| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
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 |
15A NCAC 18A .2804 (h) After the completion of each feeding, any leftover formula, human milk, or other bottled beverages used during the feeding shall be discarded or sent home with the child whose name is on the label for the formula, human milk, or bottled beverage at the end of each day. Feeding is complete when the child care center employee has stopped feeding the child and the child has been removed from the feeding area in the child care center and returned to other activities. Bottles previously used for feeding shall not be returned to communal mechanical refrigeration.
Observed bottle on counter in infant 2 classroom. Staff stated bottle would go back to child. The child was playing on the floor with staff and other children. EHS informed staff that bottles cannot be given back to children after the feeding session is complete.
15A NCAC 18A .2806 (d) Bulk food stored in a refrigerator shall be stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator.
Observed bulk milks in small refrigerator in Infant 1. Needs to be in full size refrigerator. REPEAT.
15A NCAC 18A .2806 (d) Specialty bulk milk that is sent from home for consumption by a child while at the child care center may be stored as set forth in the 2800 rules when the child's parent or guardian provides written permission and the specialty bulk milk is sent to the child care center at the beginning of each week unopened, labeled with the date received by the child care center, and labeled with the name of the child to whom the bulk specialty milk belongs. Any remaining bulk specialty milk shall be sent home at the end of the week with the child to whom the bulk specialty milk belongs.
Observed specialty bulk milks in kitchen refrigerator missing date received. REPEAT. |
|
7
|
0
|
Thermometers provided, accurate: .2804, .2807, .2808, .2836 |
No |
No
|
No |
General comment:
15A NCAC 18A .2806 (j) (1) Each refrigerator shall be provided with a numerically scaled indicating thermometer that is accurate to ± 3 degrees Fahrenheit and located to measure the air temperature in the warmest part of the refrigerator. Recording thermometers that are accurate to ± 3 degrees Fahrenheit may be used in lieu of indicating thermometers.
Observed thermometer in infant 2 refrigerator reading just under 60F. EHS thermometer read 47F. Check thermometer and consider replacing to new and more accurate thermometer. |
|
13
|
0
|
Proper storage and handling of clean equipment, utensils and single-service articles: .2809, .2810, .2812, .2814 |
No |
No
|
No |
General Comment:
15A NCAC 18A .2814 (b) Cleaned and sanitized utensils and equipment shall be stored above the floor in a clean, dry location and shall be kept clean while stored. The food-contact surfaces of fixed equipment shall be kept clean while stored or otherwise not in use. Equipment and utensils shall not be stored under exposed sewer lines.
Observed high chair trays and bottle warmer stored under sink in Infant 2. Equipment and utensils shall not be stored under exposed sewer lines. |
|
15
|
6
|
Hot water supplied and maintained in the kitchen: .2815, .2836 |
No |
No
|
No |
15A NCAC 18A .2815 (e) (e) Hot water used for cleaning and sanitizing utensils and laundry shall be provided at a minimum temperature of 120 degrees Fahrenheit at the point of use. Observed hot water in kitchen only reach 86F. Needs to be a minimum of 120F. PROVISIONAL ITEM.
*When adjusting water in kitchen ensure temperature reaches a minimum of 120F and any water accessible to children remains 80-110F. |
|
20
|
6
|
No identified lead poisoning hazards in accordance with NCGS 130A-131.7(7): .2816 |
No |
No
|
No |
15A NCAC 18A .2816 (b) (1) Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. Samples shall also be collected and tested within 30 calendar days of completion of any renovations or repairs that may impact the facility's drinking water infrastructure, such as repair or replacement of all or part of drinking water service lines or faucets, at impacted outlets. The operator shall provide documentation of testing results for review by the Department during each unannounced routine sanitation inspection.
Observed facility is past 3 years since last water lead test. Needs to be completed. PROVISIONAL ITEM. |
|
23
|
0
|
Approved storage in toilet rooms, lavatories free of storage; hand wash signs posted: .2817, .2818, .2836 |
No |
No
|
No |
General Comment:
15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed storage under sink sewer lines in several classrooms, including items such as clean linens. |
|
27
|
0
|
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 |
General Comment:
15A NCAC 18A .2819 (h) Signs that instruct child care center employees on proper methods of diaper changing and handwashing as set forth in the rules of this Section shall be posted in each diaper changing area.
Observed sign for diaper changing procedures in Infant 2 is incorrect and toddlers 1 was missing procedures. Needs correct procedure signage. |
|
29
|
6
|
Hazardous products properly stored and locked: .2820 |
No |
No
|
No |
15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key.
Observed aerosols and cleaners in cabinet over sink and large cabinet unlocked in infant 1 room. Observed aerosols in large cabinet in Threes 2 room unlocked. Observed aerosols unlocked in Toddlers 2 room and detangler unlocked in DPS 1 classroom. Needs to be stored behind lock and key. PROVISIONAL ITEM. |
|
30
|
0
|
Non-hazardous products properly stored: .2820 |
No |
No
|
No |
General Comment:
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 lotion stored less than 5ft up in infant 1 and lotion and hand sanitizer stored less than 5ft up in infant 2. Needs to be 5ft up or behind lock and key. |
|
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 |
General Comment:
15A NCAC 18A .2825 (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas, shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint.
Observed stained ceiling tiles in gym. Needs to be checked for leaks and repaired/replaced. REPEAT. No points deducted due to items from previous inspection being repaired. Gym tiles not listed on last inspection. |