| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|
1
|
5
|
Handwashing when required: .2803, .2836 |
No |
No
|
No |
Observed the care giver changed a child's soiled diaper and did not wash the child's hands.**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 |
Repeat Non-compliance - Observed sippy cups stored in the refrigerator without dates. **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)Observed frozen breast milk stored in the freezer with dates ranging from 4/8 - 4/11. **Frozen breast milk can be stored frozen at the facility for up to seven days and shall be labeled with the child's name, date received and date thawed for use. 15A NCAC 18A .2804 (d). |
|
11
|
2
|
Approved sanitizer provided;test kit available: .2809, .2810, .2812, .2814 |
No |
No
|
No |
Observed the kitchen spray sanitizer was above 1000ppm. **Use chlorine test strips to ensure chlorine concentration requirement is met.**Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d) |
|
16
|
4
|
Hot water supplied and maintained as required in all other areas: .2815, .2836 |
No |
No
|
No |
Repeat Non-Compliance - Observed the hot water was 113F at the restroom hand washing sink.**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 |
Observed the caregiver only sprayed disinfectant soultion on the diaper changing pad 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). |
|
26
|
2
|
Approved cleaning solution and approved disinfectant provided; test kit available when required: .2817, .2818, .2819, .2820, .2836 |
No |
No
|
No |
Observed the disinfectant solution at the diaper changing station was above 1000ppm. **Use chlorine test strips to ensure chlorine concentration requirement is met. **Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). |
|
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 care givier kept one pair of gloves on through the entire diaper change, and did not dispose of the soiled diaper until after the diapering surface was cleaned. **Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d)Observed the care giver dumped and rinsed a soiled cloth diaper in the toilet. **Caregivers shall not rinse soiled cloth diapers, training pants, or clothes. 15A NCAC 18A .2819 (f). |
|
30
|
3
|
Non-hazardous products properly stored: .2820 |
No |
No
|
No |
Observed hand lotions were stored in the unlocked diapering station drawer. **Approved non-hazardous products must be stored 5 ft above the floor or behind lock and key. 15A NCAC 18A .2820 (b), (c ) and (d). |
|
47
|
3
|
No animals in food preparation areas and no unrestrained animals except as allowed; no prohibited animals; required veterinary records available and current: .2831, .2832 |
No |
No
|
No |
Repeat Non-compliance - Observed the family dog was not separate from the children's outside play area.**Unless a supervised activity is occurring, all animals must be in a cage or restrained. 15A NCAC 18A .2831 (a).**Pets kept out doors shall be in a designated area that is maintained and separate from the outdoor area used by the children. 15A NCAC 18A .2831 (j). |