| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
2
|
5
|
Proper handwashing procedure: .2803, .2836 |
No |
No
|
No |
Observed a child used his bare hands to turn off the water after washing his hands; the child was not re-directed by the care giver to wash hands properly. **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). |
|
15
|
6
|
Hot water supplied and maintained in the kitchen: .2815, .2836 |
No |
No
|
No |
(CRITICAL)Observed no hot water at the kitchen 3 compartment sink; was told by staff the hot water has been going out sporadically since last Wednesday 9/12/17 and that water is boiled to wash dishes. Advised staff to only use single service articles until hot water is restored. **The kitchen dish washing sink shall be supplied with hot water at 120°F or above. 15A NCAC 18A .2815 (e). |
|
16
|
4
|
Hot water supplied and maintained as required in all other areas: .2815, .2836 |
No |
No
|
No |
Observed the hot water in several care rooms only reach 77F. Hot water shall be maintained between 80°F and 110°F at hand washing sinks accessible to children. 15A NCAC 18A .2815 (e).
Observed hot water at washing machine only 77F. **Hot water supplied to clothes washing machines shall be 120°F or above. 15A NCAC 18A .2815 (e). |
|
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 food debris inside the food prep sink in room 3. **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).
(REPEAT) Observed the toilet base with dried urine in room 14 (older 2's). **Toilets shall be cleaned and disinfected at least daily and when visibly soiled. 15A NCAC 18A .2817 (b). |
|
23
|
2
|
Approved storage in toilet rooms, lavatories free of storage; hand wash signs posted: .2817, .2818, .2836 |
No |
No
|
No |
Observed a feeding tray was stored inside the hand washing sink in room 4, and blankets and other items were stored in the restroom in room 1. **Hand washing sinks must be free of storage. 15A NCAC 18A .2818 (a). **Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a). |
|
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 with a large tear in room 4(toddlers).
**Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b).
Observed child's soiled clothing were stored in the child's cubby below 5ft. Recommend providing a separate container for each child's soiled clothing. **Soiled cloth diapers, training pants, or clothes shall be stored out of reach of the children. 15A NCAC 18A .2819 (f). |
|
29
|
6
|
Hazardous products properly stored and locked: .2820 |
No |
No
|
No |
(CRITICAL) (REPEAT)Observed the door to the chemical closet in the kitchen was left open. Kitchen door was locked. Although the
kitchen was locked, the chemical closet must remain locked at all times. Observed "409" cleaner and caulk stored on the reception desk in the lobby, and "409" cleaner and mislabeled cleaner (labeled as sanitizer) was stored unlocked in room 14 (older 2's). **All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). |
|
33
|
3
|
Linen, bedding, wash cloths, bibs, burping cloths laundered, and in good repair: .2821, .2836 |
No |
No
|
No |
(REPEAT) Observed several cot sheets throughout the facility with hole and worn/torn and had damaged elastic. **Individual linen must be kept clean and in good repair. 15A NCAC 18A .2821 (f). |
|
34
|
4
|
Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 |
No |
No
|
No |
(REPEAT) Observed some shelving units with dust and debris, dirty sheets on the mat in the cozy area (room 4), blinds
stained/damaged in school age room, couches with worn/torn vinyl, throw pillows with stains, some area rugs in need of cleaning (dark stains), large toys (play ovens, shopping carts) with debris, some window sills were dusty in room 12, board books and other boo types were worn and torn, a diaper storage drawer was broken in room 14 (older 2's), and some furniture with sticky tape residue with dark debris. **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). |
|
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 |
(REPEAT) Observed walls and door frames with chipping / damage paint throughout the facility, cove base in the restrooms were separating from the wall, the walls near the sink were not clean in room 10, the ceiling was water damaged in room 4 (Toddlers). Observed the closet walls were damaged due to cot storage in rooms 14 and 15 and the laundry room floor was not clean. **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 |
Observed the vents were dust in the lobby and in room 12. **Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). |