| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
2
|
0
|
Proper handwashing procedure: .2803, .2836 |
No |
No
|
No |
General Comment: 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 recontaminating hands. 15A NCAC 18A .2803 (c). Observed children in Classroom 4-5 are washing their hands improperly. EHS advises teachers to ensure children wash their hands properly and turn off the faucet knob with paper towels. |
|
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: All food shall be stored and handled in a manner that protects it from contamination. 15A NCAC 18A .2806 (d),(f), .2807 (b), and .2808 (e). Observed baby bottle on the counter top in infant's room, according to a teacher after finish serving a child, that bottle will go back inside a refrigerator for storage to be send home at the end of the day. Ensure to store used bottles in a separate space from fresh bottles.
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 bottles and a sippy cup without a date that was received from home in Classroom 1. |
|
8
|
0
|
Meets specifications for refrigeration, sinks, lavatories and dishwashing equipment: .2809, .2810, .2812, .2814 |
No |
No
|
No |
General Comment: 15A NCAC 18A .2810 (f). Observed bottle warmers being filled with water from food prep sink according to director. Water from a handwashing sink shall not be used to prepare formula or other foods. |
|
10
|
5
|
Food contact surfaces properly washed, rinsed, sanitized and air dried; single-service articles not re-used: .2809, .2810, .2812, .2814 |
No |
No
|
No |
Highchair feeding trays, shall be washed, rinsed, and sanitized after each use. 15A NCAC 18A .2812 (e). Observed soiled highchair trays in infant's room and Classroom 1 need to be sent to the kitchen after each used to be washed, rinsed, and sanitized. According to a director teachers have been washing them in the classrooms and only sending the attached trays to the kitchen. |
|
12
|
0
|
Equipment, non-food contact surfaces clean; in good repair: .2809, .2810, .2812, .2814 |
No |
No
|
No |
General Comment: Bottle warming equipment shall be cleaned and sanitized at least daily and when visibly soiled. 15A NCAC 18A .2810 (f) (1) and .2804 (d). Bottle warmers present in infant's room. Director stated that they get deep clean twice a week. |
|
16
|
4
|
Hot water supplied and maintained as required in all other areas: .2815, .2836 |
No |
No
|
No |
Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. 15A NCAC 18A .2815 (e). Observed water temperature throughout the facility between 111F to 120F in classes. The are fluctuating between rooms. |
|
17
|
0
|
Hot water in excess of 120ºF not allowed in areas accessible to children |
No |
No
|
No |
General Comment: Hot water at areas accessible to children shall not exceed 120°F. 15A NCAC 18A .2815 (e). Observed water temperature in hallway restroom at 125F. Director locked the door during the inspection. Ensure to maintain water temperature where children have access to between 80F to 110F. |
|
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 teacher leave on soiled gloves throughout the entire diaper changing procedure in Classroom 1. Ensure to follow steps correctly as outlined in notated rule.
Diaper changing surface must be easily cleanable, non-absorbent, smooth, and intact. 15A NCAC 18A .2819 (b). Observed diaper pad at a changing table in younger 2 Classroom in need of replacement. |
|
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 some mattresses in infant's room starting to frayed at the corners. Need to be repaired or replaced. |
|
33
|
0
|
Linen, bedding, wash cloths, bibs, burping cloths laundered, and in good repair: .2821, .2836 |
No |
No
|
No |
General Comment: Individual linen must be kept clean and in good repair. 15A NCAC 18A .2821 (f). Observed soiled sheet on a mat in Classroom 1 and 2. |
|
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 dusts and residues in toy bins, cabinets, and bookshelves in need of cleaning and keep clean. Observed broken plastic toy bin in Classroom 3, the bin was taken out of the classroom at the time of inspection. |
|
49
|
2
|
Premises clean and free of standing water; utility equipment inaccessible; equipment and toys clean and in good repair; sandboxes properly constructed, clean and covered; adherence to air quality forecast quality forecast outdoor activity restrictions when applicable: .2831, .2832 |
No |
No
|
No |
Keep the property free of standing water. 15A NCAC 18A .2831 (b). Observed standing water in bins, buckets, tires on the playgroup and around the facility.
Wells, grease traps, cisterns and utility equipment shall be made inaccessible to children. 15A NCAC 18A .2832 (a). Observed utilities equipment inside the gates with latched on them in the playground need to be locked and made inaccessible to children. |