not in use. Ensure to keep all lids and doors close to prevent insects/rodents. |