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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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|---|
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5
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0
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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 |
General comment:
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. Water needs to come from the kitchen or bottle water, not from the hand sink. |
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7
|
0
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Thermometers provided, accurate: .2804, .2807, .2808, .2836 |
No |
No
|
No |
General comment:
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 kitchen has two disrepair thin probe thermometers. Obtain thin probe thermometers to measure food. |
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10
|
0
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Food contact surfaces properly washed, rinsed, sanitized and air dried; single-service articles not re-used: .2809, .2810, .2812, .2814 |
No |
No
|
No |
General Comment:
15A NCAC 18A .2812 (e) Multi-service articles, including highchair feeding trays, shall be washed, rinsed and sanitized in the child care center kitchen after each use.- According to teacher highchairs trays in the infant room get clean stationary in the classroom. All multi-service articles (high chair trays, spoons, plates/bowls, rubber bibs) shall be wash, rinse and sanitize properly in the kitchen after each use. |
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11
|
2
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Approved sanitizer provided;test kit available: .2809, .2810, .2812, .2814 |
No |
No
|
No |
15A NCAC 18A .2812 (g) A testing method or equipment shall be used in accordance with the product manufacturer's instructions to test the strengths of sanitizing solutions to ensure the prescribed concentrations are met.- Observed Quaternary Ammonium Compounds (QAC) sanitizer solution with weak concentration of 50ppm. Ensure to provide correct concentration according to manufacturer. QAC sanitize solution required to be between 200-400 ppm. Observed the facility within the QAC test strip to measure the correct concentration as well. Obtain the test kit.
NOTE: Some classroom use chlorine sanitizer and some classroom use QAC. Not consistent. |
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19
|
0
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Approved drinking fountains, pressure regulated, clean: .2815, .2836 |
No |
No
|
No |
General Comment:
15A NCAC 18A .2815 (f).Drinking fountains, if provided, shall be separate from handwash lavatories and kept clean.- Observed soiled unused water fountains in need of cleaning and keep clean either in-used or un-used. |
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21
|
4
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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 several toilets in the center need cleaning and keep clean. Observed several toilets were covered with black plastic bag and disrepair. Need repair.
15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair. -Observed several hand washing in several classrooms need cleaning and keep clean. Observed disrepair hand sink with very strong odor in 114. Need repair and correct issues. |
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26
|
2
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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 the center uses ECOlab (TB Disinfectant Cleaner Ready to Use) as their disinfectant solution spray. When asking teacher while spray the solution on diaper surface and several teachers about the contact time, incorrect contact time was given according to the manufacturer instructions. Ensure staff know and have cleat knowledge of how to use the solution effectively. |
|
28
|
6
|
Medications properly stored: .2820 |
No |
No
|
No |
PROVISIONAL ITEMS:
15A NCAC 18A .2820 (d).Medications, including prescription and non-prescription items, shall be stored in a locked cabinet or other locked container and shall not be stored above food.- Observed eye wash bottle and burn creams inside the first aid kit in 116 empty classroom. Keep all medications lock at all time.
15A NCAC 18A .2820 (d).Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. A product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor.- Observed emergency medication, inhaler, inside the outdoor bag in 116, on the table less than 5ft. Ensure to proper store the emergency medication at all time.
15A NCAC 18A .2820 (d) Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use but are not required to be in locked storage. A product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor.- Observed key to open the lockbox that stored diapering creams in Infant 2 drawer less than 5ft. Ensure to store all keys to access hazardous/non hazardous items out of reach of children, keep inaccessible at 5ft or higher at all time.
NOTE: **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.** |
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29
|
6
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Hazardous products properly stored and locked: .2820 |
No |
No
|
No |
PROVISIONAL ITEMS:
15A NCAC 18A .2820 (b). All hazardous items must 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 room 105, 106, staff lounge, restroom behind front desk, left unlock and containing many chemicals/cleaners/paint container/sun screens lotions. Keep all hazardous items lock at all time. And keep keys at 5ft or higher. |
|
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 hand sanitizer bottle in staff lounge, art studio and office, doors left unlock. Observed hand sanitizer squeeze bottles and hand lotion in drawer lees than 5ft in Toddler 2. Keep all approved non-hazardous items at 5ft or higher. |
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32
|
3
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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 (c). Beds, cots, and mats shall be assigned and labeled for use by an individual child and equipped with individual linens.- Observed several classrooms with cots with no label (name/number chart). Ensure to put name or number, provide chart assignments if number labeled. |
|
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:
15A NCAC 18A .2822 (a). In rooms designated for children who are not toilet trained, toys and other mouth-contact surfaces that are used by children shall be cleaned and then sanitized after each use and when visibly dirty. Toys and other mouth-contact surfaces shall be cleaned and sanitized as follows:
(1) the items shall be scrubbed in warm, soapy water, using a brush to reach into any crevices;
(2) the items shall be rinsed in clean water;
(3) the items shall be submerged in a sanitizing solution for at least two minutes or in accordance with the instructions on the label of the sanitizing solution; and
(4) the items shall be air dried.
-According to teacher in classroom where mouthing/dirty toys present. The dirty toys were collected and put in dirty bin and get clean at the end of the day. Teacher spray sanitizer solution on toys and let them air dry. Proper toys cleaning discussed with teacher and director at the time of inspection. All dirty toys shall be washed/rinsed/sanitized properly in the kitchen at the three compartment sinks. Or 3 step bins suggested, label (wash/rinse/sanitize). Some toys that cannot not be submerged in water after washed and rinsed, the sanitizer spray can be used. All toys that can be in the water shall be submerged in sanitizer solution for at least 2 minutes and let air dry after. Ensure to use/provide the correct strength of sanitizer solution in the bin for cleaning toys each day and ensure to store the sanitizer bin at 5ft or higher. |
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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:
15A NCAC 18A .2832 (a).In the child care center premises and outdoor learning environment. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. Wells, grease traps, cisterns, and utility equipment shall be made inaccessible to children.- Observed HVAC units inside the gate fenced. Some keep lock with key, made it inaccessible to children and some are not. Keep all gates lock and make it inaccessible to children. |
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