| 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. Repeat-Observed children improperly washing hands, turning off water with hand, 4’s classroom. Children need more supervision and coaching during handwashing. |
|
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 prep sink directly drained, sink must be indirectly drained. |
|
10
|
5
|
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 staff wash and rinse a cooking utensil, no sanitizer step. High chair tray in infants classroom with dry, caked on food. |
|
11
|
2
|
Approved sanitizer provided;test kit available: .2809, .2810, .2812, .2814 |
No |
No
|
No |
15A NCAC 18A .2812 (g) A testing method or equipment shall be used in accordance with the product manufacturer's instructions to test the strengths of sanitizing solutions to ensure the prescribed concentrations are met. Observed no sanitizer test strips. Test strip color chart range started at 250 ppm chlorine. Need test strips that include 50-200 ppm chlorine in its range. |
|
16
|
0
|
Hot water supplied and maintained as required in all other areas: .2815, .2836 |
No |
No
|
No |
15A NCAC 18A .2815 (e) Hot water supplied to clothes washing machines shall be 120°F or above. Observed washing machine < 120F. |
|
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 .2817 (a. All toilet fixtures shall be kept clean and in good repair. Observed toilet seat needs replacing in Pre-K 1. |
|
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 hand sinks without paper towels easily accessible when hand washing. |
|
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 (b). Diapering surfaces shall be made of smooth, intact, nonabsorbent material and shall be kept clean and in good repair. Observed diaper changing tables in disrepair in infants and RTL #1. |
|
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. Repeat- Observed cleaners, bleach, pesticide in unlocked (lock broken) cabinet in laundry/break room. Recommend making the laundry room bifold doors lockable since the room had constant therapy sessions with children. |
|
33
|
3
|
Linen, bedding, wash cloths, bibs, burping cloths laundered, and in good repair: .2821, .2836 |
No |
No
|
No |
15A NCAC 18A .2821 (f). Linens shall be laundered between users, when soiled, and otherwise once per week in rooms with children 1 year old or greater. Observed soiled sheets on cots in 2 classrooms. |
|
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 shelving in disrepair, vinyl couches/chairs in disrepair, vinyl pillows in disrepair. Tape residue on shelving. Buckets and toys with debris. |
|
35
|
0
|
Mouth-contact surfaces cleaned and sanitized in rooms designated for children who are not toilet trained: .2822, .2836 |
No |
No
|
No |
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.
Repeat-Through discussion with teachers improper procedures for cleaning toys was found in majority of classrooms. Toys that have been mouthed need to be put into a dirty toy bucket when the child has finished playing with it. |
|
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 (d) Floors in areas accessible to children, shall be kept free of peeling, flaking, chalking, or otherwise deteriorating
paint. 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 missing baseboards. Damaged walls in classroom closets. Walls peeling paint throughout. Peeling paint in bathrooms with cement flooring and in kitchen. Water damaged walls in kitchen. Broken window in RTL #1. Paint new wood trims on windows. |
|
39
|
0
|
Equipment clean and in good repair; maintained as required: .2826 |
No |
No
|
No |
15A NCAC 18A .2826 (b).Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. Observed a dusty vents. |
|
49
|
0
|
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 |
15A NCAC 18A .2832 (a).In the child care center premises and outdoor learning environment. Debris, glass, dilapidated structures, and broken play equipment shall be removed from areas accessible to children. Wells, grease traps, cisterns, and utility equipment shall be made inaccessible to children. Observed landscape timber barriers in poor repair some with screws exposed. |