| 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 (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 bottle of milk in Infant B with date 1/2 on bottle. Ensure bottles are labeled with correct date.
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 speciality milks sent from home in Infant B, Toddler B, and the kitchen with dates from previous week, or no date. Ensure speciality milks are labeled with name/date when brought into facility, and sent home at the end of each week or discarded. |
|
11
|
2
|
Approved sanitizer provided;test kit available: .2809, .2810, .2812, .2814 |
No |
No
|
No |
15A NCAC 18A .2812 (j) (j) A sanitizing solution shall be provided for cleaning purposes. Observed sanitizer solution in all classrooms reading 500ppm chlorine concentration. Sanitizer should read between 50-200ppm chlorine concentration. |
|
17
|
6
|
Hot water in excess of 120ºF not allowed in areas accessible to children |
No |
No
|
No |
15A NCAC 18A .2815 (e) Hot water that exceeds 120 degrees Fahrenheit is a burn hazard and shall not be provided in areas accessible to children. Observed kitchen unattended, and hot water greater than 120F accessible to children. Key could not be located but was eventually found, and kitchen door was locked to make water inaccessible. Hot water temperature in kitchen measured at 126F which is a burn hazard. Ensure hot water exceeding 120F is made inaccessible to children. |
|
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 .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies. Observed baby doll bed stored inside bathroom in Twaddler room. Ensure storage in bathrooms in limited to toileting and diapering supplies. *No points deducted. Points not deducted due to improvement in number of items stored in bathrooms from previous inspection. Points will be deducted if noted on next inspection.* |
|
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 in Twaddler room use sanitizer instead of disinfectant during diaper changing process. Ensure proper solution is used. REPEAT |
|
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 Infant A miss steps 4 and 5 and incorrectly perform step 10, and employee in Twaddler miss step 5, and incorrectly perform steps 10 and 11. Ensure proper procedure is followed and performed correctly. REPEAT |
|
29
|
0
|
Hazardous products properly stored and locked: .2820 |
No |
No
|
No |
General Comment:
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 super glue labeled “Keep out of reach of children” and warnings stored in locked cabinet in Preschool 3 room and key for cabinet stored below 5ft. Ensure keys are stored at least 5ft above the floor. No points deducted. |
|
30
|
3
|
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 lotions stored below 5ft in unlocked staff bathroom. Observed soapy water and disinfectant stored below 5ft in Preschool 1C bathroom and Toddler C bathroom.
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 non-prescription diaper creams in Toddler C bathroom stored below 5ft. Ensure diaper creams are stored at least 5ft above the floor. REPEAT |
|
31
|
0
|
Facilities provided for proper storage, used and kept clean: .2820 |
No |
No
|
No |
General Comment:
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’s coats coming in contact with each other while stored on hooks in multiple classrooms. Coats were moved so that they do not come in contact with each other. No points deducted. |
|
32
|
0
|
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 |
General Comment:
15A NCAC 18A .2821 (f) Linens shall be large enough to cover the bed, cot, or mat's sleeping surface. Observed two mats with linen not covering entire sleeping surface in Preschool 1C and mat in use with no covering on sleeping surface in Preschool 1B. Ensure linens are large enough to cover sleeping surface. No points deducted. |
|
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.
Mouth contact toys in all rooms with children who are not toilet trained are not being sanitized properly after discussion with director/teachers. Director stated toys are sprayed with sanitizer. Mouth contact toys need to be submerged in sanitizer for at least two minutes then air dried. No points deducted. |