| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
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 .2804 (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. Observed bottles in Infant B with old or missing dates. Needs to be dated on the date received at the child care center. |
|
11
|
2
|
Approved sanitizer provided;test kit available: .2809, .2810, .2812, .2814 |
No |
No
|
No |
Provide15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes. Observed sanitizer testing at 500 ppm and in Infant B at 10 ppm. Needs to be 50-200 ppm chlorine. REPEAT. |
|
16
|
0
|
Hot water supplied and maintained as required in all other areas: .2815, .2836 |
No |
No
|
No |
15A NCAC 18A .2815 (e) Hot water shall be maintained between 80°F and 110°F at handwashing sinks accessible to children. Observed hot water at Infant A handwashing sink reach 112F. All other sinks were in appropriate range. Adjust temperature. |
|
23
|
2
|
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 a ball stored in the bathroom in Toddler A, hula hoops and blow up balls in Toddler B, and blankets in bathroom in Preschool 1A. Storage in bathrooms shall be limited to toileting and diapering supplies. REPEAT. |
|
25
|
6
|
Diapering surfaces cleaned and disinfected after each use: .2817, .2818, .2819, .2820, .2836 |
No |
No
|
No |
15A NCAC 18A .2819 (c) and 15A NCAC 18A .2819 (d) (10). Diapering surfaces shall be disinfected using an approved disinfectant by spraying the entire diapering surface with an approved disinfectant and allowing to remain on the surface for two minutes or as specified by the manufacturer, or air dry. Observed teacher spray diaper pad with disinfectant and immediately wipe off disinfectant. Needs to remain on the surface for two minutes or air dry in Twaddler class.
15A NCAC 18A .2819 (d). (9), Diapering surfaces shall be cleaned, prior to disinfection, by spraying the entire diapering surface with detergent solution and wiping clean, using disposable paper towels. Observed teacher spray disinfectant on diaper pad and not clean with a detergent solution. Needs to be sprayed with detergent solution and wiped clean prior to disinfection. PROVISIONAL ITEM. |
|
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 employee in Twaddlers room miss steps 4, 5, 9 and 10. Needs to follow approved diapering methods. REPEAT. |
|
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 liquid white out stored in unlocked drawer in Prepper A and on top of small shelf in small basket in Preschool 3. Needs to be stored in a locked storage room or cabinet. REPEAT. PROVISIONAL ITEM. |
|
30
|
0
|
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 disinfectant stored less than 5ft up in Preschool 3. Observed hand sanitizer and lotions stored less than 5ft up in Infant B. Needs to be stored locked or 5ft above the floor. |
|
34
|
4
|
Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 |
No |
No
|
No |
Toys, equipment, furniture, and any other items accessible to the children shall be kept clean and in good repair. 15A NCAC 18A .2822 (a), (b). Observed tape residue, dust and debris in cubby’s and toy shelves. Classroom cabinets and drawers need wiping out of debris. Observed peeling laminate on some cubby’s and counters. Observed cracked toy bins in Prepper A. REPEAT. |
|
37
|
4
|
Easily cleanable, clean, and in good repair; carpets vacuumed as required and extraction cleaned; date cleaned___________: .2824, .2825, .2832, .2836 |
No |
No
|
No |
15A NCAC 18A .2824 (c). Carpet shall be vacuumed daily and extraction cleaned at least once each 6 months. Cleaning materials including surfactants, solvents, and water used for extraction shall be removed from the carpet before the space is reoccupied. Observed carpets have not been extraction cleaned since 3/1/21. Needs to be extraction cleaned at least once each 6 months. |
|
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.
Observed facility does not have vomit and diarrheal cleaning procedures. EHS emailed a copy with updated rule information. |
|
48
|
0
|
Pest control; premises free of conditions that harbor or attract pests: .2831, .2832 |
No |
No
|
No |
15A NCAC 18A .2831 (b). (b) Pests shall be excluded from the child care center. Traps set for pests shall only be placed in areas that are inaccessible to children. Observed glue traps for pests in Infant A and B rooms placed on the floor accessible to children. Facility stated pest control visited last night because a rodent was observed in the room by a teacher and pest control set out the traps. Traps were removed EHS advised facility contacts pest control for other options for removing/trapping pests. |