| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
5
|
Handwashing when required: .2803, .2836 |
No |
No
|
No |
15A NCAC 18A .2803 (a) and (c), .2836 (15).Child care center employees and children shall wash their hands when required. Observed children dropped off by parents and entered to the infant classroom, not washed their hands before engaging in the activity or be part of the group. Ensure to direct children or assist them with hands washing upon arrival. |
|
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 |
General Comment:
15A NCAC 18A .2806 (d) Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in the 2800 rules when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs.- Observed the specialty milks with name but no date that was received at the center. Observed another specialty milk dated 10/24 with a name of a child. Ensure to follow the notated rule above. Have both name and date that was received at the center and send home or discard at the end of each week. Proper procedure about the specialty milk discussed with director at the time of inspection.
15A NCAC 18A .2806 (a) Once pre-packaged food has been opened, the food shall be stored in clean, resealable bags or containers made of plastic or glass that are tightly covered and manufactured for the purpose of food storage. - Observed a bag of graham crackers not closed and stored properly in 1’s classroom. Teacher discarded item at the time of inspection.
15A NCAC 18A .2810 (f) Water from hand wash lavatory shall not be used for bottle warming or to prepare formula, mix dry cereals, or other foods. - According to teacher in infant room, teacher used water from food prep handwashing sink to warm the bottles in the warmer. As well as in the pitcher for drinking water for the class. Water needs to come from the kitchen or bottle water, not from the hand sink. |
|
7
|
0
|
Thermometers provided, accurate: .2804, .2807, .2808, .2836 |
No |
No
|
No |
General Comment:
15A NCAC 18A .2806 (j) (1) Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers. -Observed refrigerator inside the kitchen without internal thermometer. Obtain the thermometer and put inside at the warmest part of the refrigerator.
15A NCAC 18A .2807 (h) Metal stem-type, thin probe, numerically scaled indicating product thermometers, accurate to ± 3 degrees Fahrenheit shall be used to ensure the maintenance of the internal cooking temperatures of all potentially hazardous foods required under this Rule. - Observed the facility without a thin probe thermometer to measure the potential hazardous food/water temperature. Obtain a thin probe thermometer. |
|
12
|
0
|
Equipment, non-food contact surfaces clean; in good repair: .2809, .2810, .2812, .2814 |
No |
No
|
No |
General Comment:
15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair. -Observed soiled baskets inside the refrigerator in infant room. The baskets use to store individual bottles/snack for each child in class. All baskets need to be cleaned and keep clean. |
|
16
|
4
|
Hot water supplied and maintained as required in all other areas: .2815, .2836 |
No |
No
|
No |
15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. -Observed water temperature in some classrooms throughout the building measured between 111F to 115F. Ensure to provide tempered water in the range that was required. |
|
22
|
3
|
Soap, approved hand drying devices, toilet tissue paper available: .2817, .2818, .2836 |
No |
No
|
No |
15A NCAC 18A .2817 (a) Storage in toilet rooms shall be limited to toileting and diapering supplies. - Observed a clean bag of blankets stored on diapering table. Staff jackets, aprons, outside bag for water bottle hanging on the hooks inside the toilet room in room 6. Observed laundry baskets full of laundry and cardboard toy car stored in the infant toilet room. Removed all items and make an appropriate space where items shall be stored where it’s belongs. |
|
29
|
6
|
Hazardous products properly stored and locked: .2820 |
No |
No
|
No |
15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Purses that contain hazardous items shall be stored behind lock and key. Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device. -Observed buckets of paint stored in unlock stroller closet at the front entrance. Observed teacher computer bag that contains medication cream stored on the floor, the bug spray aerosol can, and an ice pack in an emergency bag in 1’s classroom. The powder cleanser container in unlock cabinet in room 8. Little tubes of super glue in unlock cabinet in room 10. Sunscreen/bugs spray in aerosol can in broken locked container on the bathroom shelf in 5’s classroom. Ensure to store all hazardous items in locked storage/cabinets. PROVISIONAL ITEM. |
|
30
|
3
|
Non-hazardous products properly stored: .2820 |
No |
No
|
No |
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 a bottle of water conditioner which has label “keep out of reach of children” store in cabinet under the counter in room 10.
15A NCAC 18A .2820 (g).Purses, that do not contain hazardous items, must be stored 5 ft above the floor, behind lock and key, or behind a child safety lock.- Observed teacher’s purses stored below 5ft in room 9, 10, 3’-6’ classroom, and 5’ classroom. |
|
42
|
0
|
Designated area for sick children; maintained as required; written procedures for vomiting or diarrheal events: .2827, .2836 |
No |
No
|
No |
General Comment:
15A NCAC 18A .2827 (d). The child care center shall have written procedures that employees shall follow when responding to vomiting or diarrheal events that involve the discharge of vomitus or fecal matter onto surfaces in the center. The procedures shall address the specific actions employees must take to minimize the spread of contamination and the exposure of
employees, children, food, and surfaces to vomitus or fecal matter. - Observed the facility without the written procedures of vomiting and diarrhea. EHS emailed the written plan to director at the time of inspection. |