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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 |
REPEAT
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 baby bottles in refrigerator without date in infant rooms. Ensure to put both name and date that was received at the center on items.
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 baby foods/snacks in infant rooms that was sent from home without name and or date received. Ensure to put both name and date that was received 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 several sippy cups in infant C inside refrigerator. Cups look soiled from previous used earlier this morning. NO bottles or cups that was previously used can return back into the refrigerator to prevent any possible cross contamination. Different methods discussed with teacher and director at the time of inspection.
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, with name and date 1/20-1/26. EHS and 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 left over big bags of snack (cheese-it/cracker), closed with blue paining tape stored inside a cabinet and kitchen. All left over foods shall be stored properly in a resealable bags or containers. |
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10
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5
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Food contact surfaces properly washed, rinsed, sanitized and air dried; single-service articles not re-used: .2809, .2810, .2812, .2814 |
No |
No
|
No |
15A NCAC 18A .2812 (e) Multi-service articles, including highchair feeding trays, shall be washed, rinsed and sanitized in the child care center kitchen after each use. - According to detail discussion with several teachers in the classrooms, high chair tray, cups get wash in the hand washing sink in the classroom. Proper way to clean (wash/rinse/sanitize) items discussed in detail with teacher and director at the time of inspection. All multi-service articles (high chair trays, spoons, plates/bowls, rubber bibs) shall be wash, rinse and sanitize properly in the kitchen after each use. |
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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 |
REPEAT
15A NCAC 18A .2817 (a). Storage in toilet rooms shall be limited to toileting and diapering supplies.- Observed toy bins, toys, book shelves stored in the restroom in several classrooms. Only toileting related items can be stored in restrooms. |
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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 REPEAT
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 left out less than 5ft on diaper table in room 10. All diaper cream shall be stored at 5ft or higher at all times. Or keep them lock.
NOTE:
**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. Store key out of lock and put the key at 5ft or higher at all time** |
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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 REPEAT
15A NCAC 18A .2820 (b). All hazardous items must be stored behind lock and key. Observed key left in a lock on cabinet in restroom 10, inside a cabinet there is Clorox wipes container and air freshener spray bottle. Observed sunscreen in aerosol spray can in the red bag in room 9. All Hazardous items and how to store them discussed with owners/ director at the time of inspection.
NOTE: Keep cabinets with hazardous items locked at all time. Remove keys from the lock and store at 5ft or higher at all time.
**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.** |
|
30
|
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 sanitizer squeeze bottle on teacher keychain store on counter near diaper table in room 10. Observed vaseline bottle stored next to diaper table in infant A, less than 5ft. Observed disinfectant/sanitizer bottles in infant B on the sink counter. Ensure to store all non hazardous items at 5ft or higher at all time. |
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31
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2
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Facilities provided for proper storage, used and kept clean: .2820 |
No |
No
|
No |
15A NCAC 18A .2820 (g).Purses, that do not contain hazardous items, must be stored 5 ft above the floor, behind lock and key, or behind a child safety lock.- Observed teacher bag/personal belongings stored on the floor at computer desk in room 2. Store all personal belongings that contain no hazardous items at 5ft or higher at all time. |
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34
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0
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Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 |
No |
No
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No |
General Comment:
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 very soiled (dirt, residue) under diaper pad in room 8. Observed diaper pad in infant C starts to frayed, not in good repair. Keep diaper pad in good repair, clean throughly from front to back and all surfaces. Keep clean. |
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35
|
4
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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 |
REPEAT
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 teachers in several classrooms where mouthing/dirty toys present. The dirty toys were collected and put in dirty bin and get clean at the end of the day or during nap time. Teacher spray soapy water, water and disinfectant solution on toys and let them air dry. When asked which sink in the classroom that use to clean toys, all said the diaper sink. Proper toys cleaning discussed with teacher and director 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. If choose to clean toys inside the classroom, they shall be cleaned in the clean sink after change of use procedures of the sink and toys shall not be cleaned in the sink that located inside the toilet room.
NOTE: The center has the Ozone toy cleaning machine in the hall way. EHS suggested to set a schedule for each classroom, and utilize the toy cleaning machine to properly clean their toys every time. |
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