| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
2
|
5
|
Proper handwashing procedure: .2803, .2836 |
No |
No
|
No |
15A NCAC 18A.2803 (e). Handwashing procedures shall include: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. Observed at least 2 staff members turn off water with hand. 1 staff member did an entire handwash in < 10 seconds. Follow posted hand washing procedures. |
|
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 (k) Lunches, snacks, and other meals that a child brings from home to the child care center shall be labeled with the date on which the food is brought to the child care center and the name of the child to whom the food belongs at the child's home and shall be returned to the child's home or discarded at the end of each day. Observed bottles and snacks without dates. If sharpie rubs right off, use another way of labeling.
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 milks without dates and dated previous week. |
|
22
|
3
|
Soap, approved hand drying devices, toilet tissue paper available: .2817, .2818, .2836 |
No |
No
|
No |
15A NCAC 18A .2818 (d). Liquid soap and disposable towels or other hand-drying devices shall be provided at every handwash lavatory area. Observed majority of classrooms without paper towels. One classroom with empty soap dispenser. If paper towel dispensers are being replaced with a new kind there still must be paper towels at all hand sinks. |
|
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 toys, art supplies, clean blankets, children’s coats stored in multiple bathrooms. |
|
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 |
Childcare center employee shall change a child’s diaper as listed in rule 15A NCAC 18A .2819(d). Observed improper diaper changes in infant 1 and infant 2. Children that can support their own head must have hands washed at hand sink. Follow posted procedures. |
|
28
|
0
|
Medications properly stored: .2820 |
No |
No
|
No |
All medications must be stored behind lock and key. 15A NCAC 18A .2820 (d). Observed liquid Benadryl and an epi pen stored together over 5 feet, but unlocked. Benadryl is not considered an emergency medication and must be locked. |
|
29
|
6
|
Hazardous products properly stored and locked: .2820 |
No |
No
|
No |
All hazardous items must be stored behind lock and key. 15A NCAC 18A .2820 (b). Observed unlocked gorilla glue, infants 2. Unlocked anti fog spray, Windex, and liquid correction fluid in Pre-k 2. Unlocked white board cleaner in infant 1. Plug in air freshener,
Keys used to access hazardous item storage must be out of reach of children (5 ft above the floor) and stored separately from lock. 15A NCAC 18A .2820 (b). Observed keys in locks in several classrooms. |
|
30
|
0
|
Non-hazardous products properly stored: .2820 |
No |
No
|
No |
Approved non-hazardous products must be stored 5 ft above the floor or behind lock and key. 15A NCAC 18A .2820 (b), (c ) and (d). Observed hand sanitizer stored less than 5 ft at front desk. |
|
31
|
0
|
Facilities provided for proper storage, used and kept clean: .2820 |
No |
No
|
No |
Soiled laundry shall be handled and stored separately from clean laundry using cleanable containers. 15A NCAC 18A .2820 (a). Observed clean laundry stored in a dirty laundry basket. |
|
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 |
Children must be spaced at least 18 inches apart or separated by a partition while napping. 15A NCAC 18A .2821 (e). Observed children sleeping <18 inches apart in infant 2.
All crib and play pens, used for sleeping, shall have an easily cleanable, waterproof, washable, firm, and tight fitting mattress that is at least 2 inches thick. 15A NCAC 18A .2821 (b). Observed torn crib mattress in infant 2. |
|
33
|
3
|
Linen, bedding, wash cloths, bibs, burping cloths laundered, and in good repair: .2821, .2836 |
No |
No
|
No |
Linens shall be stored with each child's cot or mat or placed in the child's designated area. 15A NCAC 18A .2821 (f). Observed children’s blankets stored in a stack in one classroom.
Wash cloths, bibs, and burping clothes shall be laundered after each use. 15A NCAC 18A .2821 (g). Observed used cleaning rags stored in 2 classrooms. One hand towel hanging next to diaper changing table, infant 2. |
|
34
|
0
|
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 sticky tape residue in 2 classrooms. |
|
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 |
Keep all floors, walls, and ceilings, clean and in good repair. 15A NCAC 18A .2824 and .2825. Observed large hole behind door in laundry room. |
|
39
|
2
|
Equipment clean and in good repair; maintained as required: .2826 |
No |
No
|
No |
Keep all ventilation related equipment clean and in good repair. 15A NCAC 18A .2826 (b). Observed very dusty ceiling vents. One class the dust had spread to the ceiling and nearby light fixtures |
|
44
|
0
|
Solid waste properly handled; containers and cleaning equipment kept clean; can cleaning facilities adequate: .2830, .2836 |
No |
No
|
No |
Solid waste must be covered, and dumpster area must be kept clean. 15A NCAC 18A .2830 (c ) and (d). Observed dumpster door open and some trash on ground |
|
49
|
2
|
Premises clean and free of standing water; utility equipment inaccessible; equipment and toys clean and in good repair; sandboxes properly constructed, clean and covered; adherence to air quality forecast quality forecast outdoor activity restrictions when applicable: .2831, .2832 |
No |
No
|
No |
Keep the property free of high vegetation. 15A NCAC 18A .2831 (i). Repeat- Observed high grass/weeds back part of playgrounds. |