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| CDI=Corrected During Inspection | |
R=Repeat Violation | |
VR=Verification Required | |
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| | Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
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|---|
|
2
|
5
|
Proper handwashing procedure: .2803, .2836 |
No |
No
|
No |
Handwashing 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 re-contaminating hands. 15A NCAC 18A .2803 (c). Observed childcare provider use hands to turn off faucet during diaper change. Encourage to read diaper changing instructions posted at diaper changing station. |
|
5
|
5
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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 |
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 sippy cups in both infant rooms not labeled and sippy cups with no dates.
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 baby food in infants room not labeled or dated in infant's 6mos and older; and baby food post-dated in infant's 6wks to 6mos ( today's date is 6/25/2021, milk dated 6/26/2021).
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). Observed breast milk in both infant's room not dated.
**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 bottles with expired date (6/24/2021). Observed bottle with name and date smudged off. |
|
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 buildup of brown color substance in bottle warmer in toddler one room.
Keep all non-food contact surfaces and equipment clean and in good repair. 15A NCAC 18A .2812 (f) and .2809 (1) and (3). Observed dried food debris on high chairs and trays in both infant's room. Observed sticky residue on the side of infants feeding chairs. Observed food residue stuck on the side of the sink in toddler one classroom. |
|
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 one toilet seat broken and one toilet seat loose in pre-school two classroom. |
|
25
|
6
|
Diapering surfaces cleaned and disinfected after each use: .2817, .2818, .2819, .2820, .2836 |
No |
No
|
No |
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).
The diaper changing surface shall be properly disinfected between each child. 15A NCAC 18A .2819 (c ). Observed one childcare provider spray diapering surface with soapy water and left to air dry, another childcare provider spray diapering surface with disinfectant and wiped disinfectant off after five seconds. Observed childcare provider spray diapering surface with soapy water and disinfectant and wiped diapering surface off. Observed another childcare provider spray sanitizer instead of disinfectant on diapering surface after diaper change. Explained proper diaper changing procedures and encourage providers to use the diaper changing instruction posted at each diaper changing station. Observed hair and debris under diaper changing mat in infant room. |
|
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 |
Follow the correct diaper changing procedure as described in 15A NCAC 18A .2819 (d). Observed both childcare providers in infant room and childcare provider in toddler one room use multiple swipes with one wipe during the diaper changing procedure. Discussed proper diaper changing procedures and encouraged childcare providers to use diaper changing instruction posted at each diaper changing station. |
|
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 |
Keep all mats, cots, and cribs clean and in good repair. 15A NCAC 18A .2821 (a). Observed dirty mattress in evacuation crib in toddler one room. |
|
34
|
4
|
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 dust, dirt and grit in crevices of toys, toy shelves and toy bins in several classrooms. Observed hair on toy shelf in toddler classroom. Observed missing handles on child's toy cabinets in pre-school and pre-k classrooms. Observed hole in toy bin in toddler two classroom. Replace building block once they become frayed and beyond repair. |
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