| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
3
|
0
|
From approved sources, not a hazard or adulterated: .2804, .2807, .2808, .2836 |
No |
No
|
No |
After the completion of each feeding, leftover formula, breast milk, and other bottled beverages shall be discarded or returned to the child’s home at the end of each day. 15A NCAC 18A .2804 (d). Observed employee place half full bottle of formula on food prep counter and place child back into play area. Employee stated the child had stopped drinking and could finish the formula within one hour.
Feeding has been completed when child is placed back into play area. Bottles should be discarded or stored to be returned home. Bottles cannot be reserved to the child. |
|
5
|
0
|
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 |
Store all foods in approved re-sealable bags or containers once opened. 15A NCAC 18A .2806 (a) Observed multiple bags of cereal and a large bag of oats in kitchen in original bags that were not re-sealable. Needs to be stored in re-sealable bags or containers. |
|
8
|
0
|
Meets specifications for refrigeration, sinks, lavatories and dishwashing equipment: .2809, .2810, .2812, .2814 |
No |
No
|
No |
When food is prepared in a classroom, the classroom shall be equipped with an approved handwashing sink, and when needed, an adequate refrigerator. 15A NCAC 18A .2810 (f). Observed employee wash hands in handsink that was not in the food preparation area before preparing a bottle. Corrected during inspection - Educated employee on which sink to use for food preparation.
Water from a hand wash lavatory shall not be used to prepare formula, mix dry cereals, or other foods 15A NCAC 18A .2810 (f). Employees stated that bottle warmers are filled with water from the food preparation handwashing lavatory. Water should be brought from kitchen to fill bottle warmers. |
|
11
|
2
|
Approved sanitizer provided;test kit available: .2809, .2810, .2812, .2814 |
No |
No
|
No |
Prepare a wipe-on or spray-on sanitizer daily at 50 to 200 ppm chlorine. 15A NCAC 18A .2812 (d). Observed sanitizer in spray bottles throughout the facility at 250 ppm chlorine. Needs to be diluted. |
|
12
|
4
|
Equipment, non-food contact surfaces clean; in good repair: .2809, .2810, .2812, .2814 |
No |
No
|
No |
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 build up in bottle warmers in infant B classroom. Needs cleaning.
Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3). Observed sides of high chair trays in infant B room with heavy debris build up. Observed some residue on high chair tray in infant room A. Needs cleaning. |
|
19
|
0
|
Approved drinking fountains, pressure regulated, clean: .2815, .2836 |
No |
No
|
No |
Keep water fountains clean at all times. 15A NCAC 18A .2815 (f). Observed pink residue on indoor drinking fountain mouthpiece.
Outdoor drinking fountains shall be constructed to protect the spout from contamination and shall be kept clean. 15A NCAC 18A .2815 (g). Observed outdoor drinking fountains with residue build up. Needs cleaning. Facility director stated the outdoor drinking fountains are due for cleaning and repair and have not been in use since Covid. |
|
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 |
Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed toilet broken in Preppers B and Toddlers C. Needs repair. |
|
23
|
2
|
Approved storage in toilet rooms, lavatories free of storage; hand wash signs posted: .2817, .2818, .2836 |
No |
No
|
No |
Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a). Observed sheets stored in bathroom in Toddler C. Observed chair in box stored in the bathroom in Infant room bathroom. Observed sheets and art supplies stored in the bathroom in Twaddler A. Observed sheets, files, and yellow containers stored in the bathroom in Toddler A. These items should not be stored in a restroom. |
|
26
|
0
|
Approved cleaning solution and approved disinfectant provided; test kit available when required: .2817, .2818, .2819, .2820, .2836 |
No |
No
|
No |
Prepare disinfectant between 500-800 ppm chlorine daily. 15A NCAC 18A .2819 (c ) and .2801 (7). Observed disinfectant in Toddler B at 250 ppm chlorine. Observed disinfectant in Preschoool 2A at 200 ppm chlorine. Observed disinfectant in Twaddler B higher than 250ppm but less than 500ppm chlorine. |
|
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 |
Soiled cloth diapers, training pants, or clothes shall be stored out of reach of the children. 15A NCAC 18A .2819 (f). Observed soiled clothing stored on the floor of the bathroom in Preppers A.
Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d). Observed employee in Twaddler A not wash child’s hands after diaper changing. Observed employee in Toddler A cleaning and disinfecting changing table while still carrying child. Observed employee in Toddler B place dirty diaper on counter and not remove gloves and wipe both the employees and the child’s hands before putting on clean diaper. |
|
28
|
0
|
Medications properly stored: .2820 |
No |
No
|
No |
All medications must be stored behind lock and key. 15A NCAC 18A .2820 (d). Observed Benadryl in emergency bag in room Twaddler A. Needs to be stored behind lock and key. |
|
29
|
0
|
Hazardous products properly stored and locked: .2820 |
No |
No
|
No |
All hazardous items must be stored in a locked storage room or cabinet when not in use. 15A NCAC 18A .2820 (b). Observed container of bleach, in the kitchen, stored in a bottom cabinet that was unlocked. Needs to be stored behind lock and key |
|
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 |
All cribs, beds, cots and mats must be labeled with each individual child's name. 15A NCAC 18A .2821 (c ). Observed label chart missing in Twaddler A, Preppers B, Preschool 1A, and Preschool 1B, |
|
34
|
0
|
Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 |
No |
No
|
No |
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). Observed large blocks in Preppers B with debris build up in edges. Needs cleaning. Observed broken handle on lower cabinet in Twaddler B. Needs repair. |
|
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 |
Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed stained ceiling tile in room Toddler C and Twaddler B. Needs cleaning/replacement. Observed paint peeling on wall next to mats in room Preppers A. Observed wall damage/chipped paint by window and missing black stripping on floor in room Pre 2B. Observed build up of debris on floor in Electrical room. Needs cleaning. |