| 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.
(c) Child care center employees shall ensure that children wash their hands as follows:
(1) upon arrival at the child care center;
(2) after each diaper change or visit to the toilet;
(3) before eating meals or snacks;
(4) before and after water play;
(5) after being outdoors; and
(6) after handling animals or animal cages.
Observed children return into center from outdoor play and all children did not wash their hands. |
|
2
|
0
|
Proper handwashing procedure: .2803, .2836 |
No |
No
|
No |
15A NCAC 18A.2803 (e). Handwashing procedures 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 the hands under tempered water 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. Observed 1 child wash hands and turn off faucet with bare hands. -General comment. |
|
11
|
0
|
Approved sanitizer provided;test kit available: .2809, .2810, .2812, .2814 |
No |
No
|
No |
Provide15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes (50-200ppm bleach). Observed sanitizer not measuring within required range. -General comment. |
|
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 |
15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed 1 toilet with loose seat in children restroom. Repair. Observed general cleaning needed under toilet seats and outside corners of toilets. |
|
22
|
0
|
Soap, approved hand drying devices, toilet tissue paper available: .2817, .2818, .2836 |
No |
No
|
No |
15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area. Observed no disposable towels in back classroom handsinks, although classroom are not being used, notated rule should still be followed. -General comment. |
|
26
|
2
|
Approved cleaning solution and approved disinfectant provided; test kit available when required: .2817, .2818, .2819, .2820, .2836 |
No |
No
|
No |
15A NCAC 18A .2812 (i) An approved disinfectant shall be provided for cleaning purposes. When a chlorine solution is prepared by a child care center employee for use as an approved disinfectant, then the solution shall be prepared for use within 24 hours, and a testing method shall be used to ensure compliance with the prescribed chlorine concentration (500 -800 ppm). Observed disinfectant measuring at 100 ppm bleach in front play room. |
|
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 |
15A NCAC 18A .2821 (f) Linens shall be large enough to cover the bed, cot, or mat's sleeping surface. Observed some linen (pink) not large enough to cover sleeping surface.
15A NCAC 18A .2821 (a). In child care centers, beds, cribs, cots, mats, and play pens shall be kept clean and in good repair, stored to prevent contamination, and cleaned and sanitized between users. Observed blue sleeping mats torn and in need of replacing. |
|
37
|
0
|
Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 |
No |
No
|
No |
15A NCAC 18A .2824 (a). Floors and floor coverings in food preparation, food storage, utensil washing, toilet rooms, and laundry areas shall be constructed of nonabsorbent material and shall be kept clean and in good repair. Observed floor tiles cracking in toilet room. -General comment. |
|
42
|
0
|
Designated area for sick children; maintained as required; written procedures for vomiting or diarrheal events: .2827, .2836 |
No |
No
|
No |
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. Center did not have written procedure for vomit/diarrheal clean up plan. EHS left center with a copy of required procedure plan. -General comment. |
|
48
|
3
|
Pest control; premises free of conditions that harbor or attract pests: .2831, .2832 |
No |
No
|
No |
15A NCAC 18A .2831 (b). (b) Pests shall be excluded from the child care center. Traps set for pests shall only be placed in areas that are inaccessible to children. Observed crawling and dead insects throughout center to include under 3 compartment sink in kitchen, 1basin of 3 compartment sink, in cabinet attached to handsink in rear left classroom, and sporadically throughout center. EHS advises center to have their pest control come and treat facility (while children are not present) for pest. |