| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
2
|
5
|
Proper handwashing procedure: .2803, .2836 |
No |
No
|
No |
Observed care givers and children's were not washing hands properly in several care rooms(turning off water with bare hands after washing, lathering hands for less than 15 second). **Hand washing procedure 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 well 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. 15A NCAC 18A .2803 (c). |
|
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 bagged lunches sent for children's homes were not labeled with the date in the kitchen refrigerator. **Label all food brought from home with the child’s name and the date that the food was brought into the facility. 15A NCAC 18A .2804 (f)
Observed bulk supplies of milk (soy/organic) were not transport/served under temperature control, and used for later meals. Commercial milk containers must be kept below 45F before during and after meal service. Milk may be served in pitcher and discarded after meal service. **Potentially hazardous food requiring refrigeration shall be cooled to an internal temperature of 45°F or below in a manner consistent with rule 15A NCAC 18A .2806 (h) (2). |
|
7
|
2
|
Thermometers provided, accurate: .2804, .2807, .2808, .2836 |
No |
No
|
No |
Observed no internal thermometer in the kitchen's main refrigerator. **Provide an accurate thermometer in all refrigerators. 15A NCAC 18A .2806 (h)
Observed metal stem thermometer range from 50-550F. **Provide a numerically scaled metal stem-type thermometer that range from 0-220F and accurate to 2°F. 15A NCAC 18A .2807 (h) |
|
12
|
4
|
Equipment, non-food contact surfaces clean; in good repair: .2809, .2810, .2812, .2814 |
No |
No
|
No |
Observed the bottle warmer in the room 2/3 (infants) with brown residue. **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 ice machine with pin residue. Ensure that the ice maker and bin are cleaned and sanitized routinely. **Keep all food service equipment clean and in good repair. 15A NCAC 18A .2812 (f) |
|
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 |
Observed some toilets were not clean (toilet base, sides) in the care room rooms 9, PreK room, and the sink was not clean in room 6.
**Toilets shall be cleaned and disinfected at least daily and when visibly soiled. 15A NCAC 18A .2817 (b).
**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 paint cups and a travel mug were stored inside the hand washing sink in room 7.
**Hand washing sinks must be free of storage. 15A NCAC 18A .2818 (a).
NOTE: Re-arrange furniture at the shared food prep area in the infant room so the sink is more accessible to both sides of the room. |
|
25
|
6
|
Diapering surfaces cleaned and disinfected after each use: .2817, .2818, .2819, .2820, .2836 |
No |
No
|
No |
(CRITICAL) Observed the care giver in room 10 (toddlers) use sanitizer instead of disinfectant to cleaning he diapering surface after changing a diaper, and wiped the bleach solution off after less than 2 minutes. **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 |
Observed the caregiver in room 10 (toddlers) did not wipe her hands with wipes after removing her gloves and before applying the clean diaper. **Follow correct diaper changing procedure. |
|
35
|
4
|
Mouth-contact surfaces cleaned and sanitized in rooms designated for children who are not toilet trained: .2822, .2836 |
No |
No
|
No |
Observed children were sharing mouthed toys in room 2 (infants). **Ensure toys that have been mouthed by one child is not shared with any other children before properly cleanng and sanitizing them. **In areas where children are not toilet trained, small mouth contact toys shall be washed, rinsed, sanitized (submerged for 2 minutes), and allowed to air dry, after use and more frequently when visibly dirty. 15A NCAC 18A .2822 (a). |
|
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 |
Observed the wall behind the toilets with chipping paint in room 8, the ceiling panels were dusty in room 6, the floor was not clean in room 8, and the a round area rug needed cleaning in Pre-K. **Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. |