| 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 .2806 (d) Bulk food stored in a refrigerator shall be stored in the child care center's kitchen or in an approved food preparation area equipped with a full-size refrigerator. Repeat-Observed gallons of milk stored in dorm refrigerators and not holding <45F. |
|
8
|
0
|
Meets specifications for refrigeration, sinks, lavatories and dishwashing equipment: .2809, .2810, .2812, .2814 |
No |
No
|
No |
15A NCAC 18A .2810 (c) A separate food preparation sink with drainboards or countertop space of adequate size shall be required when a review of construction plans, modifications, or change in child care procedures indicates that separate facilities are needed based on volume and preparation frequency. Observed kitchen is too small. Previous center did not prepare food, children brought in their meals/snacks. Current center does prepare some lunches, and is planning on serving all children. Refrigerator moved to room without hand sink, a hot holding unit was put in kitchen where refrigerator was located. Center does not have the kitchen capacity to prepare for 280 children. Observed no hand washing sink near refrigerator in school age classroom. |
|
17
|
0
|
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 doors left unlocked, front and infant side. |
|
20
|
6
|
No identified lead poisoning hazards in accordance with NCGS 130A-131.7(7): .2816 |
No |
No
|
No |
15A NCAC 18A .2816 (b) (1) Child care operators, as defined under G.S. 110-86(7), shall test, once every three years, all water outlets used for drinking or food preparation. Samples shall also be collected and tested within 30 calendar days of completion of any renovations or repairs that may impact the facility's drinking water infrastructure, such as repair or replacement of all or part of drinking water service lines or faucets, at impacted outlets. The operator shall provide documentation of testing results for review by the Department during each unannounced routine sanitation inspection. Observed correct sinks were not tested in kitchen. Hand sinks do not need to be tested for lead. The 2-comp sink labeled wash/rinse and the 1-comp sink labeled sanitize must be tested for lead. |
|
21
|
0
|
Properly sized, located, accessible, and in good repair; sinks, toilets and potty chairs cleaned and disinfected; proper change of use procedure: .2817, .2818, .2836 |
No |
No
|
No |
15A NCAC 18A .2818 (a). Lavatories shall be kept clean and in good repair. Observed leak at hand sink in 2’s class. Loose faucet fixture in infant room. |
|
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 staff bathroom used as storage room with bulk supplies.
15A NCAC 18A .2818 (a). In child care centers lavatories shall not be used for storage. Observed paper towels and single service cups stored below hand sink, rm 5. |
|
25
|
0
|
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 staff not clean/disinfect table before putting another child up. Disinfectant wiped back off immediately. Follow proper cleaning procedures |
|
26
|
2
|
Approved cleaning solution and approved disinfectant provided; test kit available when required: .2817, .2818, .2819, .2820, .2836 |
No |
No
|
No |
15A NCAC 18A .2812 (i) An approved disinfectant shall be provided for cleaning purposes. When a chlorine solution is prepared by a child care center employee for use as an approved disinfectant, then the solution shall be prepared for use within 24 hours, and a testing method shall be used to ensure compliance with the prescribed chlorine concentration (500 -800 ppm). Observed disinfectant = 0 ppm chlorine. Use test strips to check strength. |
|
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 improper diaper change, steps missing 4, 5, 10. Observed diaper changing procedure not posted near table. Retrain staff on proper diaper changing procedures. |
|
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 2 unsecured aerosol air freshener dispenser. Pine cleaner unlocked in bathroom rm 6. Unlocked Windex in staff bathroom. |
|
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 .2825 (a) In child care centers, the walls and ceilings, including doors and windows, of all rooms and areas, shall be kept clean, free of visible fungal growth, and in good repair. All walls and ceilings shall be free of peeling, flaking, chalking, or otherwise deteriorating paint. Observed fungal growth on ceiling in girls bathroom, AS. Observed leak in ceiling and floor wet, girl’s after school (raining heavily) |
|
39
|
2
|
Equipment clean and in good repair; maintained as required: .2826 |
No |
No
|
No |
15A NCAC 18A .2826 (a). Light fixtures in all areas shall be kept clean and in good repair. Observed light fixture in upstairs bathroom comes on intermittently.
15A NCAC 18A .2826 (a). Shielded or shatterproof bulbs shall be used in food preparation, storage, and serving areas and in all rooms used by children. Observed light fixture without cover or shielding in room where freezer and refrigerator are. |
|
48
|
3
|
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 mouse droppings and torn up pieces of TP under the hand sink in staff bathroom. Have rodents eradicated from building. |