| 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 teachers in waddlers and infant classroom turn off faucet with clean hands. Need to use paper towels to turn off the faucet. |
|
8
|
0
|
Meets specifications for refrigeration, sinks, lavatories and dishwashing equipment: .2809, .2810, .2812, .2814 |
No |
No
|
No |
15A NCAC 18A .2810 (f) If food is prepared in a child care center classroom, then the classroom shall be equipped with a food preparation area. This food preparation area shall contain a countertop that is kept clean and in good repair, a handwash lavatory, and refrigeration when items are stored that require refrigeration. Observed food prep area in Waddlers classroom does not have adequate counter space. Needs more counter space. |
|
10
|
0
|
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. Observed through discussion with staff that facility is cleaning high chair feeding trays in food prep sink in waddlers classroom. Needs to be cleaned in kitchen sink. |
|
12
|
0
|
Equipment, non-food contact surfaces clean; in good repair: .2809, .2810, .2812, .2814 |
No |
No
|
No |
15A NCAC 18A .2809 (3) Other surfaces that do not come into contact with food shall be kept clean and in good repair. Observed build up under high chair trays in waddlers classroom. |
|
13
|
0
|
Proper storage and handling of clean equipment, utensils and single-service articles: .2809, .2810, .2812, .2814 |
No |
No
|
No |
15A NCAC 18A .2814 (b) Cleaned and sanitized utensils and equipment shall be stored above the floor in a clean, dry location and shall be kept clean while stored. The food-contact surfaces of fixed equipment shall be kept clean while stored or otherwise not in use. Equipment and utensils shall not be stored under exposed sewer lines. Observed refrigerator in waddlers classroom stored under diaper changing sink. Staining on top of refrigerator shows evidence of a possible past or present leak. Equipments shall not be stored under exposed sewer lines. |
|
18
|
3
|
Backflow prevention provided, no cross connections: .2815, .2836 |
No |
No
|
No |
15A NCAC 18A .2815 (c). A child care center's water supply plumbing shall not include cross-connections as set out in 15A NCAC 18C .0102(c)(8). If the potential for back siphonage or backflow conditions exist, an atmospheric vacuum breaker or backflow prevention device shall be installed. Observed backflow preventor missing on front of building at spigot under screen porch. Needs backflow preventor. |
|
20
|
0
|
No identified lead poisoning hazards in accordance with NCGS 130A-131.7(7): .2816 |
No |
No
|
No |
General comment:
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 facility has had water tested in Toddler classroom handsink. Needs to be tested at two-compartment food prep sink in Infant room. |
|
21
|
4
|
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 damage to children’s bathroom sinks in toilet room. Needs repair/replacement. |
|
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 employee perform a diaper change in waddlers classroom and cleaned the surface by spraying sanitizer, then soapy water, and wiping it up with a paper towel. Needs to spray with disinfectant and let air dry or remain on surface for two minutes. EHS and staff discussed following appropriate disinfection procedures. |
|
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 diaper change in waddlers room. Employee skipped steps 4 and 5. Needs to follow procedure. |
|
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 hand sanitizer stored less than 5ft up in waddlers room and at entrance. Needs to be stored 5ft above the floor or behind lock and key. |
|
34
|
4
|
Clean and in good repair; cleaning, sanitization and maintenance of water play centers: .2822, .2836 |
No |
No
|
No |
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 rusting rail in staff bathroom. Observed high chair rusting at legs in waddlers classroom. Observed build up in the bottom of storage bins in waddlers classrooms. Needs cleaning/repair. |
|
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 .2824 (b). Floors and floor coverings in sleeping and play areas shall be kept clean and in good repair. Observed damage to floors throughout.
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 damage to walls throughout.
Repair floors and walls throughout facility. |
|
44
|
2
|
Solid waste properly handled; containers and cleaning equipment kept clean; can cleaning facilities adequate: .2830, .2836 |
No |
No
|
No |
15A NCAC 18A .2830 (c) Dumpsters and other containerized systems shall be kept clean and covered. Observed debris on the ground around dumpster area. Observed dumpster doors open. Doors need to be closed. Clean debris. |