| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
5
|
Handwashing when required: .2803, .2836 |
No |
No
|
No |
Wash hands when required. 15A NCAC 18A .2803 (a) Observed caregivers not wash infants hands when coming back from playing outside. CDI - Provided education to the caregivers and infants hands were washed
Observed toddlers in the toddler room did not wash their hands prior to eating. Provided education. |
|
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 caregiver in the 3’s room wash their hands and then turn off the faucet with their hands. CDI - Provided education to the caregiver, after washing using the paper towel to turn off the faucet to prevent recontaminating hands. |
|
3
|
0
|
From approved sources, not a hazard or adulterated: .2804, .2807, .2808, .2836 |
No |
No
|
No |
GENERAL COMMENT: After the completion of 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 baby bottle with milk on the food prep counter, infants came into the room and the bottle was given to the infant, infant refused the bottle and the caregiver stated that since it had been an hour that they will wait. Explained to the caregiver that once the bottle was fed that would be the end of the feeding session and the milk shall be discarded. |
|
4
|
0
|
Potentially hazardous foods meet storage and holding temperatures; bottles, lunches refrigerated at 45º F or below: .2804, .2806, .2808, .2836 |
No |
No
|
No |
GENERAL COMMENT: All potentially hazardous food products shall be maintained at 45°F, or below, or 140°F or above. 15A NCAC 18A .2806 (f) Observed the refrigerator in the infant room with an ambient air temperature of 63F, temped milk and human milk at 45F and 52F. CDI - Assistant director turned the thermostat down and relocated the bottles into the kitchen refrigerator until the unit was able to maintain 45F and below. Ensure caregivers are monitoring the refrigerator and that the temperature is 45F and below. |
|
5
|
5
|
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 |
Raw meats, poultry, fish, shellfish, and eggs shall be stored on shelving beneath and separate from other foods. 15A NCAC 18A .2806 (f)Observed bacon and raw shelled eggs improperly stored in the kitchen refrigeration over ready to eat foods. CDI - Kitchen manager relocated the eggs and bacon to prevent cross contamination.
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 one set of baby bottles not properly dated. CDI - dated properly
Food storage in classrooms shall be limited to foods that are individually packaged unless the room is equipped with a food preparation area. 15A NCAC 18A .2806 (b) Observed bulk pretzels, cookies and bulk apple juice in Pre-K 1, Pre-K 2, Pre-K 3, 2 and 3’s and toddlers rooms.
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 plastic container in infant refrigerator not labeled. CDI - caregiver labeled properly
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 pre k 2 caregiver serving food, and when a child wanted more the caregiver had recontaminated the the bulk food by touching the child’s plate with the serving spoon.
Properly thaw all food products. 15A NCAC 18A .2807 (i). Observed frozen food in the kitchen improperly thawing at ambient air temperature. Provided education to the kitchen manager. CDI - frozen food was placed in the refrigerator to thaw. |
|
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 feeding trays for infant feeding chairs with food debris under the tray. Observed caregiver was cleaning the feeding trays in the room.
Do not re-use single service items. 15A NCAC 18A .2809 (9) Observed aluminum pans being rewashed and reused in the kitchen. |
|
11
|
0
|
Approved sanitizer provided;test kit available: .2809, .2810, .2812, .2814 |
No |
No
|
No |
GENERAL COMMENT: Provide sanitizer test kit. 15A NCAC 18A .2812 (g) Observed the quat test kit water damaged. Replace |
|
21
|
0
|
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 |
GENERAL COMMENT:
Keep toilets and urinals clean and in good repair. 15A NCAC 18A .2817 (a). Observed loose toilet seats in the 4’s, PreK2 and staff restroom.
Keep handwashing sinks clean and in good repair. 15A NCAC 18A .2818 (a). Observed handsink counter damaged in the PreK4 room. Repair. Observed the handsink in the boys PreK 4 restroom is pulling away from the wall. Repair. |
|
23
|
0
|
Approved storage in toilet rooms, lavatories free of storage; hand wash signs posted: .2817, .2818, .2836 |
No |
No
|
No |
GENERAL COMMENT: Limit storage in restrooms to toileting and diapering items only. 15A NCAC 18A .2817 (a). Observed personal items and personal food being stored in the bathroom cabinet in the PreK 3 room. |
|
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). Observed toddler caregiver did not clean and disinfect the diaper changing pad after diaper changing.
The diaper changing surface shall be properly disinfected between each child. 15A NCAC 18A .2819 (c ). Observed caregiver in the infant room use sanitizer instead of disinfectant after diaper changing. |
|
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 diaper change procedure in toddler room completed incorrectly: caregiver kept the same gloves on through the entire process and did not wipe child’s hands. |
|
29
|
0
|
Hazardous products properly stored and locked: .2820 |
No |
No
|
No |
GENERAL COMMENT: All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed anti fog mask spray with additional warnings. CDI- director removed from the class room. |
|
31
|
0
|
Facilities provided for proper storage, used and kept clean: .2820 |
No |
No
|
No |
GENERAL COMMENT: .2820 (e) Observed jackets touching in the PreK 3 and PreK 4 rooms. Provide adequate space to prevent children’s belonging from touching. |
|
34
|
0
|
Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 |
No |
No
|
No |
GENERAL COMMENT: Water shall be emptied after each session or more often if visibly soiled. 15A NCAC 18A .2822 (c ). Observed water play center in the PreK 2 and PreK 3 with water from this water play this morning. Empty water after each session. |
|
35
|
0
|
Mouth-contact surfaces cleaned and sanitized in rooms designated for children who are not toilet trained: .2822, .2836 |
No |
No
|
No |
GENERAL COMMENT: In areas where children are not toilet trained, small mouth contact toys shall be washed, rinsed, sanitized (submerged for 2 minutes), and allowed to air dry, after use and more frequently when visibly dirty. 15A NCAC 18A .2822 (a). Observed the wash, rinse and sanitize bins for cleaning small toys were in the incorrect order wash, sanitize and rinse. CDI - caregiver rearranged the order to wash, rinse and sanitize. |
|
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 some area of walls in the toddler room had some holes or peeling paint. Repair
Ceiling panels are sagging throughout the center. One Ceiling panel in the PreK 1 water damaged. Employee restroom one water damaged ceiling panel. Repair/replace. Director stated they have a work order for the ceiling panels to be replaced.
Area rug in the PreK2 room frayed. Replace. |
|
39
|
2
|
Equipment clean and in good repair; maintained as required: .2826 |
No |
No
|
No |
Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Observed intake vents in the following rooms accumulating dust: PreK2 and PreK3. Clean and maintain. |
|
49
|
0
|
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 |
GENERAL COMMENT: Keep the property free of standing water. 15A NCAC 18A .2831 (b). Observed toy storage containers on the playground accumulating standing water, drain to prevent attracting and harboring pests. |