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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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2
|
5
|
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 teacher after changing diaper wash hand less than 10 seconds (step 2) before proceed to finish the rest of process correctly. Observed director wash hands and turn off the faucet knobs with bare hands (step 6). Observed a child after got diaper changed, washed hands with only running water. A child needs help, and teacher came to help. Ensure everyone is washing hands properly and follow correct hand washing procedures posted in the classrooms. |
|
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 soiled toilets (inside the blow, back/bottom surfaces) in several classrooms and guest restrooms. Detail cleaning needed and keep clean.
15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed several soiled hand washing sinks in several classrooms, Better cleaning needed around surfaces, base of faucets, and basin. keep clean. Observed open gaps between hand sinks and the wall in restrooms/ food prep sink along edges in several classrooms. New caulking maybe needed and keep surfaces in good repair for easily clean. Keep clean. |
|
22
|
3
|
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 paper towels available at hand sinks in restrooms/classrooms (front room to the left upon entry, and PreK2). Therapists use the classroom for their sessions. Ensure to provide all hand washing supplies at all hand sinks at all time. |
|
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 |
15A NCAC 18A .2819 (d) Use approved diapering methods as follows: 1) gather supplies, 2) wear disposable gloves (if needed), 3) use a disposable moist towelette to clean child, wiping front to back, 4) dispose of gloves if used and soiled towelettes, 5) wiping the employee's hands and the child's hands with a separate disposable towelette, 6) slide clean diaper under child and apply diapering products if needed using approved methods, 7) fasten diaper and place clothing on child, 8) wash child's hands, 9) and 10) clean and disinfect diapering surface using approved methods, 11) employee washes their hands.- Observed teacher change diaper incorrectly/missing step 3, 4, 5, 11. EHS, teacher and director goes over correct diaper changing procedures on the poster posted in the classroom at the time of inspection. Ensure to follow the correct diaper changing procedures at all time. |
|
28
|
0
|
Medications properly stored: .2820 |
No |
No
|
No |
General Comment:
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 diaper creams in unlocked cabinet, inside unlock black box in infant 2. Observed a diaper creams a lock box with a long hook key lock, it allowed EHS to take the creams out of the box during inspection. CDI- Director changed to a new short key lock at the time of inspection. The box is now lock and no access to the cream. |
|
29
|
0
|
Hazardous products properly stored and locked: .2820 |
No |
No
|
No |
General Comment:
15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key.- Observed 2 disinfectant Lysol spray aerosol cans in unlocked cabinet underneath diaper changing table in Toddler 3. Childproof lock devices do not count as a lock. Observed a basket of disinfectant aerosol cans in a lock closet with a key in the lock hanging down in PreK2 while therapy is session. All hazardous items must be lock at all times. CDI- Director took items out and store properly at the time of inspection. EHS and directors discussed in detail how to store hazardous items properly and the facility has the hazardous items poster.
NOTE:
**Lock storage rooms and cabinets shall include those which are unlocked with a combination lock, electric or magnetic device, key pad, key, or equivalent locking device, keep/store keys at least 5ft or higher at all time. Store/keep keys at 5ft or higher at all time.** |
|
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 (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 labeling incorrectly, 2 cots with same number in several classes. 2 different numbers in same cot. Ensure to put name or number, provide chart assignments if number labeled (visible and legible). |
|
49
|
2
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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 |
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 one gate of HVAC units not having a lock installed. Install/put a lock on the gate, make it inaccessible to children. Keep all gates that lead to HVAC units lock when not in use.
15A NCAC 18A .2831 (b). Sand toys, water tables, and other unfiltered items that can collect standing water in the outdoor learning environment shall be emptied and stored to prevent the collection of standing water.- Observed several buckets/containers in the playground collecting and holding old water from the rains. Ensure to empty the containers face down, keep away from standing water. |
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