| 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.- Observed a child was dropping off by a mother without hand washing before engaging in Room 4 activity. Ensure all employees and children who plan to stay and engage in activities wash their hands upon arrival at the classroom. |
|
16
|
4
|
Hot water supplied and maintained as required in all other areas: .2815, .2836 |
No |
No
|
No |
REPEAT
15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children.- Observed water temperature at hand sinks range from 61F- 76F (diaper sink and restroom sink infant 2, restroom and classroom sink room5, classroom sink room 6). Alway provide tempered water between 80F to 110F where accessible to children. |
|
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:
15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair.- Observed soiled toilet in restroom 4. Cleaning needed and keep clean.
15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair- Observed gap between hand sink and wall in room 9 and 8. New caulking needed. Keep sealed, no space for pest harborage. |
|
23
|
2
|
Approved storage in toilet rooms, lavatories free of storage; hand wash signs posted: .2817, .2818, .2836 |
No |
No
|
No |
REPEAT
15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies.- Observed shelve/book cabinet stored inside the restroom 4. No other items shall be stored inside the restrooms unless toileting related items only at anytime. |
|
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 on the shelve less than 5ft in closet room 3, supposed to be locked, but not. The closet door was not push all the way to latch when close, leaving easy access to just pull open. Ensure to remind staff and self to check behind you when the doors/cabinets supposed to locked. They shall stay locked when you leave at all time. |
|
29
|
0
|
Hazardous products properly stored and locked: .2820 |
No |
No
|
No |
General Comment:
15A NCAC 18A .2820 (b) (e). All hazardous items must be stored behind lock and key. A locked kitchen is not considered to be a locked storage room or cabinet for the purpose of this rule - Observed containers of Clorox and other cleaning products stored on shelves in the kitchen not being lock away in a lock storage room. Hazardous items and how to store them discussed with chef and director at the time of inspection. Clorox/cleaner containers shall be put away and store in a locked storage room inside the kitchen or where is applicable at all time. CDI- Items was removed to lock storage outside the kitchen at the time of inspection.
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** |
|
31
|
2
|
Facilities provided for proper storage, used and kept clean: .2820 |
No |
No
|
No |
15A NCAC 18A .2820 (g).Purses, that do not contain hazardous items, must be stored 5 ft above the floor, behind lock and key, or behind a child safety lock.- Observed teacher purses/belongings bag inside unlock closet in room 9. Teacher purse in unlocked cabinet (magnet does not latch correctly) in infant 1. Ensure to keep all closets/cabinets doors locked and latched correctly before leaving the area when intended to lock the items.
15A NCAC 18A .2820 (f) A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children.- Observed children coats are hanging on hooks touching each other in room 8. Keep all individual items separate and not allow to touch while storing. |
|
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. |