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| CDI=Corrected During Inspection | |
R=Repeat Violation | |
VR=Verification Required | |
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| | Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
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5
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5
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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 A dated 3/20. Ensure to check after parents and ensure all name and correct date on items when arrived at the center.
15A NCAC 18A .2804 (h) After the completion of each feeding, any leftover formula, human milk, or other bottled beverages used during the feeding shall be discarded or sent home with the child whose name is on the label for the formula, human milk, or bottled beverage at the end of each day. Feeding is complete when the child care center employee has stopped feeding the child and the child has been removed from the feeding area in the child care center and returned to other activities. Bottles previously used for feeding shall not be returned to communal mechanical refrigeration.- Observed teacher was rinsing a bottle after feeding and put back inside the refrigerator in infant room. Proper procedures discussed with teachers and director at the time of inspection. Ensure to not put any previously used items back in the refrigerator to prevent any possible contamination. NOTE: all multi use articles shall be washed/rinsed/sanitized in the kitchen.
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 in the kitchen refrigerator without date that was received at the center. Some milks dated 3/15 and 2/27. EHS, kitchen staff, director discussed proper way to handle specialty milks at the time of inspection. Ensure to receive the unopened container of specialty milks at the beginning of the week, put name and date that was received, send home or discard at the end of the end either opened or unopened containers.
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 big bags of cereal in kitchen shelving keep closed with tape. Store all leftover foods in resealable bags/containers.
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 yogurt snack container in kitchen refrigerator without date. Ensure to put both name and date on all items that was from home to the center. |
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16
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0
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Hot water supplied and maintained as required in all other areas: .2815, .2836 |
No |
No
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No |
General Comment:
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 in Infant C at both sinks at 113F -114F. Provide tempered water where accessible to children. |
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19
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2
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Approved drinking fountains, pressure regulated, clean: .2815, .2836 |
No |
No
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No |
15A NCAC 18A .2815 (g). Outdoor drinking fountains shall be constructed to protect the spout from contamination and shall be kept clean.- Observed water fountains inside and outside need better cleaning and keep clean. |
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23
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2
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Approved storage in toilet rooms, lavatories free of storage; hand wash signs posted: .2817, .2818, .2836 |
No |
No
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No |
15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies.- Observed little coaches/ chairs stored in the toilet room 3. |
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28
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0
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Medications properly stored: .2820 |
No |
No
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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 in a lock box, left unlock in Two B. Observed sunscreen and diaper cream left on the desk at front desk. All items shall be stored at least 5ft or lock them up.
**Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device.**
15A NCAC 18A .2820 (d).Designated emergency medications shall be kept inaccessible to children, 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 emergency medication in the outside bag left on top of storage box less than 5ft. EHS suggest to install hooks to keep item at 5ft or teachers carry the bag on them. |
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29
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0
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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 container of bleach, big containers of dish detergent and sanitizer liquids under the 3 compartment sinks in the kitchen not being lock away in the storage room. Hazardous items and how to store them discussed with chef and director at the time of inspection.
**Locked storage rooms and cabinets shall include those which are unlocked with a combination lock, electronic or magnetic device, keypad, key, or equivalent locking device.** |
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30
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3
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Non-hazardous products properly stored: .2820 |
No |
No
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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 hand cream in unlocked drawer less than 5ft in infant A. Observed sanitizer solution bottles stored less than 5ft on the counter near by hand sink in Infant A and Toddler B. Ensure to store all non hazardous items at 5ft or higher at all time. |
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35
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0
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Mouth-contact surfaces cleaned and sanitized in rooms designated for children who are not toilet trained: .2822, .2836 |
No |
No
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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 assistant 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.
NOTE: The center has the big toy cleaning machine in the hall way. |
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42
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2
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Designated area for sick children; maintained as required; written procedures for vomiting or diarrheal events: .2827, .2836 |
No |
No
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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 the facility without the vomiting and diarrhea written procedures in place. EHS emailed the director the written plan and poster at the time of inspection. |
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