| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
1
|
0
|
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 two children enter Red bud 1 classroom without hand washing before joining a group. EHS notify the teacher, children washed hands properly at the time of inspection. |
|
5
|
0
|
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 .2806 (a) Once pre-packaged food has been opened, the food shall be stored in clean, resealable bags or containers made of plastic or glass that are tightly covered and manufactured for the purpose of food storage. Observed cereal, sugar, and corn bread mix without proper sealed in a bag. Need to be store in resealable bag or container.
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 milk in the kitchen dated 8/16 and 9/11. Ensure to send all specialty milk home with a child at the end of the week. |
|
11
|
2
|
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 50 ppm concentration of QAC sanitizer bottles through out the building. |
|
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 |
15A NCAC 18A .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed broken toilets/ not properly function in green pines and TK room. (Maintenance is aware of recent damage to toilets and is working on making repairs.) |
|
23
|
0
|
Approved storage in toilet rooms, lavatories free of storage; hand wash signs posted: .2817, .2818, .2836 |
No |
No
|
No |
15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed wagon and chair stored in restroom red bud 1. Observed cot stored in nurse restroom. Ensure to stored only toileting items in restroom. |
|
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 missing/incorrect step 3,5,6 during diaper changing. Proper procedure explain and diaper changing poster provided. |
|
28
|
6
|
Medications properly stored: .2820 |
No |
No
|
No |
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 medications in refrigerator in nurse room stored unlock.
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 diapering creams in drawer cabinets in nurse room below 5ft. |
|
29
|
6
|
Hazardous products properly stored and locked: .2820 |
No |
No
|
No |
REPEAT
15A NCAC 18A .2820 (b).Keys used to access hazardous item storage must be out of reach of children (5 ft above the floor) and stored separately from lock. Observed keys to lock cabinet stored in drawer where is accessible to children in TK classroom. Inside the lock cabinet there is a pink all purpose cleaner spray bottle. Teacher put the keys away above 5 ft at the time of inspection. Observed essential oil bubble bath bottle in Orange blossom and Sapling 1, fabuloso and glass wipes under the sink and bulk glue in Sapling 1-2, glass cleaner in Red bugs 1. All items keep unlock in classroom, they had warning labeled and extra caution labeled on them. |
|
30
|
3
|
Non-hazardous products properly stored: .2820 |
No |
No
|
No |
15A NCAC 18A .2820 (c ) Sanitizing, disinfecting, and detergent solutions shall be labeled with the product name (ex. "Sanitizer"). Observed buckets of soapy water and sanitizer in pre-K, TK, blue spruces, green pines, need a label.
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 lotion in nurse office on desk, and drawers stored less than 5ft. |
|
34
|
4
|
Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 |
No |
No
|
No |
15A NCAC 18A .2822 (d).Water play centers shall be filled with potable water immediately before children begin a water play session. Water shall be emptied after each play session and at a minimum each morning and afternoon, or more often if no longer clean. Observed soiled water in water table in Orange blossom. Need to be clean and emptied after each use.
15A NCAC 18A .2822 (a) Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. Observed build up under diaper pad in Orange blossom. Observed 3 cushion floor seats in Village classroom with many tears in fabric. Needs repair.
**General comment: Facility uses 3 bucket system for wash/rinse/sanitizing toys in classroom. Some classrooms are missing one bucket for process. EHS discussed methods with teachers in classrooms and received various answers that mentioned incorrect toy cleaning practices. Some teachers stated they are rinsing in handsink after sanitizing and others are not following a rinse step. EHS did not directly observe any toy cleaning. EHS and director discussed toy cleaning procedures. Director and toddler and infant classrooms were aware of appropriate toy cleaning procedures. |
|
42
|
0
|
Designated area for sick children; maintained as required; written procedures for vomiting or diarrheal events: .2827, .2836 |
No |
No
|
No |
15A NCAC 18A .2827 (d). The child care center shall have written procedures that employees shall follow when responding to vomiting or diarrheal events that involve the discharge of vomitus or fecal matter onto surfaces in the center. The procedures shall address the specific actions employees must take to minimize the spread of contamination and the exposure of employees, children, food, and surfaces to vomitus or fecal matter.
General Comment: Observed facility did not have vomit and diarrhea cleaning procedures. New rules, diarrhea and vomiting poster provided at the time of inspection. |